Substance abuse counseling has many counselors and supervisors who are in recovery from a personal history of substance abuse. Approximately 37% of supervisors in the substance abuse field reported being in personal recovery (Eby, Burke, & Birkelbach, 2009). Little is known about how a clinical supervisor’s personal recovery influences his or her clinical supervision. The purpose of this phenomenological research study was to investigate the perceived lived experiences of clinical supervisors’ in recovery during the clinical supervision of substance abuse counselors working towards a license or credential in Louisiana. A qualitative phenomenological methodology, Interpretative Phenomenological Analysis (IPA) was used to analyze data from six clinical supervisors in recovery using semi-structured interviews. Themes emerged from the data, which resulted in 13 categories: 1) functions of supervision; 2) factors influencing the supervision relationship; 3) insight into addiction; 4) factors pertaining to self-disclosure; 5) managing dual relationships; 6) recovery isn’t enough; 7) relapse potential and management; 8) stigma of addiction; 9) structure of supervision; 10) countertransference; 11) feelings about self-disclosure; 12) importance of self-care; and 13) supervisors need supervision and consultation The categories provide increased understanding and insight into how recovery influences and were used in supervision by supervisors in recovery. Implications for supervisors in recovery, supervisees of supervisors in recovery, and clinical supervisor educators are also addressed.

Impulsivity takes many forms, one of which is termed impulsive choice. Impulsive choice entails preference for an outcome due to its immediacy relative to more optimal outcomes that take longer to come to fruition. For example, one may wish to have another serving of a decadent dessert after dinner—but doing so may undermine a longer-term goal of improved health and nutrition. If having the extra serving becomes a habit, the consequences of that choice compound and may lead to, for example, obesity. A high degree of impulsive choice such as this is indeed related to issues such as obesity, drug addictions (e.g., alcohol, opiates), and more; it may also cause these conditions. Because impulsive choice may lead to the development of poor health conditions, being able to reduce impulsive choice may reduce the occurrence of these conditions and/or help treat them. To date, a variety of studies have been conducted to examine ways to reduce impulsive choice, but it was unclear what methods may be most useful for clinical use in humans. Thus, the first portion of the enclosed research was a literature review in which successful methods for reducing impulsive choice were identified. A particular intervention called Episodic Future Thinking (EFT), which entails vivid imagination of one’s future, was one of the most promising found. However, it was unclear if its positive effects on impulsive choice were due to EFT itself or a placebo-like effect, which can arise from being able to guess the purpose of the intervention. The remaining portions of this dissertation focused on determining whether people are able to identify the purpose of EFT, and subsequently, if this awareness accounts for the positive effects of EFT on impulsive choice. Across three experiments, we demonstrated that naïve individuals are able to figure out the purpose of EFT (Experiments 1a and 1b), but that being aware of its purpose is unrelated to its positive effects (Experiment 3). These findings give hope that this intervention could be clinically useful, but it did appear that its benefits did not generalize well to novel settings (Experiment 2). Overall, the results of the research showed that EFT produces genuine changes in impulsive choice, but that further research will need to be conducted to understand why it works, and ultimately, how its generalizability can be increased.

The purpose of this study was to explore the relationship between the formalization of inter-organizational partnerships and collaboration among staff members working together across primary care, mental health and addition organizations to provide services to adults with complex mental health and addiction needs. Phase I of the study provided an environmental scan of existing partnerships among Family Health Teams (FHTs) and Community Health Centres (CHCs), and the Mental Health and/or Addiction (MHA) organizations they partner with, in the province of Ontario (Canada). Phase II explored the relationship between formalization and a) administrative collaboration and b) and service delivery collaboration. The hypotheses proposed that staff members who are part of formalized partnerships would report higher levels of collaboration. Phase III explored how formal and informal partnerships and collaboration are experienced by the administrative and service provider staff members who work across FHTs, CHCs and MHAs organizations. Using a mixed methods approach, data were collected using electronic surveys and telephone interviews. The results of Phase I indicated that FHTs and CHCs in Ontario have between 1-3 partnerships with MHA organizations. Most are informal partnerships, have existed for less than 5 years, and most staff members (partners) interact on a monthly basis. The quantitative results of Phase II showed no significant relationship between formalization and either form of collaboration. The qualitative findings from Phase III provide two key contributions. First, the results of the interviews may help explain why collaboration was not higher in formalized partnerships, as demonstrated by the range of advantages and disadvantages experienced by administrators and service providers in both formal and informal partnerships. Second, the findings illuminate factors related to the process of creating and/or formalizing partnerships, suggesting that there may be other factors that mediate or have a direct impact on the relationship between formalization and collaboration. By bringing together the study findings, the study addresses a gap in the literature by proposing a pathway through which formalization may be associated with collaboration. The results of the study provide opportunities for future research to help improve the quality and accessibility of services to adults with complex mental health and addiction needs.

Motivation to learn, aggressive treatment and addictions expressions’ dependence on teenagers physical activity and gender SUMMARY In this study were analysed correlation between motivation of learning, aggressive treatment, addictions and teenagers’ physical activity. Absence of definite answer, how sport activity governs students’ motivation of learning and attitude to school, initiated this study. Researches don’t answer, are the physical active pupil more susceptible to aggressive treatment and addictions. In this case as independent variable was chose pupils’ physical activity and gender, and dependent variable – attitude to school, learning and motivation of learning peculiarity, aggressive treatment and addictions expression. Our purpose – to find motivation of learning, aggressive treatment and addictions expression dependence on teenagers’ physical activity and gender. Research tasks 1. To find attitude to school and motivation of learning subject to teenagers’ physical activity and gender. 2. To evaluate aggressive treatment expression subject to teenagers’ physical activity and gender. 3. To evaluate addictions expression subject to teenagers’ physical activity and gender. To serve the purpose were investigated 230 the eighth class students of Kaunas secondary schools. Were investigated 105 boys and 125 girls. Students were picked accidentally using serial principle from ten different schools and in every one was examined by one the eighth class. We used... [to full text]

Tyrimo tikslas: nustatyti vyrų ir moterų žalingų įpročių ir fizinio aktyvumo bei streso įveikimo strategijų sąsajas. Tyrime dalyvavo 115 18-52 metų vyrai (n=43, 37,4 proc.) ir moterys (n=72, 62,6 proc.). Tyrimui respondentai buvo atrinkti atsitiktinės atrankos būdu. Tai buvo ir KTU, ir VDU studentai, taip pat skirtingų profesijų ir amžiaus asmenys. Streso įveikimo strategijoms įvertinti buvo naudojama C. S. Carver, M. F. Scheier ir J. K. Weintraub streso įveikimo strategijų klausimynas (COPE), žalingiems tyrimo dalyvių įpročiams nustatyti naudotas prof. A. Goštauto subjektyvaus sveikatos vertinimo ir svaigalų vartojimo klausimynas, fiziniam aktyvumui nustatyti buvo suformuluota keletas klausimų. Tyrimo rezultatai parodė, kad fiziškai aktyvių ir pasyvių vyrų ir moterų žalingų įpročių išreikštumas nesiskiria. Ilgiau ir trumpiau užsiimančių sportine veikla ir dažniau bei rečiau per savaitę sportuojančių vyrų ir moterų žalingų įpročių išreikštumas nesiskiria. Streso įveikimo strategijų naudojimas tarp skirtingo fizinio aktyvumo vyrų ir moterų nesiskiria. Dažniau ir rečiau per savaitę sportuojantys tiek vyrai, tiek moterys yra linkę pritaikyti adaptyvesnes streso įveikimo strategijas. Ilgiau ir trumpiau sportine veikla užsiimantys vyrai yra vienodai linkę pritaikyti adaptyvesnes streso įveikimo strategijas, tačiau ilgiau sportine veikla užsiimančios moterys yra labiau linkusios pritaikyti adaptyvias, į problemą ir į emocijas nukreiptas streso įveikimo strategijas nei moterys... [toliau žr. visą tekstą] / The aim of the study was to assess the addictions and physical activity and stress coping strategies associations of men's and women's. The subjects of the study were 115 men (n=43, 37,4 per cent) and women (n=72, 62,6 per cent) 18 – 52 years old. The respondents for research work were selected at random. It were students of various universities and people of different age and professions. C. S. Carver, M. F. Scheier and J. K. Weintraub’s stress coping strategies questionnaire (COPE) was used for evaluation of the stress coping strategies. Professor A. Goštautas’s subjective assessment of health and drug use questionnaire were used for evaluation as well and besides several questions were formulated for pointing out physical activity. The results of the study showed that physically active and passive men’s and women’s addictions are not different. There is no difference in addictions between men and women more or less practice in sports activities they have or more or less frequently per week they go in for sports. The use of stress coping strategies between men and women with different physical activity are the same. These two groups are disposed to use more adaptive stress coping strategies whether they more or less often do sports. Men with longer or shorter practice in sports activities use more adaptive stress coping strategies equally but women with longer practice in sports activities are more likely to apply adaptive, to the problem and emotions directed stress... [to full text]

Priklausomybę sukeliančių medžiagų vartojimo problema ir su tuo susijusi žala yra viena iš aktualiausių sveikatos problemų ne tik Europos Sąjungos šalyse, bet ir Lietuvoje. Temos aktualumas ir naujumas. Pasirinkta tema nėra nauja, tačiau labai aktuali šiandieniniame gyvenime. Siekiant užkirsti kelią priklausomybės ligų plitimui būtina daugiau dėmesio skirti priklausomybę sukeliančių medžiagų vartojimo prevencijai ypač vaikų ir jaunimo tarpe. Tėvai, pedagogai, visuomenės sveikatos priežiūros specialistai turi galimybę efektyviau atlikti prevencinį darbą, padaryti didelę įtaką mažinant priklausomybių ligų plitimą. / The problem of the use of addictive substances and the damage related to it is one of the most relevant health problems not only in the EU countries, but in Lithuania as well. Topic relevance. The topic chosen is not new, however, it is extremely relevant in modern life. In order to prevent the spread of addictive diseases, it is crucial to pay more attention to preventive actions of the use of addictive substances, especially among young people and children. Parents, teachers, health care specialists have an opportunity to effectively carry out preventive actions and to significantly add to the reduction of the spread of addictive diseases.

Many men seek to address their substance use issues in a variety of resources including hospitals, detoxification centres, treatment programs, supportive recovery housing and more. How policy is constructed and implemented has a direct impact on how effectively clients achieve their recovery goals. There is little literature on the topic of how policy is developed and implemented in residential addictions services. What research could be found did not include the voices of the recipients of these services. The goal of this research is to gain insight into the experiences of people accessing residential addictions services to inform policy development and implementation. Thorne’s (2008) interpretive description was the methodology used to guide this study. Eleven qualitative interviews with men accessing residential addictions services were conducted. Several themes were identified and an interpretive description was made. Eight theories are proposed. Several recommendations were formulated. Three suggestions for future research considerations are discussed. / Graduate / 0452 / mark_s@hotmail.ca

The purpose of this study was to explore the relationship between the formalization of inter-organizational partnerships and collaboration among staff members working together across primary care, mental health and addition organizations to provide services to adults with complex mental health and addiction needs. Phase I of the study provided an environmental scan of existing partnerships among Family Health Teams (FHTs) and Community Health Centres (CHCs), and the Mental Health and/or Addiction (MHA) organizations they partner with, in the province of Ontario (Canada). Phase II explored the relationship between formalization and a) administrative collaboration and b) and service delivery collaboration. The hypotheses proposed that staff members who are part of formalized partnerships would report higher levels of collaboration. Phase III explored how formal and informal partnerships and collaboration are experienced by the administrative and service provider staff members who work across FHTs, CHCs and MHAs organizations. Using a mixed methods approach, data were collected using electronic surveys and telephone interviews. The results of Phase I indicated that FHTs and CHCs in Ontario have between 1-3 partnerships with MHA organizations. Most are informal partnerships, have existed for less than 5 years, and most staff members (partners) interact on a monthly basis. The quantitative results of Phase II showed no significant relationship between formalization and either form of collaboration. The qualitative findings from Phase III provide two key contributions. First, the results of the interviews may help explain why collaboration was not higher in formalized partnerships, as demonstrated by the range of advantages and disadvantages experienced by administrators and service providers in both formal and informal partnerships. Second, the findings illuminate factors related to the process of creating and/or formalizing partnerships, suggesting that there may be other factors that mediate or have a direct impact on the relationship between formalization and collaboration. By bringing together the study findings, the study addresses a gap in the literature by proposing a pathway through which formalization may be associated with collaboration. The results of the study provide opportunities for future research to help improve the quality and accessibility of services to adults with complex mental health and addiction needs.

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Submitted by Andrea Hayashi (deachan@gmail.com) on 2016-06-24T15:31:16Z No. of bitstreams: 1 dissertacao-rafael-vieira-gomes.pdf: 2182387 bytes, checksum: 45434f7851706db251179774e3adb978 (MD5) / Approved for entry into archive by Andrea Hayashi (deachan@gmail.com) on 2016-06-24T15:31:55Z (GMT) No. of bitstreams: 1 dissertacao-rafael-vieira-gomes.pdf: 2182387 bytes, checksum: 45434f7851706db251179774e3adb978 (MD5) / Made available in DSpace on 2016-06-24T15:31:55Z (GMT). No. of bitstreams: 1 dissertacao-rafael-vieira-gomes.pdf: 2182387 bytes, checksum: 45434f7851706db251179774e3adb978 (MD5) Previous issue date: 2013-11 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / No Teeteto (176 b), Platão disse que, já que os males residem “aqui” e rondam necessariamente essa região perecível, e já que desejamos fugir dos males, é preciso “fugir daqui”. Essa fuga, segundo ele, consiste em assemelhar-se a deus. Plotino, em sua exegese do texto platônico, retoma literalmente essa afirmação e a incorpora em sua filosofia. Sua interpretação e concepção filosófica desse aspecto ético da tradição platônica parece corresponder a certa “chave” para compreender e penetrar o percurso da conversão (epistrophé) da alma, de sua dispersão na multiplicidade (ou “queda” nos vícios e males) à sua Assimilação e unificação com o princípio que, por ser fonte de máxima unidade, plenitude, conhecimento e felicidade da alma é, por isso, sua verdadeira meta e seu mais profundo “objeto” de amor e desejo. Portanto, é preciso fugir dos males, em um movimento de conversão e Assimilação a deus (homoíosis theôi), que, em Plotino, corresponde a um retorno e a uma entrada no mais profundo e íntimo de si mesmo. Entretanto, seguindo de perto Platão, se os males residem aqui, para fugir dos males é preciso “fugir daqui”. Ora, perguntamo-nos: o que, em Plotino, significa realmente essa Fuga? É bastante conhecida certa interpretação contemporânea que entende a moral platônica como uma forma de fuga e negação do corpo, do mundo e dos sentidos. Alguns filósofos, assim como alguns historiadores da filosofia, também parecem ter entendido literalmente essa expressão retomada por Plotino. Entretanto, a despeito dessa interpretação e do debate com seus defensores, desejamos apenas compreender esse aspecto da filosofia plotiniana principalmente a partir de seu próprio texto: afinal, trata-se de uma proposta de evasão e de negação do corpo e do mundo, ou há outra leitura possível? Se, paralelamente ao tema da Fuga, estudarmos alguns pontos estratégicos para a compreensão mais ampla do percurso conversivo veremos que paradoxalmente Plotino não apenas valoriza o corpo, o mundo e a experiência sensível, mas os concebe como meios para a Assimilação ao inteligível. Por conseguinte, se fugir daqui consiste em assemelhar-se a deus, essa Assimilação é a finalidade última dessa Fuga. De modo que Fuga e Assimilação aparecem como conceitos interdependentes. Todavia, qual é a natureza dessa Assimilação (homoíosis)? Trata-se apenas de imitar e tornar-se semelhante ao divino, ou esse termo guarda, em Plotino, ainda um sentido mais ousado e mais profundo? Segundo nossa interpretação, a assemelhação como imitação e aproximação ao divino, por meio das virtudes e da dialética, é uma etapa ainda propedêutica da Assimilação propriamente dita. E é essa passagem de um nível discursivo e propedêutico – de imitação e preparação – para a “visão” e a “experiência” imediata do divino – como “unificação”, “contato” e “união extática” e “mística” – que completa o itinerário filosófico da conversão da alma, condensado em sua interpretação desses dois conceitos complementares e convergentes. / In his Theaetetus (176 b), Plato stated that as evils lie “here” and necessarily prowl this perishable region, and as we aspire escaping from these evils, “escaping from here” is a must. According to him, this escape is based upon resembling god-like. Plotinus, upon his exegesis on the platonic text, literally resumes this assertion and incorporates this into his philosophy. His interpretation and philosophical conception of this Platonic tradition ethical feature seem to correspond to a certain "key" to understanding and penetrating the soul conversion route (epistrophé), its dispersion into the multiplicity (or "fall" into the addictions and evils) into the assimilation and unification along with the principle which, for being a source of maximum unity, wholeness, knowledge and happiness of the soul is, therefore, its true goal and innermost "object" of love and desire. Therefore, we must shun evils, in a movement of conversion and assimilation to godhood (homoíosis theôi), which in Plotinus corresponds to a return and an ingress into a deeper and more intimate self. However, closely following Plato, if the evils reside here, to escape from these evils we need to "run away from here". Now we ask ourselves: what in Plotinus does this escape really mean? Well known is certain contemporary interpretation which understands the Platonic moral as a form of escape and abnegation of the body, the world and the senses. Some philosophers, as well as some philosophy historians, seem to have understood literally this expression taken up by Plotinus. Though, in spite of this interpretation and debate with its supporters, we just want to understand this aspect of Plotinian philosophy from its own text: after all, it is a proposal of evasion and abnegation of the body and the world or is there another possible reading of the text? In addition to the theme of the Fugue, if we study some strategic points to acquire a broader comprehension of the conversion course we will behold that paradoxically Plotinus not only values the body, the world and the sense experience, but also conceives them as ways to assimilate the intelligible. Therefore, if escaping from here consists in resembling god, this assimilation is the ultimate purposal of this Fugue. So that Fugue and Assimilation come to light as interdependent concepts. However, what is this assimilation nature (homoíosis)? It is just to imitate and become god-like or does that term retain in Plotinus a bolder and deeper sense yet? According to our interpretation, the resemblance as imitation and approximation to the divine through the virtues and dialectics ways is yet a propaedeutical stage of that proper assimilation itself. And it is this passage from a discursive and introductory level – of imitation and preparation – to the "vision" and immediate "experience" of the divine – as "unification", "contact" and "ecstatic and mystical union" – that supplements the soul conversion philosophical itinerary condensed in the interpretation of these two complementary and convergent concepts.