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CSD 5970

CSD 5970. Families and Social Groups. A Family Problem. Genetic predisposition first generation risk 7 times risk highest for males Higher in alcoholism than drug addiction Environmental 1/3 of all families affected (Curtis. 1999). What Is a Family?.

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CSD 5970

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  1. CSD 5970 Families and Social Groups

  2. A Family Problem • Genetic predisposition • first generation risk 7 times • risk highest for males • Higher in alcoholism than drug addiction • Environmental • 1/3 of all families affected (Curtis. 1999)

  3. What Is a Family? • Families are composed of individuals in close relationship to each other with patterned, predictable, interactions. • Non-traditional families.

  4. Families in Treatment • Acceptance of the disease model reduced family involvement in treatment. • Adult children of alcoholics • Interventions

  5. Systems Theory

  6. Characteristics • Stability/change • Roles • Rules and rituals • Values • Alliances & coalitions • Resilience • Can family therapy be successful without abstinence?

  7. Chemically Dependent Families (Lowery, 1998) • Substance abuse is the central organizing principle. • Balance between growth and stability is skewed in favor of short term stability. • Boundary and hierarchy problems (cross-generational coalitions). • Frozen growth and development. • Shame, grief, stress, and guilt.

  8. Chemically Dependent Families Steinglass, Davis & Berenson, 1977 • Alcohol use becomes incorporated into family problem solving. • “Change back reaction” Filstead, McElfrish, & Anderson • High degree of conflict and absence of expression of feeling. • “don’t talk, don’t trust, don’t feel”

  9. Family Roles Satir • Placater • Blamer • Irrelevant (avoidant) • Superresponsible

  10. Family Roles Wegschieder, 1981 • Chemically Dependent Person • Chief Enabler • Scapegoat • Lost Child • Family Mascot

  11. Child Family Roles Black • Misbehaving, obviously troubled • Mature, stable, overachieving • ACOA issues • Marriage to alcoholics • Depression

  12. Families in Treatment • Codependency • Shame • Emotional Abuse • Sexual Abuse • Domestic Violence

  13. Family Therapy Models • Structural • Strategic • Intergenerational • Experiential

  14. Family Therapy Models • Who are the founders or proponents of the model? • Identify the organizing principles. • How does it work? • What are the outcomes with chemically dependent families?

  15. Community • A community exists when people form a social group based on common location, interest, identification, culture, and/or activities.

  16. Community • Human beings are social creatures and the self is a social creation.

  17. Community • Is the right to self-determination equally available to everyone?

  18. Community • geographic community • communities of identification • community resources

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