Medicine and Health Sciences Commons^™

Have A Safe Trip: An Investigation Of Rituals And Sanctions Surrounding Lsd Use, David Wellbourne-Wood

Theses : Honours

There is little recent literature which identifies social controls operating among illicit drug users in Perth, Western Australia. This hinders understanding of the local illicit drug scene and makes the formulation of appropriate harm reduction strategies difficult. This study is a qualitative investigation of rituals and social sanctions which surround the use of Lysergic Acid Diethylamide (LSD). The research describes these rituals and sanctions, and examines their various functions for eight experienced users. The research adopted elements of a phenomenological approach, using in-depth semi-structured interviews to elicit a description of users' subjective experiences with LSD, and Colaizzi's (1978) phenomenological analysis …

Coping Processes Used By Mothers Of Triplets, Susan Mullen Kaplan

Health Services Research Dissertations

The purpose of the study was to identify and describe the coping processes used by mothers of triplets. Using a descriptive design, interpersonal comparisons of 92 mothers of triplets attending a national meeting of families of higher order multiples were made. Variables, in addition to sociodemographic characteristics, included coping processes, levels of depression, perceived availability of social support, and current stress levels. Coping processes were measured using the Ways of Coping Questionnaire (Folkman & Lazarus, 1988), derived from their cognitive-phenomenological theory of stress and coping. Level of depression was measured using the Zung Self-rating Depression Scale (Zung, 1965). Perceived availability …

"Of Deaths Put On By Cunning And Forced Cause": Reality Bites The Tobacco Industry, Paul A. Lebel

William & Mary Law Review

No abstract provided.

An Evaluation Of The Clinical Utility Of The College Adjustment Scales, Timothy B. Smith, Mark A. Nafziger, Gwenna C. Couillard

Faculty Publications

Comparisons of College Adjustment Scales (CAS) profiles with interview data from 748 clients generally supported the clinical usefulness of the CAS, although further refinements appear warranted.

The Relationship Between Adolescent Alcohol Consumption And Selected Sexual Behaviors: A Retrospective Study, Linda L. Schoonover

Dissertations and Theses @ UNI

The purpose of this study was to determine if the quantity and frequency of alcohol consumption by adolescents is associated with their voluntary participation in a continuum of sexual behaviors.

Sixty-one males and 14 females between the age of 18-25 from two substance abuse agencies in Iowa were surveyed. They were asked to provide some basic demographic information (i.e., age, gender, etc.,) and to retrospectively answer questions regarding their referral source to the agency where they completed the questionnaire, residence as an adolescent, family with whom they lived during adolescence, personal quantity and frequency choices for alcohol consumption, attitudes and …

Living With Mental Illness: A Descriptive Study Of Individual Adult Experiences Of Living With Mental Illness In Zomba, Malawi, Ivy J. Lekera

Theses: Doctorates and Masters

The purpose of this study was to examine the experiences of mental illness in the adult Malawian context. Using the interpretive paradigm, content analysis was used to uncover the lived experiences of mental illness. This study was based on the philosophy that meaning of a phenomenon is best understood if studied within its specific context and within Parse's theoretical framework. Two to four per cent of the global population share the experience of mental illness, however, little is known of individual experiences within the Malawian context. Much of the literature has focused on the physiological aspects, causes, and therapies involved …

The Mirror Within: An Art Therapy Research Project Identifying The Links Between Anorexia Nervosa, Object Relations And The Potential Role Of Art As The Transitional Object, Bronwen Gray

Theses: Doctorates and Masters

This research focuses on the use of art therapy with female teenage clients suffering from anorexia nervosa. The aim was to undertake a pilot study that would establish whether art therapy could assist in identifying anorexic clients' ego boundary delineations using an object relations framework (That is, either enmeshed, inter related or isolated). Utilising Elkisch's picture analysis procedure, client art works were analysed by contrasting positive and negative characteristics as a way of gaining insight into the client's boundary delineation cognition. Five female subjects aged between thirteen and sixteen, who were taking part in the eating disorders program, located in …

A Study Of Biblical Families From The Perspective Of Family Systems Therapy, Gunar John Kravalis

Theses and Dissertations (Comprehensive)

This study proposes that family systems therapy can prove useful in understanding Biblical families and thus add to our understanding of the Bible. Employing family systems therapy is appropriate because the Biblical narrative contains a comprehensive treatment of the human family. The Bible deals with family overall, many specific families as in the Jacob cycle, and ends with a vision of the family of God that exists already in the kingdom of heaven. Family systems theory is often useful to the pastor in understanding his/her own family, and the larger extended family of their church congregation. Thus, with new freshness …

Narrow Escapes: A Feminist Deconstruction Of Anorexia Nervosa In Women, Yvonne L. Mireau

Theses and Dissertations (Comprehensive)

This thesis is a feminist deconstruction of anorexia nervosa (AN) in women. It begins with questioning the truth claims about AN established by the psychological and psychiatric fields. After an overview of the medical model literature and the feminist literature on eating problems, a critical analysis is used to deconstruct the sociocultural elements of AN. The purpose of this analysis is to critically examine the assumptions which have shaped how clinicians approach the phenomenon of AN in their practice with clients. What has been accepted as underlying psychopathology is deconstructed to reveal normative culturally constructed factors. A paradigm shift towards …

Examining The Problem Of Power In Divorce Mediation: A Naturalistic Inquiry, Shelley Lynne Hermer

Theses and Dissertations (Comprehensive)

How problematic is power imbalance in divorce mediation? Research in the last fifteen years has drawn attention to this issue, resulting in criticisms levelled at mediation from women’s groups, lawyers and others. Using six in-depth interviews with Ontario divorce mediators, this study examined power imbalance and its management. Three main themes emerged from the findings related to power: (1) the ‘emotional readiness’ of the couple, (2) the effects of the legal system, in particular, the relationships with lawyers, and, (3) physical intimidation and financial intimidation. Techniques employed by the mediators were similar across the interviews. These findings led to a …

Client And Therapist Experiences With A Narrative Therapeutic Summary Format, Peter Duncan Whyte

Theses and Dissertations (Comprehensive)

This qualitative research study explored the use of a narrative therapeutic summary letter format as an adjunctive intervention with clients engaged in individual therapy. The study’s sample consisted of six client subjects who received summary letters from six therapist subjects. Client subjects were furnished with written summaries of four consecutive counselling sessions. The summaries were based on pre-established narrative summary guidelines supplied to each respective therapist. After client subjects had received four consecutive summary letters, in-depth individual interviews were conducted with each client. The aim of these interviews was to explore and document clients’ experiences with the narrative therapeutic summary …

Improving Social Work Practice With Persons Who Are Homeless And Mentally Ill, Carol T. Mowbray, Shirley P. Thrasher, Evan Cohen, Deborah Bybee

The Journal of Sociology & Social Welfare

Despite a proliferation of programs targeted for persons who are homeless and mentally ill, few reports in the literature detail the challenges experienced or strategies utilized by workers, the majority of whom are social workers. The present study reports results from two focus group sessions held with staff running a model service intervention for this population at two separate sites. The methodology that was utilized quanitified results, allowing presentation of themes, as well as comparisons of the frequency of responses across categories and by site. Staff perceived barriersa ssociatedw ith client behaviors and characteristicsp redominated at both sites. However, systemic …

Predictors Of Depression Among Workers At The Time Of A Plant Closing, Nancy R. Vosler, Deborah Page-Adams

The Journal of Sociology & Social Welfare

Using an ecological theoretical perspective, this study of white male UAW workers stressed by a plant closing explored predictors of depression at multiple systems levels. The five best predictors of workers' depression were family strengths, age, economic strain, health, and social support. Additional bivariate predictors included self-esteem and having an alcohol problem at the individual level, marital status and family satisfaction at the family system level, and household income, home ownership, and key relationships at the social-environmental level. Implications for collaboration between direct-service and policy-practice social workers are discussed.

Coherency Among Substance Abuse Models, Stephen Kauffman, John Poulin

The Journal of Sociology & Social Welfare

Social policy decisions are often made based upon socially constructed models of human behavior. As such, understanding the social constructions in a given policy area is of utmost importance. This study examines three competing models within the substance abuse area: the moral model, the disease model, and the biopsychosocial model. Utilizing survey data from a random sample telephone survey of 1,019 residents of Delaware County, Pennsylvania, the study examines a) the degree to which individual models are internally consistent between beliefs about causes and beliefs about solutions, b) whether the assumptions in competing models are in fact different; and c) …

Incarnating Heaven: Making The Hospice Philosophy Mean Business, Mark A. Mesler, Pamela J. Miller

The Journal of Sociology & Social Welfare

Hospice providers in the U.S. are on the horns of a dilemma. Survival of individual programs may require accreditation for third party reimbursement, but this stronger alignment with the business world of medicine may jeopardize their unique philosophy of care for dying persons. Hospice's current business/philosophy dilemma was expressed succinctly by a study participant as attempting to incarnate heaven. Data gathered through an ongoing participant observation study reveals the effects of current third party reimbursement on hospice practice. Further, these effects have implications for current U.S. health care reform efforts which are discussed in conclusion.

Sexual Victimization Recognition And Non-Disclosure Inventory Of Young Adolescents, Nancy S. Faulkner

All-Inclusive List of Electronic Theses and Dissertations

This study was conducted to assess sexual victimization recognition and nondisclosure of young adolescents proximate to the age of the abuse. Participants were 214 middle school pupils, ages 12 to 15 who were presented with Informed Consent giving them the right not to respond, presented brief information on Body Safety, and asked to respond to five questions. The Body Safety information and administration of the survey were on videotape for ease and consistency of data collection. Three null hypotheses were tested using Chi square and three research questions were analyzed by descriptive, non-statistical trend analysis. The following results were noted: …

The Relationship Of Autonomy Sociotropy And Depression To The Recall Of Autobiographical Memories, Jennifer Sue Cheavens

Psychology Theses & Dissertations

Past research in the area of dysphoria and depression has examined two personality constructs known as autonomy and sociotropy. These personality constructs have been studied as predispositions to dysphoria and depression. The current study focused on the ability of Autonomy and Sociotropy, measured by the Personal Style Inventory (PSI), to predict both participants' and raters' autonomous and sociotropic ratings of autobiographical life events. The study also examined the differences in classifications of events as either sociotropic or autonomous when the classifications were made by both participants and objective raters. Participants were 72 female and 43 male undergraduate students enrolled in …

Coast To Coast – 20 Years Of Progress: Proceedings Of The Twentieth Annual Conference Of The Association Of State Floodplain Managers, June 10-14, 1996, Association Of State Floodplain Managers

FMHI Publications

No abstract provided.

Drug Abuse Prevention: Programming And Research Recommendations, C. Anderson Johnson, Steve Sussman

CGU Faculty Publications and Research

In this issue of American Behavioral Scientist, we describe the state-of-the-science of drug abuse prevention, including program evaluation and content suggestions, and major methodological and substantive challenges as we understand them at this late date in the twentieth century. These articles also suggest important areas for prevention research as we enter into the next century.

Methodological And Substantive Issues In Substance Abuse Prevention Research, C. Anderson Johnson, John W. Farquhar, Steve Sussman

CGU Faculty Publications and Research

This article summarizes current issues in drug abuse prevention research through integration of other articles in this journal and by heeding historical trends in prevention science. Recommendations are made for future research directions. For prevention to advance, iterative processes are needed involving both quasi-experimental and experimental designs and involving both small, simple units and large, complex, interactive units. Accuracy of measurement and replication are of paramount importance.

Breadth Of Program And Outcome Effectiveness In Drug Abuse Prevention, C. Anderson Johnson, David P. Mackinnon, Mary Ann Pentz

CGU Faculty Publications and Research

The most popular school programs for tobacco and other drug abuse prevention address a variety of substances from tobacco to alcohol to other drugs. It is not uncommon for the same school program to address an even broader range of health and social objectives including exercise and nutrition promotion, pregnancy and HIV prevention, and violence prevention. In this article, the authors address the question of whether it is more effective to target a narrow range of objectives (e.g., smoking prevention) or a wider range of related behaviors (e.g., tobacco, alcohol, and other drug abuse). First, they consider a range of …

An Inquiry: The Concept And Application Of Empowerment, Pamela Kay Wheelock

Masters Theses

While empowerment is a dominant concern in mental health care, services often reflect the inadequate use of an empowerment-based frame of reference. This study seeks to enlarge the understanding of empowerment so that more effective services can be established.

Using naturalistic inquiry methodology, this study explores the lived experience of empowerment through direct dialogue with both mental health consumer advocates and mental health occupational therapists. Data were collected and evaluated using a hermeneutic dialectic process. A series of three interviews were done with six respondents.

Analysis of the interviews revealed striking contrasts between the therapists' and advocates' perspectives in relation …

Speak Of The Devil: Rhetoric In Claims-Making About The Satanic Ritual Abuse Problem, Mary Deyoung

The Journal of Sociology & Social Welfare

This paper uses Toulmin's (1958) scheme to conduct a rhetorical analysis of claims being made in the construction of the satanic ritual abuse of children problem. The analysis reveals that the persistence of these claims over the last fifteen years is the product not of their compelling facts or their effective conclusions, but of their persuasive warrants. These implicit, "self-evident truths" resonate well with recent cultural concerns about the vulnerability of children to abuse, and the satanic menace.

Measuring Hospital Use Without Claims: A Comparison Of Patient And Provider Reports., R E. Clark, S K. Ricketts, G J. Mchugo

Dartmouth Scholarship

We compared the validity of hospital admission and length of stay reports from patients, outpatient providers, and hospitals, and we examined possible sources of error. Data were collected from people enrolled in a randomized trial of treatment for severe mental illness and substance use disorders, from community mental health centers (CMHCs), and from hospitals. Reports for each of the 74 study participants covered two-year time periods beginning and ending at various times between 1989 and 1993. We compared reports from the various sources and constructed a hybrid with data from all three sources. Using parametric and non-parametric statistics, we compared …

Poverty, Family Support, And Well-Being Of Infants: Mexican Immigrant Women And Childbearing, Margaret Sherrard Sherraden, Rossana E. Barrera

The Journal of Sociology & Social Welfare

Data reveal that despite high levels of poverty, Mexican immigrants have relatively few low birth weight babies. This unusual pattern suggests that there are "protective" social factors mediating the effects of povertyperhaps especially family support. Our study, based on in-depth interviews with immigrant women in Chicago, finds that family support does protect some women from delivering a low birth weight infant but it does not protect women living in extreme poverty. Implications for services to Mexican immigrant women in childbearing years and their families are presented. These findings also speak to broad issues in social policy, especially the need for …

Criteria Used In Assigning A Diagnosis Of Passive-Aggressive Personality Disorder, Laura J. Hunsucker

All-Inclusive List of Electronic Theses and Dissertations

Passive-aggressive personality disorder has a long history in the literature and has been present in all versions of the Diagnostic and Statistical Manual of Mental Disorders. However, there have been many different conceptualizations of the disorder over time, and there is not a clear consensus concerning what symptoms constitute the disorder. The purpose of this study was to examine the criteria that clinicians consider most representative of a prototypic patient with passive-aggressive personality disorder. This research also examined differences in symptom presentation of male versus female passive-aggressive individuals. Finally, this study examined symptom overlap with other personality disorders. A list …

Correlates Of The Mmpi-A Immaturity (Imm) Scale In An Adolescent Psychiatric Population, Eric Albert Imhof

Psychology Theses & Dissertations

Despite numerous theories of adolescent ego development, there is no objective measure of ego development or maturation targeted for the assessment of adolescents. The Immaturity (IMM) Scale developed for the Minnesota Multiphasic Personality Inventory - Adolescent (MMPI-A) was designed to fill this void in adolescent assessment. The present study examined the concurrent validity of the IMM Scale based on sixty-six adolescents (13-18 years old) in an inpatient setting using four prominent measures of maturity, i.e., The Defining Issues Test (DIT), the Washington University Sentence Completion Test (WUSCT), the Extended Objective Measure of Ego Identity Status - Second Revision (EOM-EIS-2), and …

Ambulatory Electromyogram Activity In The Upper Trapezius Region: Patients With Muscle Pain Vs. Pain-Free Control Subjects, Charles R. Carlson, Kennen T. Wynn, John Edwards, Jeffrey P. Okeson, Arthur J. Nitz, Don E. Workman, Jeffrey Cassisi

CRVAW Faculty Journal Articles

Study Design: This study compared the ambulatory electromyogram activity of persons reporting pain in the shoulder and cervical regions with an equal group of persons not reporting such pain. Ambulatory electromyogram data were obtained over 3-day periods. In addition, all participants completed several standard psychological questionnaires.

Objectives: The results were analyzed with inferential statistics to determine whether subjects reporting significant pain in the shoulder and cervical regions had greater ambulatory electromyogram activity than an equal number of subjects not reporting pain.

Summary of Background Data: Considerable controversy exists regarding the role of muscle activity in the etiology and maintenance of …

Market Mechanisms And Consumer Involvement In The Delivery Of Mental Health Services: A Uk-Us Comparison, Wes Shera

The Journal of Sociology & Social Welfare

Both the United Kingdom and the United States Are in the midst of health care reform. By focusing on services for the severely mentally ill this paper compares recent developments in managed care in the U.S. and care management in the U.K. It particularly focuses on the use of market mechanisms and consumer involvement in these reforms.

Weighing Evidence In Sexual Abuse Evaluations: An Introduction To Bayes's Theorem, James Wood

Selected Works Temporary Series

This article introduces readers to Bayes' theorem, a simple mathematical formula that can illuminate general issues and assist evaluators in the field of child sexual abuse. The theorem is applied to a case study of sexual abuse allegations that arose during a custody dispute.