Adolescence is an incredibly complex period of life. During this time young people are searching for and wanting to create their own unique identity, however being confronted with a plethora of roles and directions is challenging and confusing. These challenges are reflected in the vast array of young adult literature being presented to young people today. As a result young adult literature has the potential to function as scaffolding to assist teenagers in the struggles of adolescence by serving as an important source of information about the world and the people in it. Teenage novels also give young people the opportunity to try on different identities and vicariously experience consequences of actions while developing their own distinctive personality and character. As this study reveals, the Australian young adult novel has undergone considerable developments, with 1989 serving as a milestone year in which writers and publishers turned in new directions. In general, Australian young adult novels have changed from books set predominately in rural areas, incorporating major themes of child abuse, death, friendship and survival with introverted characters aged between twelve and sixteen in the early 1980s to novels with urban settings, a large increase in books about crime, dating, drugs and mental health and sexually active, extroverted characters aged between fourteen and eighteen in the late 1990s. To chart the progression of these changes and gain an understanding of the messages young adults receive from adolescent novels an evaluative framework was developed. The framework consists of two main sections. The first part applies to the work as a whole, obtaining data about the novel such as plot, style, setting, temporal context, use of humour, issues within the text and ending, while the second part collects information about character demographics including gender, age, occupational status, family type, sexual orientation, relationships with family and authority figures, personality traits and outlook for character. To qualitatively and quantitatively assess the construction of youth in Australian young adult literature a random selection of 20 per cent of Australian young adult books published in each year from 1980 to 2000 were analysed using the evaluative framework, with 186 novels being studied altogether. During the 1990s in particular, Australian young adult literature was heavily criticised for being too bleak, too dark, presenting a picture of life that was all gloom and doom. This research resoundingly dismisses this argument by showing that rather than being a negative influence on the lives of young people, Australian books for young people present a comprehensive portrayal of youth. They probe the entire gamut of teenage experiences, both the good and the bad, providing a wide range of scenarios, roles, relationships and characters for young people to explore. Therefore Australian young adult literature provides an important source of information and support for the psycho-social development of young people during the formative years of adolescence. This research is significant because it gives hard evidence to support the promotion of a representative selection of Australian young adult novels both in the classroom and in home, school and public libraries. By establishing the available range of contemporary Australian young adult literature through this study, young adult readers, teachers and librarians can be confident in the knowledge that appropriate titles are accessible which meet the needs and interests of young people. Consequently, the substantial amount of data gathered from this study will considerably add to the knowledge and understanding ofAustralian young adult novels to date and provide an excellent starting point for further research in the future.

Thesis (Ph. D.)--Illinois State University, 2006. / Title from title page screen, viewed on April 27, 2007. Dissertation Committee: C. Anita Tarr (chair), Roberta Seelinger Trites, Jan Christopher Susina. Includes bibliographical references (leaves 197-208) and abstract. Also available in print.

Spanning the period from the early years of the Cold War to the early twenty-first century, Crossing Out argues that medical theories of gender variance which emerge in the middle of the twentieth century are bound by the Cold-War–era discursive limits within which they were articulated, and that the ideological content of those theories persists into late-century research and treatment protocols. I parallel these analyses with interrogations of literary representations of transgendered subjects. What emerges most powerfully from this analysis of literary works is their tendency to signify in excess of the medical foreclosures, even when they seem consistent with medical discourse. By reading these two discursive systems against each other, the dissertation demonstrates the ability of literary discourse to accommodate multifaceted subject positions which medical discourse is unable to articulate. Literature thus complicates the stories that medical culture tells, revealing complex and multivariate possibilities for transgendered identification absent from traditional medical accounts. In tracing these discursive intersections the dissertation draws on and extends Michel Foucault’s theory of subjugated knowledges and Judith Butler’s writings on the formation of gendered subjects. Chapter One establishes the Cold War context, and argues that there are significant continuities between 1950s theories of intersexuality and Cold War ideology. Chapter Two extends this analysis to take in theories of transsexualism that emerged in the same years, and analyzes the discursive excesses of a 1950s pulp novel representation of a transsexual. Chapter Three establishes that the ideological content of the medical theories remained virtually unchanged by the 1990s, and argues that multivalent literary representations of transgenderism from the same decade promise the emergence of unanticipated forms of gender identity that exceed medical norms. Chapter Four is concerned with transgendered children, as they are represented in medical writing and in young adult and children’s literature. Interrogating fiction which negotiates between established medical discourse and an emergent transgender discourse, the chapter argues that these works at once invite and subvert a pathologizing understanding of gender-variant children while simultaneously providing data that demands to be read through the lens of an emergent affirmative notion of trans-childhood.

INTRODUCTION: Marijuana use, although illegal in the majority of states, is increasingly becoming acceptable for use in the United States. There are dangerous public health consequences associated with marijuana use—including: impaired driving, loss of productivity in workplaces and school settings, as well as mental health impacts. In Atlanta, the majority of residents (54.0%) are African American. Emergency room use is double for African American Fulton County residents compared to their Caucasian counterparts and approximately 1/5 of the total population receiving public health treatment identify marijuana as the primary drug of use, with 57% of those being African Americans. Despite these statistics, the availability of treatment and prevention programs targeting African Americans using marijuana is negligible.AIM: The purpose of this study is to synthesize evidence-based approaches to substance use treatment so that effective components of previous research can be incorporated into an innovative marijuana prevention program to increase post-treatment abstinence targeting a segment of the population that has not been a significant focus in intervention research. METHODS: A review of scientific literature was conducted to identify and appraise evidence based approaches to substance use among young adults. First, the student researcher examined programs targeting marijuana use. Second, the search was expanded to substance use in general. The student researcher identified the population, intervention, control arm, and outcomes of various studies focusing on substance use prevention in a variety of settings. With this appraisal, the most effective components are suggested for a marijuana specific program which could be offered to African-American young adults, as no current programs in Georgia were found. RESULTS: Substance abuse intervention approaches targeting young adult populations were identified. Programs are delivered in a variety of settings: family, school, and community. Evidence supports that cognitive behavioral training, motivational enhancement training, and contingency management are the most effective approaches targeting substance use among young adults. A program that integrates components of each approach would be ideal for targeting African American young adults using marijuana in Metro-Atlanta and assisting them to maintain abstinence post-treatment. DISCUSSION: The results from this study emphasize key program elements that can address marijuana addiction among African American young adults in Metro-Atlanta. As marijuana acceptance increases, the need for prevention programs becomes more urgent. This study’s results can assist program planners in understanding the most strategic interventions that would optimize return on investment when addressing a largely silent public health threat: marijuana use among Africa American young adults in Metro-Atlanta.

The aim of this thesis was to describe the medical, cognitive and psychosocial consequences of epilepsy in young adulthood. Four studies were carried out with this patient group. The first two papers were based on a follow-up study regarding young adults with epilepsy that investigated medical and psychosocial aspects and compared the present results with those five years earlier. We then conducted focus group interviews with young adults with epilepsy and subjective cognitive decline to assess the deeper meaning of living with epilepsy accompanied by cognitive difficulties. In the fourth study we studied cognitive dysfunction further, choosing the language function in young adults with epilepsy. We firstly examined whether language impairments were associated to functional brain alterations and secondly related the language performance to demographics, clinical data, Quality of Life (QoL) and self-esteem. The five-year follow up of 97 young adults with uncomplicated epilepsy revealed no improvement regarding seizure frequency or side effects from anti-epileptic drugs (AEDs) over time, even though many new-generation AEDs had been established during this period. During the study period 21% had recovered from epilepsy, Seizure frequency among those who still had epilepsy had not improved, and 42% had experienced seizures during the past year. New-generation anti-epileptic drugs (AEDs) had been introduced to PWE, especially to women. There is still need for new and more effective treatment options for this group in the future. It is essential to find alternative approaches to develop better treatment options for this group in the future. However QoL was normal compared to the general population, indicating that new options regarding treatment can have made an impact. Lower QoL was correlated to high seizure frequency and to cognitive side effects. Self-esteem and Sence of Coherence were impaired compared to the situation at adolescence. Self-esteem was correlated to seizure frequency and to side-effects of antiepileptic drugs. Sence of Coherence was not correlated to epilepsy-related factors in the same way as QoL, but mirrored the phenomenon of epilepsy. The qualitative study showed that the consequences of epilepsy are not only restricted to the consequences of seizures, but also concerns many other aspects of life. The interviews revealed four themes: “affecting the whole person“, “influencing daily life”, ”affecting relations” and ”meeting ignorance in society”. Another important factor was language function; when one loses some language ability, this gives a feeling of losing one’s capability. The fourth study examined language by neuropsychological methods and correlated this function to brain activation measured by fMRI. Language functions measured in verbal fluency and abstract language comprehension were impaired in participants with both generalized epilepsy and epilepsy of focal onset. Age at onset of epilepsy and education are the most important factors correlating to language function. An additional factor that impacts abstract language comprehension is the frequency of convulsive seizures, while use of topiramate /zonisamide affect verbal fluency negatively. QoL was not correlated to language impairments, but for patients with focal onset seizures there was a correlation between self-esteem and abstract language comprehension. The fMRI investigation revealed altered activity during language tasks in participants with epilepsy compared to controls. In epilepsy with focal seizures originating in the left hemisphere, we found increased bilateral activation of supporting areas, in the anterior mid-cingulate cortex and the anterior ventral insulae, indicating a compensational functional reorganization. In generalized epilepsy, the functional language network showed an imbalance, as this group expressed an inadequate suppression of activation in the anterior temporal lobe during semantic processing. Subtle language impairment can, even if it does not occur in everyday dialogue, be of importance and have consequences for the person affected. The negative consequences of language decline must be addressed in people with epilepsy of different etiology. Young adults with epilepsy are still substantially affected by the condition. The consequences are not only restricted to the seizures, but concern many aspects of life and there is a great need for new treatment options for this group in the future.

Alcohol is one of the most widely used recreational drugs in the United States today, despite being associated with a myriad of negative effects. Alcohol consumption occurs most frequently within social contexts, and seems to be strongly related to many social factors. It is known that an individual's expectations of the effects of alcohol influences his/her drinking behavior, and that social alcohol expectancies are some of the most frequently reported expectancies. In this study, we explored the relationship between alcohol expectancies and social influences by examining whether exposure to a social context would differentially activate alcohol expectancies. 115 young-adult male participants were exposed to either a social context or a control condition. Subsequently, participants' alcohol expectancies were assessed using both explicit and implicit measurements. Differences between conditions were found on the implicit expectancy measure (a free association task) but not on the explicit expectancy measures. Results from the free association task indicated that participants who were exposed to a social context were more likely to report positive and arousing words in response to the prompt "alcohol makes me _______". These differences suggest that exposure to a social context may not overtly change individuals' alcohol expectancies, but may increase the availability of positive and arousing alcohol expectancies. This increase in availability of positive and arousing expectancies may explain one of the mechanisms involved in deciding to engage in social drinking.

Lexical access is the process in which basic components of meaning in language, the lexical entries (words) are activated. This activation is based on the organization and representational structure of the lexical entries. Semantic features of words, which are the prominent semantic characteristics of a word concept, provide important information because they mediate semantic access to words. An experiment was conducted to examine the importance of semantic feature distinctiveness and feature frequency in accessing the lexical representations of young and older adults in an off-line task using features of animals. The McRae, Cree, Seidenberg, and McNorgan (2005) feature norm corpus is the basis for the selection of stimuli for the current research project. Semantic features were utilized to explore the structure of the lexicon. Stimuli varied in feature distinctiveness based on the study by McRae, et al. (2005) in 3 broad stimulus groups: Distinctive (D), Low Frequency Non-Distinctive (LFND), and Non-Distinctive High Frequency (NDHF). Participants were asked to list all of the concepts that came to mind for a given feature in an untimed task. Distinctiveness was examined between stimulus groups for the number of concepts and variety of first concepts given to the presented feature. It was found that fewer concepts were given and there was less variety in first concepts given for the distinctive features and the most concepts and greater variety of first concepts were given for the high-frequency non-distinctive features. Distinctiveness appears to vary along a continuum, supporting theories of lexical access based on activation and competition between concept words. Additionally, participant age groups were compared for the number of concepts given and the variety of first concepts given. The older adult group produced more concepts and more variety of first concepts than the younger group, in all three feature categories. These results indicate that greater (lifetime) language experience of the participants in the older group was reflected in their performance. A continued interest in semantic features is important to our understanding of the influence of features on the retrieval of semantic concepts and the changes in those retrieval processes over the lifespan.

Psykisk ohälsa hos unga är ett problem som ökar i dagens samhälle. För att främja en bättre psykisk hälsa hos dessa finns kuratorer på skolor, ungdomsmottagningar samt barn- och ungdomspsykiatriska mottagningar. I denna studie har frågorna ställts om kuratorernas bilder gällande de vanligaste orsakerna till psykisk ohälsa hos unga, eventuella könsskillnader samt resurser för att ge stöd. Utifrån sex intervjuer som genomförts med kuratorer på ovan nämnda arbetsplatser visade resultatet att många unga idag lider av problem i hemmet eller skolan, höga krav, depression, ångest, ätstörningar, självskadebeteende, arbetslöshet samt hemmasittande. Av dessa visade sig ätstörningar och självskadebeteende vara vanligast hos flickorna, medan istället hemmasittande och skoltrötthet dominerade hos pojkarna. Övriga orsaker var relativt jämnt fördelade mellan könen. Viktigt är dock att ta hänsyn till mörkertalet av dem som inte söker hjälp. I många avseenden behövde resurserna förbättras, framför allt i form av tid för ungdomarna samt för kompetensutveckling och handledning. / Mental illness among adolescents is a problem which increases in our society. By promoting a better mental health among these, there are social workers working at schools, Youth Clinics and psychiatry receptions for children and adolescents. This study asked the questions about which versions the social workers had about the most usual reasons for mental illness amongst adolescents, if the social workers had noticed any differences of the mental illness between young boys and girls and if the social workers thought that they had sufficient resources to offer the adolescents good help. By six interviews done with social workers on the workplaces above, the results showed that many adolescents today have problems at home or in school, problems with high claims on themselves, depression, anxiety, eating disorders, self-harm, unemployment and sitting at home. Of these reasons for mental illness, eating disorders and self-harm had been found to be most usual amongst the young girls, and sitting at home and school fatigue amongst the young boys. The other reasons for mental illness were pretty much the same amongst boys and girls. Still, it is important to take into account that there are hidden statistics of the young people who do not search for help against their mental illness. The resources needed to be improved in many aspects, mostly by more time by the social workers to help the adolescents and more skills development and tutoring for the social workers.

Syftet med studien var att undersöka varför unga vuxna väljer att resa. Vidare ämnade studien att identifiera vilka faktorer som påverkar en ung vuxen vid val av resmål. Tidigare forskning visade att resor generellt kan användas som medel för att stärka och bekräfta en individs identitet samt sociala status. Studiens teoretiska utgångspunkter var Bauman och Mays teorier kring livsstil och konsumtion, Bourdieus begrepp distinktion, smak, socialt, kulturellt, ekonomiskt samt symboliskt kapital och Poons teorier kring nya turister. Studien består av åtta kvalitativa intervjuer med unga vuxna i åldrarna 18-25 år. Intervjuerna spelades in och materialet transkriberades. Transkriberingarna kodades med marginalmetoden och fyra teman identifierades. Dessa teman var: motivation, upplevelse, status samt identitet. De analyserades sedan med hjälp utav tidigare forskning samt de teoretiska utgångspunkterna. Resultatet visade att studiens unga vuxna använder resor för att stärka den egna identiteten. De använder även resor för att stärka socialt status. Detta är en omedveten faktor som gör att unga vuxna väljer att resa samt påverkar deras val av resmål. / The purpose of this study was to examine why young adults choose to travel. Furthermore, the study aimed to identify the factors that influence a young adult when selecting destinations. Previous research showed that travel in general can be used as a means to strengthen and confirm an individual's identity and social status. The theoretical starting points were Bauman and May’s theories on lifestyle and consumption, Bourdieu's concept of distinction, taste, social, cultural, economic and symbolic capital and Poon’s theories of new tourists. The study consists of eight interviews with young adults aged 18-25. The interviews were recorded and transcribed. The material was later encoded with the margin method and four themes were identified. These themes were: motivation, experience, status and identity. They were later analyzed with the help of previous research and the theoretical tools. The results showed that the study’s young adults use trips to strengthen their own identity. They also use trips to strengthen their social status. This is an unconscious factor which makes young adults decide to travel. It also influence their choice of destination.

The understanding that Attention Deficit/ Hyperactivity Disorder (ADHD) commonly persists into adulthood has not been widely accepted until recently. Accordingly, less is known about diagnostic and treatment prevalence or health and social outcomes of ADHD in adulthood. The objectives of this study were to: determine lifetime prevalence of ADHD diagnosis and treatment for Manitoba young adults, investigate whether a socioeconomic gradient exists within Manitoba young adults with a lifetime diagnosis of ADHD, and investigate the relationship between ADHD in Manitoba young adults and health service utilization. Using the Manitoba Population Health Research Data Repository, this cross-sectional analysis used 24 years of data (1984/85-2008/09) and included all Manitoba adults aged 18-29 during 2007/08-2008/09 with a lifetime diagnosis of ADHD. Crude prevalence was calculated for ADHD diagnosis and psychostimulant prescriptions, in addition to several demographic variables. The presence of a socioeconomic gradient in lifetime ADHD diagnosis was investigated using Poisson and negative binomial regression. Relationships between young adults with lifetime ADHD diagnosis and health service utilization for several health and social outcome variables were explored using a matched cohort design with two comparison groups and GEE regression models. In relation to previous Manitoba research on childhood ADHD, the socioeconomic gradient for ADHD diagnosis was found to dissipate into young adulthood. However, when region of residence was accounted for, a small inverse gradient in the urban population and a direct gradient in the rural population were evident. Individuals from the highest income quintile were significantly less likely to be diagnosed before age 18 than all other income quintiles. Depression, anxiety, personality disorders, conduct disorder, substance abuse, multiple types of injuries, receipt of income assistance, and reduced high school graduation were significantly correlated with lifetime ADHD diagnosis. Given the high lifetime prevalence of ADHD in Manitoba young adults, significant socioeconomic correlates for diagnosis, and multitude of adverse health and social outcomes in this population, further investigation into the trajectory of this relatively unexplored population is recommended. Furthermore, continued measurement of the provision and success of additional resources will ultimately be necessary for enhancing the health status of all Canadian adults living with ADHD.