Alcoholism

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Alcoholism
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Dysfunctional Families

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

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Family Dynamics The Rules

• Dont talk
• Dont feel
• Dont trust

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Familys reaction to alcohol abuse

• 1. Deny the problem
• 2. Try to eliminate the problem through
• threats
• bribes
• hiding the alcohol

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• 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

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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

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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

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Different Family Roles Victim

• Chemically Dependent
• Outside
• hostility, manipulation, aggression, blaming,
  charming, rigid values
• Inside
• shame, guilt, fear, pain, hurt

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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

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Family Hero

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

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Scapegoat

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

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Mascot

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

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Lost Child

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

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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

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Costs

• Absenteeism from work
• Cost of lost production and services

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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

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

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

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• MADD

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

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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

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• 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?

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• 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?

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• 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?

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• 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?

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• 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?

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• 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?

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• 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?

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• 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?

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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

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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

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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.

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• 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.

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• 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.

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• 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.