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The Family Recovery Process

The Family Recovery Process. Chapter Eleven. Everyone Needs to Be Involved. Even if family life is initially improved after the chemically dependent person is clean…. Relationship problems and patterns need to be addressed. Unaddressed patterns will continue into future generations.

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The Family Recovery Process

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  1. The Family Recovery Process Chapter Eleven

  2. Everyone Needs to Be Involved • Even if family life is initially improved after the chemically dependent person is clean…. • Relationship problems and patterns need to be addressed. • Unaddressed patterns will continue into future generations.

  3. Recovery: the C.D. Member • Even long-term success often includes at least one relapse – usually within the 1st 90 days. • Lingering denial – “I’m different” – causes person to think they can “control it now”. • Many become “convinced” of need for abstinence after relapse, but some never recover. • Abstinence – a first step; Recovery: a long-term change process

  4. Steps and Phases* in Recovery: C.D. • Abstinence from mood-altering chemicals – • Often precipitated by a crisis (pre-treatment) • Recognition of problem • begin treatment (stabilization) • (Early) Acceptance of disease • Crisis is emotionally and cognitively processed (early recovery) • Rebuilds self-image and self-esteem (middle recovery: 1-2 years in; ) • Identifies and resolves long-term life problems (late recovery: 2-3 years in;) • Commitment to a life-long process to recover from it • Full) acceptance of the chronic nature of the disease (~5 years after primary treatment: maintenance/remission) *Developmental Phases covered in depth on last 2 slides

  5. Recovery: Family Members • Can happen with or without C.D. member’s change • Similar stages: • Acceptance – of each member’s contribution to the dysfunction • Recognition that not responsible for cause or cure • Need for detachment from c.d. member’s behavior • Commitment to a life-long recovery plan needed to change dysfunctional patterns and ADAPT TO WELLNESS!! • If changes are not made during abstinence, dysfunctional patterns continue in the belief that sobriety is threatening to the codependent.

  6. Development Model of Recovery – for the Family • Pretreatment Stage – the motivating crisis that brings family to treatment • If abuse is involved, safety is first priority to address • Stabilization Stage – family learns about disease and they are not responsible for it • Identifying specific enabling behaviors helps • Participation in a family 12-step program benefits recovery of all.

  7. Development Model of Recovery – for the Family • Early Recovery Stage – processing crises • Dispute “beliefs” that sustained the c.d. • Stop blaming, guilt, shame; change to taking responsibility for personal behavior • Learn communication, assertion, boundary setting that establishes more effective interaction • Learn to live normally – and to PLAY! • Middle Recovery Stage – new habits established • If family is progressing “beyond” the c.d. person, it may precipitate a “crisis” and “yo” may enter tx.

  8. Development Model of Recovery – for the Family • Late Recovery Stage – address long-term patterns, including those from childhood • Long-term personality changes practiced until habitual • Focus on personal growth, improving family (and away from using/not using of C.D. member as that issue subsides) • Intimacy among members begins to be restored. • Maintenance/Remission Stage – new patterns have “squeezed out” old dysfunctional ones – leads to FREEDOM that “partial recovery” does not achieve.

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