Kirsten M. Holley
10/13/13
Substance Abuse
Chapter 5-6 Exercise Family Roles of Addiction
I have never thought of myself as someone who had to deal with the struggles of addiction, I never had a problem with drugs or alcohol so the whole topic of substance abuse wasn’t really important to me. After reading more into the chapters of my book I now know that even if you are not the addict that doesn’t mean you are not caught up in the problems that addiction brings. Addiction is a disease that affects the family as a whole and sadly enough there are many real life situations where this occurs. “As the addict becomes more and more disabled by addiction, family members adapt to accommodate the changes in the addict.” (Ferguson,
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They make excuses for negative behavior in the family which in return just encourages the negative behavior to continue. The mother plays this role; she buys the wine for dinner every night knowing that one bottle will not be enough even though her husband will be the only one drinking. She chooses to pretend that everything is okay and that her happiness is not as important as her families and as long as she keeps up the acting eventually everything will be good. She takes all of her husband’s joking insults with a grain of salt and goes behind any mess he makes with a broom ready to clean up after him. She knows that their family is not as finically well as her husband likes to boast about but she tries to keep them afloat the only way she knows how. To her hitting rock bottom is not an option and she knows that confronting the problem will just make her life even more of a mess. These roles of addiction make such an impact on each individual and until the family can recognize their situation and identify what role they are taking place in then the family will continue their dysfunctional ways. “The overall goal in letting go any of these roles is to stop doing the work for the addict.” (Wood) By stopping these roles you force the addict to deal with all of his/her consequences from their addiction and choices they have made. Not only do you force the addict to tackle his /her own problems but you also allow yourself to be free
Drug and chemical abuse affect many families and that particular family that lives through a loved one who is an addict and the priority is to get help for the individual. In any intervention that involves drug addicts, a family's disposition is very important. Full recovery of any drug addict involves the restoration of the person's life as well as ensuring that those who are around the addict have the best ability when it comes to helping with abstinence which is a long-term goal. Abusers are often in denial or even believe that they are totally in control of their use of drugs
Addiction is a theme that has been present throughout my life through members of my family and myself. My father was addicted to gambling and alcohol until finally, his drinking ended his life. My brother struggles with alcohol and keeping ahead of his problematic drinking. I have several cousins that float between alcohol and drugs to fulfill the need for an outside substance. For many years, I pondered how I had escaped the addiction curse in my family only to realize that my addiction is food. I overeat and self-sooth through food even though I have health concerns and know a better way. I spent most of my young adulthood angry at my father because he could not or would not change for his family. I am understanding more through education
One thing to understand when dealing with addictions within the family system is that there are many different types of families from nuclear, single parent, same sex etc.., and the effects that addiction has varies within these different family system. There is no one way of creating or approaching a set treatment plan. Therefore it is imperative that the addiction counselor or worker complete a thorough assessments and evaluations of the family in order to create a individualize therapy, recovery and continued after treatment care. Through initial assessments information that may be key to a successful treatment plan for the addict can be ascertained. Issues that can be counteractive to overall treatment goals such as the economic,
Although all sorts of families can be devastated by addiction, but single parent units (the most common lower class structure) are the most obscured. Behavioral Health of the Palm Beaches supports, “In every family unit, each person plays a role (or multiple roles) to help the family function better and to maintain a level of homeostasis, stability and balance. When substance abuse is added to this dynamic, the family roles naturally shift to adjust to the new behaviors associated with drug or alcohol use, and to continue maintaining order and balance.”4 In single parent units there is an inability of a second parent to fill the void role of the addicted parent. The National Center for Biotechnology Information states, “Frequently, children may act as surrogate spouses for the parent who abuses substances. For example, [young] children may develop elaborate systems of denial to protect themselves against that reality of the parent’s addiction. Because that option does not exist in a single‐parent household with a parent who abuses substances, children are likely to behave in a manner that is not age‐appropriate to compensate for the parental deficiency.”2 So a child growing up in a compromised family unit where addiction is present may develop altered norms and mature into an addict themselves.4
In the 1980’s, professionals in the addictions field started to pay attention to the ways that individual family members and the family adapted to the behaviors of addicted loved ones (White, 1998). It was discovered that family members of addicts or alcoholics may unknowingly support
This results in unhealthy roles in the family being developed in order to compensate in various ways for how the addiction gets played out in the family. These roles can have an enduring quality and may not quickly change when the alcoholic or addict gets into recovery. The spouse and family have to examine their roles and agendas. It is easy for the alcoholic or drug addict to regress into old addictive patters if the co-dependent doesn’t change. Co-dependency groups and Alanon are important for the family’s recovery, and by extension, helpful for the alcoholic and drug
In reading chapters four and five of the textbook “Substance Abuse and the Family” I found a couple of things that caught my interest. In chapter four, the middle phrase of an alcoholic family is discussed on page 58, regulatory behaviors of the family enabling whatever use of alcohol is occurring hiding and maintaining for others not to see the alcoholism. The children are usually pressured not to talk about the situation at school, work, etc. I have seen parents threaten their children if they were to tell, saying things like “ if you tell they will take us away from you forever and it will be your fault” or “ if you tell punishment will be sure to follow”. Therefore, the family must endure the negative impacts of an alcoholic parent falling
The family has a central role to play in the treatment of any health problem, including substance abuse. Family work has become a strong and continuing theme of many treatment approaches , but family therapy is not used to its greatest capacity in substance abuse treatment. A primary challenge remains the broadening of the substance abuse treatment focus from the individual to the family.The two disciplines, family therapy and substance abuse treatment, bring different perspectives to treatment implementation. In substance abuse treatment, for instance, the client is the identified patient (IP)—the person in the family with the presenting substance abuse problem. In family therapy, the goal of treatment is to meet the needs of all family members.
A person, especially a parent, who is dependent on alcohol or drugs destroys a family because family members not only see how miserable the addicted really are, but they also witness, firsthand, the way substance abuse can deteriorate a person’s physical and mental body, as well as the fact that family members notice the money that is spent on the abused substances, which sometimes leaves families living in poverty for no reason other than the simple fact the addict has to have their fix. Addicts are the destroyers of happiness, self-worth, and any amount of money.
Addiction is a disease that not only affects the person with the addiction but the family as well. The children that grow up in this environment take on different roles in their family to try and cope with their environment. According to American Association for Marriage and Family Therapy, there is an estimate of 26.8 million children that are exposed to alcoholism in the family (2015). As these children grow up they develop many common characteristics into adulthood. These characteristics have a lasting impact on their lives.
These roles can often be fluid and shift among family members depending on the onset of the substance abuse, developmental stages of the children, gender, age, birth order, parent/sibling relationship status and marital status, just to name a few. The first family role is, “The Addict”, the person with the addiction. The “world” revolves around this person, causing the addict to become the center of attention. As the roles are defined, the others consciously take on the rest of the roles to complete the balance after the problem has been introduced. “The Hero,” family role two, is defined in the family as the person who appears confident, overachieving and serious. This person also assumes a role of parentification as evidenced by taking on responsibilities that far exceeded their developmental stage is in comparison with their peers. This role is often difficult to maintain as “The Hero” feels that he/she is constantly needing to take on more and more responsibility. “The Mascot’s,” family role three, role is that of the jester. They will often make inappropriate jokes about those involved. Though they do bring humor to the family roles, it is often harmful humor, and they sometimes hinder addiction recovery. Family role four is “The Lost Child,” and is the silent “out of the way” family members, and
Whether you have experienced substance abuse personally, within your family, or someone dear to you. You know that it is a disease that takes a toll on the whole family and support system. “Addiction is a family disease; abuse of drugs and alcohol greatly impact every member of an addicts family.” (pg 9.31) This quote taken from the text is a very true statement and it holds truth for every family member and individual who is trying to help his or her loved one find recovery, regardless of economic status, location, or family history. Someone who uses grosses his or her family in the struggle of addiction.
Addiction is not an individual problem but something that affects the whole family. Stevens and Smith (2013) state that families will “readjust to redistributing responsibilities to accommodate the user” (pp. 247-248). Children learn to adapt to their dysfunctional family, including taking more responsibilities on when their parent cannot because of their addiction. Families need to be included in treatment so that they can learn positive ways to help their family member without enabling them. The Bible states in Ecclesiastes 4:9 “Two people are better off than one, for they can help each other succeed” (New Living Translation). God designed humans to need each other that is why he created Eve as Adam’s helpmate. Having a support system
Addicts blame others when things go wrong, they make loved ones feel guilty or ashamed, and maintaining an addiction can take a financial toll on a family. Children, pets, and other family members are often neglected and left to fend for themselves when living with an addict. Addiction can also cause separation in a family. Eventually patience runs out and people end up walking away from the addict when they refuse to get help or take responsibility.
As a recovering addict I know firsthand how my addiction affected my family. Addiction to alcohol or drugs is a disease; it affects everyone in the family, not just the substance abuser.