Hazelden Study Validates Twelve Step Tool Gauging Twelve Step Affiliation Among Young Adults in Early Recovery

2011 ◽  
2019 ◽  
Vol 4 (2) ◽  
pp. 155-166
Author(s):  
Lymarie Rodriguez-Morales

This article presents findings from a study that explored young adult men’s lived experience of addiction recovery whilst participating in Alcoholics Anonymous and Twelve Step fellowships in the UK. It argues that changes in self-narrative and temporality might be critical features of the experience of addiction recovery in young adults, facilitating the process of individuation. Examples from the participants’ accounts are provided to illustrate the changes in their sense of identity in light of their recovery trajectories. Participant recovery, as in the mythical hero’s journey, shows itself to be a quest through transformation and growth into a genuine and balanced selfhood, necessitating the difficult transcendence of an unwholesome selfhood that was manifested in their addiction. In mythical literature, the hero develops authenticity and a higher ethical conduct as the result of a process of individuation, and we can find evidence to suggest a similar occurrence in the participants’ journeys. Finally, I reflect on the limitations of the biomedical language of addiction and the potential implications of the hero’s journey myth in the delineation of a more humane and empathic discourse on young men’s recovery and selfchange.


2020 ◽  
Vol 2 (2) ◽  
pp. 41-46
Author(s):  
Krishna Prasad Koirala

 Background: Bell's palsy is defined as idiopathic, sudden onset, unilateral lower motor neuron facial paralysis. The etiology of Bell's palsy is unclear. It affects all age ranges with complete recovery in most cases. However, few patients are left with a considerable permanent functional deficit. The disease has variable progression ranging from few hours to days. Diagnosis is usually made when a patient presents with sudden onset unilateral lower motor neuron facial paralysis without an obvious cause. Different medical therapies such as steroids, antivirals, physiotherapy, acupuncture, etc. have been used to enhance the recovery of Bell's palsy. This study aims to find out the common age of presentation of people with Bell's palsy, and also to report their outcome with the use of steroids. Materials and methods: This study is a prospective observational study carried out in the department of ENT and Head and neck surgery at Manipal College of Medical Sciences, Pokhara, Nepal. Patients of all ages and both sex with the diagnosis of Bell's palsy meeting the inclusion criteria were studied from 1st Jan 2015 to 31st Dec 2018. Data were taken and analyzed with the help of SPSS software and results were published. Results: Out of 45 patients of Bell's palsy enrolled in the study, females outnumbered the males. Bell's palsy was more commonly seen in young adults There was a significant short-term improvement in Bell's palsy with the use of steroids (p=0.00001). There was no difference in early recovery after Bell's palsy regardless of the time of presentation within a week or age of the patient at presentation. Conclusion: Bell's palsy is more common in young adults. Steroids have a definite role in the short-term improvement of facial nerve function. People presenting within a week of facial nerve palsy can be treated with steroids. People of all ages can equally improve with steroid treatment.


2020 ◽  
Vol 29 (3) ◽  
pp. 1389-1403
Author(s):  
Jessica Brown ◽  
Kelly Knollman-Porter

Purpose Although guidelines have changed regarding federally mandated concussion practices since their inception, little is known regarding the implementation of such guidelines and the resultant continuum of care for youth athletes participating in recreational or organized sports who incur concussions. Furthermore, data regarding the role of speech-language pathologists in the historic postconcussion care are lacking. Therefore, the purpose of this retrospective study was to investigate the experiences of young adults with history of sports-related concussion as it related to injury reporting and received follow-up care. Method Participants included 13 young adults with history of at least one sports-related concussion across their life span. We implemented a mixed-methods design to collect both quantitative and qualitative information through structured interviews. Participants reported experiencing 42 concussions across the life span—26 subsequent to sports injuries. Results Twenty-three concussions were reported to a parent or medical professional, 14 resulted in a formal diagnosis, and participants received initial medical care for only 10 of the incidents and treatment or services on only two occasions. Participants reported concussions to an athletic trainer least frequently and to parents most frequently. Participants commented that previous experience with concussion reduced the need for seeking treatment or that they were unaware treatments or supports existed postconcussion. Only one concussion incident resulted in the care from a speech-language pathologist. Conclusion The results of the study reported herein shed light on the fidelity of sports-related concussion care management across time. Subsequently, we suggest guidelines related to continuum of care from injury to individualized therapy.


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