Are human naturally violent? Essay

We are encircled by brutality. Children take it in with their first piece of grains. They will see eighteen thousand (18,000) savage passings on TV when they move on from secondary school. They will watch physical severity in prime-time sports and discover that â€Å"bullets and bombs† make field saints. They will hear our regarded political pioneers disclose to us why we have to begin another war. They will be hit by their folks and discover that savagery and love go connected at the hip. In the event that it isn't naturally inborn, at that point brutality must be something individuals educate (Kaufman, 2002). Savagery is essentially a demonstration of hostility. There are numerous meanings of viciousness, one of which is that brutality is the utilization of solidarity †clear or covered up †with the target of getting from an individual or a gathering something they would prefer not to agree to uninhibitedly (Bandura, 1961). Further, it must be noticed that there are various types of savagery. One must recognize immediate and aberrant or auxiliary brutality: Direct viciousness likens to physical savagery while roundabout or basic savagery includes destitution, abuse, social shamefulness, no popular government, and such. In a circumstance of brutality, the gatherings associated with the contention see their monetary and social rights being damaged just as their common and political rights. The present moment and long haul results of a vicious clash as far as human rights infringement are annihilating and leave profound scars in social orders. (Baumesiter, et al. 2004). A large number of thoughts regarding society and how it ought to be sorted out depend on that men are brought into the world with forceful impulses; human instinct is savage and that war is unavoidable. A lot of our political, social, strict and logical deduction begins with the reason that individuals are conceived executioners. So much a piece of our cognizance has this thought we once in a while question it. Generally it has become a truthâ€conventional intelligence that conveys with it no necessity to analyze the realities with a basic eye (Baumesiter, et al. 2004). The rival side of the discussion declares that forceful propensities are natural. Freud (e. g. , 1930) is one of the most well known advocates of this view, and he fought that the forceful drive or â€Å"Todestrieb† is one of the two fundamental establishments of all human inspiration. In his view, the drive to aggress is profoundly established in the mind and henceforth free of conditions. Thus, individuals have a natural and repeating need to exact mischief or harm, and this longing should be fulfilled occasionally, somehow. He respected discretion (as typified in his idea of superego) as a type of hostility, to the extent that one denies oneself of different fulfillments by controlling oneself. To Freud, this was a compelling yet exorbitant approach to fulfill the forceful drive, which in any case would show itself by hurting or executing others or crushing property. There are a few issues with Freud’s hypothesis of inborn hostility. In the first place, obviously, it doesn't disconfirm the significance of learning similarly as the discoveries about educated animosity don't disconfirm the speculation of inborn inclinations. Second, there is no proof that animosity is a need, as in individuals who neglect to act forcefully will routinely endure disabilities of wellbeing or prosperity. In that sense, it is conceivable to acknowledge the perspective on hostility as having some inborn premise without concurring that the need to aggress emerges autonomously of conditions. Numerous individuals are persuaded that people are normally rough and that subsequently we can't keep away from wars, clashes and general brutality in our lives and our social orders. Different masters in this field guarantee that we can abstain from intuition, feeling and acting brutally. The Seville Statement on Violence explained in 1986 by a gathering of researchers and researchers from numerous nations, North and South, East and West, affirms this by expressing that: â€Å"scientifically wrong when individuals state that war can't be finished on the grounds that it is a piece of human instinct. Contentions about human instinct can't demonstrate anything in light of the fact that our human culture enables us to shape and change our inclination starting with one age then onto the next. The facts confirm that the qualities that are transmitted in egg and sperm from guardians to kids impact the manner in which we act. In any case, it is additionally evident that we are impacted by the way of life in which we grow up and that we can assume liability for our own activities. † It further incorporates another recommendation expressing that â€Å"It is logically erroneous when individuals state that war is brought about by ‘instinct’. Most researchers don't utilize the term ‘instinct’ any longer since none of our conduct is resolved to such an extent that it can't be changed by learning. Obviously, we have feelings and inspirations like dread, outrage, sex, and yearning, however we are each liable for the manner in which we express them. In current war, the choices and activities of commanders and troopers are not normally enthusiastic. Rather, they are carrying out their responsibilities the manner in which they have been prepared. At the point when troopers are prepared for war and when individuals are prepared to help a war, they are educated to loathe and fear a foe (UNESCO, 1986). † Hence, â€Å"it is experimentally erroneous to state that we have acquired an inclination to make war from our creature progenitors. Fighting is an exclusively human wonder and doesn't happen in other animals†¦. ;† second, â€Å"there are societies that have not occupied with war for a considerable length of time and there are societies which have occupied with war much of the time at certain occasions and not at others†¦. ;† third, â€Å"it is deductively erroneous to state that war or some other savage conduct is hereditarily customized into our human nature†¦. ;† and in conclusion, that â€Å" it is deductively inaccurate to state that people have a â€Å"violent brain†Ã¢â‚¬ ¦ how we act is molded by how we have been adapted and socialized†¦ (UNESCO, 1986). † Humans are sentenced to brutality not as a result of our science or human instinct. For if people are normally brutal, we would hope to locate the most outrageous and successive articulations of viciousness in the way of life that are least mingled, most â€Å"primitive†. Indeed, the inverse is genuine †those societies that are most â€Å"civilized† and have the most unpredictable social frameworks are the most rough. Further, while the facts confirm that normal procedures incorporate passing just as life, it is extremely uncommon that one can discover an instance of what we could call genuine brutality in any species other than human barring automatic organic responses, for example, the need to eat, and instances of moms shielding their young from damage, and you will discover little stays other than periodic alpha male battles in wolves and primates. Thusly if people are vicious, it has less to do with nature than with support. There is actually no proof that individuals have an intrinsic should be forceful occasionally, as in the need is free of setting (Baumeister and Bushman, 2004). In the event that, as Freud proposed, the forceful nature originates from inside and requests to be fulfilled somehow, at that point neglecting to fulfill this need ought to be unsafe, in the way that neglecting to eat or inhale or structure social bonds is hurtful to the individual. In any case, there is no sign that individuals who neglect to perform savage acts endure unfriendly outcomes. Animosity isn't a need, in spite of Freud, in light of the fact that an individual could carry on with a cheerful, sound existence while never performing brutal acts †gave, maybe, that the individual consistently got what the person needed. Hostility may moreover not be a need. In any case, it might be a reaction propensity. At the point when one’s want are defeated, and others disrupt the general flow of one’s objective fulfillments, forceful motivations emerge as one method of attempting to expel the frustrating and get what you need. ( Baumesiter and Bushman 2004) There are numerous procedures for impacting individuals, and these fluctuate generally in how worthy and how successful they are. Animosity is one system that does some of the time succeed (e. g. , Tedeschi and Felson, 1994). Rough action, or even the tenable danger of brutality, is one approach to get others to do what you need. At last, individuals can utilize hostility to assist their intrinsic objectives of endurance and propagation, alongside a large group of different objectives, for example, keeping up a feeling of predominance over others, getting cash, and threatening other people who may meddle with your wants. (Giberson). Hostility might be a last or close final hotel for most. Culture permits individuals numerous pathways to get what they need from others. In today’s United States, the most preferred method of getting what you need from others is to pay them cash. Participation, response, influence, even basic appeal are frequently successful, and the way of life favors of them significantly more than it affirms of hostility. In any case, when those come up short and the individual is confronted with the possibility of not having the option to fulfill their wants, animosity may introduce itself as a method of affecting others and getting fulfillment. Animosity in this way enables the life form to fulfill its organic needs, by method of working on others. (Giberson). People are not â€Å"hard-wired† like bugs or birds of prey, where a given boost brings about a fixed reaction. In contrast to most creatures, we have an enormous cerebral cortex that takes into account thinking, thought, imagination and culture. The intuition controlling piece of our mind is generally irrelevant in contrast with the cortex, and can be supplanted by will and thought. It is this â€Å"flexible response† ability that empowered people to endure and transcend the remainder of the collective of animals. Numerous anthropologists feel it was our capacity to participate, not our capacity to battle or contend, that was our transformative endurance characteristic. On account of

Business Activities, Employment and Inflation Term Paper

Business Activities, Employment and Inflation - Term Paper Example In the event that the infusions of an economy (J) are not equivalent to the withdrawals (W), at that point there is a reasonable disequilibrium in the economy. The main factors that bring this harmony once again into line is the adjustment in the national salary (GDP) and the degrees of livelihoods (Sloman and Sutcliffe). To comprehend the above figure better, lets consider that the economy is confronted with a condition of harmony, for example the degrees of withdrawals and the degree of infusions is the equivalent. On the off chance that there is an expansion in the infusions, and the organizations target putting more into the organization, at that point the total interest, for example Disc will likewise be higher. Subsequently to satisfy up with this need, the organizations will likewise need to expand the work and different assets which would thus prompt more significant levels of earnings for the families (Y) (Sloman and Sutcliffe). With an expansion in the pay of the family units, there will be an expansion in the costs too, which thusly will lead the organizations to likewise sell higher. Higher deals will mean the organizations need to create higher which again would mean more work, and different assets (Mankiw). This is an increased influence that will keep on going on inside the economy. Thi s impact is alluded to as, ‘Multiplier Effect’ and is characterized as, ‘an introductory increment in total interest of $Xm prompts a possible ascent in national salary that is more prominent than $Xm’ (Sloman and Sutcliffe). This follows the guideline of ‘Cumulative Causation’, which can be characterized as, ‘An introductory occasion can cause an extreme impact which is much larger’ (Sloman and Sutcliffe).

What Is a Reach School Which Reach Schools Should I Choose

What Is a Reach School Which Reach Schools Should I Choose SAT/ACT Prep Online Guides and Tips For those of you who have begun inquiring about school confirmations, you may have heard the term â€Å"reach school.† What is an arrive at school? Essentially, an arrive at school is one that you shouldn't hope to be admitted to. It would be a scope to get in. In this article, I will characterize and clarify the idea of an arrive at school. Besides, I will talk about how to recognize your arrive at schools and decide the quantity of arrive at schools you ought to apply to. What Is a Reach School? An arrive at school is a school that is probably not going to offer you confirmation. A specific school qualifies as an arrive at school for you if your secondary school GPA and state sanctioned grades are fundamentally beneath those of the school's normal understudy. Additionally, you ought to consider a school an arrive at school in the event that it is one of the most specific universities. For instance, MIT, Stanford, and Ivy League universities are arrive at schools for everybody because of their incredibly low acknowledgment rates. By and large, you ought to consider a school an arrive at school in the event that you have not exactly a 30% possibility of picking up affirmation. Here are some speculative guides to give you a superior comprehension of an arrive at school. Model #1 Joe has a 3.6 weighted GPA, a 1700 SAT score, and needs to go to UCLA. Joe's GPA is well underneath UCLA's normal GPA of 4.29 and normal SAT score of 1941. Besides, UCLA just concedes 20% of its candidates. Consequently, Joe shouldn't hope to get into UCLA; he ought to consider UCLA an arrive at school. Regularly, the main understudies who are offered affirmation with well underneath normal numbers are profoundly enlisted competitors in significant games, inheritance understudies with contributor guardians, understudies from remarkable foundations or conditions, and understudies with stunning achievements. Despite the fact that universities audit your suggestions, individual articles, and extracurricular exercises, picking up admission to a school is troublesome with disappointing evaluations and state sanctioned grades. Model #2 Despite your GPA and state administered test scores, for any understudy who needs to apply to Harvard, Harvard is an arrive at school. Harvard's affirmations rate is just 6%. Clearly, that is an incredibly low rate. Among Harvard understudies, the normal secondary school GPA is 4.04 and the normal SAT score is 2260. The 75th percentile SAT score is an ideal 2400. Regardless of whether you have an ideal GPA and impeccable SAT score, Harvard is particular to such an extent that it's as yet an arrive at school. Harvard is an arrive at school for everybody. The most effective method to Identify Your Reach Schools How about we experience how to minister your rundown of schools to apply to, bit by bit. Step #1: Create Your List of Dream Schools At first, don't consider your chances of getting in while making your rundown of dream schools.Learn how to pick a collegeand use however many sources as could be expected under the circumstances to recognize the universities you need to go to. The most lofty schools are probably going to be arrive at schools. Utilize the best school search sites to help make your rundown. In the event that essential, you can likewise utilize manuals like Fiske Guide to Colleges and The Best 379 Colleges for inside and out school profiles and correlations. Look for guidance from others. Converse with your educators, instructors, companions, and guardians about universities. Don't simply indiscriminately acknowledge their school suggestions, however explore the schools they suggest, and afterward decide if those schools would be a solid match for you. Subsequent to doing your exploration and counseling these different sources, you ought to have the option to arrange your rundown of dream schools. I suggest having around 8-15 schools on this rundown. In the event that you have less schools, you may not be giving yourself enough choices. On the off chance that you have more, you presumably haven't done what's necessary to limit your school search and the application and determination procedure may wind up being excessively exorbitant and monotonous. Step #2: Determine Which of the Schools From Your List Are Reach Schools The following stage in distinguishing your arrive at schools is to figure out which schools on your rundown of dream schools qualify as arrive at schools for you. How would you do this? I suggest utilizing the PrepScholar school database. You can google â€Å"(name of school) prepscholar affirmations requirements† to discover a school profile for every school on your rundown. On the school profile, utilize the confirmations adding machine to get a harsh thought of your odds of affirmation. The confirmations number cruncher consolidates your GPA and government sanctioned grades with the affirmations rate to estimated your odds of getting into the school. On the off chance that, as per the affirmations adding machine, you have not exactly a 30% of picking up confirmation or the school has an affirmations pace of under 15%, at that point you ought to order the school as an arrive at school for you. Remember that your GPA and SAT scores are just two parts that decide if you’re acknowledged to a school. Your extracurricular exercises, proposals, articles, and foundation assume a job, as well. In any case, GPA and SAT scores are the most significant components and they’re the most goal accessible insights. What number of Reach Schools Should You Apply to? You might be thinking about what number of arrive at schools you ought to apply to. The number you ought to apply to relies upon a couple of various elements. Remember that the school application procedure can be expensive, on the off chance that you don't fit the bill for application charge waivers. Likewise, it tends to be very tedious, particularly on the off chance that you apply to schools that don't utilize the Common Application. A general standard is to apply to 1/3 arrive at schools out of the considerable number of schools you apply to. On the off chance that you follow this recipe, at that point in the event that you apply to 10 schools, close to 3 ought to be viewed as compasses. Additionally, 1/3 of the schools you apply to ought to be wellbeing schools, schools that ordinarily concede understudies with your capabilities. The staying 1/3 ought to be schools that are in the center, universities that give you about a 30%-80% possibility of affirmation dependent on your capabilities. On the off chance that the expense and time you spend on your applications doesn't make a difference as a lot to you, you can apply to more arrive at schools. Nonetheless, you would like to ensure that you apply to enough different schools to guarantee that you give yourself decisions. In case you're probably going to get dismissed by the majority of the schools you apply to, your choices might be restricted when you're choosing a school to join in. In case you're way off the mark to the normal GPA or 25th percentile SAT score at a specific school, you might be burning through your time applying. Your odds of getting in are presumably near zero except if there's something different really remarkable in your application or there's a structure nearby named after one of your close relatives. Brisk Review An arrive at school is a school that isn't probably going to concede you, by and large contribution you not exactly a 30% possibility of confirmation. Utilize the confirmations pace of a school and its normal GPA and government sanctioned grades to decide whether its an arrive at school for you. The most specific universities are arrive at schools for everybody. Apply to about 1/3 arrive at schools to guarantee that you have choices during the school choice procedure. Give yourself school choices. What's Next? On the off chance that you need to make yourself serious for school confirmation, figure out how to assemble the most adaptable school application. For those of you who need to improve your state sanctioned grades, discover how to get a 2400 on the SAT or a 36 on the ACT. Need to improve your SAT score by 160 or your ACT score by 4 points?We've composed a guide for each test about the main 5 systems you should use to have a taken shots at improving your score. Download it with the expectation of complimentary at this point:

Introduction For Argumentative Essay

Introduction For Argumentative EssayAn Introduction for Argumentative Essay can be a bit hard to come up with. It is usually followed by one or more essays that offer the examples of facts and thoughts that support a point being made. The introduction for argumentative essay will actually give the reader a general idea of the topics that will be covered in the essay.Some of the examples that can be used can be research papers or articles that are available online. This is actually a good way to get the ideas out of your head. After writing this introductory section, you may want to take some time to write your body of work. The basic idea is to provide all the information needed to properly support a point that is being made. Writing an introduction for argumentative essay will also help in developing a good working relationship with your readers.Text on the internet is often interesting, but it may not always include accurate information. You may be working on a real estate investme nt property in some part of the world. Then it is important to pay attention to details and data, as this can affect the value of your property in the future. You will need to go through the information that is relevant to your topic of interest.When looking at possible references for a subject, there are various levels of accuracy that should be checked. If there is any special data that is not listed, then this information should be added to the article. For instance, if it is available in the library, but not listed online, then it should be included.When you write the introduction for argumentative essay, you should consider using a resource box. This is a great way to outline your own writing skills and show off some of your ideas. You should highlight the material that you have found very useful in supporting your points. You can include a list of resources or books that are available to support your views. There are also many other resource boxes available online that can be included for different reasons.In the beginning of the introduction for argumentative essay, you should consider adding a closing paragraph. This is usually where you share why the information or research is relevant and helpful to your topic. If you are explaining a point that is complicated, then the closing paragraph should show why the solution is so simple. If you are making a scientific point, the closing paragraph should describe why the problem has been resolved or corrected.The introduction for argumentative essay can be very detailed, especially if you have taken the time to include everything you feel is relevant to the topic. However, it is important to remember that the main point of the essay should be presented in the opening paragraph. The rest of the information that you include in the essay should build upon this introduction. Following these tips can ensure that your introduction for argumentative essay is effective.

Self Esteem And Substance Abuse - Free Essay Example

Sample details Pages: 21 Words: 6178 Downloads: 8 Date added: 2017/06/26 Category Health Essay Type Essay any type Did you like this example? CHAPTER I INTRODUCTION Self esteem is all about how much we feel valued, loved, accepted and thought well of by others and how much we value, love and accept ourselves. People with healthy self-esteem are able to feel good about them, appreciate their own worth and take pride in their abilities, skills and accomplishments. People with low self- esteem may feel as if no one will like them or accept them or that they canà ¢Ã¢â€š ¬Ã¢â€ž ¢t do well in anything People with high self esteem tend to be ambitious in what they want to experience in Life, they have a drive to express them and to communicate openly and honestly about their needs and desires. Don’t waste time! Our writers will create an original "Self Esteem And Substance Abuse" essay for you Create order People with low self esteem rarely live their life to the full, they distance themselves from others, denied their love and support, and uncomfortable with success, some of them even take alcohol and drugs. We all experience problems with self esteem at certain times in our lives-especially during our teens figuring out, where we fit in the world. The level of self esteem determines how we operate in life à ¢Ã¢â€š ¬Ã¢â‚¬Å"how we interact with others such as spouse, children, friends, and strangers .It determines our achievements, and our satisfaction and happiness. Self esteem has long been believed to play an important role in the use of alcohol; People with alcohol problems often have low self esteem. They judge themselves negatively-not just for their addiction, but also for other parts of their behavior or their personality. Most of the individuals who are addicted to drugs and alcohol are not happy with their lives and live a life of despair and hopelessness, the major symptom is poor self esteem. Poor self esteem is at the heart of an individualà ¢Ã¢â€š ¬Ã¢â€ž ¢s addiction and dependency and there is an inverse relationship between alcohol dependency and self esteem, that if a personà ¢Ã¢â€š ¬Ã¢â€ž ¢s self esteem improves the individualà ¢Ã¢â€š ¬Ã¢â€ž ¢s addictive behavior. 1.1. Need For The Study: Low self esteem is one of the causative factor that vast majority of alcohol addicts share in common, low self esteem is challenging in four areas. First they feel that they lack personal power, secondly many with low self esteem feel lacking the affection and attention of others, thirdly low self esteem results when people feel that they lack virtue, often feel unloved, unappreciated and lastly those possessing low self esteem hold themselves as incompetent in one or more areas. Several researchers have argued that self esteem poses high risk for alcohol abuse in some populations, including adolescents, college students, and females (Donnelly, 2000). Another area of life that Alcoholics with low Self-Esteem often struggle with their occupation. Perhaps they may lack education, information, skill sets, or the belief in their ability to obtain a worthwhile job and so they self-sabotage and then get to the right about the fact that no one wants to hire them. Seeking continuous education is hopeless to those who have such low self-esteem since they see themselves as incapable of excelling in the process of studying, taking exams, and achieving success in all the systems. Low self- esteem can also manifest as a result of oneà ¢Ã¢â€š ¬Ã¢â€ž ¢s inability to generate wealth, they see themselves struggling to survive in a world marked by competition, often struggle with their occupation. Those with low self esteem often resort to addictive behaviors in an effort to numb out the pain and escape to a world that allows them a temporary release from their sufferings and problems 1.2. Statement of the Problem: Promotion of self esteem activities among alcoholic dependants 1.3. Objectives: 1.3.1 Assessment the self esteem level among alcoholics 1.3.2 Association of self esteem and Alcoholism 1.3.2 Assessment of the effectiveness of self esteem activities in promotion of self esteem among alcoholics. 1.4. Assumptions: 1.4.1. Self esteem level may be low among alcoholic dependants. 1.4.2. Practice of self esteem activities may improve the self esteem level among alcoholic dependants 1.5. Operational Definitions: 1.5.1. PROMOTION- refers to the improvement in level of self esteem among Alcoholic dependants. 1.5.2. SELF ESTEEM- perceived self concept of an alcoholic individual 1.5.3. ALCOHOLICS- a person craves alcohol, is unable to limit his or her drinking. 1.6. Promotion of Self-Esteem Activities Among Alcoholics Dependants: Conceptualization is the process of specifying what we mean when we use particular terms (Giemman) The conceptual framework is derived from Penderà ¢Ã¢â€š ¬Ã¢â€ž ¢s health promotion Model. In this study Individual characteristics and experience by physical, social psychological and occupational problems may change the level of self-esteem of the Alcoholic patients. Self-Esteem activities are promoted based on the patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s problems may bring change in the level of self-esteem. It includes perceived benefit of Self-Esteem activities like Individual and Group activities. PENDERà ¢Ã¢â€š ¬Ã¢â€ž ¢S HEALTH PROMOTION MODEL CHAPTER 2 REVIEW OF LITERATURE 1. Studies related to low self esteem and alcoholism 2. Studies related to self esteem activities and alcoholism 1. Studies related to low self esteem and alcoholism: A study conducted on self esteem and Alcohol use on 61 Alcoholic dependants who were admitted in a rural Midwestern medical centre. An individualà ¢Ã¢â€š ¬Ã¢â€ž ¢s reactions to his or her social environment are mediated by a sense of self esteem, low levels of self esteem are develop during Socialization. Results suggest that specific form of social support is important to recovering alcoholic dependants (Steffennhagen and Burns, 2006). A Pearson correlation was calculated examining the relationship between the amounts of alcohol consumed in the past 30 days and self esteem. A low to moderate correlation was found (r (23) =.250, p.05). (Jeremy W.Lawing, 2006). A Study conducted on drinking problems and self-Esteem of college students,148 lower division college students were given the following paper and pencil tests: The Michigan Alcoholism Screening Test, and the à ¢Ã¢â€š ¬Ã…“Personal Selfà ¢Ã¢â€š ¬? section of The Rosenberg Self-Esteem Scale. College Students are havin g low self Esteem (F = 4.23, p = .04). Tabulation of the incidence of heavy drinking (31%).Result shows an drinking behavior of college students are having low self esteem(()swego,2005). A study was conducted on the effects of self esteem on substance abuse among homeless men. This experimental study involving 305 samples of homeless men was assigned randomly to the treatment group and Control group. Control group was referred to community based services, experimental subjects were exposed to individual therapy, group interventions, life skills and relapse prevention training residing in a 24 Hour shelter for three months. Results indicated that self-esteem was increased in experimental group than in control group (Brandon, 2004). A descriptive study was conducted on self-esteem and alcohol dependants. Study comprises of two groups such as alcoholic dependants as one group and non-alcoholics in another group. Study shown that alcoholic dependants have lowered self esteem compa red to non alcoholics self esteem (Donnelly, 2003) A study was conducted to compare the level of self esteem among 30 alcoholics and 30 non alcoholic persons. They are assessed for self esteem using self esteem scale. The results showed that alcoholics had low self esteem when compared to non alcoholics(P001).Alcoholic dependants were perceived as less loving and less dominant as compared to non alcoholics, they also perceived alcoholics to be aggressive and sadistic(Neeliyara,2003). A study conducted to identify the relationship between alcohol consumption and self esteem. Study comprises of 26 Samples (Employees of local retail store), their self esteem was assessed by using Rosenbergà ¢Ã¢â€š ¬Ã¢â€ž ¢s self esteem scale. Results showed that alcohol consumption is strongly related to self esteem (T.F.Heatherson,2000). A Study conducted on how self esteem influences alcohol consumption Study comprises of 61 samples. Over the course of two weekends self esteem was measured using Rosenbergà ¢Ã¢â€š ¬Ã¢â€ž ¢s self esteem scale. Study showed the results that self esteem is negatively correlated with alcohol consumption. In a study on adolescents drinking behavior, adolescents with high self esteem reported consuming less alcohol than adolescents with low self esteem. (Gerrerd, Russell, 2000 A cross-sectional survey design investigated the relationship of substance use and self esteem. Self -esteem was assessed using Hare Self-esteem Scale. Four hundred and eleven samples were completed the survey. Results revealed that there is a direct relationship between alcohol use and self-esteem (F=12.8,df=2,343,p,.00001).Regardless recent alcohol abusers had the lowest self-esteem scores and never users had the highest scores(F.X.Gibbons,2000). A study says that low self-esteem is the universal common denominator among all people suffering from addictions. Low self-esteem is the true disease and it is the underlying origin of all problematic behaviors that p lagues the world (Candito, 1996). A prospective study of self-esteem and Alcohol Use Disorders in Early Adulthood. The relation among Self-esteem and Alcohol use disorder diagnoses was examined in a sample of 240 men evaluated at four annual assessments over the college years. The results support clinical observations that low self esteem plays a particularly important it eological role in alcohol problems in men (Fromme.K, 1989). A number of studies have indicated that adolescents who refrain from drinking alcohol have higher self-esteem than do adolescents who drink. The questionnaire used in this study included the Adolescent Alcohol Involvement Scale which has fourteen questions about alcohol use, the Rosenberg (1965) Self-esteem Scale, (Mendel son, Mock, Erbaugh, 1984). 2. Studies related to self esteem activities and alcoholism A Study conducted on how group activity has an impact on self esteem among alcoholics. Study comprises 40 samples, 20 patients undergone group activities for 12 weeks in an inpatient setting and 20 patients as control groups. Patients in the intervention group showed significant enhancement in self esteem, social skills and self confidence where as there is no changes observed in control group (John Wiley, 2009) A Study was conducted how utilization of self esteem programs (Holistic Addiction Treatment Programme) plays an important role in Relapse prevention. Study comprises of 145 samples. Results show that 70 to 90 percentages, self esteem programs are effective in Relapse prevention and over all well-being to the treatment of recovering alcoholics (Harry Henshaw, 2007). A Study conducted on self esteem activities among Alcoholic patients. Study comprises of 43 samples, volunteers in the group undergone self esteem activities along with drug treatment, the other group only underwent drug treatment. Pretest-posttest comparison on a variety of physiological parameters indicated that significant improvements had occurred in psychological wellbeing including self esteem, self awareness, lifestyle adaptation and relapse prevention skills. Results suggest that promotion of self esteem activities improves self esteem among alcoholic dependants (Michael Peterson, Bryan johnstone, 2003) A study conducted on self-esteem and alcoholism among high school students total sample was 140(55males and 85 females) high school students. The questionnaire used in this study included the Adolescent Alcohol Involvement Scale (Moberg, 1983) which has fourteen questions about alcohol use, the Rosenberg (1965) Self-esteem Scale, and the Beck Depression Inventory (Beck, Ward, Mendel son, Mock, Erbaugh, 1961). Study has showed that indicated that adolescents who refrain from drinking alcohol have higher self-esteem than do adolescents who drink (Butler, 1980; Young, Werch, Brakeman 1989) CHAPTER 3 MATERIALS AND METHODS Designing a research involves the development of plan or strategy that will guide the collection and analysis of data. The present study is designed to promote the Self-esteem among Alcoholic Patients. The methodology of the study constitutes research design, setting, population and sampling criteria for the selection of samples and tool for data collection. 3.1. One Group Pre Test Post Test Design: 3.2. Setting: This study was conducted in Kasthuriba Gandhi De-Addiction Centre, Coimbatore. The De-Addiction centre consists of 25 bedded 3.3. Population: The overall population for the study was alcoholic patients who were admitted in the Kasthuriba Gandhi DE-Addiction Centre from 28.06.2010 to 25.07.2010. 3.4 Sample size And Sampling Technique: Purposive sampling Technique was used to select samples who were admitted in the Kasthuriba Gandhi De-Addiction Centre during the period of study.30 patients were selected as samples during the study. 3.5. Criteria for Selection of the Sample: Inclusion Criteria: Patients who were admitted in Kasthuriba Gandhi De-Addiction Centre Alcoholic patients with Low self esteem Exclusion Criteria: Patients who are not willing to participate in the study. Alcoholic dependants associated with Psychotic symptoms. 3.5. Instruments and Tool for Data Collection: The tool was prepared based on review of literature and guidance of experts from the field of Psychiatry. Section I: This section includes demographic variables like age, education, family Income, occupation, marital status, marital disharmony, Type of Family Duration of Alcohol intake Consumption of alcohol, physical and psychological problems. Section II: This section consists of modified Rutgersà ¢Ã¢â€š ¬Ã¢â€ž ¢s Alcohol Problem Index scale. It is a useful tool to assess the problem index among alcoholic patients. It consists of 15 questions. Section III: This section has an index to measure personà ¢Ã¢â€š ¬Ã¢â€ž ¢s self-esteem. It consists of 20 statements to assess the level of self-esteem of alcoholic dependants. Score Interpretation: Self à ¢Ã¢â€š ¬Ã¢â‚¬Å"Esteem Assessment Scale consists of 20 s tatements of assessment of patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s level of self esteem. The total score is 60, patient who scores the item à ¢Ã¢â€š ¬Ã‹Å"3à ¢Ã¢â€š ¬Ã¢â€ž ¢ and more than 46 is having low self-esteem. Section IV: This section consists of intervention for Low self à ¢Ã¢â€š ¬Ã¢â‚¬Å"Esteem such as Individual activities and Group activities. Individual Activities: Promoting individually performing activities. The patients are encouraged to do individual activities such as Art writing and Reading Newspapers. Group Activities: Group activities is two or more individuals unite together to promote an same activity. Patients are encouraged to do psychodrama (Group was given a theme, group members act out based on the theme) and Outdoor games (Tenniequots) 3.6. Variables of the study: Independent variable: Self-esteem activities. Dependant variable: Alcoholic dependants. 3.7. Techniques for Data Analysis and Interpretation: The tables were formulated for base line information such as age, education, occupation, type of family, marital disharmony, income per month, amount of alcohol intake, duration of alcohol intake, physical and psychological symptoms. Pairedà ¢Ã¢â€š ¬Ã¢â€ž ¢ test was used to analyze the significant difference in the level of self-esteem before and after promoting self esteem activities. 3.7.1. Pairedà ¢Ã¢â€š ¬Ã¢â€ž ¢tà ¢Ã¢â€š ¬Ã¢â€ž ¢test: The test was used to point out the effect of promotion of self esteem activities among alcoholic patients. t=d SD/ n SD= (d-d) Here d=Mean difference between pretest and posttest score. SD=Standard Deviation of the Pre test and post test Sore n=Number of Samples. Pilot study report Pilot study was conducted for a period of 2 weeks, from 28th May 2010 to 11th May 2010, to test the practicability of the tool and feasibility of conducting the main study. Study was conducted in Psychiatric ward of P S G Hospital. For pilot study 5 samples were selected. Data were collected by interview method. Through the pilot study it was proved that self esteem activities in promotion of self esteem. The researcher would like to continue the study to promote self esteem among alcoholic dependants. Changes brought after pilot study During the pilot study, self esteem level was assessed and found to be low among alcoholic dependants. CHAPTER 4 DATA ANALYSIS AND INTERPRETATION The process of evaluating data using analytical and logical reasoning to examine each component of the data provided. This form of analysis is just one of the many steps that must be completed when conducting a research experiment. Data from various sources gathered, reviewed, and then analyzed to form some sort of finding or conclusion. There are a variety of specific data analysis method, some of which include data mining, text analytics, business intelligence, and data visualizations. 4.1. General Profile of alcoholic Dependants 1. Age Among thirty alcoholic dependants, six patients were at the age of 21-30 years, fifteen patients were at the age of 31-40years, seven patients were at the age between 41-50 years and two patients were between 51-60years. 2. Education Most of the alcoholic dependants were completed their secondary education, seven patients had completed primary education, six patients completed higher secondary education and seven had graduate degree. 3. Occupation: A. Type of Work It was found that ten were doing business, five were farmers, four were engineers, two were bus drivers and there was one from each category like tailor, rashion shop, goldsmith, shopkeeper, hotel supervisor, massion, mandapam decorator, Carpentor, cable TV Manager. B. Hours of Work Hours of work for alcoholic dependants were varying from6-15 hrs. Most of them nineteen were working between 11-15 hrs and eleven patients were working 6-10 hours per day. C. Income per Month Income of alcoholic dependants varied depends upon their occupation, fifteen were earning between Rs.6000-10000 per month, eight patients were earning between Rs.11000-15000 per month, four were earning between Rs.1000-5000 per month, three patients were earning between Rs 16000-20000 per month. D. Conflict in Work Area Majority of alcoholic dependants, twenty expressed no conflict in work area and ten had conflict in their work area. 4. Family history A. Marital status Twenty four patients were married, six patients were unmarried. B. Marital disharmony: Thirty alcoholic dependants came out with the problem of and only eleven patients had no such problems. C. Relationship with spouse: Among the alcoholic dependants, twelve patients were maintaining good relationship with their spouse and twelve patients were not maintaining good relationship with spouse. D. Relationship with children: Twenty two were maintaining good relationship with their children and two patients were not maintaining good relationship with children. E. Type of Family: Among twenty four alcoholic dependants, six patients were from joint family and eighteen from nuclear family. F. Family History of Alcoholism: There is no family history of alcohol intake among twenty five alcoholic dependants and only five patients were having the family history of alcoholism. 5. Social History: A. Social Support: Among thirty alcoholic dependants, one had Peer group support, three had support from friends, and twenty six had family support. 6. Alcoholic History: A. Duration of Alcohol Intake In years: Duration of 11-15-years of alcohol intake was found among fifteen alcoholic dependants, 6-10years among ten alcoholic dependants, 1-5years among three alcoholic dependants and 16-20 years among two alcoholic dependants. B. Consumption of Alcohol started by: Most of the patients twenty five were started consuming alcohol through friends, three started by their relatives and two started by their family members. C. Quantity of Alcohol when started (Bear in ml): Majority of the alcoholic dependants, twenty three started with 100-300ml of bear while seven alcoholic dependants were stated with 700-900ml of bear. D. Quantity of Alcohol at present (Hot): At present eleven alcoholic dependants was consuming 700-900ml of hot which is more than nineteen alcoholic dependants consuming 400-600ml. E. Time of drinking Alcohol: Among thirty alcoholic dependants, twelve patients were taking alcohol in the evening, four were taking alcohol in the morning and evening, fourteen were taking alcohol throughout the day. F. Money spent on Alcohol Consumption: Among thirty alcoholic dependants, most of them twenty two spent Rs 4000-6000per month for alcohol consumption seven spent Rs7000-9000 per month and one spent Rs 1000-3000 per month. G. Motivation for treatment of Alcoholism: Maximum number of patients thirteen were motivated by self, seven were motivated by already treated patients in de-addiction centre, five were motivated by family members and five were motivated by Relatives. H. Reason for Alcoholism: Seventeen patients were started on alcoholism due to psychological factors such as wifeà ¢Ã¢â€š ¬Ã¢â€ž ¢s death, job stress etc, thirteen patients were started due to peer group pressure and none had the reason of physical and psychiatric illness. TABLE 4 1 DEMOGRAPHIC DATA OF ALCOHOLIC PATIENTS 1 AGE IN YEARS 21-30 6 31-40 15 41-50 7 51-65 2 2 EDUCATION Primary 7 Secondary 10 Higher secondary 6 Graduate 7 3 OCCUPATION A.TYPE OF WORK Business 10 Farmer 5 Tailor 1 Accountant in Rashionshop 1 Goldsmith 1 Hotel Supervisor 1 Driver 2 Construction Worker 1 Engineers 4 Mandapam Decorator 1 Carpenter 1 Cable T.V. Manager 1 B.HOURS OF WORK 6 10 11 11 15 19 C.INCOME PER MONTH 1000-5000 4 6000-10,000 15 11,000-15,000 8 16,000-20,000 3 D.CONFLICT IN WORK AREA Present 10 Absent 20 4 FAMILY HISTORY A.MARITAL HISTORY Married 24 Single 6 B.MARITAL DISHARMONY Present 13 Absent 11 C.RELATIONSHIP WITH SPOUSE Maintains good relationship 12 Not maintains good relationship 12 D.RELATIONSHIP WITH CHILDREN Maintains good relationship 22 Not maintains good relationship 2 E.TYPE OF FAMILY Joint family 6 Nuclear family 18 F.FAMILY HISTORY OF ALCOHOLISM Present 5 Absent 25 SOCIAL HISTORY A.SOCIAL SUPPORT Neighbors 0 Peer group 1 Friends 3 Family 26 5 ALCOHOLIC HISTORY A.DURATION OF ALCOHOL INTAKE IN YEARS 1 5 3 6 10 10 11 15 15 16-20 2 B.CONSUMPTION OF ALCOHOL STARTED BY Friends 25 Family members 2 Relatives 3 Self 0 C.QUANTITY OF ALCOHOL WHEN STARTED (BEAR) ML 100-300 23 400-600 7 700-900 0 D.QUQNTITY OF ALCOHOL CONSUMPTION AT PRESENT(HOT)ML 100-300 0 400-600 19 700-900 11 E.TIME OF DRINKING ALCOHOL Morning 0 Evening 12 Both 4 Throughout the Day 14 F.MONEY SPENT ON ALCOHOLISM 1000-3000 1 4000-6000 22 7000-9000 7 G.MOTIVATION FOR TREATMENT OF ALCOHOLISM Family members 5 Relatives 5 Self 13 Treated patients 0 H.REASON FOR ALCOHOLISM Physical Illness 0 Psychiatric Illness 0 Psychological Illness 17 Peer group Influence 13 4.2. Assessment of Problem Index among Alcoholic Dependants: Among thirty alcoholic dependants, Majority of alcoholic dependants are not able to work, inability to carryout responsibilities, had fight with relatives, neglected by relatives, advised by relatives and friends, to stop alcohol, noticed a change in personality, most of them felt guilty,neede more alcohol to get the same effect previous one, and felt physically and psychologically dependant on Alcoholism. TABLE 2 ASSESSMENT OF PROBLEM INDEX n=30 S.No PROBLEM STATEMENTS 1 2 3 4 1 Not Able To Work 10 15 5 0 2 Neglected Responsibilities 10 15 5 0 3 Had Fight With Others 20 5 5 0 4 Neglected By Relatives 10 14 6 0 5 Advised By friends, neighbours, relatives to stop alcohol 0 20 10 0 6 Kept Promised To Stop Drinking 10 12 8 0 7 Noticed A Change In Personality 12 16 2 0 8 Felt Guilty 0 23 7 0 9 Forgetting Places 16 14 0 0 10 Fainted Suddenly 26 4 0 0 11 Gone Suddenly 26 3 1 0 12 Needed More Alcohol To Get The same Effect As Of previous One 0 20 6 4 13 Tried To Control Drinking 16 8 6 0 14 Stopped Drinking Because Of Withdrawal Symptoms 20 10 0 0 15 Felt physical or Psychologically dependant On Alcohol 0 16 10 4 Score Interpretation: 1.None of the Time, 2.1-2 Time, 3.3-4 Times, 4.More than five t imes 4.3. Assessment of Level of Self-Esteem among alcoholic Dependants: Fifty one patients were got admitted in kasthuriba Gandhi de-Addiction Centre, Coimbatore in the month of July. Among them thirty alcoholic dependants were selected for the study based on the exclusion criteria. Level of self-esteem was assessed for each patient by using self-esteem assessment tool. All thirty alcoholic dependants were having low self-esteem that they become anger when criticized, afraid to try new things, showing difficulty in performing social activities and social interaction. All the alcoholic Dependants were scored the level of self-esteem score between50-60. 4.4. Promotion of Self-Esteem Activities: Self-Esteem activities are promoted by scheduling as individual and group activities. Individual activities are promoted in the morning and group activities are promoted in the evening to boost up self-esteem among Alcoholic dependants. TABLE 3 Self-Esteem Activities Protocol S. No Time Activities 1 Morning Individual Activities 8.30-9.30am A. Self Reporting 11.00-12.00Noon B. Art Writing 2 Afternoon Group Activities 1.30-3.00Pm A. Psychodrama 3.30-5.00Pm B. Tenniquoite TABLE 4 ASSESSMENT OF SELF-ESTEEM BEFORE PROMOTING SELF-ESTEEM ACTIVITIES n=30 S. No Level of Self-Esteem No. of. Patients Pre test 1. Self- Esteem Score (46) 30 SCORE INTERPRETATION: Problems with low self-esteem are indicated by a total score higher than 46 TABLE 5 ASSESSMENT OF SELF-ESTEEM AFTER PROMOTING SELF-ESTEEM ACTIVITIES n=30 S. No Level of self-Esteem No. of. Patients Pretest Post test 1. Self-Esteem Score(46) 30 0 TABLE 6 COMPARISON OF SELF-ESTEEM BEFORE AND AFTER PROMOTING SELF-ESTEEM ACTIVITIES n=30 S. No Level of Self-Esteem Pre test Post test 1 Self-Esteem Score(46) 30 30 2. Self-Esteem Score(46) 0 30 INTERPRETATION: Thirty alcoholic Dependants were scored 46 before promoting Self-Esteem activities. But after promoting Self-Esteem Activities they have scored 46 TABLE 7 Difference in pretest and Posttest Self-Esteem Score of Alcoholic Dependants S. No Pretest Score Posttest Score Difference 1 56 33 23 2 54 36 22 3 56 32 24 4 56 32 24 5 55 30 25 6 54 33 21 7 52 34 22 8 52 33 21 9 55 33 22 10 55 32 23 11 54 31 23 12 54 30 24 13 56 33 23 14 54 31 23 15 55 32 23 16 56 33 23 17 56 33 23 18 54 33 21 19 56 34 22 20 54 32 23 21 56 33 21 22 54 33 23 23 55 33 21 24 56 34 22 25 53 32 21 26 56 33 21 27 54 30 23 28 56 36 20 29 55 33 22 30 53 34 19 TABLE 8 COMPARISON OF SELF-ESTEEM BEFORE AND AFTER PROMOTING SELF-ESTEEM ACTIVITIES n=30 S. No Level of Self-Esteem Pre test Post test 1 Self-Esteem Score(46) 30 0 2. Self-Esteem Score(46) 0 30 INTERPRETATION: Thirty alcoholic dependants were scored 46 before promoting self-esteem activities. But after promoting self-esteem activities they have scored 46 4.5. COMPARISON OF PRETEST AND POSTTEST LEVEL OF SELF-ESTEEM AMONG ALCOHOLIC DEPENDANTS In order to find out the significant difference between pretest and posttest scores of level of self-esteem, pairedà ¢Ã¢â€š ¬Ã‹Å"tà ¢Ã¢â€š ¬Ã¢â€ž ¢ test was compared to test the significance, the hypothesis was stated. Hypothesis: There is a significant difference in level of self-esteem before and after promoting self-esteem activities. t = d/SD/n SD = (d-d)/n-1 (d-d) = 65.25 SD= (65.25)/30-1 SD= 65, 25/29 SD= 2.25 SD=1.5 t=d/SD/n =21.5/1.5/30 =21.5/1.5/5.4 =21.5/0.27 t=79.62 df=n-1 =30-1 =29 As the calculated value is 79.62, which is greater than table value (3.66)at the degree of freedom of 29.It is significant at the level of 0.001,and hypothesis is accepted. Hence there is significant improvement between mean pretest and posttest score of self-esteem. 4.6. Influence of demographic variables on Alcoholic dependants with low self-esteem: 4.6.1Influence of age on pretest score of alcoholic dependants with low sel-esteem: Karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: Age positively influence low self-esteem among alcoholic dependants. There is a relationship between age and level of self-esteem. r= XY/(x-x)(y-y) =3068/1715(49) =3068/84035 =0.0365 =0.191 The calculated value is 0.191 that there is a positive correlation between age and level of self-esteem. Hypothesis is accepted hypothesis. 4.6.2Influence of hours of work on pretest score of alcoholic dependants with low self-esteem: Karl Pearson co-efficient of correlation between hours of work and pretest self-esteem score of alcoholic dependants. Hypothesis: Hours of work positively influence low self-esteem among alcoholic dependants. There is a relationship between hours of work and level of self-esteem r= XY/(x-x) (y-y) =157.92/81.76 (49) =157.92/4006.2 8 =0.03941 =0.198 The calculated value is 0.198 that there is a positive correlation between hours of work and level of self-esteem..Hypothesis is accepted hypothesis. 4.6.3 Influence of duration of alcohol intake on pretest score of alcoholic dependants with low sel-esteem: Karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: Duration of alcohol intake positively influence low self-esteem among alcoholic dependants. There is a relationship between duration of alcohol intake and level of self-esteem. r= XY/(x-x)(y-y) =572/405(49) =572/19845 =0.028 =0.169 The calculated value is 0.169 that there is a positive correlation between duration of alcohol intake and level of self-esteem. Hypothesis is accepted hypothesis. 4.6.4 Influence of quantity of alcohol intake on pretest score of alcoholic dependants with low self-esteem: Karl Pearson co-efficient of correlation between quantity of alcohol intake and pretest self-esteem score of alcoholic dependants. Hypothesis: quantity of alcohol intake positively influence low self-esteem among alcoholic dependants. There is a relationship between quantity of alcohol intake and level of self-esteem. r= XY/(x-x)(y-y) =565908/547890(49) =565908/268466 =2.1 =1.4 The calculated value is 0.14 that there is a positive correlation between quantity of alcohol intake and level of self-esteem. .hypothesis is accepted hypothesis. 4.6.5Influence of age on pretest score of alcoholic dependants with low sel-esteem: karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: Age of Alcoholic dependants positively influence low self-esteem among alcoholic dependants. There is a relationship between r= XY/(x-x)(y-y) = 4289/1891.2(70.8) = 4289/132370 = 0.032 = 0.18 The calculated value is 0.18 that there is a positive correlation between age and level of self-esteem. .hypothesis is accepted hypothesis. 4.6.6Influence of hours of work on posttest score of alcoholic dependants with low sel-esteem: karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: hours of work positively influence low self-esteem among alcoholic dependants. There is a relationship between hors of work and level of self-esteem. r= XY/(x-x)(y-y) =320/1715(70.8) =320/121422 =0.0026 =0.05 The calculated value is 0.05 that there is a positive correlation between hours of work and level of self-esteem. .hypothesis is accepted hypothesis. 4.6.7 Influence duration of alcohol intake on posttest score of alcoholic dependants with low sel-esteem: karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: Duration of alcohol intake positively influence low self-esteem among alcoholic dependants. There is a relationship between hors of work and level of self-esteem. r= XY/(x-x)(y-y) =1175.5/405(70.8) =1175.5/28674 =0.04 =0.20 The calculated value is 0.20 that there is a positive correlation between duration of alcohol intake and level of self-esteem. .hypothesis is accepted hypothesis. 4.6.9 Influence of quantity of alcohol intake on posttest score of alcoholic dependants with low sel-esteem:karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: hours of work positively influence low self-esteem among alcoholic dependants. There is a relationship between hors of work and level of self-esteem. r= à ¢Ã‹â€ Ã¢â‚¬Ëœ XY/(x-x)(y-y) =9597444/547890(70.8) =9597444/38790612 =0.02 =0.157 The calculated value is 0.157 that there is a positive correlation between quantity of alcohol intake and level of self-esteem. .hypothesis is accepted hypothesis. CHAPTER V RESULTS AND DISCUSSION Introduction: The main aim of the study was to assess the level of self-esteem among alcoholic dependants and to promote self esteem activities. The study was conducted in Kasthuriba Gandhi De-Addiction centre at Coimbatore. A total of thirty patients were selected for the study .each patients baseline information was collected to understand the background of the patient and also some of the factors such as age, occupation, income which are expected to have an impact on alcoholism. 5.1 General Profile of the Alcoholic Dependants: The young age of alcoholic dependant who started intake of alcohol at the age of 21years was six and in the age of 65years are two. Many research studies says that, alcohol abuse and alcohol Dependence are not only adult problems they also affect a significant number of adolescents and young adults between the ages of 12-20,eventhough drinking under the age of 21 is illegal(Joseph.A,2008). Study shows seven alcoholic dependants were having only primary level of education others were completed their secondary, higher secondary and graduates. An individual receives less than or up to 12 years of education can the causative effect of Alcoholism. This finding implies that improving educational levels has the potential to counteract the risk factors and help to prevent alcoholism said Wan. Most of the alcoholic dependants were heavy workers such as drivers, civil engineers; farmerà ¢Ã¢â€š ¬Ã¢â€ž ¢s etc. Some study shows occupation has higher alcoholism rates, High risk occupation s attract problem drinkers or create them through job pressures. One hundred and fifty male manual recruits to Scottish breweries and distilleries were interviewed and compared with similar men in lower risk jobs. The alcohol producers reported poorer employment records and were significantly heavier drinkers than the controls. The alcohol producers were also more likely than the controls to have drunk more since recruitment. These results suggest that the drink trade attracts a disproportionate number of people likely to develop alcohol-related problems and indicates that drinking habits may be strongly influenced by work environment. In this study some alcoholic dependants started taking alcohol by learning from peergroups, work environment. The culture of the workplace may either accept and encourage drinking or discourage and inhibit drinking. A workplaces tolerance of drinking is partly influenced by the gender mix of its workers. Studies of male-dominated occupations have d escribed heavy drinking cultures in which workers use drinking to build solidarity and show conformity to the group (4, 5). Some male-dominated occupations therefore tend to have high rates of heavy drinking and alcohol-related problems (6, 7 In my study four Alcoholic dependants are having monthly Income Rs.1000-4000,Most of the alcoholic dependants are having the monthly income of more than 6000-20000.The more income people have higher social status or class, more likely theirhigh socio-economic status induces to drink alcoholic beverages. Marital disharmony also one of the risk factor for consuming alcohol, here in general practice alcoholism should be considered, when the doctor detects marital disharmony, repeated sickness absenteeism, repeated aggressive behavior, patients presenting with anxiety and depression, and those who smell of drink.( B. D. Hoer and R. H. Wilkins). Psychological factor plays a major role in consumption of alcohol, most of the alcoholic dependa nts in this consumes alcohol due to psychological factors. some research studies says that people turn to alcohol during periods of stress, frustration e.g. as a result of failure in an exam, loss of dear one, marital breakup, loss of personal property, etc as a way of trying to overcome the stress or depression. 5.2. Assessment of Problem Index Among alcoholic Dependants: Among thirty alcoholic dependants, majority of alcoholic dependants are not able to work, had inability to carryout responsibilities, had fight with relatives, were neglected by relatives,were advised by relatives and friends to stop alcohol, noticed a change in personality, most of them felt guilty, neede more alcohol to get the same effect as previous one, and felt physically and psychologically dependant on Alcoholism. 5.3. Assessment of level of self-esteem among Alcoholic dependants: Data on level of self-esteem pointed out that most of the alcoholic dependants are having low self-esteem. Their level of self-esteem was assessed by using self-esteem scale .Most of them scored the item very often(3) that inability to accept criticism, poor social interaction, afraid to try new things, difficulty to look people in the eye, uncomfortable in the presence of strangers, Feeling embarrassment when others are praising etc. There is a significant amount of research on the relationship between self-esteem and focusing on how self-esteem influences who is likely to consume alcohol. Research shows that low self-esteem is negatively correlated with alcohol consumption. In a study on adolescent drinking behavior, adolescents with high self-esteem reported consuming less alcohol than adolescents with low self-esteem and reported smaller increases in alcohol consumption over time (Gerald, Gibbons, Bergen, 2000). In addition in a study on college students. Students with lo w self-esteem became more intoxicated than students with high self-esteem (Glindemann, Geller, and Fortney, 1999).Although research shows a relationship alcohol and self-esteem. TABLE 5.1 5.4. Promotion of Self-esteem Activities among Alcoholic Dependants: S. No Time Activities 1 Individual Activities 8.30-9.30am A. Self Reporting 11.00-12.00Noon B. Art Writing 2 Group Activities 1.30-3.00Pm A. Caroms 3.30-5.00Pm B. Volley Ball 5.5. Comparison of Level of Self-Esteem Before And After Promoting Self-Esteem Activities: It was found in the assessment that the level of self-esteem was improved after promotion of self-esteem activities. Alcoholic dependants who scored the item very often (3) in the pretest were scored sometimes (2) or occasionally (1) after promotion of self-esteem activities. Patients were actively participated in self-esteem activities, before promoting self-esteem activities alcoholic dependants had the problems like becoming angry for criticism, poor interaction, inability to try new things, having difficulty looking people in the eye, difficulty making small talk, etc.But after promoting self-esteem activities alcoholic dependants showed an improvement in accepting criticism, trying new things, facing other peopleà ¢Ã¢â€š ¬Ã¢â€ž ¢s in the eye, good social interaction. CHAPTER VI SUMMARY AND CONCLUSION The present study was conducted in selected De-Addiction Centre, Coimbatore from 28.6.10-25.7.10.Alcoholic dependants were selected by sample free technique. The level of self-esteem was assessed by using self-esteem scale. alcoholalcohol induced psychiatric illness and dependants with high self-esteem were excluded. After initial assessment of self-esteem, self-esteem activities were promoted which include Individual and Group activities. Reassessment was done after a gap of fourteen days using the same scale to identify the enhancement in promotion of self-esteem of alcoholic dependants. The data collected during assessment and was revealed that the level of self-esteem had significantly improved after promotion of self-esteem activities. The demographic variables like age, hours of work, quantity of alcohol intake, and duration of intake of alcohol were analyzed by using Karl Pearsonà ¢Ã¢â€š ¬Ã¢â€ž ¢s co-efficient of co-relation to identify the influence of these variable s on the level of self-esteem and alcoholic dependants. The results indicated that there is a positive relationship between age hours, quantity, duration of alcohol intake and pretest self-esteem score of alcoholic dependants. The results also indicated for posttest. The significance of level of self-esteem on pretest and posttest level of alcoholic dependants were calculated using pairedà ¢Ã¢â€š ¬Ã¢â€ž ¢tà ¢Ã¢â€š ¬Ã¢â€ž ¢test.The results showed that after promoting self-esteem activities the alcoholic dependants had a significant improvement in level of self-esteem. 6.1. Major Findings of The Study: Majority of alcoholic dependants were in the age group of 20-65years. In pre assessment of level of self-esteem all 30 alcoholic dependants had low self-esteem. In post assessment of level of self-esteem, all 30 alcoholic dependants had improved their self-esteem. The mean pretest score .there is a increase in posttest mean score. The paired à ¢Ã¢â€š ¬Ã‹Å"tà ¢Ã¢â€š ¬Ã¢â€ž ¢test value of self-esteem is 9à ¢Ã¢â€š ¬Ã¢â€ž ¢tà ¢Ã¢â€š ¬Ã¢â€ž ¢= ) is greater than the table value at the degree of freedom 29 is significant at the level of 0.001. 6.2 Limitation of The Study: This study was limited only to alcoholic dependants This study was aimed only to promote self-esteem of alcoholic dependants The study was limited only to the De-addiction centre. 6.3 Suggestions For Further Study Similar study can be conducted for other psychoactive substance use disorders patients A similar study can be conducted with family members. A similar study can be conducted for alcoholic dependants on any psychiatric set up. A study can be conducted among friends of alcoholic dependants who regularly visit wine shops/bars/Arrack shops. A study can be conducted on childrenà ¢Ã¢â€š ¬Ã¢â€ž ¢s of alcoholics to identify the level of self-esteem. 6.4 Recommendations: A follow up study on promotion of self-esteem among alcoholic dependants after six months to one year can be carried out to explore in to the retaining impact of self-esteem. Mass media, Posters can be used to create awareness on alcohol treatment to public; this will be helpful in removing misconceptions regarding alcoholic patients. A similar study can be conducted to assess the self-esteem of the childrenà ¢Ã¢â€š ¬Ã¢â€ž ¢s of alcoholics and to promote self-esteem activities earlier. 6.5. Conclusion: The study highlights the practice of self-esteem activities are useful tools for Alcoholic dependants who are having low self-esteem. Thre is no medical treatment to treat low self-esteem, only we can promote self-esteem by involving them in self-esteem activities .Alcoholic dependants with low self-esteem need positive reinforcement to enhance self-esteem. Individual activities makes the individuals to complete the task by alone and improves the individual capablity. Group activities makes the group to work together to achieve the task and also it improves social interaction. The study review showed that promotion of self-esteem activities among alcoholic dependants was the most effective method for enhancement of self-esteem. The result can potentially be employed as non-pharmacologic adjuvant therapy in the management of alcoholic dependants with low self-esteem.

Self Esteem And Substance Abuse - Free Essay Example

Sample details Pages: 21 Words: 6178 Downloads: 8 Date added: 2017/06/26 Category Health Essay Type Essay any type Did you like this example? CHAPTER I INTRODUCTION Self esteem is all about how much we feel valued, loved, accepted and thought well of by others and how much we value, love and accept ourselves. People with healthy self-esteem are able to feel good about them, appreciate their own worth and take pride in their abilities, skills and accomplishments. People with low self- esteem may feel as if no one will like them or accept them or that they canà ¢Ã¢â€š ¬Ã¢â€ž ¢t do well in anything People with high self esteem tend to be ambitious in what they want to experience in Life, they have a drive to express them and to communicate openly and honestly about their needs and desires. Don’t waste time! Our writers will create an original "Self Esteem And Substance Abuse" essay for you Create order People with low self esteem rarely live their life to the full, they distance themselves from others, denied their love and support, and uncomfortable with success, some of them even take alcohol and drugs. We all experience problems with self esteem at certain times in our lives-especially during our teens figuring out, where we fit in the world. The level of self esteem determines how we operate in life à ¢Ã¢â€š ¬Ã¢â‚¬Å"how we interact with others such as spouse, children, friends, and strangers .It determines our achievements, and our satisfaction and happiness. Self esteem has long been believed to play an important role in the use of alcohol; People with alcohol problems often have low self esteem. They judge themselves negatively-not just for their addiction, but also for other parts of their behavior or their personality. Most of the individuals who are addicted to drugs and alcohol are not happy with their lives and live a life of despair and hopelessness, the major symptom is poor self esteem. Poor self esteem is at the heart of an individualà ¢Ã¢â€š ¬Ã¢â€ž ¢s addiction and dependency and there is an inverse relationship between alcohol dependency and self esteem, that if a personà ¢Ã¢â€š ¬Ã¢â€ž ¢s self esteem improves the individualà ¢Ã¢â€š ¬Ã¢â€ž ¢s addictive behavior. 1.1. Need For The Study: Low self esteem is one of the causative factor that vast majority of alcohol addicts share in common, low self esteem is challenging in four areas. First they feel that they lack personal power, secondly many with low self esteem feel lacking the affection and attention of others, thirdly low self esteem results when people feel that they lack virtue, often feel unloved, unappreciated and lastly those possessing low self esteem hold themselves as incompetent in one or more areas. Several researchers have argued that self esteem poses high risk for alcohol abuse in some populations, including adolescents, college students, and females (Donnelly, 2000). Another area of life that Alcoholics with low Self-Esteem often struggle with their occupation. Perhaps they may lack education, information, skill sets, or the belief in their ability to obtain a worthwhile job and so they self-sabotage and then get to the right about the fact that no one wants to hire them. Seeking continuous education is hopeless to those who have such low self-esteem since they see themselves as incapable of excelling in the process of studying, taking exams, and achieving success in all the systems. Low self- esteem can also manifest as a result of oneà ¢Ã¢â€š ¬Ã¢â€ž ¢s inability to generate wealth, they see themselves struggling to survive in a world marked by competition, often struggle with their occupation. Those with low self esteem often resort to addictive behaviors in an effort to numb out the pain and escape to a world that allows them a temporary release from their sufferings and problems 1.2. Statement of the Problem: Promotion of self esteem activities among alcoholic dependants 1.3. Objectives: 1.3.1 Assessment the self esteem level among alcoholics 1.3.2 Association of self esteem and Alcoholism 1.3.2 Assessment of the effectiveness of self esteem activities in promotion of self esteem among alcoholics. 1.4. Assumptions: 1.4.1. Self esteem level may be low among alcoholic dependants. 1.4.2. Practice of self esteem activities may improve the self esteem level among alcoholic dependants 1.5. Operational Definitions: 1.5.1. PROMOTION- refers to the improvement in level of self esteem among Alcoholic dependants. 1.5.2. SELF ESTEEM- perceived self concept of an alcoholic individual 1.5.3. ALCOHOLICS- a person craves alcohol, is unable to limit his or her drinking. 1.6. Promotion of Self-Esteem Activities Among Alcoholics Dependants: Conceptualization is the process of specifying what we mean when we use particular terms (Giemman) The conceptual framework is derived from Penderà ¢Ã¢â€š ¬Ã¢â€ž ¢s health promotion Model. In this study Individual characteristics and experience by physical, social psychological and occupational problems may change the level of self-esteem of the Alcoholic patients. Self-Esteem activities are promoted based on the patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s problems may bring change in the level of self-esteem. It includes perceived benefit of Self-Esteem activities like Individual and Group activities. PENDERà ¢Ã¢â€š ¬Ã¢â€ž ¢S HEALTH PROMOTION MODEL CHAPTER 2 REVIEW OF LITERATURE 1. Studies related to low self esteem and alcoholism 2. Studies related to self esteem activities and alcoholism 1. Studies related to low self esteem and alcoholism: A study conducted on self esteem and Alcohol use on 61 Alcoholic dependants who were admitted in a rural Midwestern medical centre. An individualà ¢Ã¢â€š ¬Ã¢â€ž ¢s reactions to his or her social environment are mediated by a sense of self esteem, low levels of self esteem are develop during Socialization. Results suggest that specific form of social support is important to recovering alcoholic dependants (Steffennhagen and Burns, 2006). A Pearson correlation was calculated examining the relationship between the amounts of alcohol consumed in the past 30 days and self esteem. A low to moderate correlation was found (r (23) =.250, p.05). (Jeremy W.Lawing, 2006). A Study conducted on drinking problems and self-Esteem of college students,148 lower division college students were given the following paper and pencil tests: The Michigan Alcoholism Screening Test, and the à ¢Ã¢â€š ¬Ã…“Personal Selfà ¢Ã¢â€š ¬? section of The Rosenberg Self-Esteem Scale. College Students are havin g low self Esteem (F = 4.23, p = .04). Tabulation of the incidence of heavy drinking (31%).Result shows an drinking behavior of college students are having low self esteem(()swego,2005). A study was conducted on the effects of self esteem on substance abuse among homeless men. This experimental study involving 305 samples of homeless men was assigned randomly to the treatment group and Control group. Control group was referred to community based services, experimental subjects were exposed to individual therapy, group interventions, life skills and relapse prevention training residing in a 24 Hour shelter for three months. Results indicated that self-esteem was increased in experimental group than in control group (Brandon, 2004). A descriptive study was conducted on self-esteem and alcohol dependants. Study comprises of two groups such as alcoholic dependants as one group and non-alcoholics in another group. Study shown that alcoholic dependants have lowered self esteem compa red to non alcoholics self esteem (Donnelly, 2003) A study was conducted to compare the level of self esteem among 30 alcoholics and 30 non alcoholic persons. They are assessed for self esteem using self esteem scale. The results showed that alcoholics had low self esteem when compared to non alcoholics(P001).Alcoholic dependants were perceived as less loving and less dominant as compared to non alcoholics, they also perceived alcoholics to be aggressive and sadistic(Neeliyara,2003). A study conducted to identify the relationship between alcohol consumption and self esteem. Study comprises of 26 Samples (Employees of local retail store), their self esteem was assessed by using Rosenbergà ¢Ã¢â€š ¬Ã¢â€ž ¢s self esteem scale. Results showed that alcohol consumption is strongly related to self esteem (T.F.Heatherson,2000). A Study conducted on how self esteem influences alcohol consumption Study comprises of 61 samples. Over the course of two weekends self esteem was measured using Rosenbergà ¢Ã¢â€š ¬Ã¢â€ž ¢s self esteem scale. Study showed the results that self esteem is negatively correlated with alcohol consumption. In a study on adolescents drinking behavior, adolescents with high self esteem reported consuming less alcohol than adolescents with low self esteem. (Gerrerd, Russell, 2000 A cross-sectional survey design investigated the relationship of substance use and self esteem. Self -esteem was assessed using Hare Self-esteem Scale. Four hundred and eleven samples were completed the survey. Results revealed that there is a direct relationship between alcohol use and self-esteem (F=12.8,df=2,343,p,.00001).Regardless recent alcohol abusers had the lowest self-esteem scores and never users had the highest scores(F.X.Gibbons,2000). A study says that low self-esteem is the universal common denominator among all people suffering from addictions. Low self-esteem is the true disease and it is the underlying origin of all problematic behaviors that p lagues the world (Candito, 1996). A prospective study of self-esteem and Alcohol Use Disorders in Early Adulthood. The relation among Self-esteem and Alcohol use disorder diagnoses was examined in a sample of 240 men evaluated at four annual assessments over the college years. The results support clinical observations that low self esteem plays a particularly important it eological role in alcohol problems in men (Fromme.K, 1989). A number of studies have indicated that adolescents who refrain from drinking alcohol have higher self-esteem than do adolescents who drink. The questionnaire used in this study included the Adolescent Alcohol Involvement Scale which has fourteen questions about alcohol use, the Rosenberg (1965) Self-esteem Scale, (Mendel son, Mock, Erbaugh, 1984). 2. Studies related to self esteem activities and alcoholism A Study conducted on how group activity has an impact on self esteem among alcoholics. Study comprises 40 samples, 20 patients undergone group activities for 12 weeks in an inpatient setting and 20 patients as control groups. Patients in the intervention group showed significant enhancement in self esteem, social skills and self confidence where as there is no changes observed in control group (John Wiley, 2009) A Study was conducted how utilization of self esteem programs (Holistic Addiction Treatment Programme) plays an important role in Relapse prevention. Study comprises of 145 samples. Results show that 70 to 90 percentages, self esteem programs are effective in Relapse prevention and over all well-being to the treatment of recovering alcoholics (Harry Henshaw, 2007). A Study conducted on self esteem activities among Alcoholic patients. Study comprises of 43 samples, volunteers in the group undergone self esteem activities along with drug treatment, the other group only underwent drug treatment. Pretest-posttest comparison on a variety of physiological parameters indicated that significant improvements had occurred in psychological wellbeing including self esteem, self awareness, lifestyle adaptation and relapse prevention skills. Results suggest that promotion of self esteem activities improves self esteem among alcoholic dependants (Michael Peterson, Bryan johnstone, 2003) A study conducted on self-esteem and alcoholism among high school students total sample was 140(55males and 85 females) high school students. The questionnaire used in this study included the Adolescent Alcohol Involvement Scale (Moberg, 1983) which has fourteen questions about alcohol use, the Rosenberg (1965) Self-esteem Scale, and the Beck Depression Inventory (Beck, Ward, Mendel son, Mock, Erbaugh, 1961). Study has showed that indicated that adolescents who refrain from drinking alcohol have higher self-esteem than do adolescents who drink (Butler, 1980; Young, Werch, Brakeman 1989) CHAPTER 3 MATERIALS AND METHODS Designing a research involves the development of plan or strategy that will guide the collection and analysis of data. The present study is designed to promote the Self-esteem among Alcoholic Patients. The methodology of the study constitutes research design, setting, population and sampling criteria for the selection of samples and tool for data collection. 3.1. One Group Pre Test Post Test Design: 3.2. Setting: This study was conducted in Kasthuriba Gandhi De-Addiction Centre, Coimbatore. The De-Addiction centre consists of 25 bedded 3.3. Population: The overall population for the study was alcoholic patients who were admitted in the Kasthuriba Gandhi DE-Addiction Centre from 28.06.2010 to 25.07.2010. 3.4 Sample size And Sampling Technique: Purposive sampling Technique was used to select samples who were admitted in the Kasthuriba Gandhi De-Addiction Centre during the period of study.30 patients were selected as samples during the study. 3.5. Criteria for Selection of the Sample: Inclusion Criteria: Patients who were admitted in Kasthuriba Gandhi De-Addiction Centre Alcoholic patients with Low self esteem Exclusion Criteria: Patients who are not willing to participate in the study. Alcoholic dependants associated with Psychotic symptoms. 3.5. Instruments and Tool for Data Collection: The tool was prepared based on review of literature and guidance of experts from the field of Psychiatry. Section I: This section includes demographic variables like age, education, family Income, occupation, marital status, marital disharmony, Type of Family Duration of Alcohol intake Consumption of alcohol, physical and psychological problems. Section II: This section consists of modified Rutgersà ¢Ã¢â€š ¬Ã¢â€ž ¢s Alcohol Problem Index scale. It is a useful tool to assess the problem index among alcoholic patients. It consists of 15 questions. Section III: This section has an index to measure personà ¢Ã¢â€š ¬Ã¢â€ž ¢s self-esteem. It consists of 20 statements to assess the level of self-esteem of alcoholic dependants. Score Interpretation: Self à ¢Ã¢â€š ¬Ã¢â‚¬Å"Esteem Assessment Scale consists of 20 s tatements of assessment of patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s level of self esteem. The total score is 60, patient who scores the item à ¢Ã¢â€š ¬Ã‹Å"3à ¢Ã¢â€š ¬Ã¢â€ž ¢ and more than 46 is having low self-esteem. Section IV: This section consists of intervention for Low self à ¢Ã¢â€š ¬Ã¢â‚¬Å"Esteem such as Individual activities and Group activities. Individual Activities: Promoting individually performing activities. The patients are encouraged to do individual activities such as Art writing and Reading Newspapers. Group Activities: Group activities is two or more individuals unite together to promote an same activity. Patients are encouraged to do psychodrama (Group was given a theme, group members act out based on the theme) and Outdoor games (Tenniequots) 3.6. Variables of the study: Independent variable: Self-esteem activities. Dependant variable: Alcoholic dependants. 3.7. Techniques for Data Analysis and Interpretation: The tables were formulated for base line information such as age, education, occupation, type of family, marital disharmony, income per month, amount of alcohol intake, duration of alcohol intake, physical and psychological symptoms. Pairedà ¢Ã¢â€š ¬Ã¢â€ž ¢ test was used to analyze the significant difference in the level of self-esteem before and after promoting self esteem activities. 3.7.1. Pairedà ¢Ã¢â€š ¬Ã¢â€ž ¢tà ¢Ã¢â€š ¬Ã¢â€ž ¢test: The test was used to point out the effect of promotion of self esteem activities among alcoholic patients. t=d SD/ n SD= (d-d) Here d=Mean difference between pretest and posttest score. SD=Standard Deviation of the Pre test and post test Sore n=Number of Samples. Pilot study report Pilot study was conducted for a period of 2 weeks, from 28th May 2010 to 11th May 2010, to test the practicability of the tool and feasibility of conducting the main study. Study was conducted in Psychiatric ward of P S G Hospital. For pilot study 5 samples were selected. Data were collected by interview method. Through the pilot study it was proved that self esteem activities in promotion of self esteem. The researcher would like to continue the study to promote self esteem among alcoholic dependants. Changes brought after pilot study During the pilot study, self esteem level was assessed and found to be low among alcoholic dependants. CHAPTER 4 DATA ANALYSIS AND INTERPRETATION The process of evaluating data using analytical and logical reasoning to examine each component of the data provided. This form of analysis is just one of the many steps that must be completed when conducting a research experiment. Data from various sources gathered, reviewed, and then analyzed to form some sort of finding or conclusion. There are a variety of specific data analysis method, some of which include data mining, text analytics, business intelligence, and data visualizations. 4.1. General Profile of alcoholic Dependants 1. Age Among thirty alcoholic dependants, six patients were at the age of 21-30 years, fifteen patients were at the age of 31-40years, seven patients were at the age between 41-50 years and two patients were between 51-60years. 2. Education Most of the alcoholic dependants were completed their secondary education, seven patients had completed primary education, six patients completed higher secondary education and seven had graduate degree. 3. Occupation: A. Type of Work It was found that ten were doing business, five were farmers, four were engineers, two were bus drivers and there was one from each category like tailor, rashion shop, goldsmith, shopkeeper, hotel supervisor, massion, mandapam decorator, Carpentor, cable TV Manager. B. Hours of Work Hours of work for alcoholic dependants were varying from6-15 hrs. Most of them nineteen were working between 11-15 hrs and eleven patients were working 6-10 hours per day. C. Income per Month Income of alcoholic dependants varied depends upon their occupation, fifteen were earning between Rs.6000-10000 per month, eight patients were earning between Rs.11000-15000 per month, four were earning between Rs.1000-5000 per month, three patients were earning between Rs 16000-20000 per month. D. Conflict in Work Area Majority of alcoholic dependants, twenty expressed no conflict in work area and ten had conflict in their work area. 4. Family history A. Marital status Twenty four patients were married, six patients were unmarried. B. Marital disharmony: Thirty alcoholic dependants came out with the problem of and only eleven patients had no such problems. C. Relationship with spouse: Among the alcoholic dependants, twelve patients were maintaining good relationship with their spouse and twelve patients were not maintaining good relationship with spouse. D. Relationship with children: Twenty two were maintaining good relationship with their children and two patients were not maintaining good relationship with children. E. Type of Family: Among twenty four alcoholic dependants, six patients were from joint family and eighteen from nuclear family. F. Family History of Alcoholism: There is no family history of alcohol intake among twenty five alcoholic dependants and only five patients were having the family history of alcoholism. 5. Social History: A. Social Support: Among thirty alcoholic dependants, one had Peer group support, three had support from friends, and twenty six had family support. 6. Alcoholic History: A. Duration of Alcohol Intake In years: Duration of 11-15-years of alcohol intake was found among fifteen alcoholic dependants, 6-10years among ten alcoholic dependants, 1-5years among three alcoholic dependants and 16-20 years among two alcoholic dependants. B. Consumption of Alcohol started by: Most of the patients twenty five were started consuming alcohol through friends, three started by their relatives and two started by their family members. C. Quantity of Alcohol when started (Bear in ml): Majority of the alcoholic dependants, twenty three started with 100-300ml of bear while seven alcoholic dependants were stated with 700-900ml of bear. D. Quantity of Alcohol at present (Hot): At present eleven alcoholic dependants was consuming 700-900ml of hot which is more than nineteen alcoholic dependants consuming 400-600ml. E. Time of drinking Alcohol: Among thirty alcoholic dependants, twelve patients were taking alcohol in the evening, four were taking alcohol in the morning and evening, fourteen were taking alcohol throughout the day. F. Money spent on Alcohol Consumption: Among thirty alcoholic dependants, most of them twenty two spent Rs 4000-6000per month for alcohol consumption seven spent Rs7000-9000 per month and one spent Rs 1000-3000 per month. G. Motivation for treatment of Alcoholism: Maximum number of patients thirteen were motivated by self, seven were motivated by already treated patients in de-addiction centre, five were motivated by family members and five were motivated by Relatives. H. Reason for Alcoholism: Seventeen patients were started on alcoholism due to psychological factors such as wifeà ¢Ã¢â€š ¬Ã¢â€ž ¢s death, job stress etc, thirteen patients were started due to peer group pressure and none had the reason of physical and psychiatric illness. TABLE 4 1 DEMOGRAPHIC DATA OF ALCOHOLIC PATIENTS 1 AGE IN YEARS 21-30 6 31-40 15 41-50 7 51-65 2 2 EDUCATION Primary 7 Secondary 10 Higher secondary 6 Graduate 7 3 OCCUPATION A.TYPE OF WORK Business 10 Farmer 5 Tailor 1 Accountant in Rashionshop 1 Goldsmith 1 Hotel Supervisor 1 Driver 2 Construction Worker 1 Engineers 4 Mandapam Decorator 1 Carpenter 1 Cable T.V. Manager 1 B.HOURS OF WORK 6 10 11 11 15 19 C.INCOME PER MONTH 1000-5000 4 6000-10,000 15 11,000-15,000 8 16,000-20,000 3 D.CONFLICT IN WORK AREA Present 10 Absent 20 4 FAMILY HISTORY A.MARITAL HISTORY Married 24 Single 6 B.MARITAL DISHARMONY Present 13 Absent 11 C.RELATIONSHIP WITH SPOUSE Maintains good relationship 12 Not maintains good relationship 12 D.RELATIONSHIP WITH CHILDREN Maintains good relationship 22 Not maintains good relationship 2 E.TYPE OF FAMILY Joint family 6 Nuclear family 18 F.FAMILY HISTORY OF ALCOHOLISM Present 5 Absent 25 SOCIAL HISTORY A.SOCIAL SUPPORT Neighbors 0 Peer group 1 Friends 3 Family 26 5 ALCOHOLIC HISTORY A.DURATION OF ALCOHOL INTAKE IN YEARS 1 5 3 6 10 10 11 15 15 16-20 2 B.CONSUMPTION OF ALCOHOL STARTED BY Friends 25 Family members 2 Relatives 3 Self 0 C.QUANTITY OF ALCOHOL WHEN STARTED (BEAR) ML 100-300 23 400-600 7 700-900 0 D.QUQNTITY OF ALCOHOL CONSUMPTION AT PRESENT(HOT)ML 100-300 0 400-600 19 700-900 11 E.TIME OF DRINKING ALCOHOL Morning 0 Evening 12 Both 4 Throughout the Day 14 F.MONEY SPENT ON ALCOHOLISM 1000-3000 1 4000-6000 22 7000-9000 7 G.MOTIVATION FOR TREATMENT OF ALCOHOLISM Family members 5 Relatives 5 Self 13 Treated patients 0 H.REASON FOR ALCOHOLISM Physical Illness 0 Psychiatric Illness 0 Psychological Illness 17 Peer group Influence 13 4.2. Assessment of Problem Index among Alcoholic Dependants: Among thirty alcoholic dependants, Majority of alcoholic dependants are not able to work, inability to carryout responsibilities, had fight with relatives, neglected by relatives, advised by relatives and friends, to stop alcohol, noticed a change in personality, most of them felt guilty,neede more alcohol to get the same effect previous one, and felt physically and psychologically dependant on Alcoholism. TABLE 2 ASSESSMENT OF PROBLEM INDEX n=30 S.No PROBLEM STATEMENTS 1 2 3 4 1 Not Able To Work 10 15 5 0 2 Neglected Responsibilities 10 15 5 0 3 Had Fight With Others 20 5 5 0 4 Neglected By Relatives 10 14 6 0 5 Advised By friends, neighbours, relatives to stop alcohol 0 20 10 0 6 Kept Promised To Stop Drinking 10 12 8 0 7 Noticed A Change In Personality 12 16 2 0 8 Felt Guilty 0 23 7 0 9 Forgetting Places 16 14 0 0 10 Fainted Suddenly 26 4 0 0 11 Gone Suddenly 26 3 1 0 12 Needed More Alcohol To Get The same Effect As Of previous One 0 20 6 4 13 Tried To Control Drinking 16 8 6 0 14 Stopped Drinking Because Of Withdrawal Symptoms 20 10 0 0 15 Felt physical or Psychologically dependant On Alcohol 0 16 10 4 Score Interpretation: 1.None of the Time, 2.1-2 Time, 3.3-4 Times, 4.More than five t imes 4.3. Assessment of Level of Self-Esteem among alcoholic Dependants: Fifty one patients were got admitted in kasthuriba Gandhi de-Addiction Centre, Coimbatore in the month of July. Among them thirty alcoholic dependants were selected for the study based on the exclusion criteria. Level of self-esteem was assessed for each patient by using self-esteem assessment tool. All thirty alcoholic dependants were having low self-esteem that they become anger when criticized, afraid to try new things, showing difficulty in performing social activities and social interaction. All the alcoholic Dependants were scored the level of self-esteem score between50-60. 4.4. Promotion of Self-Esteem Activities: Self-Esteem activities are promoted by scheduling as individual and group activities. Individual activities are promoted in the morning and group activities are promoted in the evening to boost up self-esteem among Alcoholic dependants. TABLE 3 Self-Esteem Activities Protocol S. No Time Activities 1 Morning Individual Activities 8.30-9.30am A. Self Reporting 11.00-12.00Noon B. Art Writing 2 Afternoon Group Activities 1.30-3.00Pm A. Psychodrama 3.30-5.00Pm B. Tenniquoite TABLE 4 ASSESSMENT OF SELF-ESTEEM BEFORE PROMOTING SELF-ESTEEM ACTIVITIES n=30 S. No Level of Self-Esteem No. of. Patients Pre test 1. Self- Esteem Score (46) 30 SCORE INTERPRETATION: Problems with low self-esteem are indicated by a total score higher than 46 TABLE 5 ASSESSMENT OF SELF-ESTEEM AFTER PROMOTING SELF-ESTEEM ACTIVITIES n=30 S. No Level of self-Esteem No. of. Patients Pretest Post test 1. Self-Esteem Score(46) 30 0 TABLE 6 COMPARISON OF SELF-ESTEEM BEFORE AND AFTER PROMOTING SELF-ESTEEM ACTIVITIES n=30 S. No Level of Self-Esteem Pre test Post test 1 Self-Esteem Score(46) 30 30 2. Self-Esteem Score(46) 0 30 INTERPRETATION: Thirty alcoholic Dependants were scored 46 before promoting Self-Esteem activities. But after promoting Self-Esteem Activities they have scored 46 TABLE 7 Difference in pretest and Posttest Self-Esteem Score of Alcoholic Dependants S. No Pretest Score Posttest Score Difference 1 56 33 23 2 54 36 22 3 56 32 24 4 56 32 24 5 55 30 25 6 54 33 21 7 52 34 22 8 52 33 21 9 55 33 22 10 55 32 23 11 54 31 23 12 54 30 24 13 56 33 23 14 54 31 23 15 55 32 23 16 56 33 23 17 56 33 23 18 54 33 21 19 56 34 22 20 54 32 23 21 56 33 21 22 54 33 23 23 55 33 21 24 56 34 22 25 53 32 21 26 56 33 21 27 54 30 23 28 56 36 20 29 55 33 22 30 53 34 19 TABLE 8 COMPARISON OF SELF-ESTEEM BEFORE AND AFTER PROMOTING SELF-ESTEEM ACTIVITIES n=30 S. No Level of Self-Esteem Pre test Post test 1 Self-Esteem Score(46) 30 0 2. Self-Esteem Score(46) 0 30 INTERPRETATION: Thirty alcoholic dependants were scored 46 before promoting self-esteem activities. But after promoting self-esteem activities they have scored 46 4.5. COMPARISON OF PRETEST AND POSTTEST LEVEL OF SELF-ESTEEM AMONG ALCOHOLIC DEPENDANTS In order to find out the significant difference between pretest and posttest scores of level of self-esteem, pairedà ¢Ã¢â€š ¬Ã‹Å"tà ¢Ã¢â€š ¬Ã¢â€ž ¢ test was compared to test the significance, the hypothesis was stated. Hypothesis: There is a significant difference in level of self-esteem before and after promoting self-esteem activities. t = d/SD/n SD = (d-d)/n-1 (d-d) = 65.25 SD= (65.25)/30-1 SD= 65, 25/29 SD= 2.25 SD=1.5 t=d/SD/n =21.5/1.5/30 =21.5/1.5/5.4 =21.5/0.27 t=79.62 df=n-1 =30-1 =29 As the calculated value is 79.62, which is greater than table value (3.66)at the degree of freedom of 29.It is significant at the level of 0.001,and hypothesis is accepted. Hence there is significant improvement between mean pretest and posttest score of self-esteem. 4.6. Influence of demographic variables on Alcoholic dependants with low self-esteem: 4.6.1Influence of age on pretest score of alcoholic dependants with low sel-esteem: Karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: Age positively influence low self-esteem among alcoholic dependants. There is a relationship between age and level of self-esteem. r= XY/(x-x)(y-y) =3068/1715(49) =3068/84035 =0.0365 =0.191 The calculated value is 0.191 that there is a positive correlation between age and level of self-esteem. Hypothesis is accepted hypothesis. 4.6.2Influence of hours of work on pretest score of alcoholic dependants with low self-esteem: Karl Pearson co-efficient of correlation between hours of work and pretest self-esteem score of alcoholic dependants. Hypothesis: Hours of work positively influence low self-esteem among alcoholic dependants. There is a relationship between hours of work and level of self-esteem r= XY/(x-x) (y-y) =157.92/81.76 (49) =157.92/4006.2 8 =0.03941 =0.198 The calculated value is 0.198 that there is a positive correlation between hours of work and level of self-esteem..Hypothesis is accepted hypothesis. 4.6.3 Influence of duration of alcohol intake on pretest score of alcoholic dependants with low sel-esteem: Karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: Duration of alcohol intake positively influence low self-esteem among alcoholic dependants. There is a relationship between duration of alcohol intake and level of self-esteem. r= XY/(x-x)(y-y) =572/405(49) =572/19845 =0.028 =0.169 The calculated value is 0.169 that there is a positive correlation between duration of alcohol intake and level of self-esteem. Hypothesis is accepted hypothesis. 4.6.4 Influence of quantity of alcohol intake on pretest score of alcoholic dependants with low self-esteem: Karl Pearson co-efficient of correlation between quantity of alcohol intake and pretest self-esteem score of alcoholic dependants. Hypothesis: quantity of alcohol intake positively influence low self-esteem among alcoholic dependants. There is a relationship between quantity of alcohol intake and level of self-esteem. r= XY/(x-x)(y-y) =565908/547890(49) =565908/268466 =2.1 =1.4 The calculated value is 0.14 that there is a positive correlation between quantity of alcohol intake and level of self-esteem. .hypothesis is accepted hypothesis. 4.6.5Influence of age on pretest score of alcoholic dependants with low sel-esteem: karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: Age of Alcoholic dependants positively influence low self-esteem among alcoholic dependants. There is a relationship between r= XY/(x-x)(y-y) = 4289/1891.2(70.8) = 4289/132370 = 0.032 = 0.18 The calculated value is 0.18 that there is a positive correlation between age and level of self-esteem. .hypothesis is accepted hypothesis. 4.6.6Influence of hours of work on posttest score of alcoholic dependants with low sel-esteem: karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: hours of work positively influence low self-esteem among alcoholic dependants. There is a relationship between hors of work and level of self-esteem. r= XY/(x-x)(y-y) =320/1715(70.8) =320/121422 =0.0026 =0.05 The calculated value is 0.05 that there is a positive correlation between hours of work and level of self-esteem. .hypothesis is accepted hypothesis. 4.6.7 Influence duration of alcohol intake on posttest score of alcoholic dependants with low sel-esteem: karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: Duration of alcohol intake positively influence low self-esteem among alcoholic dependants. There is a relationship between hors of work and level of self-esteem. r= XY/(x-x)(y-y) =1175.5/405(70.8) =1175.5/28674 =0.04 =0.20 The calculated value is 0.20 that there is a positive correlation between duration of alcohol intake and level of self-esteem. .hypothesis is accepted hypothesis. 4.6.9 Influence of quantity of alcohol intake on posttest score of alcoholic dependants with low sel-esteem:karl Pearson co-efficient of correlation between age and pretest self-esteem score of alcoholic dependants. Hypothesis: hours of work positively influence low self-esteem among alcoholic dependants. There is a relationship between hors of work and level of self-esteem. r= à ¢Ã‹â€ Ã¢â‚¬Ëœ XY/(x-x)(y-y) =9597444/547890(70.8) =9597444/38790612 =0.02 =0.157 The calculated value is 0.157 that there is a positive correlation between quantity of alcohol intake and level of self-esteem. .hypothesis is accepted hypothesis. CHAPTER V RESULTS AND DISCUSSION Introduction: The main aim of the study was to assess the level of self-esteem among alcoholic dependants and to promote self esteem activities. The study was conducted in Kasthuriba Gandhi De-Addiction centre at Coimbatore. A total of thirty patients were selected for the study .each patients baseline information was collected to understand the background of the patient and also some of the factors such as age, occupation, income which are expected to have an impact on alcoholism. 5.1 General Profile of the Alcoholic Dependants: The young age of alcoholic dependant who started intake of alcohol at the age of 21years was six and in the age of 65years are two. Many research studies says that, alcohol abuse and alcohol Dependence are not only adult problems they also affect a significant number of adolescents and young adults between the ages of 12-20,eventhough drinking under the age of 21 is illegal(Joseph.A,2008). Study shows seven alcoholic dependants were having only primary level of education others were completed their secondary, higher secondary and graduates. An individual receives less than or up to 12 years of education can the causative effect of Alcoholism. This finding implies that improving educational levels has the potential to counteract the risk factors and help to prevent alcoholism said Wan. Most of the alcoholic dependants were heavy workers such as drivers, civil engineers; farmerà ¢Ã¢â€š ¬Ã¢â€ž ¢s etc. Some study shows occupation has higher alcoholism rates, High risk occupation s attract problem drinkers or create them through job pressures. One hundred and fifty male manual recruits to Scottish breweries and distilleries were interviewed and compared with similar men in lower risk jobs. The alcohol producers reported poorer employment records and were significantly heavier drinkers than the controls. The alcohol producers were also more likely than the controls to have drunk more since recruitment. These results suggest that the drink trade attracts a disproportionate number of people likely to develop alcohol-related problems and indicates that drinking habits may be strongly influenced by work environment. In this study some alcoholic dependants started taking alcohol by learning from peergroups, work environment. The culture of the workplace may either accept and encourage drinking or discourage and inhibit drinking. A workplaces tolerance of drinking is partly influenced by the gender mix of its workers. Studies of male-dominated occupations have d escribed heavy drinking cultures in which workers use drinking to build solidarity and show conformity to the group (4, 5). Some male-dominated occupations therefore tend to have high rates of heavy drinking and alcohol-related problems (6, 7 In my study four Alcoholic dependants are having monthly Income Rs.1000-4000,Most of the alcoholic dependants are having the monthly income of more than 6000-20000.The more income people have higher social status or class, more likely theirhigh socio-economic status induces to drink alcoholic beverages. Marital disharmony also one of the risk factor for consuming alcohol, here in general practice alcoholism should be considered, when the doctor detects marital disharmony, repeated sickness absenteeism, repeated aggressive behavior, patients presenting with anxiety and depression, and those who smell of drink.( B. D. Hoer and R. H. Wilkins). Psychological factor plays a major role in consumption of alcohol, most of the alcoholic dependa nts in this consumes alcohol due to psychological factors. some research studies says that people turn to alcohol during periods of stress, frustration e.g. as a result of failure in an exam, loss of dear one, marital breakup, loss of personal property, etc as a way of trying to overcome the stress or depression. 5.2. Assessment of Problem Index Among alcoholic Dependants: Among thirty alcoholic dependants, majority of alcoholic dependants are not able to work, had inability to carryout responsibilities, had fight with relatives, were neglected by relatives,were advised by relatives and friends to stop alcohol, noticed a change in personality, most of them felt guilty, neede more alcohol to get the same effect as previous one, and felt physically and psychologically dependant on Alcoholism. 5.3. Assessment of level of self-esteem among Alcoholic dependants: Data on level of self-esteem pointed out that most of the alcoholic dependants are having low self-esteem. Their level of self-esteem was assessed by using self-esteem scale .Most of them scored the item very often(3) that inability to accept criticism, poor social interaction, afraid to try new things, difficulty to look people in the eye, uncomfortable in the presence of strangers, Feeling embarrassment when others are praising etc. There is a significant amount of research on the relationship between self-esteem and focusing on how self-esteem influences who is likely to consume alcohol. Research shows that low self-esteem is negatively correlated with alcohol consumption. In a study on adolescent drinking behavior, adolescents with high self-esteem reported consuming less alcohol than adolescents with low self-esteem and reported smaller increases in alcohol consumption over time (Gerald, Gibbons, Bergen, 2000). In addition in a study on college students. Students with lo w self-esteem became more intoxicated than students with high self-esteem (Glindemann, Geller, and Fortney, 1999).Although research shows a relationship alcohol and self-esteem. TABLE 5.1 5.4. Promotion of Self-esteem Activities among Alcoholic Dependants: S. No Time Activities 1 Individual Activities 8.30-9.30am A. Self Reporting 11.00-12.00Noon B. Art Writing 2 Group Activities 1.30-3.00Pm A. Caroms 3.30-5.00Pm B. Volley Ball 5.5. Comparison of Level of Self-Esteem Before And After Promoting Self-Esteem Activities: It was found in the assessment that the level of self-esteem was improved after promotion of self-esteem activities. Alcoholic dependants who scored the item very often (3) in the pretest were scored sometimes (2) or occasionally (1) after promotion of self-esteem activities. Patients were actively participated in self-esteem activities, before promoting self-esteem activities alcoholic dependants had the problems like becoming angry for criticism, poor interaction, inability to try new things, having difficulty looking people in the eye, difficulty making small talk, etc.But after promoting self-esteem activities alcoholic dependants showed an improvement in accepting criticism, trying new things, facing other peopleà ¢Ã¢â€š ¬Ã¢â€ž ¢s in the eye, good social interaction. CHAPTER VI SUMMARY AND CONCLUSION The present study was conducted in selected De-Addiction Centre, Coimbatore from 28.6.10-25.7.10.Alcoholic dependants were selected by sample free technique. The level of self-esteem was assessed by using self-esteem scale. alcoholalcohol induced psychiatric illness and dependants with high self-esteem were excluded. After initial assessment of self-esteem, self-esteem activities were promoted which include Individual and Group activities. Reassessment was done after a gap of fourteen days using the same scale to identify the enhancement in promotion of self-esteem of alcoholic dependants. The data collected during assessment and was revealed that the level of self-esteem had significantly improved after promotion of self-esteem activities. The demographic variables like age, hours of work, quantity of alcohol intake, and duration of intake of alcohol were analyzed by using Karl Pearsonà ¢Ã¢â€š ¬Ã¢â€ž ¢s co-efficient of co-relation to identify the influence of these variable s on the level of self-esteem and alcoholic dependants. The results indicated that there is a positive relationship between age hours, quantity, duration of alcohol intake and pretest self-esteem score of alcoholic dependants. The results also indicated for posttest. The significance of level of self-esteem on pretest and posttest level of alcoholic dependants were calculated using pairedà ¢Ã¢â€š ¬Ã¢â€ž ¢tà ¢Ã¢â€š ¬Ã¢â€ž ¢test.The results showed that after promoting self-esteem activities the alcoholic dependants had a significant improvement in level of self-esteem. 6.1. Major Findings of The Study: Majority of alcoholic dependants were in the age group of 20-65years. In pre assessment of level of self-esteem all 30 alcoholic dependants had low self-esteem. In post assessment of level of self-esteem, all 30 alcoholic dependants had improved their self-esteem. The mean pretest score .there is a increase in posttest mean score. The paired à ¢Ã¢â€š ¬Ã‹Å"tà ¢Ã¢â€š ¬Ã¢â€ž ¢test value of self-esteem is 9à ¢Ã¢â€š ¬Ã¢â€ž ¢tà ¢Ã¢â€š ¬Ã¢â€ž ¢= ) is greater than the table value at the degree of freedom 29 is significant at the level of 0.001. 6.2 Limitation of The Study: This study was limited only to alcoholic dependants This study was aimed only to promote self-esteem of alcoholic dependants The study was limited only to the De-addiction centre. 6.3 Suggestions For Further Study Similar study can be conducted for other psychoactive substance use disorders patients A similar study can be conducted with family members. A similar study can be conducted for alcoholic dependants on any psychiatric set up. A study can be conducted among friends of alcoholic dependants who regularly visit wine shops/bars/Arrack shops. A study can be conducted on childrenà ¢Ã¢â€š ¬Ã¢â€ž ¢s of alcoholics to identify the level of self-esteem. 6.4 Recommendations: A follow up study on promotion of self-esteem among alcoholic dependants after six months to one year can be carried out to explore in to the retaining impact of self-esteem. Mass media, Posters can be used to create awareness on alcohol treatment to public; this will be helpful in removing misconceptions regarding alcoholic patients. A similar study can be conducted to assess the self-esteem of the childrenà ¢Ã¢â€š ¬Ã¢â€ž ¢s of alcoholics and to promote self-esteem activities earlier. 6.5. Conclusion: The study highlights the practice of self-esteem activities are useful tools for Alcoholic dependants who are having low self-esteem. Thre is no medical treatment to treat low self-esteem, only we can promote self-esteem by involving them in self-esteem activities .Alcoholic dependants with low self-esteem need positive reinforcement to enhance self-esteem. Individual activities makes the individuals to complete the task by alone and improves the individual capablity. Group activities makes the group to work together to achieve the task and also it improves social interaction. The study review showed that promotion of self-esteem activities among alcoholic dependants was the most effective method for enhancement of self-esteem. The result can potentially be employed as non-pharmacologic adjuvant therapy in the management of alcoholic dependants with low self-esteem.