Thesis (D. Min.)--Denver Theological Seminary, 2006. / Abstract. Includes bibliographical references (leaves 507-522).

Thesis (D. Min.)--Gordon-Conwell Theological Seminary, Charlotte, NC, 2003. / Abstract and vita. Includes bibliographical references (leaves 131-135).

Thesis (M.S.W.)--University of Hong Kong, 1986.

published_or_final_version / Social Work and Social Administration / Master / Master of Social Sciences

The use of alcohol and drugs by women has become a major health issue; though men use and abuse alcohol and drugs at a higher rate than women, this gap is closing and at an alarming rate. / In this study, the hypothesis is that women who have positive social support relationships have a higher probability to sustain and maintain their sobriety over time. Information was obtained through qualitative exploration N = (10) as these women recounted their experiences. The objective is to explore the similar factors that assisted these women throughout their recovery process. / The findings show that women come to recognize their need for recovery, as their sense of self develops and evolves over time: through positive attachments with others, rediscovery of self and identifying positive feelings. / The issue of women and recovery is a relevant factor for social work practitioners as clients and social workers need to function together as partners throughout the problem solving process.

Narcissism and physical self-efficacy and exercise commitment were investigated in 'addicted' and 'non-addicted' runners (n = 112) and aerobics exercisers (n = 57) and compared to a control group of non-exercisers (n = 42). Runners and aerobics exercisers were assigned to an 'addicted' or 'non-addicted' group using Hailey and Bailey's (1982) Negative Addiction Scale. All subjects completed biographical questionnaires, the Narcissistic Personality Inventory (NPI) and the Physical Self-Efficacy Scale (PSE). Although both narcissism and physical self-efficacy were found to play a significant role in exercise adoption, narciss\ism was the only significant variable when comparing 'addicted' and 'non-addicted' exercisers. Differences between the runners and aerobics exercisers were found with the aerobics exercisers exhibiting higher narcissistic tendencies than the runners. The runners were assigned to one of four quadrants based on their level of commitment and addiction to running and the Perceived Physical Ability subscale of the PSE and the Self-Sufficiency subscale of the NPI produced significant differences between the four quadrants. Taken together, the results suggest that addicted exercisers have the tendency to exhibit narcissistic traits, however the interaction with physical self-efficacy is equivocal. The findings are discussed with reference to relevant personality theory and implications for future research in this area. / Thesis (M.A.)-University of Natal, Pietermaritzburg, 1997.

This is an ethnographic account of peer learning among a group of heroin 'addicts' in Delhi, India. This study responds to the limited attention given to 'naturalistic' or 'informal' peer learning patterns in the educational literature, and the lack of explicit exploration of the phenomenon among drug user populations. The study involved seven and a half months of fieldwork with the predominant use of participant observation and semi-structured interviews to generate data. Analysis was inductive and interpretive with the use of situated learning theory to 'tease out' patterns in the data. The participants were using and non-using addicts affiliated to SHARAN, a non-governmental organization (NGO) in the religious marketplace of Yamuna Bazaar. The group included approximately 300-500 members, 20 of whom were main informants. Analysis of the group organization revealed community-based and masculinity-based characteristics that enabled the group to manage stigma, promote 'positive' ideals, and co-construct nonhegemonic masculinities. Peer-based outreach was identified as a form of 'institutional' peer learning in which peer educators performed the roles of 'doctor', 'role model', and 'counsellor' during interactions with 'clients' that had the effect of disempowering clients in many cases. The practice of poetry in which peers created couplets in alternating exchanges was identified as one form of naturalistic peer learning that entailed processes of legitimate peripheral participation, meaning negotiation, and reflective learning. Street 'doctory' in which peers provided medical care in the form of procedures, illness discussions, and health consultancy was identified as another naturalistic peer learning pattern involving processes of legitimate peripheral participation, meaning negotiation, and learning through teaching. These findings suggest that naturalistic peer learning involved co-participatory processes that manifested in a diversity of everyday practices. It is recommended that engaging these processes and practices would be useful for interventions, while further research should explore such patterns in other contexts.

Increasing rates of infectious diseases such as HIV and hepatitis C, overdose deaths, and social concerns around injection drug use have resulted in the need to evaluate new initiatives for harm reduction in Canada. This study examined experts' views on the feasibility of, benefits of, and barriers to the establishment of safer injection rooms in Canada. The qualitative model involved interviews (N = 6) with a range of professionals in the area of addictions. Analysis of the data revealed that there is an urgent need for expanded and improved harm reduction strategies, that safer injection rooms could offer many benefits to Canadians, that several debates exist with regard to the policies and services related to safer injection rooms, and that safer injection rooms, as well as alternative initiatives, must be considered if Canada wishes to promote health among drug users and wider communities. The implications of the findings for social work and further research are discussed. Recommendations include expanded educational initiatives for professionals and the public, intensive research related to the specific Canadian context, and the establishment of a trial protocol.

Drug Consumption Rooms (DCRs), where injecting drug users (IDUs) can use pre-obtained drugs in a hygienic and professionally supervised low threshold setting, aim to engage high risk IDUs, reduce public drug use, injecting-related morbidity and mortality, and improve access to drug treatment. This thesis evaluates the service demand, accessibility, utilisation, and coverage of Australia???s first DCR, the Sydney Medically Supervised Injecting Centre (MSIC), located in an area with a history of illegal shooting gallery operation. MSIC impact on injecting practices and injecting related health, and referral to drug treatment were also examined. Methods included cross-sectional IDU surveys, key informant interviews, staff focus groups, analysis of client registration and surveillance data and routinely collected data on needles and syringes - including multiple indirect prevalence estimation, and prospective follow-up of MSIC referrals. Shooting gallery users expressed demand for and willingness to use the MSIC. Injecting episodes previously occurring in shooting galleries appear to have been transferred to the MSIC, although shooting galleries continued to operate at a reduced level. The MSIC service model was accessible, with few refusals of entry, high levels of client satisfaction and limited non-use for reasons relating to the model. MSIC engaged high risk IDUs - regular injectors, sex workers, and those injecting in public places and shooting galleries - who were also more likely to be frequent attendees. MSIC clients were more likely than other IDUs to inject in public places and shooting galleries, be HCV seropositive, have riskier injecting practices and more severe injecting related health problems. MSIC achieved good coverage of the local IDU population (70.7%, range 59.1%-86.7%) and modest coverage of their estimated total injecting episodes during its operating hours (8.8%, range 7.3%-10.8%). MSIC use was associated with improvements in injecting practices and health. Frequent MSIC use was also associated with higher rates of referral to drug treatment than less frequent use. Drug treatment referral uptake was positively associated with a recent history of daily injection and sex work and negatively associated with a lifetime history of psychiatric treatment and/or self harm. This research was confounded by substantial changes in heroin availability during the study period but provides new evidence on DCR coverage, impact on injecting practices and health, and referral to drug treatment. Implications for future research are discussed.

Drug Consumption Rooms (DCRs), where injecting drug users (IDUs) can use pre-obtained drugs in a hygienic and professionally supervised low threshold setting, aim to engage high risk IDUs, reduce public drug use, injecting-related morbidity and mortality, and improve access to drug treatment. This thesis evaluates the service demand, accessibility, utilisation, and coverage of Australia???s first DCR, the Sydney Medically Supervised Injecting Centre (MSIC), located in an area with a history of illegal shooting gallery operation. MSIC impact on injecting practices and injecting related health, and referral to drug treatment were also examined. Methods included cross-sectional IDU surveys, key informant interviews, staff focus groups, analysis of client registration and surveillance data and routinely collected data on needles and syringes - including multiple indirect prevalence estimation, and prospective follow-up of MSIC referrals. Shooting gallery users expressed demand for and willingness to use the MSIC. Injecting episodes previously occurring in shooting galleries appear to have been transferred to the MSIC, although shooting galleries continued to operate at a reduced level. The MSIC service model was accessible, with few refusals of entry, high levels of client satisfaction and limited non-use for reasons relating to the model. MSIC engaged high risk IDUs - regular injectors, sex workers, and those injecting in public places and shooting galleries - who were also more likely to be frequent attendees. MSIC clients were more likely than other IDUs to inject in public places and shooting galleries, be HCV seropositive, have riskier injecting practices and more severe injecting related health problems. MSIC achieved good coverage of the local IDU population (70.7%, range 59.1%-86.7%) and modest coverage of their estimated total injecting episodes during its operating hours (8.8%, range 7.3%-10.8%). MSIC use was associated with improvements in injecting practices and health. Frequent MSIC use was also associated with higher rates of referral to drug treatment than less frequent use. Drug treatment referral uptake was positively associated with a recent history of daily injection and sex work and negatively associated with a lifetime history of psychiatric treatment and/or self harm. This research was confounded by substantial changes in heroin availability during the study period but provides new evidence on DCR coverage, impact on injecting practices and health, and referral to drug treatment. Implications for future research are discussed.