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Alcoholism / Co-Dependency

Alcoholism / Co-Dependency. Going over the edge… stepping beyond the line!!. Where do we get our attitudes about alcohol?. Parents Religion / Spiritual beliefs Culture and tradition Social norms Direct contact with an alcoholic Peers. Why do people “drink”?. Milk - health

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Alcoholism / Co-Dependency

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  1. Alcoholism / Co-Dependency Going over the edge… stepping beyond the line!!

  2. Where do we get our attitudes about alcohol? • Parents • Religion / Spiritual beliefs • Culture and tradition • Social norms • Direct contact with an alcoholic • Peers HSS 4933 - Drug Education

  3. Why do people “drink”? • Milk - health • Water - thirst • Soda - good taste • Coffee • curiosity (“big people’s drink”) • custom (coffee break) • conviviality (social meetings) • alertness (morning start) HSS 4933 - Drug Education

  4. Why do people “drink”? • Alcohol • curiosity (“big people’s drink”) • custom (celebrations, contracts) • conviviality (social meetings) • pleasure / euphoria • escape • pain relief HSS 4933 - Drug Education

  5. Affects on Brain Organization X X X X X X C2H5OHHOH5C2 (ethanol) - H2O (water)  C2H5O - C2H5 (ether)

  6. Alcohol use creates... • dryness / burning • pleasure / euphoria • excitement • nausea • pre-anesthesia • Note: typically can’t drink enough to get past here! • anesthesia • death HSS 4933 - Drug Education

  7. Metabolism of Alcohol Alcohol  Acetaldehyde  Acetate  CO2 + H2O • 80% of absorption occurs in small intestine • 90-98% of metabolism occurs in the liver • metabolism competes for oxygen • ~ 1/3 ounce per hour (more efficient in males) HSS 4933 - Drug Education

  8. Alcohol States of Consciousness • ASC-1: absorption and increasing BAC • ASC-2: post peak and declining BAC • ASC-3: halfway between peak and “zero” BAC • ASC-4: post zero BAC (up to 32 hours) HSS 4933 - Drug Education

  9. Behavioral Types • Jocose - the “joker” • Amorose - the “lover” • Lachrymose - the “cryer” • Bellacose - the “fighter” I / E (intellect controls emotion) + drug  E / I (emotion controls intellect) HSS 4933 - Drug Education

  10. Characteristics of Alcoholism(gamma alcoholism) • Primary disease • Progressive disease • Chronic disease • Fatal disease • accidental death • choking / aspiration • liver cirrhosis and other chronic conditions HSS 4933 - Drug Education

  11. Statistics: • Alcoholism • 5% of all adults who drink become dependent • 7% experience negative psychosocial consequences • 20% of college students come from families where chemical dependency is a reality • Societal costs ($25 - 50 Billion) • accidents • health care • absenteeism • decreased productivity HSS 4933 - Drug Education

  12. Euphoria Normal Pain The “Feeling Chart” “Learn” and/or “Seek” the Mood Swing HSS 4933 - Drug Education

  13. Euphoria Normal Pain The “Feeling Chart” “Harmful Dependence” HSS 4933 - Drug Education

  14. Euphoria Normal Pain The “Feeling Chart” Drinking to Feel “Normal” HSS 4933 - Drug Education

  15. Signs / Symptoms of Trouble • Progressive emotional costs • discomfort  low self image  self destruction • Intellectual defenses • rationalization • fantasy • denial • projection (spouse, family, co-workers, etc.) HSS 4933 - Drug Education

  16. Signs / Symptoms of Trouble • Mood swings / Personality changes • Rigidity of thinking • Tolerance to effects of alcohol • Unpredictable and compulsive patterns • Blackouts (physical) and repression / euphoric recall (psychological) HSS 4933 - Drug Education

  17. Co-Dependency primary disease within every family member of an alcoholic family of origin; related to attempts to adapt to a sick family system that seeks to protect and enable the dependent individual (“external referenting”) HSS 4933 - Drug Education

  18. Types: • Co-Alcoholic: assumes the responsibilities of the dependent individual (i.e., adaptation) • Para-Alcoholic: learns and expresses the behavior of the dependent individual (i.e., imitation) HSS 4933 - Drug Education

  19. Feeling Signs • Super-responsibility • Hyper-sensitivity • Hypochondria • Powerlessness • Self blame • Difficulty with emotional expression, in general HSS 4933 - Drug Education

  20. Behavioral Signs • Difficulty with following through (falling short of potentials) • Difficulty with intimacy • Difficulty with work commitments • Difficulty with self-destructive enmeshments • Difficulty with telling the truth • Difficulty with personal evaluation • Difficulty with life perspective HSS 4933 - Drug Education

  21. Unhealthy Families closed to change rule by edict power driven actions by impulse poor communication deceit Healthy Families open to change choices self worth actions by reality good communication honesty -- Family Systems -- HSS 4933 - Drug Education

  22. -- Family Dynamics -- • Hero Child / Responsible One • Scapegoat • Mascot / Clown • Lost Child HSS 4933 - Drug Education

  23. -- Family Intervention -- C ommunication A cceptance R eality I ndividuality N eeds G rowth HSS 4933 - Drug Education

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