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There has been much debate in the history of philosophy aimed at determining what it is, exactly, that makes a person who and what she is. Varying theories have offered a wide range of concepts in pursuit of the answer to this question. Some thinkers, such as B.F. Skinner, have claimed that it is observable behavior patterns that determine who and what a person is. Yet other thinkers, such as Carl Jung, have attributed unconscious motivators as being determinative in deciphering who and what a person is. Jung claims that it is the conscious and unconscious working together that determines who and what a person is. The purpose of this thesis is to discover evidence that supports or disproves the theory of self in which the unconscious and conscious work together to determine who and/or what a person is. This is done by semiotically analyzing the Visual Products (VP) of Visual Product Producers (VPP) who were or are afflicted with Bipolar Disorder. This thesis consists of the semiotic analysis of selected works by Jackson Pollock, Virginia Woolf, Vincent Van Gogh, and myself (Michael Main). Semiotic analysis studies how meanings are generated as opposed to what meanings are generated. It should be noted that semiotics was used strictly as a method of analysis and not as a guiding philosophy. In examining how the works of the selected VPPs generate meaning, it is hoped that evidence is produced that proves or disproves the theory of who or what a person is as determined by the interaction of the conscious and unconscious.

Post-Traumatic Stress Disorder (PTSD) is a mental illness resulting from exposure to a traumatic event. Symptoms of PTSD vary, but those affected commonly experience nightmares, flashbacks, hypervigilance, and trouble sleeping; they may also avoid people or situations that trigger traumatic memories. It is estimated that PTSD affects about 10-30% of all United States veterans. Additionally, traditional treatment methods have an average dropout rate of 25% among military personnel. Inadequate PTSD symptom management may lead to depression, anxiety, suicidality, isolation, unstable relationships, and substance misuse. The purpose of this review is to examine the current research concerning the use of service dogs as a treatment option for the management of PTSD and its associated symptoms among veterans with PTSD. A database search was done using CINAHL, APA PsycInfo, and MEDLINE. Limited research has been done on the effects service dogs have on American veterans' management of PTSD. A total of eight studies met all inclusion criteria and were analyzed as part of this literature review. The results of this review of the current literature suggest that psychiatric service dogs have a positive influence on the management of PTSD among veterans. The studies analyzed suggest that the acquisition of a service dog contributes to lower PTSD scores and sequelae among veterans.

Research in the area of religion and spirituality in social work practice is lacking minority practitioner representation. This phenomenological study explored the questions of how American Muslim social workers define and experience the religious/spiritual, and perceive the propriety of integrating either, in practice. Ibn Khaldun and Durkheim, early social theorists, suggested that group feeling and affiliation impact personal and professional perception and decision making. American societal views of Muslims are often negative and uninformed. A group of 15 Muslim practitioners with bachelor's or more advanced degrees in social work were recruited through a survey administered via an Internet survey site. In depth telephone interviews were conducted that clarified personal and professional descriptions and experiences of the religious/spiritual. Transcript statements were critically reviewed for range of meaning (horizonalization) and reduced to their thematic essences following the phenomenological thematic analysis paradigm. Trustworthiness of the study was verified through ongoing bracketing of the researcher's assumptions and maintenance of a data collection journal. Findings indicated that participants favored a client-centered approach based on the social work standard of self determination. Most participants differentiated and acknowledged the value of spirituality more than religion in practice. Practitioners, cognizant of possible negative interpretations of Muslims and Islam, rely on the client to initiate religious themes in therapy. This finding suggests the need for future study of client views. Implications for social change are evidenced in the clients' assurance that Muslim practitioners' professional integration of the religious/spiritual is client driven and bound by competent social work ethical practice.

A Specialized or Super Intensive-1 (SI-1) supervision level refers to a contact requirement imposed on special needs offenders (SNOs) under Texas parole supervision. SI-1 supervision requires greater contact with parole officers and treatment providers than supervision levels used on regular offenders (ROs), yet little is known about whether SI-1 supervision offenders violate terms of their parole or commit new crimes at a different rate compared to the regular offender population in the State of Texas. Reconstruction theory and the social construction of reality were used as theoretical underpinnings of this study, which examined whether differences in offenders' supervision levels created statistically significant differences in technical or new law violations in Texas parole hearings. A random sample of 200 SNOs and ROs data were analyzed using a 2-way ANOVA. Results indicated a positive and statistically significant difference between level of supervision and technical violations, with SI-1 offenders committing a greater number of violations of non-criminal terms of parole, but with SI-1 offenders being less likely than the regular offender population to commit new crimes. These findings challenge the social construction that SI-1 offenders introduce a higher element of risk to the community regarding new criminal activity. The positive social change implications of the study include policy recommendations to the Texas legislature and Texas Department of Criminal Justice to refocus resources on improving outcomes related to technical parole violations, including a reduction in SNOs' contact standards, which in turn, promote fiscal responsibility and improvements in public safety for the people of the state of Texas.

Psychosocial rehabilitation (PSR) is a community-based service that addresses the challenges faced by people diagnosed as having psychiatric disabilities. While working with co workers and clients, PSR workers may harbor perceptions that could lower the effectiveness of their work and hinder recovery by their clients. Although cognitive-behavioral theory has suggested an association, research has not yet connected PSR worker attitudes about psychiatric situations to their feelings and behavior. In this nonexperimental factorial design, 196 PSR workers were surveyed about the frustrations presented by stressful interpersonal job situations using the Psychiatric Situations Scale to identify whether occupation (case workers, residential workers, day program workers, and vocational workers), years of experience (low: less than 5 years, medium: between 5 and 10 years, high: more than 10 years), and gender were associated with significant attitude differences. The most interesting research question was whether there were differences in the levels of frustration experienced by persons in different PSR occupations. The data were analyzed using ANOVA. No significant main effects or simple effects were revealed. This likely occurred because PSR socializes workers into their mission and values leaving similar attitudes across groups, and also because the sample was homogeneous. Social change implications include the addition of new data to the research, thus enabling researchers to more efficiently identify significant differences among PSR workers. Such results should improve PSR through training targeted toward groups at-risk for the development of burnout and client secondary gain. PSR might be improved by future research that uses an increased sample size to obtain a heterogenous sample, uses other variables, or uses the qualitative method to categorize data.

Psychiatric illnesses can sometimes lead to behavioral outbursts that need to be addressed quickly to deescalate potentially explosive situations. Nurses are in a unique position to respond to such outbursts by calling for a rapid response team. Nurses who are part of the rapid response team should be well-informed of their roles and responsibilities in managing aggressive and violent behavior. The purpose of this project was to explore RN's and LPN's knowledge and perceptions of a rapid response team in a psychiatric facility. The Iowa model of evidence-based practice provided the framework to integrate theory into practice to improve care. A quantitative descriptive design was implemented with a convenience sample of nurses using a 4-part questionnaire. Of the 64 surveys distributed on 5 wards, 59 were completed for a response rate of 92%. Descriptive statistics were used to analyze nurse responses to demographic data and background data. A Chi-square statistic was calculated to investigate the relationship between RN and LPN responses to the Likert Agreement Scale; no significant difference in responses was found. Open-ended questions allowed nurses to comment on their role and position during a code. The comments were sorted into categories of reoccurring themes. Results suggested that nurses need to understand signs of behavioral escalation and strategies to deescalate a potentially volatile patient. Nurses commented that knowledge during a code, reasons for calling a code, and good communication skills are essential in code situations. Findings from this project can benefit nurses who work psychiatric emergencies by underscoring the need to development of psychiatric rapid response teams and to update current standards of inpatient care.

While research has indicated that impaired mental health partially mediates the relationship between adverse childhood experiences (ACEs) and alcohol and illicit drug use, little research has examined potential mediators in the relationship between ACEs and smoking, the number one cause of preventable mortality in the United States. Accordingly, this study examined the potential mediating effect of psychological distress on the relationship between ACES and smoking using data from Wave II of the ACE Study, a cross-sectional study completed between June and October of 1997 on a sample of adult health maintenance organization members (N = 7,211). The theoretical underpinnings for this study were grounded in the developmental psychopathological perspective which examines both environmental and biological influences as they interact to promote or impede social, emotional, and behavioral development. Mediation modeling employing both linear and logistic regression techniques indicated that, after adjusting by select covariates, psychological distress (as assessed using the SF-36 Mental Component Summary score) partially mediated the relationship between several of the ACEs examined and smoking in women. These same relationships were not found in men. This research contains several key findings with social change implications. First, additional research should be conducted to examine the causes, developmental paths, and critical points that link ACEs and psychological distress to smoking among women. Second, given the gender differences in the association between ACEs and smoking, gender-specific intervention programs that build resiliency, increase positive social support, and provide tools for developing alternative coping strategies may be important adjuncts to smoking cessation programs, particularly for women with a history of ACEs.

<p>Individuals with mood disorders are particularly vulnerable to weight gain, due in part to an illness symptom profile that impacts appetite and energy and the iatrogenic weight-gain effects associated with psychotropic medications. The exact physiological mechanisms through which medication causes weight gain have yet to be clearly elucidated. The studies comprising this thesis examine changes in caloric consumption, physical activity and basal metabolic rate (BMR) in depressive disorder (MDD) patients starting on selective serotonin reuptake inhibitors (SSRIs). Since both depression and obesity have been linked to inflammation, we also monitored changes in cytokines and adipokines throughout treatment. In our sample, we observed a mean weight gain from baseline, prior to medication, to 6 months after the initiation of pharmacotherapy. We note that this weight gain is not likely due to increased caloric consumption, but could be related to the proportions of macronutrients being consumed and expended, as well as physical activity level. We also observed changes in adipokines and cytokines that are reflective of pharmacotherapy and not weight gain, even in the absence of clinical improvement. Collectively these studies have begun to shed light on the mechanisms involved in the weight gain experienced by MDD patients being treated with SSRI antidepressants. A better understanding of these mechanisms will lead to better management of the adverse metabolic side effects associated with psychotropic medication, and will improve patient compliance.</p> / Master of Science (MSc)