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Seatter, Barbara J. "Casual Attributions for Teen Problem Drinking". PDXScholar, 1994. https://pdxscholar.library.pdx.edu/open_access_etds/5234.
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Teen problem-d1inking is a pervasive problem in our society. Teens with drinking problems utilize treatment centers and then return to school attempting to stay sober. However, many return to affiliate with problem drinkers instead of with non-drinkers, and risk for relapse is high. One explanation may be that teens without drinking problems do not accept teen problem drinkers into their peer group due to negative reactions toward problem drinkers. One way to examine their attitudes is to examine differences between teen problem drinkers and non-drinkers regarding causal attributions. Attribution theory proposes that various attributions will elicit different emotional reactions and will motivate teens to behave in certain ways. The purpose of this study was to determine if teens with prior experience in treatment (problem drinkers) and teens without that experience (non-problem drinkers) make different causal attributions for teen problem drinking. Furthermore, group differences in emotional reactions, beliefs about how to offset the problem, and help-giving behaviors were also examined. This study also sought to determine whether there was a predictable link between attributions and emotional reactions, and between emotional reactions and helpgiving behaviors. One hundred twenty-one teenagers aged 13 to 20 were recruited as subjects, 79 from Portland area schools and 42 from treatment centers. Subjects completed a written survey measuring causal attributions for teen problem drinking, emotional reactions toward teen problem drinkers, beliefs regarding how to offset the problem, and help-giving behaviors. Four MANOYAs were used to determine group differences. Results revealed group differences on causal attributions, emotional reactions, and offset controllability, but not on help-giving behaviors. Two multiple regressions were used to determine whether attributions predicted emotional reactions and whether emotional reactions predicted help-giving behaviors; results revealed no link. Although results revealed group differences, these were found not to be consistent with the hypothesis based on attribution theory. Results did reveal positive outcomes regarding attitudes toward teen problem drinkers by nonproblem drinkers, which is important as it suggests that teens without prior experience in treatment may be more accepting of teen problem drinkers than was expected.
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Elvy, Geoffrey Ashton. "Problem drinking: A construct and its measurement". Thesis, University of Canterbury. Psychology, 1985. http://hdl.handle.net/10092/4571.
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A problem drinking screening test for general hospital patients was developed in five experiments as a measure of the construct of problem drinking. In Experiment I, test questions were selected from a group of 59 psychological and medical items on the basis of responses from 1613 hospital patients. The resulting Problem Drinking Screening Test (PDST) has a 23 item self-report section and an optional physician's section of four items. Experiments II to V are concerned with the validity and reliability of the PDST.
Viewing problem drinking as a construct is justified theoretically, and its relationship to alcoholism, to locus of control, to labelling theory and to idiographic and nomethetic measurement is given. A method for measuring the construct is examined from the perspective of George Kelly's 1955 Personal Construct Theory, and a mathematical explanation is presented.
The experiments are introduced by a comprehensive review of the available problem drinking instruments. This review is divided into psychological measures, biomedical measures, combined psychological and biomedical measures, and others. Finally, a brief review is provided of the statistical considerations in developing a test.
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Iacovou, Jacqueline. "What are the effects of parental problem drinking?" Thesis, City, University of London, 2011. http://openaccess.city.ac.uk/18050/.
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The study explores the life experiences of seven adult children of problem drinkers (ACOPDs). Semi-structured interviews were conducted covering four main areas: experiences as a child; experiences as an adult; impact on life; and coping mechanisms. In order to gain an in-depth understanding of the participants’ experiences, Interpretative Phenomenological Analysis (IPA) was used. Five master themes were extracted from the data, namely: parent / child relationships; communication problems; coping mechanisms; the road to recovery; and impact on the self. Each master theme also consisted of a number of interrelated subthemes. Of all the master themes, coping mechanisms was by far the most prevalent with participants using numerous ways of dealing with parental problem drinking (PPD) such as avoidance, and trying to keep their parent’s drinking problem a secret from other people. The findings indicated that whilst many within group difference existed in the sample of participants, such as cultural background and status of parental drinking, many common themes still emerged. Moreover, the severity of PPD did not influence the findings to any great extent. A number of the participants’ problem drinking parents (PDPs) drank to excess on a daily basis whereas for others consumption was far less, a maximum of three to four units per evening. To conclude, participants’ accounts indicated a preference towards informal over professional forms of support. This has important implications for the counselling psychology profession such as a need to improve and increase the services available to both children of problem drinkers (COPDs) and ACOPDs.
4
Matthew, Andrew G. "Cognitive-behaviour therapy and problem drinking, a meta-analysis". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ51567.pdf.
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Mkandawire, Tiwonge Jaranthowa. "Alcohol and problem drinking as risk factors for tuberculosis". Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/9402.
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Includes bibliographical references.[Background] Tuberculosis is a major public health concern for South Africa which has one of the highest recorded incidence rates in the world. Previous research [1998 South African Demographic and Health Survey (SADHS)] reported a crude association between alcohol use and tuberculosis. This study aimed to examine evidence for a relationship, and the size thereof, between alcohol consumption and previous tuberculosis in the 2003 SADHS as a means of informing tuberculosis prevention. [ Methods ] This study was a secondary analysis of cross sectional data collected as part of the 2003 SADHS. Tuberculosis lifetime risk was derived from respondent reports of past tuberculosis episodes based on being informed by a healthcare worker. Alcohol consumption, problem drinking as well as selected explanatory variables were generated from similar questions from the adult questionnaire of the SADHS. The CAGE questionnaire was used to measure symptoms of alcohol problems. Logistic regression was used to model the relationship between past tuberculosis and both alcohol consumption and CAGE. [ Results ] Current and previous alcohol consumption were found to be associated with an increase in odds of tuberculosis in both men and women, with odds ratios ranging iii from 1.1 (95% CI 0.9 - 2.5) to 2.8 (95% CI 1.4 - 5.7) after adjusting for potential confounding effects of socioeconomic factors, smoking, nutritional status and age. Having a CAGE score of either 1 to 2 or 3 to 4 was associated with a doubling [OR 2.2 (95% CI 1.0 - 4.8) and quadrupling [OR 4.4 (95% CI 1.4 - 13.4)] in the odds of tuberculosis respectively. [ Discussion ] and conclusion Behavioural and biological mechanisms of effect of alcohol on tuberculosis may explain the findings. Impairment of the immune system, both acute and long term, has been suggested as the mechanism of increased susceptibility to tuberculosis. On the other hand, high risk living conditions and behaviour associated with problem drinking provide potential for increased exposure and susceptibility to tuberculosis infection. The study was able to control for several potentially confounding socioeconomic predictor variables although not HIV infection. The results complement a body of research that has documented the adverse effects of alcohol consumption on health in general and tuberculosis specifically. The findings thus provide more evidence for public health practitioners to tackle the problem of tuberculosis via specific efforts to control alcohol use and abuse, in addition to other methods of tuberculosis control.
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Collins, Jennifer Cathryn. "Patterns of Family Connectedness and Trajectories of Problem Drinking". The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1376928967.
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Nasr, Soad Rachel. "Adult children of problem drinking parents : experiences of relationships". Thesis, University of Hertfordshire, 2016. http://hdl.handle.net/2299/17197.
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Difficulties in interpersonal functioning have been consistently reported in the literature as a proposed negative outcome for adult children of problem drinkers. The existing literature has largely privileged the quantitative paradigm, which has conceptualised this group's relationship functioning through theoretically driven categories and concepts. The result has been a predominantly negative picture lacking utility, as well as neglecting important contextual processes and the inherent complexity and fluidity of human relationships. The aim of this study was to gain a richer understanding through exploring adult children of problem drinkers lived experience of relationships. Semi-structured interviews were conducted with six individuals who grew up with at least one problem drinking parent. Transcripts of the interviews were analysed using Interpretative Phenomenological Analysis (IPA). Four main themes emerged across participants accounts: 'Moving from 'bewilderment' to seeking clarity and stability in relationships', 'Remembering feeling unsafe and finding safety in relationships', 'Moving from invisibility towards finding a sense of self' and 'Making a choice to change my relationships'. The findings offer an alternative understanding of this group's experiences of relationships which are discussed in relation to the existing literature. Clinical Implications and suggestions for further research are considered.
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O'Connell, Bethany R. "Cognitive processing biases in alcohol use, abuse and dependence". Thesis, University of Southampton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326772.
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Johansson, Madeleine, i Mikaela Lindroth. "The relationship between personality, drinking motives and alcohol; : a mediational model¹". Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-38175.
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Some people develop problematic alcohol consumption. Explanations forthis have been proposed by the mediating influence of drinking motiveson the relationship between personality and alcohol use. The purpose ofthis study was to test whether such a mediating model can be applied to aSwedish population. Students (N=383) in Sweden answered aquestionnaire about personality, drinking motives, alcohol consumptionand alcohol-related problems. Mediation analysis was done to seewhether drinking motives could mediate the relationship betweenpersonality and alcohol outcomes for men and women. The resultsshowed that four paths of personality, drinking motives and alcohol canbe found in a Swedish population by using this mediational model.However, the model showed different paths for men and women.En del människor utvecklar en problematisk alkoholkonsumtion.Förklaringar till detta har sökts i en medierande inverkan avdryckesmotiv i relationen mellan människors personlighet ochalkoholkonsumtion. Syftet med denna studie var att testa om en sådanmedierande modell går att tillämpa på en svensk population. Studenter(N=383) i Sverige besvarade en enkät om personlighet, dryckesmotiv,alkoholkonsumtion och alkohol-relaterade problem. Mediationsanalysergjordes för att se om dryckesmotiven skulle kunna medierarelationen mellan personlighet och alkoholutfall för män och kvinnor.Resultaten visade att fyra mönster av personlighet, dryckesmotiv ochalkohol i den medierande modellen går att finna på en svenskpopulation, dock olika för män och kvinnor.
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O'Sullivan, John. "Why do older adults develop problem drinking? : a qualitative study". Thesis, University of Surrey, 2016. http://epubs.surrey.ac.uk/812295/.
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There is reason to suspect that a substantial number of older adults are regularly drinking alcohol in excess of recommended guidelines and may be regarded as problem drinkers. In the UK, the number of older adult problem drinkers is projected to increase as the population continues to age. Problematic alcohol consumption has negative health implications for the older adult and causes a strain on public services. Approximately one third of older adult problem drinkers experience a late onset of the problem, after the age of 55 years. Existing literature supports the narrative that this group develop the problem in response to stressful life events, however there is relatively little qualitative research exploring the reasons for the development of late onset problematic drinking from the point of view of the individual. Seven older adult problem drinkers were recruited from a Midlands based alcohol recovery project and interviewed. Transcripts were analysed using Thematic Analysis and four major themes emerged: History as an explanation; Personality as an explanation; External precipitants; and Factors maintaining the problem. A discussion of the findings is provided in the context of existing literature and support is lent to an integrated theoretical model in understanding the development of late onset problem drinking and the recognition of possible avenues for intervention by clinicians and services.
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Mayhew, Matthew. "Social and problem drinking : relationships with cognition, motivation and impulsivity". Thesis, Goldsmiths College (University of London), 2013. http://research.gold.ac.uk/9141/.
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Background: A growing body of research suggests that phenomena typically observed in alcohol dependence syndrome (ADS), which are believed to reflect dysfunctional activity within the mesocorticolimbic (MCL) dopamine (DA) system – notably, heightened cue-reactivity (CR) and disturbances of inhibitory control/impulsiveness – are present in non-physically-dependent drinkers. Aims: The present thesis investigated these findings further via three empirical studies. The first developed and gathered preliminary validation data on a new self-report questionnaire measuring ‘recent’ impulsiveness – the Recent Impulsivity Scale (STIS). The second and third examined whether, and to what extent, CR and disturbances of inhibitory control were present in heavy social drinkers (HDs) and problem drinkers (PDs), respectively, compared to controls; and also whether these variables were related to SIS scores. Additionally, Study 3 also examined whether PDs demonstrated disturbed responsivity to non-alcohol-associated reward-related stimuli – another manifestation of dysfunction within MCL DA circuitry – compared to controls. A further aim of Study 3 was to explore whether in social drinkers (SDs) a small ‘priming’ dose of alcohol would increase impulsivity and CR. The possible contribution of familial predisposition to alcohol use disorders (AUDs) was also investigated. Principal findings: • The RIS comprised two factors: Cognitive Impulsivity (CI) and Motor Impulsivity (MI). The final version demonstrated good internal and test-retest reliability, and good construct validity. Across the three studies RIS scores correlated significantly with several – though not all – self-report measures of recent alcohol intake and behavioural indices of CR, non-alcohol-related reward responsiveness, impulsivity and decision-making. • HDs in Study 2 showed elevated electrophysiological (but not subjective) CR – reflected in heightened P3 amplitudes – compared to light drinking controls. • During acute abstinence, the PDs in Study 3 demonstrated evidence of (i) dysfunctional responsiveness to non-alcohol-associated reward-related stimuli and (ii) subjective CR, compared to socially drinking controls. • The PDs of Study 3, but not the HDs in Study 2, demonstrated evidence of heightened impulsiveness, compared to controls. • There was no indication that the respective abnormalities demonstrated by HDs and PDs reflected differential familial predisposition to AUDs. • SDs in Study 3 did not show effects of alcohol priming. Conclusions: There was considerable support for the thesis that cognitive and behavioural characteristics believed to reflect disturbances of brain reward pathways are manifest in non-dependent drinkers rather than being confined to those with alcohol dependence. They may develop as a consequence of cumulative alcohol consumption, though the cross-sectional nature of these studies cannot exclude the possibility that they precede and are possibly risk factors for heavy drinking. In general, the present data are consistent with contemporary neurobiological models of addiction and suggest a continuum along which abnormalities develop in parallel with cumulative alcohol consumption.
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Shepherd, Betty Turner. "An investigation of judicial behaviors regarding the driving and drinking problem". Diss., Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/49988.
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The problem of driving and drinking has been examined in terms of prevention, enforcement, punishment, and education. From the sale of alcoholic beverages, it remains apparent that people will continue to drink and problems associated with that behavior will persist.
The purpose of this study was to investigate how the judges in Montgomery County, Virginia, treated defendants brought to court for driving while under the influence of alcohol or driving on a license suspended due to alcohol abuse from July, 1982 through September, 1983.
An analysis of the role played by the Montgomery County, Virginia, judges in the driving and drinking problem has shown that there were significant differences in the (number of continuations allowed, the type of verdict granted, and the form of punishment given. Defendants arrested for driving while under the influence of alcohol were much more likely to receive a guilty verdict (81%) than were people arrested for driving on a license suspended due to alcohol abuse (34%).
These same judges were consistent in their treatment of male and female defendants in all areas except punishment where it was found that no females went to jail. Personal interviews with the judges substantiated the statistical results, but of even more significance was the accent placed on educating both the public, beginning in elementary school, and the drunk driver. Many recommendations for further research and further action were presented.Ed. D.
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Chan, Karen K. "A brief intervention for screened problem drinking in an employee assistance program /". Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/8990.
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Kellett, Susan K. "Causal attributions for problem drinking : gender differences and predictors of therapeutic outcome". Thesis, University of Leicester, 2002. http://hdl.handle.net/2381/31334.
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The aims of the research are to investigate gender differences in causal attributions for problem drinking in clients first presenting to treatment services, and to consider whether attributional style is related to therapeutic outcome. This study employs an independent samples design plus correlational measures, utilising self-administered questionnaires, the sample consisting of 64 new referrals to the alcohol services (33 men, 31 women). Research suggests that women may make more external attributions for problem drinking than men. Causal attributions are considered in terms of items regarding perceptions of alcohol as a problem, plus the attributional dimensions of the revised Causal Dimension Scale. Women were less likely than the men to feel alcohol was the root of their problems, but there were no gender differences in terms of the attributional dimensions. It is suggested that findings may indicate changes in gender-related social stereotypes, leading to a convergence in the attributions of male and female problems drinkers. Evidence is presented from previous research to support this explanation. Research suggests that perceptions of high internal control will be associated with positive therapeutic outcome; high external control and high stability with negative outcome. Using the Alcohol Abstinence Self-Efficacy Scale and the Stages of Change Readiness and Treatment Eagerness Scale to predict the therapeutic outcome it was found that higher internal control was related to more favourable indicators, higher stability with less favourable indicators, with no relationship in terms of external control. It is concluded that different interventions need to be used for men and women as they see the root of their problems differently. In addition, therapy could aim to increase perceptions of internal control and decrease perceptions of stability. Results also demonstrate the necessity of using multi-dimensional measures when assessing casual attributions, and suggestions are made for the use of such measures in clinical work.
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Lau, Katharina [Verfasser]. "Alcohol consumption, motivation to change drinking behaviour, motivation to seek help for alcohol problem drinking and alcohol-attributable morbidity / Katharina Lau". Greifswald : Universitätsbibliothek Greifswald, 2011. http://d-nb.info/1017586578/34.
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Hall, Roger Alan. "The relationship between problem drinking, personality variables and cognitive deficits in college students". The Ohio State University, 1991. http://rave.ohiolink.edu/etdc/view?acc_num=osu1343841047.
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Grencavage, Lisa Maria. "Demand-withdraw couple interaction, disease-model beliefs, and readiness to change problem drinking". Diss., The University of Arizona, 2000. http://hdl.handle.net/10150/284216.
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This study examined relationships among couple demand-withdraw interaction (DWI), alcoholics' and partners' beliefs in the disease model of alcoholism, and alcoholics' readiness to change problem drinking. A secondary purpose was to further investigate the construct validity of the University of Rhode Island Change Assessment Scale (URICA; McConnaughy, Prochaska, & Velicer, 1983), a frequently used measure of readiness to change. A sample of 63 male alcoholics and their female partners received up to 20 sessions of cognitive-behavioral or family-systems therapy for alcoholism as part of a larger treatment project. The three main construct variables were assessed at baseline (T1) and after the first 12 sessions of therapy (T2) by observational ratings (DWI) and self-report questionnaires (disease-model beliefs and readiness to change). Due to a high rate of attrition from measurement at T2, analyses involving data, collected at this point must be interpreted with caution. As predicted, T1 ratings of DWI were negatively associated with alcoholics' readiness to change measured concurrently at T1 and also longitudinally at T2. Also as predicted, this relationship was found primarily with the wife-demand/husband-withdraw DWI role pattern; the opposite husband-demand/wife-withdraw role pattern was largely unrelated to readiness to change. Multiple regression analyses in a panel design indicated no clear causal direction in the lagged correlations between DWI and readiness to change. Although female partners believed more strongly in the disease model of alcoholism than did alcoholics both at T1 and at T2, neither partners' nor alcoholics' disease-model beliefs were related to readiness to change or to DWI. Finally, regarding the construct validity of the URICA, while mean levels of readiness to change increased significantly over the course of treatment, T1 and T2 measures of readiness to change were only mildly---and somewhat inconsistently---associated with treatment outcome. In all, the findings of the current study offer moderate support for the idea that an individual's readiness to change is related to interpersonal factors in his environment but only limited support for the construct validity of the URICA as a measure of readiness to change problem drinking.
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Schulze-Henning, Daniela. "An examination of the relationships between patterns of attachment, self-esteem, social problem-solving and drinking behaviour in problem drinkers". Thesis, University of Edinburgh, 2011. http://hdl.handle.net/1842/25163.
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Introduction. Early psychological and environmental factors appear to play an important role in the development of alcohol abuse and alcohol dependence and increasing self-esteem and problem-solving abilities is often the aim of psychological interventions for these problems. The purpose of this study was to examine parental bonding, self-esteem and problem solving in alcohol-dependent individuals, using multi-dimensional measures. Method. An inpatient sample from a specialist treatment facility consisting of 90 volunteers who completed questionnaires focusing on alcohol consumption (Timeline Followback), alcohol-related problems (Alcohol Problems Questionnaire), self-esteem (The Self- Liking/Competence Scale [Revised]), social problem solving (Social Problem Solving Inventory [Revised]) and perceived parenting (Parental Bonding Instrument). Inclusion/exclusion criteria were applied. The data were analysed using Pearson Correlations and Stepwise Regression. Results. Alcohol problems were related to maternal parenting patterns but not paternal parenting patterns. A significant negative relationship was found between social problem solving and alcohol problems; a positive significant relationship was found between alcohol problems and the dysfunctional styles of social problem solving (Negative Problem Orientation, Impulsivity/Carelessness Style, Avoidance Style). Both aspects of self-esteem were significantly related to parental care, social problem solving and alcohol-related problems. The hypothesised role of self-esteem as a mediator between Maternal Care and alcohol problems, and between social problem solving and alcohol problems, was not supported. Conclusions. In problem drinkers, dysfunctional aspects of problem solving and low maternal bonding during childhood and adolescence appear to be related to their alcohol problems. Although a role for self-esteem in the development and maintenance of alcohol problems has been identified, the precise mechanisms through which self-esteem, problem solving and parental bonding are connected with alcohol problems have yet to be established. However, self-esteem and social problem solving need to be considered as important factors when planning treatment options. In addition, the negative effects of drinking alcohol at an early age on problems later in life were discussed.
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Huerta, Monica. "Immigration Stress, Exposure to Traumatic Life Experiences, and Problem Drinking Among First-Generation Immigrant Latino Couples". Thesis, Virginia Tech, 2014. http://hdl.handle.net/10919/54576.
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This study explored the relationship of each partner's immigration stress and exposure to traumatic life experiences, with both his or her own problem drinking and the partner's problem drinking. The study was guided by Bodenmann's systemic-transactional stress model and used secondary data collected in 2009 from 104 Latino immigrant couples living in the Washington DC area. Results from the path model analysis indicated that even though men's overall immigration stress was not significantly related to their own problem drinking, emotional dimensions of immigration stress were in a positive direction. Men's overall immigration stress was negatively related to their partners' problem drinking. The women's overall immigration stress was significantly and positively related to their own problem drinking, particularly for acculturation related aspects and stress from missing family, but it was not significantly related to their partner's problem drinking. Additionally, men's exposure to traumatic life experiences was significantly, positively associated with problem drinking but it was not significantly associated with their own overall immigration stress. For women, results were different as exposure to traumatic life experiences was not associated with their own problem drinking but it was significantly and positively related to their overall immigration stress in the hypothesized direction. Limitations, research, and clinical implications of the findings are discussed.Master of Science
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Velleman, R. "A study of the relationship between childhood, family and parental experiences : Parental drinking problems and adult adjustment". Thesis, University of Exeter, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.379467.
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Seo, Gye Soon Kong. "The impact of maternal problem drinking on children's developmental outcomes : focus on parenting as mediator /". The Ohio State University, 1998. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487951907960482.
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Goings, Christopher David. "Examination of the Rutgers alcohol problem index : testing the unidimensional properties of the factor structure /". Electronic version (PDF), 2007. http://dl.uncw.edu/etd/2007-3/goingsc/christophergoings.pdf.
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Dalla, Costa Kenneth L. "The relationship among family environment attributes, personological factors, low self-esteem and late adolescent problem drinking /". View online, 1997. http://repository.eiu.edu/theses/docs/32211130731509.pdf.
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Dum, Mariam. "A Longitudinal Approach to Understanding Individual Differences Affecting the Drinking Behavior Change Process". Diss., NSUWorks, 2009. https://nsuworks.nova.edu/cps_stuetd/27.
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Most studies examining predictors of treatment outcomes among problem drinkers have used a traditional statistical approach that examines group outcomes (e.g. analysis of variance, multiple regression analysis). Contrary to traditional methods, a person-centered approach identifies commonalities among clusters of individuals and provides the opportunity to examine the relationship between multiple individual differences and outcomes in a longitudinal manner. Specifically, the person-centered approach makes it possible to cluster individuals into subgroups based on their change patterns, and to examine the relationship between those subgroups and other variables of interest (e.g., drinking problem severity). This approach allows the inclusion of a relatively large number of variables to test complex hypotheses. The present study is a secondary data analysis of early (first three-month) Timeline Followback (TLFB) post-treatment drinking data from 200 problem drinkers who completed a short outpatient intervention. Using a growth mixture modeling (GMM) analysis, the goal was to identify different outcome drinking trajectories and examine the relationship between problem severity levels, treatment modality (i.e. individual versus group format), and goal choice (i.e. low-risk drinking versus abstinence) to those trajectories. Results demonstrated the existence of different outcome subgroups among problem drinkers. In addition, problem severity level was associated with outcomes and class membership. Observed significant differences in the relationships between predictor variables and specific outcome subgroups, and evidence of different drinking fluctuation patterns in the outcomes suggest that using a person-centered approach adds value beyond traditional statistical outcome analyses. The person-centered approach can facilitate the identification of relevant variables for patient-treatment matching hypotheses for problem drinkers.
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Gioia, Christopher J. "Using the Timeline Followback to Identify Time Windows Representative of Annual Posttreatment Drinking". NSUWorks, 2011. http://nsuworks.nova.edu/cps_stuetd/34.
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Using 12-month post treatment Timeline Followback drinking reports, data extrapolated from shorter time windows (e.g., 1 month, 6 months) were used to estimate total annual drinking. The objective was to determine whether data from a shorter time window would provide an estimate of annual drinking sufficiently consistent with the full year report such that it can be used in place of the full report. Data for this study were obtained from problem drinkers who voluntarily participated in a randomized controlled trial of a mail-based intervention. Complete follow-up data were obtained for 467 of the 825 participants who completed a 12-month Timeline Followback of their post intervention drinking. The results of this study suggest that 3 months is the necessary minimum time window to best represent annual posttreatment drinking with alcohol abusers. The major implication of this finding is that alcohol treatment outcome studies can use a shorter posttreatment time window, which is more time and resource efficient, over which to obtain follow-up data with little to no loss in the representativeness of that data.
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McLoughlin, Jo-Ann. "Papsak consumption and problem drinking amongst farm workers in the rural Western Cape : prevalence and risk factors". Master's thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/9331.
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Includes bibliographical references (leaves 79-84).[Motivation] A high prevalence of alcohol consumption and the negative impact of alcohol on rural communities in the Western Cape have been linked to coercive labour practices and the ease of availability of cheap, low quality white wine, typically packaged in foil bags (papsakke). A process is underway to regulate papsakke out of the market. However, limited research has been conducted on the use and impact of papsakke. [Aims and objectives] This study aims to determine the prevalence of, and risk factors for papsak consumption and problem amongst farm workers in the rural Western Cape. It also explores the attitudes of drinkers with respect to their choice of alcohol type and the practices of papsak drinkers, in order to identify target groups for community level interventions and to inform the consent and monitoring of developmental and/or restrictive interventions. [Study design] A cross sectional analytical study performed as a post hoc analysis of data obtained from a larger study on papsakke which included a farm worker survey. [Subjects] 461 female and male farm workers resident on predominantly wine grape producing farms in Stellenbosch, Franschoek and Vredendal in the rural Western Cape Province from February to May of 2004.
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Carollo, Michael A. "Examining the Relationship Between Alcohol Use and Work in the Professional Theater". Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1564659826872089.
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Bi, Shuang. "Parental Problem Drinking and Children’s Adjustment: Are Associations Moderated by Patterns of Sympathetic and Parasympathetic Nervous System Activity?" UKnowledge, 2015. http://uknowledge.uky.edu/psychology_etds/62.
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Parental problem drinking (PPD) is associated with various forms of child psychopathology, including hyperactivity, conduct disorder, delinquency, depression and anxiety. However, not all children share the same risk for developing adjustment problems in the context of PPD. In this study, we examined patterns of sympathetic and parasympathetic nervous system activity account for differential susceptibility to the adverse effects of PPD in middle childhood. We found that reciprocal SNS activation protects against child internalizing symptoms in the context of mother problem drinking. We also found consistent interactions between PNS and SNS in predicting child internalizing problems. Coinhibition is linked to more internalizing symptoms including anxiety and depression. This study provides further support for Autonomic Space Theory and demonstrates the importance of taking both PNS and SNS into account when studying physiological response to stress.
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Harding, T. "Creating and controlling a personal social world : the experiences of adults growing up in an environment of problem drinking". Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/376710/.
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Approximately one million children in the UK are living in families where at least one parent has problem drinking tendencies. Evidence explores risks to children growing up in this environment. However, there is limited evidence exploring what influences an adult who grew up in a home where a parent drank alcohol to excess to drink within recommended limits, and whether behaviour/decision making with respect to drinking alcohol within recommended limits is deliberate. This study used a constructivist grounded theory design. Eleven participants were selected via purposeful sampling for their experience of growing up in a family where problem drinking had been observed. Data were collected from one to one individual semi-structured interviews over a period of 23 months. There were three main stages in the analysis of the data, initial coding, focused coding and theoretical coding, and theoretical saturation. The constructivist grounded theory gave consideration to human nature and social control, applying this to the creation and control of one’s own immediate personal social world where its influence stems from the impact of a parent/s problem drinking behaviour which were for the most part unpredictable and an environment that was largely unstable. Participants appeared to take control of, and responsibility for, the direction their lives have taken. Two key related aspects worthy of consideration in the context of clinical practice arising from this study are firstly, in relation to the attributes of resilience; harnessing it, and developing it, whilst acknowledging that not everyone has the same opportunities, or resources or ability to access these resources. Secondly, recognising the intensity of strategy development for maintaining drinking within recommended limits as a conscious decision where individuals develop personal strategies for achieving personal control. It is essential that services acknowledge the impact these experiences can have and the variability of resources available to individuals. The Alcohol Liaison role needs to develop to include identifying those in a family where there is problem drinking behaviour and those with a family history of problem drinking behaviour. An individual approach is required for developing strategies for promoting resilience and prevention strategies need to be determined and agreed on an individual basis enabling the individual to take control of drinking alcohol within recommended limits.
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Koopman, Fred Andrew. "An assessment of the perception and practices of general practitioners (GPs) in Cape Town regarding problem drinking amongst their patients". Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=init_7441_1180442576.
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Since the anecdotal assumption is that GPs do not effectively diagnose and manage problem drinking amongst their patients, this study investigated the role of GPs in addressing problem drinking in Cape Town as well as the prevalence of problem drinking amongst their patients.
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Andersson, Daniel. "Supandet i Karlstad : En studie om Karlstads nykterhetsnämnds syn på supandet som ett samhällsproblem, åren 1941–1950". Thesis, Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-85142.
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This paper discusses Karlstad’s sobriety committee view on the drinking as a societal problem during the period 1941–1950. The purpose of the study is to investigate how the sobriety committee in Karlstad saw drinking as a problem and what measures were put in place to deal with it between the years 1941–1950.The study used a qualitative research method, and the empirical material has consisted of Karlstad’s sobriety committee’s annual reports from the years 1941–1950. The material was read several times and sorted and reduced with the help of focused coding where clear problem areas, reasons behind the drinking and measures and their possible results were what was sought. The results were analyzed with the help of previous research and the theory of the actor and structure model.The results show in what way the drinking was considered problematic where the focus ended up on youth drunkenness and widespread illegal trade with alchohol. These two problems were also the clearest reasons for the city’s negative state of sobriety. Descriptions of the sobriety committee’s work and measures show a resignation. Using the actor and structure model, one sees how structures to curb drinking in the city emerged and were connected. One can find a problem with the social structures that the inhabitants grew up with contributed to increased drinking.
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King, Deena. "Alcohol Use and Religiosity Among College Students". BYU ScholarsArchive, 2006. https://scholarsarchive.byu.edu/etd/938.
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Alcohol use among college students is often in the news. Some scholars argue, with literature to support it, that problem drinking in college is just a media-driven myth (Lederman et al. 2004). Yet it is clear that college students do drink, some to excess. Various reasons are cited from alcohol availability to the "freedom" associated with this stage of life. However, very few researchers have attempted to determine whether religiosity affects alcohol use among college students. The purpose of this study was to further examine the combined issues of religiosity and alcohol use among college students. Is excessive use of alcohol during this time of life simply an adult transition issue, as Jackson et al. (2005) contend, or is there more to it? Research seems to point to the fact that religiosity plays a role. The primary hypothesis tested was that students who valued religious activities as part of their college experience would use alcohol less, including binge drinking, than those who did not. The second hypothesis tested was that students who valued parties and Greek life would use alcohol and binge more than students who did not. The data set used was constructed by the Harvard School of Public Health and included data from 120 four-year colleges and universities from throughout the United States. The analysis supported the hypothesis that religiosity was a factor in reduced alcohol use by college students. College students who valued religious activities drank less than those who did not. The study also supported the hypothesis that students who valued parties and Greek life drank more. The heaviest drinkers were those who valued parties. These results are highly significant given the size of the sample. No other study that looked at religiosity and alcohol use among college students used a sample this large. These results help us to better understand the negative association between religiosity and alcohol use among college students as well as the positive association between parties and alcohol use. They especially help us to formulate strategies that might be considered to alleviate problem drinking during this stage of life.
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Bouma, Ruth. "Prevention of Relationship and Alcohol Problems". Thesis, Griffith University, 2003. http://hdl.handle.net/10072/366648.
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There is a strong association between alcohol and relationship problems, with each problem exacerbating the other. In this program of research two studies were conducted. The first study was to investigate the variables that put couples at risk for developing a combination of relationship and alcohol problems. The second study was an evaluation of the effects of an integrated education program that promoted safe drinking and positive relationship interaction. Previous research shows that deficits in negative affect regulation and poor communication predict the onset of both relationship and alcohol problems. Based on these findings, it was hypothesized that deficits in communication exist in couples in which one or both partners drink at hazardous levels. In Study 1 communication of 85 couples (53 couples with no high-risk drinker and 32 couples with at least one at-risk drinker) in early stage committed relationships was assessed by observation of their interaction. Couples in which the man was drinking at hazardous levels had significantly more negative communication than couples without an at-risk drinker. In Study 2, 37 couples with at least one at-risk drinker were randomly assigned to either Controlling Alcohol and Relationship Enhancement (CARE) or a control condition. Couple communication, alcohol consumption, relationship satisfaction and relationship stability were assessed at pre- and post-intervention. Alcohol consumption, relationship satisfaction and relationship stability were also assessed at 6-month follow-up. Couples receiving CARE improved their communication significantly relative to the control couples. Couples in both conditions showed significant reductions in hazardous drinking, but there was no significant difference in the effects of the interventions on alcohol consumption. The program of research demonstrates that deficits in couple communication are evident in couples with hazardous male drinking, even in the early stage of the relationship when the couples report high relationship satisfaction. The communication deficits are remedied with brief, skill-training relationship education. Furthermore, there was evidence for the effects of CARE on reduction of steps towards relationship dissolution at 6-month follow-up. The brief alcohol component of the intervention showed little benefit beyond the control condition in terms of impact upon the alcohol problems. This research is the first to demonstrate that a combined program of skill-based relationship education and strategies for alcohol reduction is effective in remediating communication skills deficits in the early stage relationships of couples with hazardous alcohol consumption. Future research can extend this work to enable the development of programs which match the content of relationship education to the specific needs of other high-risk couplesThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Applied Psychology
Full Text
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Carter, James R. "Socio-Structural Barriers, Problem Drinking Behaviors, and Intimate Partner Violence within a Bhutanese-Nepali Refugee Community: A Qualitative Examination Using a General Strain Theory Framework". University of Akron / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=akron1588860785516622.
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Bouma, Ruth Olivia, i n/a. "Prevention of Relationship and Alcohol Problems". Griffith University. School of Applied Psychology, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040322.092510.
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There is a strong association between alcohol and relationship problems, with each problem exacerbating the other. In this program of research two studies were conducted. The first study was to investigate the variables that put couples at risk for developing a combination of relationship and alcohol problems. The second study was an evaluation of the effects of an integrated education program that promoted safe drinking and positive relationship interaction. Previous research shows that deficits in negative affect regulation and poor communication predict the onset of both relationship and alcohol problems. Based on these findings, it was hypothesized that deficits in communication exist in couples in which one or both partners drink at hazardous levels. In Study 1 communication of 85 couples (53 couples with no high-risk drinker and 32 couples with at least one at-risk drinker) in early stage committed relationships was assessed by observation of their interaction. Couples in which the man was drinking at hazardous levels had significantly more negative communication than couples without an at-risk drinker. In Study 2, 37 couples with at least one at-risk drinker were randomly assigned to either Controlling Alcohol and Relationship Enhancement (CARE) or a control condition. Couple communication, alcohol consumption, relationship satisfaction and relationship stability were assessed at pre- and post-intervention. Alcohol consumption, relationship satisfaction and relationship stability were also assessed at 6-month follow-up. Couples receiving CARE improved their communication significantly relative to the control couples. Couples in both conditions showed significant reductions in hazardous drinking, but there was no significant difference in the effects of the interventions on alcohol consumption. The program of research demonstrates that deficits in couple communication are evident in couples with hazardous male drinking, even in the early stage of the relationship when the couples report high relationship satisfaction. The communication deficits are remedied with brief, skill-training relationship education. Furthermore, there was evidence for the effects of CARE on reduction of steps towards relationship dissolution at 6-month follow-up. The brief alcohol component of the intervention showed little benefit beyond the control condition in terms of impact upon the alcohol problems. This research is the first to demonstrate that a combined program of skill-based relationship education and strategies for alcohol reduction is effective in remediating communication skills deficits in the early stage relationships of couples with hazardous alcohol consumption. Future research can extend this work to enable the development of programs which match the content of relationship education to the specific needs of other high-risk couples.
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Davison, Judy. "Women with drinking problems". Thesis, University of Southampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268389.
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Farrell-Poe, Kitt, Lisa Jones-McLean i Scott McLean. "Matching Drinking Water Quality Problems to Treatment Methods". College of Agriculture and Life Sciences, University of Arizona (Tucson, AZ), 2011. http://hdl.handle.net/10150/156929.
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6 pp.1. Drinking Water Wells; 2. Private Water Well Components; 3. Do Deeper Wells Mean Better Water; 4. Maintaining Your Private Well Water System; 5. Private Well Protection; 6. Well Water Testing and Understanding the Results; 7. Obtaining a Water Sample for Bacterial Analysis; 8. Microorganisms in Private Water Wells; 9. Lead in Private Water Wells; 10. Nitrate in Private Water Wells; 11.Arsenic in Private Water Wells; 12. Matching Drinking Water Quality Problems to Treatment Methods; 13. Commonly Available Home Water Treatment Systems; 14. Hard Water: To Soften or Not to Soften; 15. Shock Chlorination of Private Water Wells
This fact sheet is one in a series of fifteen for private water well owners. The one- to four-page fact sheets will be assembled into a two-pocket folder entitled Private Well Owners Guide. The titles will also be a part of the Changing Rural Landscapes project whose goal is to educate exurban, small acreage residents. The authors have made every effort to align the fact sheets with the proposed Arizona Cooperative Extension booklet An Arizona Well Owners Guide to Water Sources, Quality, Testing, Treatment, and Well Maintenance by Artiola and Uhlman. The private well owner project was funded by both the University of Arizonas Water Sustainability Program-Technology and Research Initiative Fund and the USDA-CSREES Region 9 Water Quality Program.
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Fradet, Christiane. "Coping strategies in young men with and without drinking problems". Thesis, University of Ottawa (Canada), 1993. http://hdl.handle.net/10393/6845.
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Social learning theory (Abrams & Niaura, 1987) assumes that individuals who lack effective coping strategies are more likely to drink in response to stressful situations. A review of the literature suggests that coping strategies have not typically been studied in the context of a specific theory of alcohol abuse. Consequently, little progress has been made in the understanding of possible links between alcohol abuse and the use of coping strategies. The primary objective of the present study was to assess whether drinking problems are associated with specific coping strategies. Coping strategies were defined according to the coping models of Lazarus and Folkman (1984), Tobin, Holroyd, Reynolds and Wigal (1989) and Rosenbaum (1980). It was hypothesized that students with drinking problems, in comparison to students with no drinking problems, would report engaging less in self-control and problem-focused strategies and more in avoidant coping strategies. A secondary objective was to determine whether these coping characteristics are associated with a family history of drinking problems, a risk factor for drinking problems. One hundred and eighty-nine male university students completed screening questionnaires about their alcohol and drug consumption and about the drinking behaviors of their family members. Students accepted for this study met the criteria for one of the following groups: (a) no family history of drinking problems (FH$-$) and no drinking problems, (b) FH$-$ and drinking problems, (c) family history of drinking problems (FH+) and no drinking problems, or (d) FH+ and drinking problems. Students completed self-report questionnaires on the reactions they experience in stressful situations. Self-control strategies were assessed by the Self-Control Schedule (Rosenbaum, 1980), and task-oriented and avoidant strategies by the Coping Inventory for Stressful Situations (Endler & Parker, 1990a). The last questionnaire was repeated for three different situations: (a) negative emotion, (b) interpersonal conflict, and (c) pressure to drink. Multivariate analyses of variance showed that students with drinking problems, in comparison to students without drinking problems, reported engaging less in self-control and task-oriented coping strategies. However, students with drinking problems did not report engaging more in avoidant strategies. This finding was contrasted with the results of other studies in which avoidant strategies were found to be related to alcohol abuse. Finally, there were no significant differences in coping between FH+ students and FH$-$ students. The potential relevance of coping to a model of alcohol abuse was discussed as well as its practical implications. For example, students with drinking problems might benefit from being taught task-oriented strategies and self-control skills, in addition to specific skills to reduce drinking.
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Field, John B. F. "A statistical study of the distribution of alcohol consumption and consequent inferential problems /". Title page, contents and summary only, 1985. http://web4.library.adelaide.edu.au/theses/09PH/09phf454.pdf.
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Greco, Michelle Nicholle. "The relation of alcohol expectancies to alcohol consumption and alcohol-related problems among college students". To access this resource online via ProQuest Dissertations and Theses @ UTEP, 2009. http://0-proquest.umi.com.lib.utep.edu/login?COPT=REJTPTU0YmImSU5UPTAmVkVSPTI=&clientId=2515.
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Marsden, J. R. "Employees with drinking problems : short-term evaluation of treatment and management outcomes". Thesis, Cranfield University, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.333265.
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Hosier, Steven G. "An evaluation of two brief interventions aimed at reducing college students' alcohol use". Thesis, Bangor University, 2002. https://research.bangor.ac.uk/portal/en/theses/an-evaluation-of-two-brief-interventions-aimed-at-reducing-college-students-alcohol-use(0bb53118-bcdd-42ad-90ab-10b245f60e54).html.
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College students' drinking patterns have been a cause for concern for a number of years. The present study evaluated the relative effectiveness of two brief interventions aimed at reducing alcohol consumption among heavy-drinking students. The first intervention delivered personalised feedback about students' alcohol use and other alcohol-related information. The other one delivered nonpersonalised feedback. It was hypothesised that the personalised feedback would be more successful than nonpersonalised feedback in motivating heavy-drinking students to reduce their alcohol consumption. The study began with a large-scale, screening survey of students' alcohol use. The survey first identified heavy-drinking students, who then completed a baseline assessment comprising questionnaire measures related to personality, motivation, reasons for drinking, high-risk drinking situations, and alcohol-related problems. Following the baseline assessment, the heavy-drinking students (n= 111) were randomly assigned to either one of three groups; personalised feedback, nonpersonalised feedback, or a non-intervention control group. Students (n= 110) in all three groups were followed-up 12 weeks after the interventions had been delivered. The results showed that personalised alcohol-related feedback produced the greatest increase in students' readiness to change their excessive drinking. However, there was no evidence for an effect of intervention on students' actual consumption. At baseline it was found that as students' alcohol-related problems increased there were also increases in (a) the amount of alcohol that they consumed, (b) the negative-affect situations in which they drank, and (c) their maladaptive motivational patterns. In fact, each of the latter three variables contributed uniquely to the variance in alcohol-related problems. The results were discussed from the perspective of a motivational model of alcohol use (Cox & Klinger, 1988). It was concluded that the findings of the present study have important implications for future brief interventions among students.
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Duke, Aaron A. "Bayesian Analysis of Parental Drinking Motives and Children's Adjustment". UKnowledge, 2013. http://uknowledge.uky.edu/psychology_etds/22.
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Harm reduction strategies can mitigate against some of the deleterious effects of alcohol on families. These strategies are most feasible and cost-effective when they can be targeted at those who are most at risk. Previous studies examining the relation between parents’ alcohol use and their children’s psychological adjustment have failed to consider important contextual questions such as drinking motives. The current investigation set out to identify the extent to which parents’ drinking motives predict internalizing and externalizing psychopathology in their children. The investigation consisted of cross sectional analysis of parents’ drinking motives and their children’s adjustment using data from 154 families recruited from the local community. Utilizing Bayesian data analytic techniques, we examined the role of parents’ drinking motives along with possible mediating variables including familial conflict, parental depression, and parenting style. Results showed that maternal social drinking motives were better predictors of children’s maladjustment than either coping or enhancement drinking motives. Unexpectedly, maternal enhancement drinking motives were associated with fewer adjustment problems. Maternal enhancement drinking motives also predicted higher levels of collaborative conflict resolution and lower levels of parental depression, both of which were associated with reduced levels of children’s externalizing problems. Paternal alcohol consumption and drinking motives were not associated with children’s internalizing or externalizing problems. Clinical implications and directions for future research are discussed.
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Kilmer, Jason Robert. "A contextual analysis of alcohol consumption among college students : implications for the prevention of alcohol-related problems /". Thesis, Connect to this title online; UW restricted, 1997. http://hdl.handle.net/1773/9188.
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Hajema, Klaas Jan. "Sociological aspects of drinking behavior, alcohol-related problems and help-seeking a longitudinal study /". [Maastricht : Maastricht : Universiteit Maastricht] ; University Library, Maastricht University [Host], 1998. http://arno.unimaas.nl/show.cgi?fid=8392.
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Ikegami, Takao. "Problems of municipal drinking water supply and evaluation of a chlorinated by-products policy". Thesis, Massachusetts Institute of Technology, 1985. http://hdl.handle.net/1721.1/74774.
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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1985.MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH.
Bibliography: leaves 75-84.
by Takao Ikegami.
M.C.P.
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O'Neill, Susan E. "Personality processes in the development of alcohol problems during the college years and beyond /". free to MU campus, to others for purchase, 2004. http://wwwlib.umi.com/cr/mo/fullcit?p3164534.
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Volz, Angela R. "College Women’s Motives for Drinking and Sex: Behavioral Correlates, Alcohol-Related Problems, and Sexual Victimization". Miami University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=miami1343330070.
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Wiesenthal, Karina Edwardovna. "The effect of pipe materials on taste and odor problems in drinking water distribution systems". Diss., Restricted to subscribing institutions, 2006. http://proquest.umi.com/pqdweb?did=1273124431&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
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Howland, O. F. "Drinking, despair and the state and ethnography of a brewing subculture in rural Kenya". Thesis, Liverpool John Moores University, 2016. http://researchonline.ljmu.ac.uk/4686/.
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Home brewed alcohol is responsible for a significant proportion of alcohol related harms across Africa, yet in Kenya where the problem receives much media attention, pombe ya kienyeji (home brew) has been significantly under-researched. Existing research offers limited information regarding the personal stories and daily lives of people within this sub-culture which would inform us about the social and political contexts of alcohol. This thesis is a description of the sub-culture of home-made fermented beers in a rural, geographically isolated and politically marginalised region of southern Kenya. The research was conducted using a mixed methods ethnographic approach including participant observation, focus groups, informal interviews, drawing exercises with children, body mapping, life story interviews and oral histories, community mapping, reflexive focus groups, photography, and the ethnographer working as a Mama Pima (the woman who serves the beer). Research took place over a period of three years from 2011-2014, with around 24 months spent in the field. Home brewed beers are an integral part of the local economy, providing employment and financial independence for many women, enabling them to send their children to school and look after their families. The study uses the concepts of structural violence, and demasculinity, as analytical perspectives to explain and rationalise the behaviour of drinkers, brewers and other relevant actors within ‘Kijiji’, the study site. These chapters make the case that state level structural violence is a precipitator of alcoholism, and that domestic violence witnessed from an early age is normalised in many households. For the women who brew, a climate of mistrust and fear of the authorities pervades everyday life. Focus group discussions shed light on the changing role of alcohol within society and the different meanings ascribed to it since independence. Life stories indicate that violence witnessed and suffered in childhood are precursors to problematic drinking behaviour in later life. There are clearly defined gender roles in production and consumption of alcohol with women primarily undertaking production and sale of brew, and men dominating the drinking scene. A full description of the brews and brewing process, environments, and drinking dens are recorded. Whether actual levels of consumption have increased in real terms is beyond the scope of this study. The empirical results demonstrate that structural violence is deeply embedded in rural Kenyan society and provide an alternative to the commonly held belief that brewers and drinkers are deviant or criminal. Brewers and drinkers still manage to create for themselves a meaningful life within this context and construct realities in which they can express self-worth and respect. This study makes an addition to the existing body of literature concerning alcohol and health in East Africa, and provides a detailed insight into the daily lives and motivations, local realities and challenges for people within the sub-culture of home brew in rural Kenya.