| dc.contributor |
Stanley B. Baker, Committee Chair |
|
| dc.contributor |
Christopher L. Edwards, Committee Member |
|
| dc.contributor |
Edwin R. Gerler, Committee Member |
|
| dc.contributor |
Siu-Man Raymond Ting, Committee Member |
|
| dc.contributor |
Rhonda S. Craver-Sutton, Committee Member |
|
| dc.creator |
Brooks, James Byron |
|
| dc.date |
2010-04-02T19:12:04Z |
|
| dc.date |
2010-04-02T19:12:04Z |
|
| dc.date |
2006-02-16 |
|
| dc.date.accessioned |
2023-02-28T17:06:34Z |
|
| dc.date.available |
2023-02-28T17:06:34Z |
|
| dc.identifier |
etd-11132005-205653 |
|
| dc.identifier |
http://www.lib.ncsu.edu/resolver/1840.16/5344 |
|
| dc.identifier.uri |
http://localhost:8080/xmlui/handle/CUHPOERS/265424 |
|
| dc.description |
The developmental age-chronological stage discrepancy is a phenomenon noted by addictions and other mental health professionals for some time yet it is poorly explained and under-researched. According to developmental age-chronological stage discrepancy theory, an individuals cognitive development will stall or slow significantly as a result of abuse, neglect, or substance abuse. This stage-age discrepancy results in behaviors that are congruent with the developmental stage the individual was in when the events occurred but are not congruent with the expectations of a person at the individual's chronological age. The discrepancy presents as a dramatic-erratic personality disorder. A method of promoting cognitive development, deliberate psychological education (DPE) is discussed as well as the 12 Steps commonly used in addictions treatment milieus. Loevinger's cognitive-developmental theory is presented and is paralleled to the 12 Steps in an attempt to merge the accepted 12 Step practice with a sound theoretical model for improved understanding and intervention. Using archival data from the Drug Abuse Outcome Study (DATOS), a 10-year, 10,100 subject longitudinal survey of substance abuse treatment client characteristics and outcomes, responses from participants present at both intake and the 12-month follow-up (N =2,897) were analyzed. The primary focus of this study was to examine how early negative environmental events and age of first use impacted self-esteem, what treatment modality resulted in the greatest improvement in self-esteem, and what events had the greatest impact on self-esteem. Further, treatment outcomes in terms of relapse rates for the four treatment modalities (short-term inpatient, outpatient drug-free, long-term residential, and methadone maintenance) were reviewed and compared to the previous findings. Overall, the results showed that while self-esteem did improve with treatment, it was only weakly correlated with any variable associated with early traumatic or negative events or age of onset of substance abuse. Further, it was shown that different treatment modalities will affect self-esteem differently. Self-esteem by age/ethnicity and gender were found to have a statistically significant relationship but not a functional difference. |
|
| dc.rights |
I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to NC State University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
|
| dc.subject |
treatment |
|
| dc.subject |
self esteem |
|
| dc.subject |
DATOS |
|
| dc.subject |
substance abuse |
|
| dc.subject |
|
|
| dc.subject |
drug abuse |
|
| dc.subject |
12 steps |
|
| dc.subject |
twelve steps |
|
| dc.subject |
cognitive development |
|
| dc.subject |
Loveinger |
|
| dc.subject |
self efficacy |
|
| dc.subject |
outcome |
|
| dc.subject |
deliberate psychological education |
|
| dc.title |
The Effects of Early Negative Events on Self-esteem and Treatment Outcomes of Particpants in a Drug Abuse Outcome Study |
|