Diplomová práce "Jak se žije dospělým dětem alkoholiků" se zabývá problematikou dospělých, kteří mají zkušenost dětství prožitého v rodině s rodičem-alkoholikem. Jedná se o kvalitativní studii, jejímž cílem je dopovědět na následující otázky: Jak vlastně vypadá dětství, dospívání a následně dospělý život lidí, kteří mají za sebou zkušenost dítěte alkoholika? Jak vypadá takové rodinné prostředí? Existují nějaká témata společná těm, kteří vyrůstali v takovém prostředí? Teoretická část obsahuje dosavadní poznatky studií, které se tématem dospělých dětí alkoholiků zabývají. Popisuje charakteristiky jak rodinného prostředí, tak způsoby uvažování a prožívání dospělých dětí alkoholiků. Metodologická část obsahuje definici výzkumného problému, metody získávání vzorku (samovýběr), metodu získávání dat (nestrukturované interview) a způsob jejich zpracování (narativní analýza, metody zachycení vzorců). Analytická část obsahuje samotné zpracování dat pěti respondentů. Jednotlivé příběhy nahlíženy jako určité životní konfigurace. Následně je uvedeno 28 témat, která jsou v různé míře respondentům výzkumu společná.

Abstract                                                                            Ord: 14896     Title: My parent is an addict   A qualitative study about being a grown up child to addict parents.     Author: Johanna Lundgren     The purpose of the study was to investigate how adult daughters of addicts experienced their childhood and how they experienced being affected as children and adults. The study was based on a phenomenological approach and based its empirical data on semi-structured interviews with adult daughters of addicts. The main result showed growing up with several difficult events and the informants claim to have trust issues, a negative self-image or poor self-esteem and that they have taken unreasonable responsibility in relation to their age and situation. Problems in school are also highlighted by everyone in some form. An informant claimed to be a sober alcoholic and a use of other drugs had occurred among the informants. All informants themselves had been in relationships with addicts and all had some social involvement. The results were thematized and as an analysis tool Bronfenbrenner's ecological systems theory and social learning theory were used. / Sammanfattning   Titel: Min förälder är en missbrukare   En kvalitativ studie om att vara ett vuxet barn till missbrukande föräldrar   Författare: Johanna Lundgren   Studiens syfte var att undersöka hur vuxna döttrar till missbrukare upplevt sin barndom samt hur de upplevde sig ha blivit påverkade som barn och vuxen. Studien utgick från en fenomenologisk ansats och baserade sin empiri på semistrukturerade intervjuer med vuxna döttrar till missbrukare. Det huvudsakliga resultatet påvisade uppväxter med flera svåra händelser och informanterna uppger sig ha tillitsproblem en negativ självbild eller dålig självkänsla, samt att de har tagit ett orimligt ansvar i förhållande till sin ålder och sin situation.  Problem i skolan belyses även av samtliga i någon form. En informant uppgav sig vara nykter alkoholist och en användning av andra droger hade förekommit bland informanterna. Samtliga informanter hade själva haft relationer till missbrukare och alla hade i någon mån ett socialt engagemang. Resultatet tematiserades och som analysverktyg användes Bronfenbrenners ekologiska systemteori samt den sociala inlärningsteorin.

There is a strong association between alcohol and relationship problems, with each problem exacerbating the other. In this program of research two studies were conducted. The first study was to investigate the variables that put couples at risk for developing a combination of relationship and alcohol problems. The second study was an evaluation of the effects of an integrated education program that promoted safe drinking and positive relationship interaction. Previous research shows that deficits in negative affect regulation and poor communication predict the onset of both relationship and alcohol problems. Based on these findings, it was hypothesized that deficits in communication exist in couples in which one or both partners drink at hazardous levels. In Study 1 communication of 85 couples (53 couples with no high-risk drinker and 32 couples with at least one at-risk drinker) in early stage committed relationships was assessed by observation of their interaction. Couples in which the man was drinking at hazardous levels had significantly more negative communication than couples without an at-risk drinker. In Study 2, 37 couples with at least one at-risk drinker were randomly assigned to either Controlling Alcohol and Relationship Enhancement (CARE) or a control condition. Couple communication, alcohol consumption, relationship satisfaction and relationship stability were assessed at pre- and post-intervention. Alcohol consumption, relationship satisfaction and relationship stability were also assessed at 6-month follow-up. Couples receiving CARE improved their communication significantly relative to the control couples. Couples in both conditions showed significant reductions in hazardous drinking, but there was no significant difference in the effects of the interventions on alcohol consumption. The program of research demonstrates that deficits in couple communication are evident in couples with hazardous male drinking, even in the early stage of the relationship when the couples report high relationship satisfaction. The communication deficits are remedied with brief, skill-training relationship education. Furthermore, there was evidence for the effects of CARE on reduction of steps towards relationship dissolution at 6-month follow-up. The brief alcohol component of the intervention showed little benefit beyond the control condition in terms of impact upon the alcohol problems. This research is the first to demonstrate that a combined program of skill-based relationship education and strategies for alcohol reduction is effective in remediating communication skills deficits in the early stage relationships of couples with hazardous alcohol consumption. Future research can extend this work to enable the development of programs which match the content of relationship education to the specific needs of other high-risk couples.

<p>Syftet med studien är att få en djupare inblick i hur en kvinna kan påverkas som barn men även som vuxen av att växa upp i en familj där den ena föräldern är alkoholmissbrukare. Intresseområdet är att studera uppväxtförhållanden samt hur dessa påverkar individen psykiskt, fysiskt och socialt. Då tidigare forskning i huvudsak fokuserar på hur pojkar och män påverkas av att växa upp i familjer där en förälder missbrukar alkohol, inriktar sig denna studie på kvinnor. För att få en djupare inblick i problemområdet valdes en kvalitativ metod där fyra kvinnor intervjuades. I studien framkommer flera likheter mellan kvinnorna, exempelvis funktioner inom familjesystemet, så som lojalitet, samt de roller som kvinnorna antog. Studien redovisar även vissa skillnader och det visar sig att faktorer som påverkar dessa olikheter bland annat är den missbrukande förälderns kön samt närvaron av andra viktiga vuxna. Uppväxten har påverkat kvinnorna i vuxen ålder på flera sätt, exempelvis har alla, eller har haft, svårt att känna tillit samt flera har haft problematiska förhållanden till män.</p> / <p>The purpose of this study is to obtain a deeper insight regarding how a woman can be affected as a child but also as an adult by growing up in a family where one of the parents is an alcohol abuser. The field of interest is to study the childhood environment and its influence on the individual in psychological terms as well as physically and socially. Since earlier research has mainly focused on how boys and men are influenced by growing up in families where one parent is an alcoholic, this study concentrates on women. Aiming to get a deeper insight into the problem area, a qualitative method was chosen, including in-depth interviews with four women. The study reveals several similarities between the four women, including similar functions in the family system, such as loyalty, and which roles the women assumed. The study also suggests certain differences between the women and the families and it is shown that some of the factors influencing these differences are the sex of the alcohol abusing parent and the presence of other adults. Growing up in a family where one parent was an alcoholic has affected the adult women in several ways, for instance has everyone, or had, problems regarding trust and several had problematic relationships with men.</p>

Syftet med studien är att få en djupare inblick i hur en kvinna kan påverkas som barn men även som vuxen av att växa upp i en familj där den ena föräldern är alkoholmissbrukare. Intresseområdet är att studera uppväxtförhållanden samt hur dessa påverkar individen psykiskt, fysiskt och socialt. Då tidigare forskning i huvudsak fokuserar på hur pojkar och män påverkas av att växa upp i familjer där en förälder missbrukar alkohol, inriktar sig denna studie på kvinnor. För att få en djupare inblick i problemområdet valdes en kvalitativ metod där fyra kvinnor intervjuades. I studien framkommer flera likheter mellan kvinnorna, exempelvis funktioner inom familjesystemet, så som lojalitet, samt de roller som kvinnorna antog. Studien redovisar även vissa skillnader och det visar sig att faktorer som påverkar dessa olikheter bland annat är den missbrukande förälderns kön samt närvaron av andra viktiga vuxna. Uppväxten har påverkat kvinnorna i vuxen ålder på flera sätt, exempelvis har alla, eller har haft, svårt att känna tillit samt flera har haft problematiska förhållanden till män. / The purpose of this study is to obtain a deeper insight regarding how a woman can be affected as a child but also as an adult by growing up in a family where one of the parents is an alcohol abuser. The field of interest is to study the childhood environment and its influence on the individual in psychological terms as well as physically and socially. Since earlier research has mainly focused on how boys and men are influenced by growing up in families where one parent is an alcoholic, this study concentrates on women. Aiming to get a deeper insight into the problem area, a qualitative method was chosen, including in-depth interviews with four women. The study reveals several similarities between the four women, including similar functions in the family system, such as loyalty, and which roles the women assumed. The study also suggests certain differences between the women and the families and it is shown that some of the factors influencing these differences are the sex of the alcohol abusing parent and the presence of other adults. Growing up in a family where one parent was an alcoholic has affected the adult women in several ways, for instance has everyone, or had, problems regarding trust and several had problematic relationships with men.

The following thesis describes the experiences of a non-Native, female, social worker as a participant-observer among First Nations people. The setting was that of an Intensive Drug and Alcohol Abuse Prevention Program for male Aboriginal ex-offenders, held over a period of four months in 1993. The environment was a secluded camp site, situated to the North-East of Montreal. The material describes, in narrative form, the interactions between non-Native and Mohawk workers, and between non-Native worker and Native clients of various cultural backgrounds. Also considered are general issues which affect First Nations peoples, such as alcohol and drug abuse, grief and loss, sexual abuse and the resurgence of traditional Native spiritual practices. Implications of the work reflect on effective cross-cultural communication, and the importance of facilitating appropriate healing processes for First Nations peoples.

Statistics corroborate the substantial and deleterious impact of substance abuse to both client and client systems. Social workers are regularly exposed to clients who are directly or indirectly affected by substance abuse. A random survey of social workers working with Anglophone and Allophone populations on the island of Montreal was conducted to evaluate the workers perceived ability to recognize and respond to the needs of this client group. Links were drawn to the various ways in which social workers developed their knowledge about addiction and to the worker's formal social work education. The study demonstrates the inadequacy of the formal social work program to address the problem of substance abuse. The implications for schools of social work and the need to develop core curriculum as well as specializations in substance abuse are presented.

No description available.

The thesis introduces perception of guilt and sin in the Bible, in Christian tradition and in contemporary moral theology. It emphasizes that in the mentioned periods both phenomena belonged in the common talk and to the elemental moral concepts. It deals with perception of guilt (sin) and forgiveness at present and it does not omit the findings of empirical sciences. It takes into consideration the facts which led to the loss or deformation of awareness of both phenomena in the society in general. In practice it conducts the survey of the possible idea of the contemporary state of awareness of guilt and forgiveness and relates it to the specific group of Anonymous Alcoholics.

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No. of bitstreams: 1 mariaevangelistamartins.pdf: 13933977 bytes, checksum: d05bda6db057c23faa277b0aca8b20ac (MD5) Previous issue date: 2011-03-25 / O objetivo deste estudo exploratório foi identificar o perfil do caráter, qualidade de vida e o uso do coping religioso-espiritual como estratégia de enfrentamento de circunstâncias estressoras; bem como verificar possíveis associações entre dimensão "caráter" da personalidade, uso do coping religioso-espiritual e qualidade de vida — tomadas isolada ou conjuntamente —, padrão de uso de alcoólicos (na vida e no último ano) e variáveis sociodemográficas entre 125 indivíduos atendidos em um Centro de Referência em Hepatologia de um Hospital Universitário. Foram aplicados questionários semi-estruturados, sigilosos, anônimos e auto-aplicáveis contendo variáveis diversas — sociodemográficas; consumo de alcoólicos na vida e no último ano; relativas à freqüência, e opiniões pessoais sobre os Alcoólicos Anônimos (AA); às dimensões do caráter da personalidade; uso do coping religioso-espiritual e qualidade de vida nos domínios físico, psicológico, social, ambiental e global. Foram efetivadas análises exploratórias, bivariadas e, para caracterizar o peso relativo das variáveis estudadas sobre os desfechos analisados, utilizou-se a regressão logística. Os resultados indicaram que, dentre os pacientes avaliados, foi positivamente identificado pelos instrumentos que: 54,2%, 52,7% e 50,9% apresentavam pontuação acima da mediana nas escalas de auto-direcionamento, cooperatividade e auto-transcendência respectivamente. Em relação à qualidade de vida, 54,1% nos domínios físico, psicológico e ambiental do WHOQOL-BREF pontuaram acima da mediana em auto-direcionamento, e 51,3% no domínio social obtiveram melhores pontuações nessa escala; 50% no domínio social e acima de 50% nos outros domínios obtiveram pontuações acima da mediana em cooperatividade; 52% no domínio social e acima de 52% nos demais domínios do WHOQOL-BREF pontuaram acima da mediana na escala de auto-transcendência. Quanto ao uso do coping religioso-espiritual (razão CREN/CREP), 53,7%, 53,9% e 52,6% obtiveram pontuações acima da mediana nas escalas de auto-direcionamento, cooperatividade e auto-transcendência respectivamente. Nos modelos de regressão logística desenvolvidos, observou-se que pontuação mais elevada na escala de auto-direcionamento associou-se significantemente à melhor qualidade de vida no domínio psicológico do WHOQOL-BREF e ao maior uso de coping religioso-espiritual positivo em relação ao negativo. Pontuação mais elevada na escala de cooperatividade associou-se à melhor qualidade de vida nos domínios social e ambiental e ao maior uso do coping religioso-espiritual positivo em relação ao negativo. Pontuação mais elevada na escala de auto-transcendência associou-se à pior qualidade de vida no domínio físico do WHOQOL-BREF. / The objective of this exploratory study was to identify the character profile, quality of life and the use of spiritual religious coping as a coping strategy of stressful circumstances; and check possible associations between the "character" dimension of personality, use of spiritual religious coping and quality of life-taken separated or together —, pattern of alcohol use (on the whole life and in the last year) and sociodemographyc variables between 125 subjects treated on a Reference Center in Hepatology of an Universitary Hospital. Questionnaires were used semi-structured, confidential, anonymous and self applicable containing several variables sociodemographic; consumption of alcohol on the whole life and on the last year; frequency and personal opinions about the Alcoholics Anonymous (AA); personality character dimensions; use of spiritual religious coping and quality of life on the physical, psychological, social, environmental, and global domains. Exploratory and bivariate analysis were performed and, to characterize the relative influence of variables on the outcomes examined, we used logistic regression. The results indicated that, between the assessed patients, was positively identified by the instruments: 54.2%, 52,7% e 50,9% showed scores above average on the scales self-directedness, cooperativeness, and self-transcendence, respectively. Regarding quality of life, 54,1% on physical, psychological and environmental domains of WHOQOL-BREF scored above average in self-directedness and 51,3% on social domain achieved best scores on this scale; 50% on the other domains achieved scores above average on cooperativeness; 52% on the social domain and above 52% on the other domains of WHOQOL-BREF scored above average on the scale self-transcendence. As for spiritual religious coping (CREN/CREP ratio), 53,7%, 53,9% and 52,6% achieved scores above average on the scales self-directedness, cooperativeness, and self-transcendence, respectively. In logistic regression models developed, it was observed that the higher scores on the self-directedness scale were significantly associated to a better quality of life on the WHOQOL-BREF's psychological domain and to a higher use of positive spiritual religious coping, compared to the negative. Higher scores on the Cooperativeness scale were associated to a better quality of life on social and environmental domains and to a higher use of positive spiritual religious coping, compared to the negative. Higher scores on the auto-transcendence scale were associated to a worse quality of life on the WHOQOL-BREF's physical domain.