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Understanding Chemically Dependent Families: Roles, Therapy Models & Community Influence

Explore the dynamics of chemically dependent families, family roles, therapy models, and the impact of community support on treatment outcomes. Learn about genetic predisposition, environmental influences, and the importance of family therapy for successful interventions.

odette-hardy
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Understanding Chemically Dependent Families: Roles, Therapy Models & Community Influence

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  1. CSD 5970 Families and Social Groups

  2. A Family Problem • Genetic predisposition • first generation risk 7 times • risk highest for males • Higher in alcoholism than drug addiction • Environmental • 1/3 of all families affected (Curtis. 1999)

  3. What Is a Family? • Families are composed of individuals in close relationship to each other with patterned, predictable, interactions. • Non-traditional families.

  4. Families in Treatment • Acceptance of the disease model reduced family involvement in treatment. • Adult children of alcoholics • Interventions

  5. Systems Theory

  6. Characteristics • Stability/change • Roles • Rules and rituals • Values • Alliances & coalitions • Resilience • Can family therapy be successful without abstinence?

  7. Chemically Dependent Families (Lowery, 1998) • Substance abuse is the central organizing principle. • Balance between growth and stability is skewed in favor of short term stability. • Boundary and hierarchy problems (cross-generational coalitions). • Frozen growth and development. • Shame, grief, stress, and guilt.

  8. Chemically Dependent Families Steinglass, Davis & Berenson, 1977 • Alcohol use becomes incorporated into family problem solving. • “Change back reaction” Filstead, McElfrish, & Anderson • High degree of conflict and absence of expression of feeling. • “don’t talk, don’t trust, don’t feel”

  9. Family Roles Satir • Placater • Blamer • Irrelevant (avoidant) • Superresponsible

  10. Family Roles Wegschieder, 1981 • Chemically Dependent Person • Chief Enabler • Scapegoat • Lost Child • Family Mascot

  11. Child Family Roles Black • Misbehaving, obviously troubled • Mature, stable, overachieving • ACOA issues • Marriage to alcoholics • Depression

  12. Families in Treatment • Codependency • Shame • Emotional Abuse • Sexual Abuse • Domestic Violence

  13. Family Therapy Models • Structural • Strategic • Intergenerational • Experiential

  14. Family Therapy Models • Who are the founders or proponents of the model? • Identify the organizing principles. • How does it work? • What are the outcomes with chemically dependent families?

  15. Community • A community exists when people form a social group based on common location, interest, identification, culture, and/or activities.

  16. Community • Human beings are social creatures and the self is a social creation.

  17. Community • Is the right to self-determination equally available to everyone?

  18. Community • geographic community • communities of identification • community resources

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