WORKING WITH THE FAMILY

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Presentation transcript:

WORKING WITH THE FAMILY A SYSTEMS APPROACH

FAMILIAL STAGES OF CHEMICAL DEPENDENCY DENIAL ATTEMPTS TO ELIMINATE THE PROBLEM DISORGANIZATION AND CHAOS REORGANIZATION DESPITE THE PROBLEM EFFORTS TO ESCAPE FAMILY REORGANIZATION

A NEED TO TREAT THE WHOLE FAMILY ALL ARE AFFECTED TO SOME DEGREE SUPPORT FOR THE RECOVERING INDIVIDUAL (ALL PART OF THE SOLUTION) BREAKING DYSFUNCTIONAL PATTERNS OF INTERACTION (TRIANGULATION) BREAKING DYSFUNCTIONAL BEHAVIORS OF ADAPTATION (ENABLING) ADDRESSING FEELINGS SPOUSAL ISSUES

A NEED TO TREAT THE WHOLE FAMILY PARENTAL SUBSTANCE ABUSE OTHER STRESSORS INSIDE AND OUTSIDE OF FAMILY PROBLEMS REGARDING FAMILIAL RULES/ROLES CONNECTING TO SUPPORT SYSTEMS (AL-ANON, ALATEEN) FAMILY INTERVENTIONS BE SENSITIVE TO MULTICULTURAL ISSUES

FAMILIAL RULES DON’T TALK DON’T TRUST DON’T FEEL

FAMILIAL ROLES DEPENDENT SURVIVOR (CHIEF ENABLER) HERO CHILD (SUPER RESPONSIBLE) LOST CHILD (ADJUSTER) SCAPE GOAT (ACTING OUT) MASCOT (ENTERTAINER) PLACATER (HOUSE HOLD SOCIAL WORKER)

ADDRESSING CO-ADDICTION (SURVIVOR)

DEFINING ENABLING AN UNWILLINGNESS TO SERIOUSLY CHALLENGE THE DRUG-DEPENDENT PERSON’S DYSFUNCTIONAL BEHAVIOR THUS PERPETUATING THE PRESENTING PROBLEM OF DEPENDENCE OR ADDICTION . (FENELL & WEINHOLD) SHOULD BE SEEN AS NORMAL IN ADAPTING TO THE DRINKING OR DRUGGING.

CHARACTERISTICS OF CO-ADDICTION/SURVIVOR: THE FOCUS BECOMES ON THE DEPENDENT AS OPPOSED TO SELF MEETING OTHER’S NEEDS AT THE EXCLUSION OF OWN NEEDS ENMESHMENT BOUNDARY DISTORTION

CHARACTERISTICS CONTINUED FEAR OF ABANDONMENT DENIAL FROZEN FEELINGS DEPRESSION ANXIETY HYPERVIGILENCE OBSESSIVE AND COMPULSIVE

CHARACTERISTICS CONTINUED SUBSTANCE ABUSE STRESS RELATED DISORDERS TRYING TO CONTROL THE UNCONTROLLABLE

SURVIVOR TREATMENT ISSUES LOOK AT STAGES OF CHANGE MODEL AS COMPARED TO THE FAMILIAL STAGES OF DEPENDENCY * PRECONTEMPLATION * CONTEMPLATION * PREPARATION * ACTION * MAINTENANCE

SURVIVOR TREATMENT ISSUES SETTING BOUNDARIES BREAKING ENABLING BEHAVIOR DEALING WITH AND EXPRESSING FEELINGS EXPRESSING NEEDS & WANTS

SURVIOR TREATMENT ISSUES CARING WITHOUT CONTROLLING BUILDING SELF-ESTEEM AND OWN IDENTITY USE OF SUPPORT GROUPS (AL-ANON AND CODA)