abstract: The purpose of this study is to investigate the literacy practices of three members of Alcoholics Anonymous (A.A.) and to explore how they use these practices to support and maintain their recovery in their lives. This study also aims to examine how each participant used specialist language, enacted certain identities and acquired the secondary Discourse in A.A. through literacy use. This dissertation study is the result of in-depth interviewing in which each participant was interviewed three times for 90-minutes. These interviews were then transcribed and analyzed using discourse analysis. Study results are presented in three chapters, each one designated to one of the participants. Within these chapters is a life history (chronology) of the participant leading up to the point in which they got sober. The chapters also include a thematic discourse analysis of the interview transcripts across themes of literacy practice and topics in A.A. A conclusion is then presented to investigate how literacy was used from a sociocultural perspective in the study. Due to the emotionally charged nature of this dissertation, it has been formatted to present the stories of the participants first, leaving the theoretical framework, literature review and research methods to be included as appendices to the main text. / Dissertation/Thesis / Ph.D. Curriculum and Instruction 2013

Ketamine is a dissociative anesthetic prescription drug and has been used for general anesthesia. The research surrounding this chemical compound has revealed conflicting evidence of its potential use in health care and addiction treatment. On one side, ketamine is a widespread drug of abuse associated with neurocognitive deficits and neurotoxicity, on the other side ketamine has recently been found to have a variety of potential uses, including but not limited to; antidepressant effects, reconsolidation of drug-related memories and disrupting maladaptive rumination. Ketamine’s ability to induce psychedelic and mystic experiences, reconsolidation of memories, antidepressant effects, and its ability to reduce cue-induced drug craving makes it a potentially useful tool in drug abuse therapy. Most of the negative side-effects of ketamine seem to be apparent at high doses and in frequent use but low doses and non-frequent use has a low risk of harm, therefore, careful consideration and extensive research are required before ketamine can be widely used in the public and in health care for treatment strategies. This thesis aims to explore the role of ketamine and its neurobiological effects in the treatment of addiction and depression.

What is pain, what does it mean that the subject has a relationship with it, and how does this affect his identity and existence? My definition of pain is derived from that proposed by scientists such as Melzack and Wall, and Freud. Pain is a dynamic, multilayered, diverse collection of experiences which impact and influence the subject throughout life. Pain is a kind of conglomerate of past, traumatic, neurobiological, psychological and emotional imprints--pain as in suffering or being in pain. The aim of this thesis is to argue that it is not pain, as such, but the relationship of the subject to (his/her) pain which is most significant to his/her processes of life. In examining the combination of two theories of pain, namely, Freud’s psychosexual theory of development and Melzack’s theory of the Neuromatrix, my thesis endeavours to evidence my theory by using case study methodology. The similarities in the theories which are a hundred years apart have sparked my interest to propose that there is the distinct possibility for the existence of what I have named a Psychomatrix--patterns of pain (loss - abandonment, grief, rejection, desire) imprinted from infancy within an innate matrix that are specifically translated by their own ‘psychological and emotional neural loops’ and therefore, similar to the neuromatrix concept. As pain is triggered these ‘loops’ become more ingrained as information is analysed and coded to create a continuous (subjective) experience of suffering or being in pain. This is also true for positive emotions, such as love and joy, however I suggest that pain is the primary, and most significant emotion that needs to be understood in order to understand the others which are triggered by the same neural – psychological and physical – pathways as incidental emotions of the quality of existence. A vast spectrum of (on-going) research has identified the impact of cultural, religious, social and political factors on pain and pain management. I suggest that all of these figure in the conglomerate. Using a psychoanalytical frame of reference this is a theoretical and conceptual thesis. My final conclusion is that pain becomes an object that compels the subject to respond accordingly and consequently, from birth to death, defining his/her identity and existence.

Magister Artium - MA / Hookah pipe use is widely viewed as a safe alternative to cigarette smoking rather than a potential health-risk. In fact, for young people hookah pipe use may represent an initial stage of later addiction and the transition to cigarette smoking. Furthermore, studies conducted abroad, suggest that the use of the hookah pipe firstly started as a cultural phenomenon, and secondly, as with cigarette smoking, the hookah pipe has become a social phenomenon. Despite these challenges, studies provide sufficient evidence that hookah pipe use is a potential health risk. The primary aim of the study was to compare male and female university students’ knowledge, risk perceptions and behaviours concerning hookah pipe smoking. A quantitative methodological approach, with a cross-sectional design, was used to conduct the research study. A final self-selected sample of 389 participants voluntarily participated in this study. The final sample included 64% females and 36% males with a mean age of 22.2 years; with the mean age for first-time hookah pipe smoking was 15.7 years. The instrument used was a self-administered questionnaire constructed from The College Health Behavior Survey (2010-2011) which was developed at the University of Missouri-Columbia. Descriptive quantitative results were conducted using Statistical Package for Social Sciences (SPSS version 20) and presented. The results suggest 70% of hookah pipe users daily smoke the hookah pipe with more than 20% smoking on campus. This was similar for males and females. Users perceived the hookah pipe to be less harmful and less addictive than cigarette smoking. Furthermore, smoking the hookah pipe is considered socially acceptable and is also smoked in the family home. Implications for policy are stated.

In the past two decades, a considerable amount of research has been carried out on the phenomenon of excessive Internet use, variously termed Internet addiction, Internet dependency and problematic Internet use. Despite this, there is still little agreement as to what constitutes this phenomenon, whether it should be considered a clinical disorder or not and what leads to this excessive or maladaptive use. The terminology used in this study is that of Problematic Internet Use (PIU). Several theoretical models have been proposed in the understanding of PIU including personality models, operant conditioning models, social cognitive and cognitive behavioural models (Davis, 2001; LaRose, lin & Eastin, 2003; Young, 1999). A proposed gap in the literature is the lack of studies exploring participant experiences of problematic Internet use. It is for this reason that this study aimed at exploring the experiences of a small sample of individuals with self-identified problematic Internet use. The implications of this phenomenological data for the above-mentioned theoretical models were then reviewed. This study used an Interpretative Phenomenological Analysis (IPA) approach in exploring these aims. A sample of four participants was selected through purposive sampling techniques. Four major themes emerged from the analysis namely: Escapism, Social Insecurity and Validation, Perfectionism and Control. These experiences of participants were also explored in terms of the conceptual models reviewed in order to compare how closely they related to participant experiences. A strong inter-relationship was found between the four themes mentioned above. The Internet appeared to provide a sense of control and validation to these individuals while simultaneously rendering them unable to maintain control of their Internet usage in relation to this. This sense of control was experienced through an escape from negative emotions, offline obligations and at times a dissatisfactory position in reality. Of the four models reviewed, the Social Cognitive model proposed by LaRose et al. (2003) appeared to offer the most relevant understanding of PIU to participant experiences. The presence of maladaptive cognitions also appeared to feature strongly as an underlying factor in participants' PIU, as theorised by cognitive behavioural models (Davis, 2001; Young, 1999) Finally recommendations are made for further more detailed exploration of PIU using interpretative, experiential methods.

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Introduction Alcoholism represents a chronic recurring disorder that affects 15 million people nationwide, 4% of which fall within the adolescent age range (12-17). Clinical data indicate that adolescents who binge drink greatly increase their chances of suffering from several dangerous health outcomes (i.e., suicide, risky sexual behavior, car wreck, etc.) as well as the likelihood they will develop an alcohol-use disorder later in life. Moreover, research indicates that cues (i.e. flavors) paired with alcohol drinking produce significant cue-induced alcohol craving, contributing to relapse in adolescence and adult populations. Therefore, the current study sought to model the effect of adolescent exposure to flavor cues, paired with alcohol, on subsequent cue-induced alcohol-seeking in adulthood. Methods Alcohol naïve alcohol-preferring (P) rats were randomly assigned to a paired or unpaired group. During the adolescent period, all animals had 24-hour access to 3 bottles; (paired group: 0.1% blueberry flavor extract (BB) + 15% v/v alcohol, and two water; unpaired group: 0.1% BB, 15% v/v alcohol, and water). The animal’s body and bottle weights were recorded daily. In the first two weeks of adulthood, all rats experienced daily 60-minute self-administration sessions to measure fluid intake. Paired animals could consume 0.1% BB + 15% alcohol or water and unpaired animals could consume 0.1% BB or 15% alcohol. The following two weeks all rats were kept in their home cage with access to only water. Following this 2 week period of imposed abstinence, rats were returned to the chambers and consumption of 0.1% BB or water was measured to examine cue-induced alcohol-seeking. Results Data indicate adolescent exposure to BB + alcohol did not promote faster acquisition of self-administration. Additionally, during adolescence and adulthood, both groups consumed similar levels of alcohol. When tested for cue-induced alcohol-seeking, paired rats exhibited significant resistance to extinction of sipping on the BB sipper (no alcohol). Conclusions Overall, data suggest that cues paired with alcohol during adolescence and early adulthood may contribute to prolonged alcohol-seeking behavior thus increasing risk of relapse following subsequent cue exposure.

This series of poems documents the speaker’s experience working as a wilderness field guide for a substance abuse program in North Carolina. The poems explore what it looks like to work direct care and to hold responsibility for a group of women’s physical and emotional wellbeing. There is a secondary narrative that interrogates the speaker’s relationship to substances as well as the speaker’s father’s identity as a recovering alcoholic.

Ship of Fools is a novel excerpt. The title comes from Plato’s Republic as well as the book Stultifera Navis by Sebastian Brant, published in 1494. There is also a painting by Hieronymus Bosch (c. 1490–1500) with the same name. Influences include Jungian psychology, Joseph Campbell’s “The Masks of God” series, and anthropological studies of Amazonian shamanism.