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Alcoholism

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Roles in healthy families define behavior, yet leave members free to express ... hostility, manipulation, aggression, blaming, charming, rigid values. Inside: ... – PowerPoint PPT presentation

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Title: Alcoholism


1
Alcoholism
2
Dysfunctional Families
  • They are doing the best they can with what they
    have
  • Families are attempting to maintain homeostasis

3
Family Dynamics The Rules
  • Dont talk
  • Dont feel
  • Dont trust

4
Familys reaction to alcohol abuse
  • 1. Deny the problem
  • 2. Try to eliminate the problem through
  • threats
  • bribes
  • hiding the alcohol

5
  • 3. Becomes disorganized
  • 4. 1st attempt at reorganization
  • 5. Attempts to escape the problem by seeking a
    legal separation or divorce
  • 6. 2nd attempt at reorganization

6
Family Roles
  • Roles in healthy families define behavior, yet
    leave members free to express their individuality
  • Roles in dysfunctional families are selected to
    meet the needs of the system, not the individual

7
Dysfunctional Roles
  • They are mechanisms to maintain balance
  • Roles are not chosen
  • They are imposed on us through the systems needs
  • They deny feelings, uniqueness
  • Dont know who they are except by their role

8
Different Family Roles Victim
  • Chemically Dependent
  • Outside
  • hostility, manipulation, aggression, blaming,
    charming, rigid values
  • Inside
  • shame, guilt, fear, pain, hurt

9
Chief Enabler
  • Closest Emotionally to Victim, protector of
    family
  • Outside
  • self-righteous, super-responsible, sarcastic,
    passive, physically sick, martyr
  • Inside
  • anger, hurt, guilt, low self-esteem

10
Family Hero
  • Caretaker of family
  • Outside
  • good kid, high achiever, follow rules, seeks
    approval, very responsible
  • Inside
  • guilt, hurt, inadequacy

11
Scapegoat
  • Problem child
  • Outside
  • hostile, defiant, rule-breaker, in trouble
  • Inside
  • rejection, hurt, jealousy, anger

12
Mascot
  • Family Clown
  • Outside
  • immature, fragile, cute, hyperactive, distracting
  • Inside
  • fear, anxiety, insecurity

13
Lost Child
  • Forgotten Child
  • Outside
  • shy, quiet, fantasy life, solitary, mediocre,
    attaches to things, not people
  • Inside
  • rejection, hurt, anxiety

14
Costs of Problem Drinking and Alcoholism in the
United States
  • Drowning boat accidents swimmers
  • up to 69 were alcohol related
  • Homicides
  • 50 were alcohol related
  • Child abuse
  • up to 77 of child abusers had been drinking

15
Costs
  • Absenteeism from work
  • Cost of lost production and services

16
Parents The First Line of Defense in Prevention
  • Risk factors
  • family history of drug use
  • harsh or inconsistent discipline
  • no close ties to family
  • access to drugs and alcohol in home and elsewhere

17
  • Protective Factors
  • bonds and connectedness
  • time
  • encouragement and discipline
  • parents at home before and after school

18
  • Parents can
  • have good relationship
  • open lines of communication
  • supervise and monitor and discipline
  • work to be involved in changing communication

19
  • MADD

20
  • The number one reason young people say they dont
    use is because of family
  • Why should businesses have support groups

21
Alcoholism and Drug Abuse Screening Test
  • DIRECTIONS
  • If the statement say something true
    about your, answer yes, if the statement says
    something false about your, answer no.
    Answer all questions

22
  • 1. Do you feel you are a normal drinker/drug
    user?
  • 2. Have you ever awakened the morning after some
    drinking or drug use the night before and found
    that you could not remember part of that evening?
  • 3. Do your parents ever worry or complain about
    your drinking or drug use?

23
  • 4. Can you stop drinking/drugging without a
    struggle after one or two drinks or drugs?
  • 5. Do you ever fell bad about your drinking or
    drug use?
  • 6. Do friends or relatives thinking you are
    abnormal drinker/drug user?
  • 7. Do you ever try to limit your drinking or
    drug use to certain times of the day or to
    certain places?

24
  • 8. Are you always able to stop drinking or using
    drugs when you want to?
  • 9. Have you attended a meeting of Alcoholics
    Anonymous (AA) or Narcotics Anonymous (NA)?
  • 10. Have you gotten into fights when drinking or
    using drugs?
  • 11. Has drinking or drug use ever created
    problems with you and your parents?

25
  • 12. Have your parents ever gone to anyone for
    help about your drinking or drug use?
  • 13. Have you ever lost friends( girlfriends or
    boyfriends) because of your drinking or drug use?
  • 14. Have you ever gotten into trouble at work or
    school because of your drinking or drug use?
  • 15. Have your ever lost a job because of your
    drinking or drug use?

26
  • 16. Have you ever neglected your obligations,
    your family, your work, or school for two or more
    days in a row because you were drinking or using
    drugs?
  • 17. Do you ever drink or take drugs before noon?
  • 18. Have you ever been told you have liver
    trouble?

27
  • 19. Have you had delirium tremens(DTs), severe
    shaking, heard voices, or seen things that
    weren't there after heavy drinking or heavy drug
    use?
  • 20. Have you ever gone to anyone for help about
    your drinking or drug use?
  • 21. Have you ever been in a hospital because of
    your drinking or drug use?

28
  • 22. Have you ever been a patient in a psychiatric
    ward of a general hospital where drugs or
    drinking were part of the problem?
  • 23. Have you ever been seen at a psychiatric or
    mental health clinic, or gone to a doctor, social
    worker, or clergymen for help with an emotional
    problem in which drinking or drugs played a part?

29
  • 24. Have you ever been arrested, even for a few
    hours, because of drunk behavior or possession of
    drugs?
  • 25. Have you ever been arrested for drunk driving
    or driving after drinking?

30
Scoring
  • If you scored 0-3, no significant problem
  • If you scored 4, possible problem
  • If you scored 5 or more, there is a good chance
    you are experiencing some degree of an alcohol or
    drug abuse problem

31
Treatment and prevention of alcoholism
  • Need to be confronted, by people they trust
  • Detoxification treatment program
  • Educate
  • Therapy
  • Become established in the family and community
    again

32
Alcoholics Anonymous The Twelve Steps
  • 1. We admitted that we were powerless over
    alcohol-that our lives had become unmanageable.
  • 2. We come to believe that Power greater than
    ourselves could restore us to sanity.
  • 3. We made a decision to turn our will and our
    lives over the the care of God as we understood
    Him.

33
  • 4. We made a searching and fearless moral
    inventory of ourselves.
  • 5. We admitted to God, to ourselves, and to
    another human being the exact nature of our
    wrongs.
  • 6. We were entirely ready to have God remove all
    these defects of character
  • 7. We humbly asked Him to remover our
    shortcomings.

34
  • 8. We made a list of all persons we had harmed,
    and become willing to make amends to them all.
  • 9. We made direct amends to such people whenever
    possible, except when to do so would injure them
    or others.
  • 10. We continued to take personal inventory and
    when we were wrong, promptly admitted it.

35
  • 11. We sought through prayer and meditation to
    improve our conscious contact with God as we
    understood Him, praying only for knowledge of His
    will for us and the power to carry that out.
  • 12. Having had a spiritual awakening as the
    result of these steps, we tried to carry this
    message to alcoholics, and to practice these
    principles in all our affairs.
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