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chapter 2

Dulfano. Systems approachEach person brings own

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chapter 2

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    1. Chapter 2

    3. Kaufman 4 types of alcoholic families: Functional family Neurotic, enmeshed family Disintegrated family Absent family

    4. Functional Family System Dependent drinks due to problems outside of family Relationships are good Family is relatively stable Intervention Exploration of implicit rules/roles Family expectations of behavior

    5. The Neurotic Enmeshed Family Drinking has disrupted family functioning Ineffective communication Family feels guilty/responsible for drinking Partners fight for control of family/self Likely to see abuse/neglect Intervention Therapy/education Involvement with others outside of family

    6. Disintegrated Family More enmeshed Dependent is more likely to be out of home Intervention Usually begins with dependent Explores relationships with family When dependent is stable, reunification is considered Relationships need to be redefined

    7. Absent Family Drinking creates complete separation from family Most relationships are drinking centered Reunification/reconciliation not likely Intervention Work to establish new social systems (church, support groups, etc.) Not all will be able to do this

    8. Therapeutic Models Disease Model Family members develop characteristics similar to dependent Family is seen as developing specific roles and communication problems Family often treated separately Referred to Al-Anon, ACOA groups Little research to see if works

    9. Therapeutic Models Behavioral Model Drinking continues because its reinforced Focus is on how family responses trigger behavior Goal is to find ways to replace reinforcement for drinking with reinforcements for sobriety Research indicates best results with alcoholic couples

    10. Therapeutic Models Family Systems Model Focuses on organization of family and maintaining homeostasis Believes that family roles/rules are organized around alcohol use Focus is on family as a unit Therapy looks as redefining roles, identifying alliances, changing communication Looks at generational affect of dependence

    11. Issues related to drugs other than alcohol Are there differences in the effect on others depending on the drug used? In small groups, discuss the 6 considerations listed on pages 18-19. Be prepared to discuss your opinions.

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