Submitted by Sandra Pereira (srpereira@ufrrj.br) on 2017-04-19T12:11:58Z No. of bitstreams: 1 2015 - Fernanda Cristina da Silva Ribeiro.pdf: 1089887 bytes, checksum: 48527c43fbbca15377e461dc0ba00752 (MD5) / Made available in DSpace on 2017-04-19T12:11:58Z (GMT). No. of bitstreams: 1 2015 - Fernanda Cristina da Silva Ribeiro.pdf: 1089887 bytes, checksum: 48527c43fbbca15377e461dc0ba00752 (MD5) Previous issue date: 2015-07-31 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Drug use is not a recent human behaviour. Since early history, there are indicators of substance use allied to therapeutic ends, recreational, spiritual and even feeding purposes, as in alcoholic drinks, for instance. An issue that lies in this route is: How drug use affects teenagers today? Which aspects ? subjective, historical and socio-economic ? are implied in the current adolescent drug use (specifically, in the present study, alcohol use)? Basic conjecture in this research is that alcohol is related to glamour in present society and this can be found in adolescent speech. In order to deepen this matter investigation, we bring as our main objective to verify if abusive alcohol use is related to glamour in present society under adolescent point of view. Our specific objectives were: i) Investigate what adolescents tell concerning abusive alcohol use during adolescence, pervading personal and contextual issues; ii) Verify how canonical speech found in media on alcohol use (specially on popular music and on TV ads) presentifies itself in adolescent speech. To do so, a qualitative, descriptive research was carried on, having as instrument a semi-structured interview done with two teenagers ? a male and a female. Both respondents were aged eighteen and attended their last year at high school in a small town in Rio de Janeiro State. Interviews were recorded in video, integrally transcribed, and speeches were analyzed. Found data were sorted into two categories: adolescent speech on abusive alcohol use ? in which the way adolescents describe relation between adolescence and alcohol was approached ?; and canonic influence over adolescent speech ? in which there was an attempt to approach the matter of socio-cultural influence over adolescent identity constitution. Found results confirmed initial conjecture: alcohol glamorization speech, conveyed by media, overestimation of exaggerate alcohol consumption and consequent status promoted by this behavior are present in adolescent speech. However, adolescents do not assume this speech as originated from media or cultural influence, and relate it solely to peer pressure, spotting friends and older young people influence. We came to the conclusion that speech displayed on media and hegemonic culture exercises their symbolic power over in such way that its influence is not always noticed on people?s everyday discourse and behaviour. It is suggested, thus, utterly necessary the promotion of more space to dialogue and idea exchange on the theme (since it is on speech that ruptures take place and criticism is developed), once alcohol abuse overvaluation is understood as incentive to risky behaviour, not only concerning adolescents, but also taking into consideration a global public health matter. In this instance, it is peremptory multiple social spheres mobilization towards more incisive regulation of media and its multiple agents. / O uso de drogas n?o ? um comportamento recente do ser humano. Desde o in?cio de sua hist?ria, h? ind?cios de utiliza??o de subst?ncias encontradas na natureza para fins terap?uticos, recreativos, espirituais e at? aliment?cios, como no caso das bebidas alco?licas. Uma quest?o que se configura nesse percurso ?: Como o tema repercute no adolescente na atualidade? Que aspectos subjetivos, assim como socioculturais, hist?ricos e pol?tico-econ?micos, est?o envolvidos no uso que os jovens fazem atualmente das drogas (especificamente, neste estudo, do ?lcool)? A conjectura b?sica desta pesquisa ? que o ?lcool relaciona-se ao glamour na sociedade atual e isso pode ser encontrado na narrativa do adolescente. Para aprofundar o estudo dessa quest?o, este trabalho traz como objetivo geral verificar se o uso abusivo do ?lcool relaciona-se ao glamour na sociedade atual sob o ponto de vista do adolescente. Os objetivos espec?ficos s?o: i) Investigar o que o adolescente narra a respeito do uso abusivo do ?lcool na adolesc?ncia, perpassando quest?es pessoais e contextuais, ii)Verificar como o discurso can?nico encontrado na m?dia a respeito do uso de ?lcool (principalmente propagandas televisivas e m?sica popular) se presentifica na narrativa do adolescente. Para tanto, foi realizada uma pesquisa descritiva, qualitativa, utilizando uma entrevista semi-estruturada dirigida a dois adolescentes, de ambos os sexos. Os sujeitos escolhidos tinham como caracter?stica comum ter dezoito anos completos e cursar o terceiro ano do ensino m?dio em uma cidade do interior do RJ. As entrevistas foram gravadas em v?deo, transcritas integralmente, e foi realizada uma an?lise narrativa desse texto. Os dados encontrados foram divididos em duas categorias: narrativas adolescentes a respeito do uso abusivo do ?lcool ? na qual foi abordada a maneira que os adolescentes descrevem a rela??o entre adolesc?ncia e ?lcool ?, e influ?ncia can?nica na narrativa adolescente ? na qual buscou-se abordar a quest?o da influ?ncia do contexto s?cio cultural na constitui??o identit?ria do adolescente. Os resultados encontrados apontaram para a confirma??o da conjectura inicial: o discurso da glamouriza??o do abuso de ?lcool, dispon?vel nas m?dias, da hipervaloriza??o do exagero no consumo e do status promovido por esse comportamento ? presentificado na narrativa dos adolescentes. Entretanto, os mesmos n?o reconhecem a influ?ncia desse discurso como sendo de origem midi?tica ou cultural e a relacionam a um comportamento exclusivo dos grupos de pares, endere?ando a influ?ncia ? amigos e adolescentes mais velhos. Conclu?mos que os discursos dispostos nas m?dias e na cultura hegem?nica operam seu poder simb?lico na canocidade cotidiana de forma tal que sua influ?ncia nem sempre ? percebida nas falas e comportamentos repetidos diariamente. E considera-se preciso que se promovam mais espa?os para os di?logos e narrativas sobre a tem?tica, pois ? na narrativa que as rupturas acontecem, e desenvolve-se a criticidade. Uma vez que a valoriza??o do abuso de ?lcool ? compreendida como incentivo a comportamentos de risco, n?o apenas na adolesc?ncia, mas que implica numa quest?o de sa?de p?blica global. Nesse sentido, faz-se premente a mobiliza??o das m?ltiplas esferas sociais em prol de uma regulamenta??o mais incisiva da m?dia e seus diversos ve?culos

Thesis (LLM. (Labour Law)) -- University of Limpopo, 2010

In the 21st century drug and alcohol abuse presents one of the most serious problems worldwide. Of particular concern is the strong relationship between drug use and crime. While law enforcement strategies, including incarceration, have been revealed to contribute little to break the vicious cycle of drug use and crime, substance abuse treatment has been shown to represent an effective form of intervention. Substantial research on the effectiveness of drug treatment has demonstrated the importance of motivation in predicting treatment retention and success. However, substance users are frequently coerced into therapy by external sources, including the criminal justice system, therefore, typically exhibiting little motivation to enter and remain in treatment long enough to overcome their substance addiction. Although past research investigating the effects of treatment-entry coercion indicates positive treatment results, the vast majority of these studies are seriously impeded by extensive conceptual and methodological problems, questioning the postulated value of coercion in substance abuse treatment. Following the call for a shift in the methodological focus of future studies made by some researchers, the author of the present study tested three models that were based on well-established theories. The first model was based on Self Determination Theory (SDT), a motivational theory, while the second model was based on the Theory of Planned Behaviour (TPB), an expectancy-value theory. The third model consisted of a combination of the two theories, which was argued to provide a more complete and comprehensive model than each theory on its own. The testing of the models allowed the exploration of the dynamic interplay and relationships between a number of variables including perceptions of coercion, motivation, perceived autonomy support, and behavioural intentions in an effort to explain and predict retention and treatment outcomes amongst drug and alcohol abusers. The study was conducted in two phases. Phase 1 involved the development of a 29-item instrument called the Perceived Coercion Questionnaire, which was designed to assess participants' perceptions of coercion to enter drug and alcohol treatment originating from six different sources. The scale was shown to be a valid and reliable measure of the coercion construct. Phase 2 involved the testing of the three models longitudinally by using a sample of 350 substance abusers from six therapeutic communities across Australia. Participants were asked to complete a battery of standardised measures within the first two weeks of treatment admission (Time 1), two months into treatment (Time 2), and at completion of the treatment program (Time 3). The models were tested cross-sectionally and longitudinally employing hierarchical multiple regression analysis. In addition, change scores were calculated to test whether changes in predictor variables would predict outcomes and changes in outcomes cross-sectionally and longitudinally. Analyses of Time 1 and Time 2 cross-sectional data revealed that the SDT model, compared to the TPB and the combined model, provided a better and more parsimonious account of the factors that influence outcomes in therapeutic community treatment. Given the complexity of the study, it was decided to resume the analysis by focusing on the investigation of the SDT model alone. To highlight some of the most important findings, results demonstrated that motivation was a key factor in the treatment and rehabilitation of substance users. As anticipated, intrinsic motivation was consistently predictive of retention and more positive treatment outcomes, while external motivation and amotivation were associated with more negative outcomes. Results also revealed that clients who entered treatment as the result of a legal mandate experienced substantially higher levels of legal coercion compared to clients who entered treatment voluntarily. Legal coercion, in turn, was found to exert a negative impact on substance users' motivation for treatment, thereby indirectly resulting in more negative treatment outcomes. In contrast, self coercion (i.e., feelings of pain and suffering) and health-related pressures seemed to facilitate the development of a more intrinsic motivational attitude towards treatment. Besides, perceptions of competence and control in relation to the therapeutic regime emerged as consistent and important predictors of motivation and treatment outcomes. Finally, findings suggested that treatment staff who employed more autonomous and non-coercive strategies that guided substance users through the change process directly influenced individuals' treatment motivation and thereby facilitated more positive treatment outcomes. In sum, findings provided support for the usefulness of the SDT model in predicting dropout as well as processes and outcomes in therapeutic community drug and alcohol treatment. Implications for residential substance abuse treatment were discussed, as well as the strengths and limitations of the study. The discussion concludes with implications for practice and suggestions for future research.

<p>Several Swedish studies have suggested that within the group of clients contacting social welfare offices for social assistance, approximately one third are having problems with heavy drinking. The overall aim of the dissertation was to study how social workers approach these problems in single, male clients. That is; are the drinking problems of these clients approached and if they are, when and why does this happen? The subject has been investigated in four studies. In study I (n=66) and II (n=103) social workers were to respond, in a written questionnaire, on how they would act on a hypothetical client described in vignettes. The results from these studies suggest that there is no consensus among social workers of how to act towards the clients drinking problem and that social workers personal values seem to influence their choice of action taken. In study III, data was collected from case files on male single clients in nine municipalities. Case files in which alcohol related notes were present (n=297) were investigated. The results indicate that social workers are more active as regards demands on clients to moderate or stop their alcohol consumption if the clients are able to work, than if they are not. Study IV was based on focus-group interviews in eight municipalities. In each municipality, a work group of social workers dealing with social assistance were interviewed on one occasion. The social workers approach to the client’s problems was described as a mobile point within a two-dimensional system. The legislative dimension concerned the clients’ right to be equally treated versus the right to have their application judged individually with every circumstance considered. The other dimension was related to traditional social work with the client’s integrity versus the need for support and control. The results were contextualised mainly from three aspects, the influence from raised demands on a “knowledge-based” practice, the prerequisites consistent of the specific frames for social work and changes in the public discourse constituting the frame of socially acceptable drinking habits.</p>

Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (leaves 193-204).

Several Swedish studies have suggested that within the group of clients contacting social welfare offices for social assistance, approximately one third are having problems with heavy drinking. The overall aim of the dissertation was to study how social workers approach these problems in single, male clients. That is; are the drinking problems of these clients approached and if they are, when and why does this happen? The subject has been investigated in four studies. In study I (n=66) and II (n=103) social workers were to respond, in a written questionnaire, on how they would act on a hypothetical client described in vignettes. The results from these studies suggest that there is no consensus among social workers of how to act towards the clients drinking problem and that social workers personal values seem to influence their choice of action taken. In study III, data was collected from case files on male single clients in nine municipalities. Case files in which alcohol related notes were present (n=297) were investigated. The results indicate that social workers are more active as regards demands on clients to moderate or stop their alcohol consumption if the clients are able to work, than if they are not. Study IV was based on focus-group interviews in eight municipalities. In each municipality, a work group of social workers dealing with social assistance were interviewed on one occasion. The social workers approach to the client’s problems was described as a mobile point within a two-dimensional system. The legislative dimension concerned the clients’ right to be equally treated versus the right to have their application judged individually with every circumstance considered. The other dimension was related to traditional social work with the client’s integrity versus the need for support and control. The results were contextualised mainly from three aspects, the influence from raised demands on a “knowledge-based” practice, the prerequisites consistent of the specific frames for social work and changes in the public discourse constituting the frame of socially acceptable drinking habits.

We are aware of the fact that elderly people suffering from alcoholism doesn’t stop their be-haviour the day they turn 65. But when they do turn 65, they might become a case for social workers who only handle cases regarding people over 65, and we wanted to find out if they have any experience of working with elderly who have problems related to alcohol. We de-cided that a group interview, a focus group, would be the best method when our purpose was to try discovering their own experiences, so we interviewed seven social workers in the Stockholm area. The interview was based on four main questions: the social workers experi-ences, difficulties in the cases, how to handle the difficulties and how the social workers talk about these cases among themselves. These questions were analysed with the theory of social construction, Bourdieu´s theory of doxa and Goffman´s theory of stigma. The analyse showed that the social workers had experience but that they didn’t want more recourses, they wanted a cooperation with social workers who specializes on clients with alcohol related problems. They currently focus on the individual, not the alcohol issue which we believe might be a problem in the future.

The purpose of this study was to investigate a nursing home for people who were previously homeless. The study was based on a case study done on the nursing home Gamlebo. The fol-lowing questions were asked, (1) What conditions apply for the job? (2) How is work carried out ? (3) What are the needs of the residents at Gamlebo? (4) What distinguishes Gamlebo from other nursing homes for older people? A qualitative approach was used along with semi-structured interviews. The theory was made with standard theory. The results showed that the staff at Gamlebo had the potential to work through clear guide-lines that took into account the residents' individual needs. Work was conducted with individ-ual solutions and most importantly a good treatment. A good treatment was according to the staff crucial when working with the residents. The residents were characterized by their homelessness and had a distrust of society. To create trust towards the residents was therefore crucial and to wait out the residents own will. What distinguishes Gamlebo from other tradi-tional nursing homes is that the staff has the expertise and experience to meet older people who have been homeless in their own terms.

First use and initiation of regular alcohol use has been frequently found to start in adolescence. However, only few studies have also investigated how many adolescents proceed during ages 14–24 to harmful drinking or even develop alcohol use disorders. This paper – using the EDSP baseline sample of 3,021 community respondents from the Munich area – examines the prevalence of use, abuse and dependence and investigates the dose/disorder relationship. Alcohol abuse was reported by 9.7% of respondents and alcohol dependence by 6.2%. Men were more likely to report an alcohol disorder than women, prevalence also increased in the older age cohorts. However, even among 14- to 17-year-olds a substantial proportion of respondents report high and regular consumption rates, the occurrence of abuse and dependence criteria and even a full dependence syndrome. There is however only a moderate association between average number of standard drinks consumed with the risk of developing abuse and dependence. In light of the substantial rates among adolescents and young adults the validity of DSM-IV alcohol disorder criteria is discussed.

Alkoholkonsum beginnt häufig bereits im Jugendalter. Allerdings fehlen bisher Erkenntnisse darüber, ob, wie häufig und aufgrund welcher Merkmale Jugendlichen und junge Erwachsene auch bereits klinisch definierte Mißbrauchs- und Abhängigkeitsdiagnosen entwickeln. In der vorliegenden Arbeit werden Ergebnisse einer repräsentativen Untersuchung an 3021 Jugendlichen im Alter von 14-24 Jahren vorgestellt. Neben der Prävalenz von Alkoholmißbrauch und -abhängigkeit nach DSM-IV werden Daten zur Häufigkeit und Menge des Alkoholkonsums berichtet sowie erste Symptome beschrieben. 9,7% der befragten Jugendlichen erhielten aufgrund von DSM-IV-Kriterien eine Mißbrauchsdiagnose, 6,2% eine Abhängigkeitsdiagnose. Bei männlichen Jugendlichen war die Prävalenz wesentlich höher als bei weiblichen. Die Prävalenz war in den älteren Geburtskohorten höher. Als erstes Missbrauchssymptom trat am häufigsten "Gebrauch mit körperlicher Gefährdung" (91,9%), als erstes Abhängigkeitssymptom "Toleranzentwicklung" (34,3%) auf. Erste diagnostische Kriterien einer Alkoholstörung traten zumeist deutlich vor dem 18. Lebensjahr auf. Diese Daten unterstreichen, daß Alkoholmißbrauch und -abhängigkeit bereits im Jugend- und frühen Erwachsenenalter häufig sind. / Alcohol use frequently begins in adolescence. However, only few studies have reported the prevalence of alcohol abuse disorders in adolescents. This paper reports results from a representative study in a sample of 3021 adolescents, aged 14-24 years. The Prevalence of alcohol abuse and dependence according to DSM-IV criteria, as well as the prevalence, frequency and quantity of alcohol abuse and a description of the first occuring symptoms, are presented here. Alcohol abuse was reported by 9.7% of respondents and alcohol dependence by 6.2%. Males were more likely to report an alcohol disorder than females, and the prevalence also increased in the older age cohorts. The most frequent initial symptoms were "hazardous use" (91.9%) for abuse and "tolerance" (34.3%) for dependence. First symptoms have been shown to occur long before the age of 18. These results show that even in adolescents and young adults alcohol abuse and dependence are frequent disorders.