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The Impact of Substance Abuse on Families

The Impact of Substance Abuse on Families. by Annika Fleischmann 14.09.2015. What is codependency?.

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The Impact of Substance Abuse on Families

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  1. The Impact of Substance Abuse on Families by Annika Fleischmann 14.09.2015

  2. What is codependency? “Codependent relationships are where one person supports or enables another person's addiction, poor mental health, immaturity, irresponsibility, or under-achievement. Among the core characteristics of codependency, the most common theme is an excessive reliance on other people for approval and identity.” (www.bpdfamily.com)

  3. Addiction as a family disease • The whole family is sick! • intoxicant emotions: shame, guilt, resentment, self-pity, worry, anger • Four stages of family illness

  4. Stage 1: concern • concern • addiction not recognized • little knowledge about addiction • can take years  The family doesn’t know yet what they are dealing with!

  5. Stage 2: defense • Something is wrong! • defense • denial • covering up/lying/minimizing • “blackouts” • preoccupancy with addicts behavior • feeling of responsibility for addict and his behavior • family thinks, it can handle the matter and problems can be solved within the family

  6. Stage 3: adaption • adaption to situation • change of behaviors • self-loss

  7. Stage 4: exhaustion • Exhaustion • anxiety and depression • Nothing is working! • No more excuses! • fear  Hitting rock bottom  Recovery

  8. Roles in the addicted family system CHIEF ENABLER: • protection • embarrassment prevention • anxiety reduction • reduction of consequences • underlying feelings: inadequacy, fear, helplessness

  9. Roles in the addicted family system THE HERO • perfectionism • optimism • distraction • modeling • blockage of negative emotions • underlying feelings: fear, guilt, shame

  10. Roles in the addicted family system THE SCAPEGOAT • distraction • antisocial behavior • bad performance • substance abuse • underlying feelings: shame, guilt, emptiness

  11. Roles in the addicted family system THE LOST CHILD • ignorance to problem • absenteeism (physical/emotional/mental) • “good” child • giving up of own needs • stress avoidance • underlying feelings: guilt, loneliness, neglect, anger

  12. Roles in the addicted family system THE MASCOT • humor • clown • distraction • optimism • underlying feelings: embarrassment, shame, anger

  13. Being a child of a drug user • physical abuse and neglect • one of the most likely reason why children are taken into the care system • negative effect on parent-child-relationship  emotional neglect • drug abuse • children left with extended family members

  14. Being a sibling of a drug user • siblings contribute to each others substance abuse • siblings cover up, take the users position in the family, get lost, feel neglected • BUT ALSO: siblings support addicts during treatment

  15. Being the spouse of a drug user • neglect • manipulation • financial problems • depression and other mental health problems

  16. Case study Leo • Drugs of choice: alcohol, cannabis, cocaine, amphetamines (MDMA), methamphetamines (speed) • mother: enabler, developed a drug problem herself • father: uninvolved • twin brother: achiever • younger brother: lost child

  17. Case study Harry • Drug of choice: alcohol • mother: depressed, headaches • father: somehow denial • older sister: lost child, depressed • younger brother: hero • Family in stage 2-3

  18. References • Bernard, Maria (2007): Drug Addiction and Families. London: Jessica Kingsley Publishers. • http://bpdfamily.com/content/codependency-codependent-relationships • http://www.firststepnc.com/alcohol-and-drug-addiction • https://www.marrinc.org/roles-in-the-addicted-family-system/ • http://learningcircle.ubc.ca/files/2011/03/UBC-Learning-Circle-March-10th-2011-Addiction-and-Codependency.pdf

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