In order to create more efficient, useful alcohol treatment and intervention methods tailored specifically for the older population, it is important to understand the reasons that older adults perceive that they consume alcohol. For this reason, this study explored older adults’ perceptions regarding why they use alcohol. Older adults, age 60 and older, were surveyed through questionnaires completed at senior community centers within San Bernardino County. This was a mixed method design that used qualitative and quantitative analysis for the purpose of exploring the most frequently reported reasons for why older adults use alcohol. The main finding of the study is that older adults in the sample most frequently reported using alcohol for “having fun and celebration” and for “social reasons.” However, it is important to note that older adults reported a variety of motivations for using alcohol. Further research is suggested to determine correlations between demographics, alcohol use patterns, and older adults’ perceptions of why they use alcohol.

This research project is intended to assist with the identification of relapse factors for alcoholics who have relapsed after their twelve‑step program. It is beneficial to understand relapse factors for alcoholics in order to provide effective treatment plans, services, and goals that will assist in attaining sobriety from alcohol. The research study used a qualitative approach; the data was collected through interviews from participants at the Cedar House agency in Bloomington, CA. The data was collected and then analyzed for possible themes of relapse factors. Themes that developed from interviews conducted with alcoholics that had relapsed after their twelve‑step programs were: commitment to therapy, unemployment, availability of healthy support, shame and guilt in seeking support, loneliness, and lack of support from family/peers and community. There are limitations to this study which, include a small sample size and interviews were held at only one agency that incorporated the twelve‑step process. Future studies should be implemented to confirm the results of this study.

Teen problem-d1inking is a pervasive problem in our society. Teens with drinking problems utilize treatment centers and then return to school attempting to stay sober. However, many return to affiliate with problem drinkers instead of with non-drinkers, and risk for relapse is high. One explanation may be that teens without drinking problems do not accept teen problem drinkers into their peer group due to negative reactions toward problem drinkers. One way to examine their attitudes is to examine differences between teen problem drinkers and non-drinkers regarding causal attributions. Attribution theory proposes that various attributions will elicit different emotional reactions and will motivate teens to behave in certain ways. The purpose of this study was to determine if teens with prior experience in treatment (problem drinkers) and teens without that experience (non-problem drinkers) make different causal attributions for teen problem drinking. Furthermore, group differences in emotional reactions, beliefs about how to offset the problem, and help-giving behaviors were also examined. This study also sought to determine whether there was a predictable link between attributions and emotional reactions, and between emotional reactions and helpgiving behaviors. One hundred twenty-one teenagers aged 13 to 20 were recruited as subjects, 79 from Portland area schools and 42 from treatment centers. Subjects completed a written survey measuring causal attributions for teen problem drinking, emotional reactions toward teen problem drinkers, beliefs regarding how to offset the problem, and help-giving behaviors. Four MANOYAs were used to determine group differences. Results revealed group differences on causal attributions, emotional reactions, and offset controllability, but not on help-giving behaviors. Two multiple regressions were used to determine whether attributions predicted emotional reactions and whether emotional reactions predicted help-giving behaviors; results revealed no link. Although results revealed group differences, these were found not to be consistent with the hypothesis based on attribution theory. Results did reveal positive outcomes regarding attitudes toward teen problem drinkers by nonproblem drinkers, which is important as it suggests that teens without prior experience in treatment may be more accepting of teen problem drinkers than was expected.

In this study marital status and the alcoholism or non-alcoholism of the spouse are hypothesized to be important factors affecting the female alcoholic's personality and treatability.

Adolescent Alcohol Use (AAU) is widespread and potentially harmful to the health of youth. Substantial research and theoretical development suggest that both violence exposure and internalizing and externalizing problems of adolescents are associated with AAU. The primary purpose of this study was to examine the roles of internalizing and externalizing problems in adolescents to determine if the two types of symptoms are differential mediators of the link between violence exposure and AAU for females and males. Using Developmental Systems Theory as a framework, three primary hypotheses were examined: 1) Increased violence exposure at home and in the community are associated with increased AAU in both females and in males; 2) Internalizing problems mediate the relationship between home/community violence exposure and AAU for females; and 3) Externalizing problems mediate the relationship between home/community violence exposure and AAU for males. The secondary dataset that was utilized to test the hypotheses is a product of the 1995 National Survey of Adolescents in the United States. It includes a national probability sample of 3,161 adolescents and a probability oversample of 862 adolescents residing in urban areas for a total of 4,023 adolescents between the ages of 12 and 17. The data were collected by telephone interviews with the adolescents. The findings indicated that, for the most part, witnessing and experiencing physical and sexual violence across home and community contexts were associated with increased levels of AAU for both females and males. Internalizing problems mediated the relationship between sexual abuse and AAU for both females and males. Externalizing problems did not mediate the relationship between violence exposure and AAU for males or females. The findings suggest that internalizing and externalizing problems may play similar roles in females and males. The findings also indicated that home violence exposure accounts for unique variance in AAU beyond community violence exposure, but that community and home violence exposure do not interact to contribute to the highest level of AAU. Both number of different types of sexual victimization and number of different types of physical victimization at home were related to AAU. Implications for social work are discussed. The primary implication for Development Systems Theory is that differential pathways for females and males from environmental stress, in particular violence exposure, to increases in AAU may not be needed. Social work programs aimed at preventing and intervening in AAU should include components that address not only the use itself, but also the level of violence the adolescent has been exposed to, as well as any internalizing problems the adolescent may be experiencing. Future research should continue to examine how risk factors operate to influence AAU.

This study examined the effect of the experience of a loss on alcohol use and drinking motives in a college sample. Participants for this study were drawn from the “Spit for Science” project (Dick et al., 2014). The sample included 3,013 students (31.8% men, 68.2% women; 44.3% White, 21.1% Black, 19.6% Asian, 6.0% Latinx; mean age = 18.96; 16.2% bereaved) from Virginia Commonwealth University. Data were collected from participants’ freshman spring and sophomore spring time points on the Life Events Checklist, Alcohol Consumption items, and Drinking Motives Questionnaire-Revised. Participants who were bereaved between the freshman and sophomore timepoint did not significantly differ in their alcohol consumption, coping drinking motives, or conformity drinking motives compared to their non-bereaved counterparts. Limitations and future directions for research are reviewed.

Older women constitute a growing segment of Puerto Ricans and the U.S. population. A limited number of studies have examined the activity level in response to alcohol use in late life. Generally, older women present risks and benefits from alcohol use. Alcohol misuse may decrease health and in some cases, psychiatric symptoms may develop. However, some benefits are found in moderate alcohol consumption including improved physical function compared with nondrinkers (Blow & Barry, 2002). Since activity level may depend on factors such as health, functioning, emotional well-being, and perception of alcohol effects, these factors were then assessed in response to alcohol use in order to identify the degree of greater or lesser activity among elderly Puerto Rican females. This study examined the activity level in response to alcohol use in a sample of elderly Puerto Rican females (N = 419) and investigated factors that influence the practice of alcohol consumption. The independent variable was daily and weekly consumption of alcohol. Five dependent variables were examined, which included self-rating of physical health and emotional well-being, self-perception of activity level, function, and perception of alcohol effects. After conducting MANOVA analyses, no significant association between activity level and alcohol use was found. In addition, regarding the negative and positive effects of alcohol, the researcher found that elderly females who drank heavily reported having alcohol-related problems compared to those who drank moderately who described their drinking behavior as positive. The MANOVA and ANOVA analyses determined a significant relationship between higher self-perception of functionality and moderate alcohol use, but the relationship between moderate alcohol use and physical health and emotional well-being was not significant. Considering the increase of alcohol use in the older adult population, principally in the baby boomer generation, these findings are important not only to rehabilitation counseling professionals, but to many individuals in the helping professions, including educators and researchers. Rehabilitation counseling professionals should focus on initiatives to decrease and prevent alcohol misuse in the older adult population. Information revealed from this study will also contribute to knowledge of the cultural characteristics and psychosocial aspects of older Puerto Rican females regarding their alcohol use to promote better outcomes, as well as support literature in the area.

No description available.

This is a narrative of the Sugarman Project, a community project in Central Australia concerned with research into ancient Mediterranean and Greek traditions of alcohol use and abuse. The project was initiated as a response to a request from an Aboriginal man for a ‘story about alcohol’ which would fill a missing link in traditional Aboriginal conceptualisation of alcohol. The ‘story’ would have a role in indigenous treatment of alcohol abuse, put in a symbolic form consistent with oral teaching methods of indigenous custom. The project is centred around the development of an original performance script. The thesis describes the origin, context, development, rationale and implications of the project, especially with a view to considering the potential of the mythologem of Dionysos as a therapeutic paradigm in intercultural substance abuse work. Particular attention is given to the relationship between Aboriginal and European therapeutic practitioners and the use of myth, metaphor, symbolic function and specific Aboriginal ‘dreaming stories’ as a source and backup to therapeutic practice. Principal themes include the role of mythopoetic symbol formation in the development of thinking; reflections on the presence of theriomorphic serpentine imagery in the work; the role of stories as mental containers of therapeutic theory; reflections on the ‘milieu’ needed for implementing intercultural therapeutic procedures; examples of positive indigenous responses to alcohol work; preliminary notions on cross cultural transference communications; and reflections on primal states associated with alcohol intoxication. The conclusion is that the experience of developing a Western myth in concert with Aboriginal colleagues confirms the value of the initial, seminal suggestion that ‘dreaming stories’ have an authentic place in the repertoire of alcohol treatment and education / Doctor of Philosophy (PhD)

At present, there is speculation that women's alcohol use is a growing biomedical concern. Whilst not dismissing the potential health problems from excessive alcohol use by women that the evidence suggests, this thesis does not necessarily take the view that women's alcohol use/abuse is merely a reflection of a biomedical concern. Drawing predominantly from feminist tools of analysis, this thesis examines the discourse of alcohol use/abuse and reveals that mainstream interpretations of the epidemiological evidence are informed by an underlying sexism inherent in the research process itself. However, it is also argued that although popular interpretations can be contested on the grounds of sexism, there is a significant body of evidence that suggests women suffer more alcohol-related biological harm than men do. Given that epidemiological researchers are evidently observing something organically manifest, something perfectly correlative with the popular representation of a female vulnerability to alcohol related harm, this investigation cannot be reduced to the realm of cultural analysis and interpretation. The question then emerges, how can cultural assumptions that guide interpretations of the evidence become biologically manifest? Upon deeper reflection, this investigation turns its attention to relations of power and reveals the biological body and the discourses that produce it to be more closely aligned than generally presumed. This thesis argues that nature (the body) and culture (discourse) are not inherently oppositional, thus, the way we "conceptualise" the world must be inseparable from the "matter" under investigation. Based on this revelation, it is reasonable to consider that normalising discourse, which founds the meaning-making process of alcohol use, is not simply a re-presentation of the natural/organic world, but is constitutive of, and inherently writing the biological world it describes. Thus, rather than erecting material/conceptual borders that reinforce the polarisation of the nature/culture division, this thesis proposes a way to think difference more generously, in a way that allows for a closer reconciliation of the historical division between the "theory" and the "lived" experience.