Seminar in Counseling Addictions ECED 6370

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Seminar in Counseling AddictionsECED 6370

• Chapter 8 Family Treatment
• Dr. Paul F. Hard, LPC-S, NCC

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Objectives

• Emphasize the need to address multigenerational
  patterns of substance abuse with families in
  treatment plans.
• Establish the goals and therapeutic process of
  family therapy with addicted families.
• Provide statistical evidence of family impact on
  etiology and maintenance of abuse and dependency.
• Define the underlying concepts of homeostasis,
  feedback loops, hierarchy, wholeness, change, and
  family values that create the framework of family
  therapy/system theory.
• To provide an overview of addictive family system
  including roles and factors impacting chemical
  dependence on family members especially children.
• Identify treatment processes with addicted
  families and resulting changes within the system.
• Demonstrate the integration of system theory with
  individual and group therapies in treatment
  modalities via case discussion.

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Key Concepts
Systems theory Subsystems Enabling 
Alcoholic family Wholeness Disintegrated family 
Substance abuse family Scapegoat Absent family 
Lost child Mascot Genetic temperamental 
Homeostasis Disengagement Environmental reactive 
Feedback loops Enmeshment Family hero 
Hierarchy Cohesion Multigenerational
Boundaries Marital dyad patterns of
Rules Codependency transmission

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Which is primary addiction or family dysfunction?

• The etiology of the problem is less important
  than how the problem is maintained!

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Family Concepts

• Defining Family
• Research has focused on the WASP definition
• Nuclear
• Any combination of nuclear, extended,
  single-parent, gay/lesbian couples, and any other
  form of family life.
• People whom the client considers to be family.

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Family Concepts

• General Systems Concepts
• Systems
• All systems seek Homeostasis
• All systems incorporate feedback loops to
  function
• Hierarchy, roles, rules, subsystems, Boundaries
• The system can only be understood as a whole
• Change in one part affects all parts
• Family Values

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The Addictive Family System

• The Marital Dyad and Substance Abuse
• The Family and Substance Abuse
• Children in the Addictive Family
• Siblings in the Addictive Family
• Childrens Roles
• The Hero
• The Scapegoat
• The Lost Child
• The Mascot

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Treatment with Addictive Families

• Family Week
• Process of Treatment
• Early Stage
• Middle Stage
• Late Stage
• Success?