1. Families and Social Groups CSD 5970

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

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