This is an original work of poetry. There are many forms used in this collection. There are found and cento poems, as well as free verse forms in this collection. Some of the poems are narrative, while others use a dissociative mode. This work represents an extension of postmodernists, like Barth and Pynchon. It also represents an extension of surrealists like Lamantia and Ashbery.

The foundation for this thesis was extrapolated from a case study of a male with Dissociative Identity Disorder. This study explores one man's journey of survival and the recurring issues that have deterred his complete healing. Sexual abuse is examined in its social and political context as well as issues related to male victimization. The myths and stereotypes surrounding males who have been sexually abused are addressed. The notion that only women are sexually abused and that men abuse, is challenged. / This case is analyzed by focusing on the trauma, the immediate effects, the immediate adaptation and the long term consequences. The long term effects are addressed in-depth and focus on issues such as grief and loss and attachment related difficulties. The theory that links attachment in infancy and attachment-related trauma to later dissociative symptoms is addressed. Also, the notion that abuse is often symptomatic of the system of caregiving within the family is argued. The nature and duration of the abuse is not random, but systematically related to the family's functioning. In this respect, Dissociative Identity Disorder is viewed as an adaptive technique resulting from an abusive situation, rather than a pathology. / The importance of incorporating a loss model in treating these individuals is emphasized by addressing non-bereavement losses and attachment related issues.

Dietary habits which seriously erode health and quality of life are widespread. Effective clinical strategies for overweight, obese and eating disordered individuals are needed. Such treatment options are usually based on constructs generated by theoretical models of causation and maintenance. Underpinning the current enquiry, the Hypno-socio-cultural model hypothesises links between the aetiology of dysfunctional eating behaviours and higher levels of hypnotic susceptibility, fantasy ability and dissociative capacity, as well as acknowledging the social genesis of the self-defeating approach to diet. Empirical evidence has supported the socio-cognitive theory of causation and remediation, on which this research is based. The literature has suggested that hypnotic, imaginative and dissociative strategies have contributed to clinical efficacy, and that aetiology and maintenance of such self-defeating eating might be linked to higher than average hypnotic susceptibility, imaginative ability and dissociative capacity. Generalization of research findings across studies is limited by the uncertainty introduced by the variety of measuring instruments utilized, and gender and age differences which have emerged. As well, possible individual preferences for specificity of hypnotic suggestions, which may affect responsivity levels, could dictate a need for reinterpretation of the results of relevant research. As an initial step in exploration of these issues, a group of University students responded to a number of assessment instruments, designed to tap self-perceptions in relation to weight, shape and size concerns, eating behaviours, and use of imaginative, dissociative and hypnotic capacities, as well as responding to hypnotic suggestions embedded in a formal assessment thereof. In this current research, expected relationships between elements of the Hypno-socio-cultural model were probably affected by a complex array of factors, which are difficult to measure using current instruments. Case studies drawn from the participants in this study have further elucidated the possible connections underlying the proposed Hypno-Socio-Cultural model, as well as highlighting the complexity of the relationships of all the factors involved. The Phenomenology of Consciousness Inventory, which was used to access the subjective experience of the individual’s responsivity to hypnotic suggestion, and which also tapped imaginative and dissociative experiences in relation to same, appears to have unique potential for further exploration of issues related to the connections highlighted in this study Findings in the current study suggested that some widely used assessments were not measuring the same constructs. Because of such factors, results which suggested links between weight, shape and eating measures, and those assessing hypnotic susceptibility, fantasy-proneness and dissociative capacity, although in the expected direction, were not as strong as was expected. In light of the anecdotal evidence of effective clinical use of imaginative, dissociative and hypnotic techniques with self-defeating eaters, the results were reassessed. It seemed feasible to interpret these results as suggesting that higher reliance on self-protective and defensive modes of using imaginative and dissociative capacities may mark the self-defeating eater. A modified Hypno-Socio-Cultural model, incorporating such a possibility, has been proposed as the basis for further study. It is recommended that such research be undertaken, employing a variety of relevant measures, with a larger group of participants of both genders with DSM-IV criterion diagnosed self-defeating eating. The importance to clincial work of investigating the proposed model as a basis for treatment remains paramount in this field of self-defeating eating.

The aim of this work is the experimental study of recombination of molecular ions with electrons at low temperatures (< 300 K). The work gives an overview of the diagnostic methods, modelling of chemical kinetics, and experimental ap- paratuses Cryo-FALP II and SA-CRDS used in the undertaken measurements. Two processes were studied in the course of this work: state-selective binary disso- ciative recombination of H+ 3 ions in para-H+ 3 and ortho-H+ 3 states, and H2-assisted ternary recombination of H+ 3 . The main result of the state-selective dissociative recombination study is that the rate of recombination in the para-H+ 3 state is at least three times higher than in the ortho-H+ 3 state at 60 K. The study of H2- assisted recombination gave a better understanding of ternary processes of H+ 3 ions and removed further discrepancies between results of afterglow experiments.

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Book Summary:This is the only advanced practice guide to provide an overview of the major DSM-5 disorders across the lifespan and complete clinical guidelines for their psychopharmacologic management. It has been compiled by expert practitioners in psychiatric care and is designed for use by nurse practitioners and other primary caregivers in clinical practice. The guide is organized in an easy-to-access format with disorders for which drugs can play a significant therapeutic role. The listing for each disorder includes clinical features and symptoms, as well as information about the most current and effective drugs for management. A clearly formatted table identifies the first and second lines of drug therapy along with adjunctive therapies for each disorder. Drugs are organized according to classification, and each listing provides the essential information needed to safely prescribe and monitor a patient's response to a particular drug. Brand and generic names, drug class, customary dosage, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations are addressed. Convenient, practical, and portable, this guide will be a welcome and frequently used resource.

Book Summary: This quick reference serves as an authoritative clinical guide to diagnostic treatment and monitoring recommendations for patients with mental disorders in the primary care setting. It offers fast and efficient access to evidence-based diagnostic and therapeutic guidelines for managing psychiatric and mental health conditions. The book guides family and adult advanced practice nurses in making clinical decisions that are supported by the best available evidence, reflecting current research and expert consensus. Additionally, researchers may use this book to identify important clinical questions where more research could be conducted to improve treatment decision making. This comprehensive text is organized by major diagnostic categories, such as anxiety disorders, with specific diagnoses organized alphabetically within each category. It supports informed practice, which increases confidence in differential diagnosis, safe and effective treatment decision making, reliable treatment monitoring and, ultimately, improved patient outcomes. Additionally, DSM-IV-TR diagnostic standard summaries and ICD-9 codes are incorporated for use in the clinical setting. It is an essential resource in everyday practice for all health care providers.

The dissociative electron transfer reactions of a series of α-epoxyketones and tetra-n-butylammonium acetate have been examined by electrochemical and computational techniques. Results for both the direct electrochemical (linear sweep voltammetry and convolution voltammetry) and indirect electrochemical (homogeneous redox catalysis) reductions of the epoxyketones are presented. In cases where the ring-closed radical anion generated by reduction of the epoxyketones is resonance stabilized (aromatic epoxyketones) the mechanism proceeds in a stepwise fashion, where the electron transfer and bond breaking reactions occur in sequential, discrete steps. On the other hand, where there is no additional resonance stabilization afforded to the ring-closed epoxide radical anion (aliphatic epoxyketones) the reaction proceeds in a concerted fashion, where electron transfer and ring cleavage occur simultaneously. The presence (or absence) of resonance stabilization in the ring-opened distonic radical anion plays little role in the kinetics of these dissociative electron transfers. Computations with the Density Functional Theory (B3-LYP and BHandH-LYP) on α-epoxyketones are also presented, and are in good agreement with the electrochemical results. The oxidative dissociative electron transfers of the acetate anion in "dry" and "wet" (0.5 M H2O) acetonitrile were also characterized with direct and indirect electrochemical experiments, again utilizing linear sweep voltammetry, convolution voltammetry, and homogeneous redox catalysis. There is a significant change in the observed oxidation potential of the anion upon addition of water, as well as an apparent decrease in the intrinsic barrier to the electron transfer. The possible transition from a concerted to stepwise mechanism for the dissociative electron transfer of acetate upon addition of water is examined - the electrochemical data is compared to theoretical models for both the concerted and stepwise processes. It is determined that the indirect electrochemical experiments do not proceed through an outer sphere electron transfer. Additionally, it is shown that the difference between the direct oxidation of acetate in anhydrous and wet acetonitrile is unlikely to be the result of transition from a purely concerted mechanism to a purely stepwise mechanism based on thermodynamic considerations. / Ph. D.

L’existence d’un sous-type dissociatif de schizophrénie a été suggérée par plusieurs auteurs pour rendre compte des présentations symptomatologiques d’un groupe de personnes dont le diagnostic principal est dans le spectre de la schizophrénie mais qui présentent aussi des symptômes dissociatifs (Ross, 2004; Şar et al., 2010; Van der Hart, Witztum, & Friedman, 1993). D’origine traumatique, ce type de portrait clinique où symptômes psychotiques et dissociatifs s’entremêlent aurait été décrit il y a déjà plus d’un siècle (Janet & Raymond, 1898) mais serait disparu dans les années ’30, assimilé au concept de « schizophrénie » (Rosenbaum, 1980). C’est dans un nouveau contexte nosographique que le concept de schizophrénie dissociative refait surface. En effet, la nosographie psychiatrique a pris un tournant en 1980 lorsque l’approche préconisée par le DSM est devenue descriptive plutôt que basée sur des conceptualisations psychanalytiques. Du coup, les affections d’alors ont été divisées en troubles dont les symptômes ont tendance à se manifester ensemble (Cooper, 2004) et la comorbidité entre les troubles a augmenté. Étant donné la comorbidité fréquemment rapportée entre les troubles psychotiques et dissociatifs, la similarité phénoménologique de leurs symptômes, ainsi que leur possible étiologie traumatique, Ross (2004) a proposé une série de critères permettant de diagnostiquer une schizophrénie dissociative. L’objectif principal de cette thèse est donc d’établir si la schizophrénie dissociative, telle que définie par Ross (2004), existe. Le premier article porte sur la problématique et le contexte théorique ayant mené à la question de recherche. Il vise à faire un survol des enjeux entourant la question de la schizophrénie dissociative et rend compte des écrits scientifiques sur la symptomatologie similaire entre les troubles psychotiques et dissociatifs, sur leur étiologie traumatique et sur les études sur la dissociation et la schizophrénie. Le deuxième article est quant à lui un article empirique rendant compte de la méthodologie utilisée pour répondre à la question de recherche. En effet, aucune étude jusqu’ici n’a testé systématiquement les critères de la schizophrénie dissociative. Nos résultats démontrent que 24% de notre échantillon (N=50) pourrait recevoir le diagnostic de schizophrénie dissociative avec les critères proposés par Ross (2004). Toutefois, ces critères posant problème, une modification a été proposée et une prévalence de 14% a alors été trouvée. Des vignettes cliniques sont présentées afin de comparer nos participants avec ceux rapportés ailleurs. Les liens entre symptômes psychotiques et dissociatifs sont discutés en essayant de conceptualiser la schizophrénie dissociative de différentes manières, soit comme une nouvelle entité clinique, comme un trouble comorbide ou dans un contexte nosographique psychodynamique. / The existence of a dissociative subtype of schizophrenia has been suggested by several authors to account for the symptomatology of a group of people whose primary diagnosis is in the schizophrenia spectrum but have in addition dissociative symptoms (Ross, 2004; Sar et al, 2010; Van der Hart, Witztum, & Friedman, 1993). Of traumatic origin, this type of clinical picture where psychotic and dissociative symptoms are intertwined was first described more than a century ago (Janet & Raymond, 1898) but disappeared in the 30’s, having been incorporated to the concept of "schizophrenia" (Rosenbaum, 1980). It is in a new nosographic context that the concept of dissociative schizophrenia resurfaced. Indeed, psychiatric nosography took a turn in 1980 when the approach advocated by the DSM became descriptive rather than based on psychoanalytic conceptualizations. The psychiatric conditions of the time were divided into disorders whose symptoms tended to occur together (Cooper, 2004). Consequently, the presence of comorbid disorders increased. Given the frequently reported co-occurrence of psychotic and dissociative disorders, the phenomenological similarity of their symptoms and their potential traumatic etiology, Ross (2004) proposed a criteria set for the diagnosis of dissociative schizophrenia. The main objective of this thesis is to determine whether the dissociative schizophrenia, as defined by Ross (2004), exists. The first article focuses on the problem and the theoretical background that led to the research question. It aims at providing an overview of the issues surrounding the question of dissociative schizophrenia. It also reports on the literature pertaining to symptoms found in both psychotic and dissociative disorders, their traumatic etiology and studies on dissociation and schizophrenia. The second article is of empirical nature and reports the methodology used to answer the research question. Indeed, no study to date has systematically tested the criteria for dissociative schizophrenia. Our results show that 24 % of our sample (N = 50) could receive a diagnosis of schizophrenia with dissociative criteria proposed by Ross (2004). However, the criteria set was problematic so a modification was proposed and a prevalence of 14% was then found. Clinical vignettes are presented to compare our participants with those reported elsewhere. The links between psychotic and dissociative symptoms are discussed in trying to conceptualize dissociative schizophrenia in different ways, either as a new clinical entity, as a comorbid disorder or in a psychodynamic nosographic context.