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Adult Children of Alcoholics

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Title: Adult Children of Alcoholics


1
Adult Children of Alcoholics
  • Identification and Recovery

2
How many adult children of alcoholics are there
in our society?
  • In a survey by the Children of Alcoholics
    Foundation in 1985 it was estimated that there
    were approximately 6,600,000 children of
    alcoholics under the age of 18 years in the U.S.
    at that time and an estimated 22,000,000 children
    of alcoholics aged 18 and older.
  • In a longitudinal study of COAs born on the
    island of Kauai, Werner reported that although 41
    percent of the children developed serious coping
    problems by 18 years of age, 59 percent did not
    develop problems. These resilient children
    shared several characteristics that contributed
    to their success include the ability to obtain
    positive attention from other people, adequate
    communication skills, average intelligence, a
    caring attitude, a desire to achieve and a belief
    in self-help.
  • Even so, using these figures and applying them to
    the results of the 1985 survey, it would be
    estimated that 9,020,000 adults living in the
    U.S. developed serious coping problems by 18
    years of age due to being children of alcoholics.

3
  • While it is difficult to estimate the number of
    children of alcoholics, coming up with a figure
    for children of other substance abusers is even
    more difficult. This is due, in part, to the
    fact that other drug use is illicit both legally
    and socially, and therefore is not likely to be
    disclosed in surveys. Moreover, because many of
    those who have drinking problems also have other
    drug problems, epidemiologists would also need to
    sort out the COAs only from COSAs only to COA and
    COSA.

4
  • Children of alcoholics exhibit symptoms of
    depression and anxiety more than children of
    non-alcoholics.
  • In general, ACoAs appear to have lower
    self-esteem than non-ACoAs
  • The results of several studies have shown that
    children from alcoholic families report higher
    levels of depression and anxiety and exhibit more
    symptoms of generalized stress (i.e. low
    self-esteem) than do children from non alcoholic
    families.
  • ACoAs suffer a wide range of negative effects
    because of their family backgrounds, including
    Four times higher likelihood of becoming
    alcoholics. Higher rates of mental disorders,
    such as depression, rage, and fear of
    responsibility. Higher rates of marrying into
    alcoholic homes. Higher rates of becoming
    separated or divorced from their spouses.

5
  • Being the child of an alcoholic is not a disease.
    It is a fact of your history. Because of the
    nature of this illness and the family response to
    it, certain things occur that influence your
    self-feelings, attitudes and behaviors in ways
    that cause you pain and concern. The object of
    ACoA recovery is to help the person understand
    and admit that family dysfunction occurred,
    realize the effects of the dysfunction and to
    develop willingness to accept help as the person
    begins the slow process of changing
    self-destructive behaviors such as drug
    addiction, sex addiction, emotional eating,
    spending, gambling, or another self-harming
    behavior.

6
Recovery Issues for Adult Children of Alcoholics
  • Three primary rules are described by Claudia
    Black, in her pioneering work with children of
    alcoholics. The rules she found over and over
    are, Dont talk, Dont trust, Dont feel.
    Children develop their own rules in reaction to
    the alcoholism which go something like, If I
    dont talk, nobody will know how I feel and I
    wont get hurt. If I dont ask, I cant get
    rejected. If Im invisible, Ill be okay. If
    Im careful, no one will get upset. If I stop
    feeling, I wont have any pain. The prime
    directive becomes, I must make things as safe as
    possible. But safety can exact a heavy price.

7
  • Research from the field of family therapy shows
    that family members adopt identifiable role
    behaviors when they are under stress and since
    all alcoholic families are under stress, the
    children of alcoholic develop one of four roles
    the responsible one, the adjuster, the placater
    and the mascot.

8
Control
  • Control is the one word that most characterizes
    the interactions of ACoAs. A major source of
    anxiety, conflicts over control are pervasive.
    Denial, suppression, and repression are used in
    attempts to control the outward expression as
    well as inner awareness of thoughts, feelings and
    behaviors. The fear of being out of control is
    almost universal, and strong feelings are
    experienced as being out of control. Sometimes
    called hyper vigilant, ACoAs automatically
    scan the environment for cues, wanting to know
    what is in front, behind, to the left and to the
    right of them at all times.

9
Trust or, more precisely, distrust
  • distrust of others as well as of self. It is
    not difficult to understand how this distrust
    arises. Repeatedly told to ignore the obvious,
    children of alcoholics learn to distrust the
    wisdom of their own organism, to distrust what
    they own senses tell them. Father is asleep on
    the garage floor in his three-piece suit, or
    mothers head falls into a plate of spaghetti,
    and everyone who is important is saying, nothing
    is wrong. This leaves children misinformed,
    puzzled, and bewildered! Their stomachs may
    hurt, their hearts may race, and people on whom
    they are most dependent for survival are saying,
    Dont worry, no big deal, everything is all
    right.

10
Feelings
  • AVOIDANCE of FEELINGS and the fundamental
    belief that feelings are wrong, bad, and scary.
    In the alcoholic family the childs expression of
    feelings is typically met with censure,
    disapproval, anger and rejection. Often the
    child is told explicitly, Dont you dare say
    that to me, dont even think it. In other
    words, children of alcoholics are taught very
    early that it is necessary to hide their
    feelings. They soon learn not to even have any
    feelings. They learn to repress, deny, or
    minimize them. What good are they? They just
    cause trouble.

11
Romance
  • Trust and security, two necessities for
    successful long-term relationships, dont come
    easily for many ACoAs, who grew up in insecure
    homes and may choose to isolate themselves from
    others. In addition, because many alcoholic
    parents wereat least sometimesmore devoted to
    drinking than to affection for their children,
    ACoAs often have a strong need for affection,
    which can manifest itself as possessiveness,
    jealousy, and oversensitivity.

12
Parenthood
  • Their strong desire to be loved can lead ACoAs to
    inspire dependency in their own children. They
    may also use intimidation to maintain control in
    the home.

13
Work
  • Because of their powerful need for acceptance,
    ACoAs may not provide enough structure for
    employees, who can then capitalize on their
    employers weaknesses. Also, ACoAs may suffer
    from the impostor syndromeno matter how
    impressive their achievements, they never feel
    worthy.

14
MONEY MATTERS
  • ACoAs need for approval can lead them to
    overspend, buy dinners they cannot afford, or
    otherwise pay beyond their means to please others.

15
OVER-RESPONSIBILITY
  • Children come to believe they are responsible for
    what is happening in the family. After all, it
    is not uncommon for parents to say, If you
    hadnt talked back like that, or if you hadnt
    got in trouble at school today, then I wouldnt
    need a drink tonight. This feeds that normal
    capacity for self-centeredness. Because of these
    childhood experiences, adult children of
    alcoholics grow up believing they are responsible
    for others emotions and actions.

16
IGNORING THEIR OWN NEEDS
  • It is easy to see how that would happen to
    children raised in a family in which their needs
    are typically secondary to alcoholism. The
    family disease gets first billing. It has to be
    checked out before anything else in the family
    gets taken care of. The children continually
    wonder Is daddy drunk? IF daddy is drunk,
    then Id better not tell him what happened
    today. Adult children may find that
    acknowledging their personal needs leads them to
    feel guilty, because they have learned to regard
    their needs as an imposition on others. They
    also frequently have a sense that if they ask for
    something, the other person now knows something
    dangerously important about them. To have needs
    is to be vulnerable and in the past it certainly
    did not pay to be vulnerable. If they do not
    feel guilty or vulnerable, they may feel
    dependent, less capable, or obligated to the
    person who met their needs. These are all
    emotions contrary to feeling in control.
    Therefore, personal needs had best be avoided,
    ignored or denied

17
ALL OR NOTHING FUNCTIONING
  • is the tendency to think, feel and behave in an
    all-or-nothing way. Everything is either black
    or whitethere is no in-between. Things are
    either all right or all wrong, and since things
    are seldom all right, they are often all wrong.
  • Like the need to have control, all-or-nothing
    functioning pervades other issues. For example,
    adult children of alcoholics approach the issue
    of trust from an all or nothing perspective.
    Lacking an appropriate role model for intimacy in
    childhood, they have difficulty establishing or
    maintaining personal relationships as adults.
    They will either trust a person totally and tell
    their entire life story, or they will distrust so
    fully that they will not share anything personal.

18
  • All or nothing functioning colors the way adult
    children deal with feelings. As we have already
    mentioned, adult children tend to associate
    feelings with behavior and are, therefore,
    reluctant to deal with emotions. If anger is
    expressed, for example, they are struck by fear
    or panic, convinced that violence may follow, or
    that a relationship will be severed.

19
BOUNDARIES
  • The all or nothing approach can also result in
    adult childrens difficulties in establishing
    adequate and useful boundaries between themselves
    and others. This is particularly true in regard
    to their parents, where they confuse love with
    need or caretaking. They frequently confuse
    others feelings, including intimacy with
    smothering, spontaneity with irrationality, and
    relaxation with depression. This confusion of
    feeling states further contributes to their
    difficulties with personal boundaries and
    relationships.
  • Because of the all or none approach, they are not
    able to utilize information from their
    environment very well as experiences are forced
    to fit their black and white view of the world.
    This all or none characteristic also obstructs
    adult childrens ability to take things one step
    at a time, to break down a task into smaller and
    therefore more manageable steps or pieces.

20
DISSOCIATION
  • is the separation or split in the wholeness of an
    experiencenot unlike an emotional anesthesia.
    An example is a person who describes a scene of
    great pain from her childhood, crying as she
    talks yet, when asked what she is feeling, she
    will honestly reply, nothing. Asked why she is
    weeping, she will answer, I dont know. She
    does not connect the tears, the memory and the
    emotion. The outward manifestation of
    dissociation can be described as flattened
    affect, and functions as self-protection.
    Dissociation causes many adult children to look
    spaced-out" or tranced out. It is as though
    they are in some sort of fog

21
ADRENALIN JUNKIES
  • Another issue is the tendency for children raised
    in the chaotic environment of an alcoholic family
    to become adrenalin junkies. Accustomed to
    frequent crises and emergencies, adult children
    may find themselves depressed or anxious when
    life is stable and uneventful. It might take
    years before they recognize that every time life
    is calm and relationships with others seems good,
    they feel uncomfortable.

22
LOW SELF ESTEEM
  • These issues lead adult children to extremely low
    self-esteem. Their low self-esteem comes from
    not trusting themselves, from not knowing their
    own feelings. It comes from having an
    all-or-none way of looking at things, so they can
    rarely give themselves credit for what they have
    accomplished unless it is perfect. And it comes
    from living in a world of broken promises and the
    belief that they were somehow responsible for the
    problems in their family. Since adult children
    have a difficult time seeing themselves as
    valuable or worthwhile, they have a difficult
    time realizing their right to be treated well. To
    set limits on what they will and will not do, or
    what they will and will not tolerate. All this
    adds up to an adult who lacks a sense of personal
    rights.

23
INTIMATE RELATIONSHIPS
  • Which require give and take, surrender of
    control, an ability to see oneself as human, as
    changeable, as fallible, and to accept another
    person with similar qualitiesare difficult for
    children of alcoholics. Intimate relationships
    require trust, warmth, sharing, spontaneity, and
    flexibility.

24
UNEXPECTED EVENTS
  • With no time to anticipate a situation or prepare
    a response, adult children will automatically
    fall back into their old, habitual behavior
    patternspatterns which helped them survive as
    children but now interfere with their happiness
    as adults. They get anxious, shut down, enter a
    flurry of activity, or deny what is happening.
    Similarly, a visit with their family will often
    reactivate old responses.

25
PERSONAL PERFORMANCE
  • When there is a standard to be met, children of
    alcoholics worry about their ability to meet that
    standard. They re-experience their anxiety,
    their all-or-nothing thinking, their sense of
    inadequacy, their guilt, and their lack of
    self-esteem. Even if the situation involves a
    number of people, they might assume full
    responsibility. They believe, Things arent
    going right at work. Its my fault. If there
    is an important deadline ahead, they will tell
    themselves they are not organized enough even
    though their performance might be excellent. If
    everything is not in perfect order, they must be
    doing something wrong. Indeed, the anxiety to
    perform perfectly may outweigh the importance of
    the task. Even trivial tasks may be taken to
    represent a global statement on their competence.

26
Recovery for Adult Children of Alcoholics
  • Recovery means moving toward wholeness or
    integratingcoming to order.

27
  • What happens to children of alcoholics as they
    grow up? Children learn what they are taught.
    So children of alcoholics enter adulthood coping
    with life in the same ways which proved to be of
    value to them as children. They take their
    childhood roles, survival strategies, and rules
    with them into adulthood. Later, they discover
    that what worked in an alcoholic childhood home
    does not serve them well in adult life. But
    there is a curious thing about us human beings.
    We tend to do the same things over and over again
    even when our behavior no longer pays off. The
    roles and rules of childhood, which once brought
    a semblance of safety and sanity, now bring
    little of either. As with the alcoholism of the
    parents, the roles and rules of childhood are
    progressive and can encase the adult child in
    rigid, stereotypical behaviors.

28
  • Acquiring certain new attitudes toward yourself
    and toward others is crucial in this stage they
    pave the way for the changes that need to occur.
    First and foremost, cultivate the attitude that
    it is better to explore than to criticize. Be
    grateful when you discover a problem area. After
    all, it was there all the time! Be open to new
    ways of seeing things, to new meanings, new
    learning, new associations, with out being
    judgmental. Make few conclusions about yourself
    or others until you have had a chance to gather a
    lot of information. Know how deep the water is
    before you jump in. Here again, it is important
    to slow down, take your time, and develop
    patience.

29
  • Be gentle with yourself. When you make a
    mistake, recognize it as a sign you are growing.
    Success is getting up one more time than you fall
    down. Compliment yourself for starting a new
    path. Give to yourself. It is a time to learn.
    Start with small steps, scheduling activities and
    time with people who nourish you. Begin to
    surround yourself with people who understand and
    care about you. Another very important way to
    take care of yourself is to listen carefully to
    yourself. Listen to hear what you need and want.

30
FEAR OF INTIMACY
  • Intimacy is the ability to be yourselfwho you
    are, what you arewith another person. The more
    you are able to be yourself, the more intimate
    you are.
  • Self-disclosure is the hallmark of intimacy. The
    more intimate the relationship, the more willing
    you are to reveal your innermost self. Because
    intimacy is the sharing of feelings, or values,
    of thoughts, of yourself, to the adult child this
    can spell danger. When you become intimate with
    someone feelings occur and control becomes an
    issue.
  • Therefore when developing intimacy use the
    share-check-share technique. Share a little, see
    how the person responds and then share a little
    more. Let intimacy develop slowly.

31
EXPRESSING FEELINGS
  • Adult children often denied their feelings in
    order to survive their painful childhoods.
    Although as an adult you may still be denying
    your feelings, the terror and insecurity of the
    past are long gone, and it is now time to learn
    how to identify and express your feelings.
  • Feelings can be summarized in four basic words
    glad, mad, sad and scared. Once you master
    naming the basic feelings, it is time to begin
    thinking in terms of shades of feelings

32
  • Sad Mad Glad Scared
  • Ashamed angry blissful afraid
  • Bored annoyed calm anxious
  • Depressed disgusted cheerful concerned
  • Discouraged distraught comfortable confused
  • Embarrassed frustrated confident insecure
  • Guilty irritated encouraged nervous
  • Helpless jealous excited panicky
  • Hurt offended happy shocked
  • Lonely resentful passionate terrified

33
  • Another valuable way of approaching feelings is
    to identify the degree to which you experience a
    particular emotion. Are you somewhat pleased
    or very pleased? Are you a little worried or
    very worried? Making these distinctions may be
    difficult at first since you may not be used to
    registering any emotions at all.
  • Once you have gotten in touch with your feelings
    and adept at naming them, the next step is to
    express them, beginning with the positive
    feelings.

34
  • Begin by making a deliberate search for things
    you like. Become a compliment detective. Once
    you become good at being a compliment detective,
    its time to share some of your feelings with
    others. The following three-step formula will
    make it easy (1) Be specific. (2) Say the
    persons name. (3) Follow up with a question.
  • Steve, I liked the way you kept bringing him back
    to what could he do to not drink on the weekend.
    How did that work for you?

35
  • Expressing Negative Feeling anger is the most
    difficult of all emotions for you to express. As
    a child, you saw your parents anger often led to
    violence and any expression of your own anger
    often led to punishment. As a result, you
    learned to deny or hold in your anger, even
    though you were filled with rage.
  • Begin to express your anger to minor irritations.
    When you feel a surge of anger, pause and wait
    for it to diminish. If you have to, walk away.

36
  • Own your own feelings by using I statements
    since you statements indicate blame and places
    responsibility for how you feel at the feet of
    others. You are ultimately responsible for your
    feelings. Let your language reflect this reality
    by beginning your feeling statements with I
  • I feel angry you arent ready.
  • I feel furious you lied to me.
  • Im upset you criticized me in front of my son.

37
  • Many adult children find relief by expressing
    their emotions in writing first. You can do it
    in a journal or in a letter you may or may not
    mail.

38
  • Identifying your feelings and knowing how to
    express them does not obligate you to do so.
    Since you dont have to take action, there is no
    risk in learning how to do so. You have nothing
    to be afraid of.

39
  • Before you express your feelings, you need to use
    dual perspective and ask yourself how you would
    respond if you were on the receiving end of those
    feelings and consider the possible consequences
    of expressing your feelings, and ask yourself if
    you are willing to live those consequences.
  • For example, sharing intimate details of your
    past may overwhelm someone on a first date and
    cause them to back off. Your boss might not
    appreciate your reactions to his management style
    and may penalize you. You mother may be
    devastated by your angry letter and not speak to
    you. Consider the ninth step of AA, which
    encourages you to make amends, accept when to do
    so would harm yourself or others. Having the
    skills to identify and express your feelings
    gives you choices. How, when and in what way you
    exercise those choices leave you in control of
    your life.

40
  • When feelings are acknowledged, when you become
    aware of them, you can begin to move beyond them.
    The very act of expressing a feeling begins the
    process of transformation.
  • A word of caution about expressing feeling. Just
    because you have a feeling, it does not mean you
    have to tell everyone. Be selective about when
    and with whom you share your feelings. When you
    share yourself selectively, you will increase
    your chances of receiving a supportive audience.
    If you carefully choose the right person and the
    right time and go slowly, you will discover
    sharing your feelings is a very empowering and
    rewarding experience. It can also be fun.

41
ACTIVE LISTENING SKILLS
  • Learn to use Active Listening Skills active
    listening is putting into words your
    understanding of what the other person has said.
  • Asking for what you want the best way to get
    what you want is to assertively ask for it.
  • Before you can ask for what you want, you have to
    know what you want.
  • Once you know what you want, the next step is to
    ask for it. Use dual perspective, think not just
    in terms of what you want, but also in terms of
    those you ask. Starting small is a good
    strategy. Sound casual. When you ask for what
    you want, most of the time you will get a yes.
    When you are turned down, propose an alternative
    , taking into account any objections the other
    person may have raised. Should you once again be
    turned down, you may choose to conclude the other
    person isnt interested. If so, tell them,
    Sorry you cant make it or Well Ive enjoyed
    meeting you. On the other hand you might decide
    to persist. If you dont get what you want,
    congratulate yourself for speaking up and making
    the effort. Tell yourself you have the right to
    ask, and others have the right to decline. If
    you get a yes resist the temptation to ask
    others if they really want to do the activity.
    That may lead them to reconsider and may snatch
    defeat out of the jaws of victory. Instead,
    silently congratulate yourself for being
    assertive, smile and enjoy.

42
BOUNDARIES
  • a barrier between you and other people. A
    limitation beyond which you will not go and
    beyond which others are not welcome. Adult
    children often grew up in a family in which
    boundaries were blurred or nonexistent.
    Consequently you arent sure what boundaries are
    appropriate for you, how to establish those
    boundaries with other people, and how to defend
    those boundaries against attack.
  • Boundaries can be decided upon before or during
    the time when they are needed. They can also be
    changed. The ideal time to decide upon
    boundaries is in advance of their being needed.
    There are physical, sexual and emotional
    boundaries.

43
  • In negotiating a boundary with another use the
    following steps
  • Define what is acceptable to you, what boundary
    you want.
  • Express your thoughts and feelings about the
    problem and propose your boundary to the other
    person.
  • Listen to the other person express their thoughts
    and feeling about the problem and let them
    propose the boundary they think best.
  • Work out an accommodation.
  • Remember that the thoughts, actions and feelings
    of others are not our own. They are separate
    from you.

44
  • When your boundaries are challenged and youre
    not sure how to respond, call time out. This
    will give you plenty of time to calm down, to
    practice saying no and to prepare possible
    counteroffers.
  • As an adult child, you have a near perfect record
    of saying yes. It may be difficult for you to
    say No, but if you are to defend your
    boundaries, it is important you learn. If you
    just say Im not sure or Id rather not, you
    are conveying a weak conviction, and others may
    well try to break through your boundaries. But
    the word No is definite. It lets others know
    you will not allow your boundaries to be
    breached. To deliver an assertive No stand up
    straight, look the other person in the eyes, and
    speak clearly and firmly. If necessary use the
    broken record technique, and calmly and
    respectively keep saying your No.

45
SMALL TALK
  • Making contact with others the art of small
    talk. Adult children cringe at the thought of
    having to make small talk. Growing up in an
    alcoholic home means that social skills were not
    adequately developed. Small talk is the most
    non-threatening way people can begin to get to
    know one another. People respond as much to tone
    and energy as to content. Rushing into personal
    things creates a sense of intimacy before it
    really exists. Talking trivia can be fun.

46
CONTROL
  • Before you can let go of control, ground work
    needs to be donenot only in terms of all or
    nothing functioning, but also in terms of
    building self-esteem. It takes self-confidence
    to overcome the feelings of vulnerability and
    insecurity that will initially accompany letting
    go of control, or acknowledging that in fact you
    do not have control.
  • In issues of control, it is not all-or-nothing.
    It is not a question of being totally in control
    of yourself or others, and the environment that
    you can determine what will happen neither is it
    a matter of resigning yourself to passively
    going along with whatever happens. Rather it
    is acknowledging that there are some things you
    can control and many things you cannot control.
    A prayer often quoted in ACA sums this up well,
    God grant me the serenity to accept the things I
    cannot change, courage to change the things I
    can, and wisdom to know the difference. You can
    also learn to exercise your right to pick and
    choose which situations you want to deal with and
    which situations you prefer at this time not to
    deal with.

47
  • Challenging all-or-nothing behavior, looking at
    the issue of control, beginning to re-establish a
    basis for trust and intimacy, caring for and
    paying attention to yourself. All lead the adult
    child closer and closer to feelings of
    self-worth, self-trust and self-esteem. Remember
    increased self esteem will be the natural outcome
    of your efforts to look at yourself and others in
    new ways.
  • A way to fight all-or-nothing functioning is to
    begin making use of a behavior called chunking
    it down. Chunking it down means taking an issue
    or objectivesuch as trusting someone or
    accomplishing a particular taskand dividing it
    into its component parts, seeing it in smaller
    pieces (chunks) rather than as a whole. As each
    step is taken, it is essential for the child of
    an alcoholic to learn to say, Congratulations,
    self. Youve done another part of it.
  • Recovering adult children of alcoholics look for
    opportunities to let go of control.

48
RELATIONSHIPS
  • You might also want to re-evaluate your current
    relationships in terms of which people put you
    down and which offer you support. The
    relationships in which you seem to be getting
    nicked all the time are the ones that are keeping
    you in a state of low self-esteem. When you are
    exposed repeatedly to situations which diminish
    self-esteem, it is difficult to develop and
    maintain it. Flourishing in an atmosphere of
    criticism is like trying to get sober in a bar.
    It cannot be done.

49
SELF ESTEEM
  • To enhance the possibility of increased
    self-esteem surround yourself with people who are
    going to be supportive. In this way you can
    treat yourself to opportunities to build
    self-esteem you never had as a child. In fact,
    you have the responsibility as well as the right
    to treat the child within you, your inner child,
    to advantages he or she never had in the past but
    can now have in the present.

50
TRUST
  • Learning a strategy for the development of trust
    is surprisingly simple. First you take a small
    risk. Venture out and say something that is
    important to you. Stick your neck out a little.
    After you have done that, pause. Close your
    mouth open your eyes and open your ears. Watch
    and listen to the other person and observe your
    inner response.
  • Chunking it down can also help you build trust.
    Go step-by-step, checking each time to see what
    happens after you trust a little and then a
    little more. As you chunk it down using this
    step-by-step method of trusting other people, you
    will need to trust yourself. When you get
    responses from someone else and try to evaluate
    them, honor the feelings you have inside. If you
    begin to feel good with someone or uncomfortable
    with someone, value that as important information.

51
  • To allow more intimacy, you need to remain aware
    of your all-or-nothing tendencies and your need
    to control. Intimacy does not happen all at
    once. It is not an all-or-none phenomenon. It
    emerges in steps and is an outgrowth of a mutual,
    reciprocal process where two or more people learn
    not to relinquish control, but to share it.
  • Intimacy is closely related to trust. In the
    same way that you might trust a little and then
    see what happens, you can share something
    intimate and see what happens. IF you like what
    is happening, if it feels good, you share a
    little more. If the results continue to be
    positive, you share more still. The basic
    strategy therefore becomes share-check-share.

52
RECOVERING THE INNER CHILD
  • Many children of alcoholics are required to
    jettison childhood in order to take on the
    responsibilities of adult roles. This might be
    an excellent time to teach yourself how to be a
    child again and how to have fun. Borrow a kid
    for a day. Let him or her take you around. Be
    as silly and curious as you like.

53
DEVELOPING SELF CARE SKILLS
  • Begin to include exercise and a healthy diet in
    your daily schedule. Exercise is an excellent
    antidote for depression. Exercise offers
    emotional and physiological benefits that add up
    to a new sense of well being.
  • Another crucial component to self care is
    listening to yourself, trusting yourself. You
    are the one and ONLY expert on yourself. You can
    use others as consultants and books as guides.
    Nonetheless, you remain the ultimate authority on
    what you want and need.

54
  • As adult children go through this transformation
    process a new kind of fear begins to enter the
    picture. While it is fear, it is quite different
    from the old fear. It is expressed in questions
    such as, When will the bubble burst? or When
    will the other shoe drop? the person asking
    this is looking for a crisis. Often this is a
    sign that a person is recovering. Life has been
    getting more sensible. Life has been getting
    more steady. If you find yourself with an
    increasing need to stir things up or to have a
    crisis, it may be because things have been
    getting better and you are not used to it.

55
  • The ghosts of old habits lurk silently in the
    background, waiting to re-emerge when the adult
    child is overloaded, exhausted or stressed.
    While there may be moments of utter exhilaration
    and even ecstasy, the world of the recovering
    adult child is not a pain-free, conflict-free
    utopia. Pain, conflict and suffering are as much
    a part of life as pleasure, harmony and joy.
    There will always be occasions, no matter how
    well integrated we become, when life hurts when
    life is unfair and when it just seems
    overwhelming. That happens simply because we are
    human.

56
  • Many adult children erroneously expect they
    should always be able to deal with everything
    once they start to recover. They assume they
    should now know exactly what to do with their
    lives and their relationships. Sometimes they
    fail to remember there is no cure for life. They
    believe they should be able to do anything.
  • The greatest pitfall is making life something it
    is not, namely, the end of the effort. Recovery
    is an ongoing process, not a finished product.
    Remembering this gives us the freedom to make
    mistakes, allowing continued growth and learning.

57
  • Finally, remember recovery is not something
    attained then forgotten. Additional investments
    will re required of you throughout the coming
    years in order to maintain your health and cope
    with lifes continuing challenges. The secret is
    to work at it, one day at a time. Sometimes
    adult children like everyone else, tend to get
    lazy, letting their thinking, feeling and
    behavior fall into the well worn grooves of their
    old survival stage patterns. When that happens,
    rouse yourself out of lethargy and put into
    action some of the tool you have gathered from
    books and other resources. Your well-being is
    much like an investment account. It grows when
    you make deposits of energy and effort. Good
    investments earn high interest, and you are your
    best investment.

58
Reaching Genesis
  • Genesis, in its most basic sense, is the
    expansion of the body, mind and spirit, and the
    developing awareness of a higher self. Genesis
    enlarges our vision to fully appreciate the
    positive, the creative, and the spiritual. The
    promise of genesis is we have the potential to
    reach higher levels of consciousness and
    well-being. We do not have to accept a limited
    reality we can actively promote our spiritual
    development. Through genesis a change in the
    overall quality of our subjective experience is
    possible, and a new and varied responsiveness to
    life can follow.
  • Genesis is analogous to the spiritual awakening
    spoken of in Alcoholics Anonymous you begin to
    be aware of a spiritual connection which unites
    us all in the sense of being one with the
    universe.

59
  • There is no perfection even in genesis. While
    genesis is certainly characterized by deep calm,
    serenity and even bliss, it is not an all-or-none
    phenomenon or a continual state of mind
    expansion. Groceries need to be bought,
    checkbooks must be balanced and family and
    friend die. We simply cannot control all that
    befalls us.
  • As you move along the recovery path you can see
    there are no hard and fast lines between the
    recovery stages. Progress is not always steady
    and without setbacks. Wherever you are on the
    recovery path, you will continue to recover. You
    will do so at a pace and a style unique to you
    alone. There is no recipe or final resting place
    in human growth.

60
GETTING HELP
  • While developing these attitudes, you may want to
    enlist the aid of a guide or consultant. One of
    the things adult children desperately need to
    learn is to reach out and ask for help. If you
    are isolated from others, let that be a signlike
    a red flagwhich indicates you are in trouble.
    There are other red flags during this stage that
    suggest this is the right time to get help 1)
    feeling overwhelmed with what you are learning,
    experiencing, or seeing 2) not having the
    foggiest idea about what to do next 3) not
    having any friends or family to talk to 4)
    excessive criticism of yourself or others 5)
    strong feelings of depression and anxiety or
    insecurity and fear 6) frequent bouts of
    insomnia and 7) the big one, namely excessive
    alcohol or other drug consumption. Remember,
    reaching out is a sign of recovery, not of
    weakness.

61
Finding help
  • the depth to which alcoholism affects ACoAs in
    daily lives depends on a wide range of variables,
    from their own personalities to the extent to
    which the disease dominated their developmental
    years. All ACoAs can benefit from learning
    strategies that will help them overcome negative
    behaviors and chart courses for their own healthy
    futures. No single methods works best for
    everyone. Options include
  • READING Find the latest books and research,
    both in print and online, about alcohol abuse and
    the way it can affect family life.
  • TALKING Confide in a close friend or family
    member who can understand your feelings and
    respect your privacy without judging you.
  • COUNSELING meet with a licensed professional
    counselor who can help you focus on your future,
    not the pains of the past. Sometimes talking
    with a stranger can be more therapeutic than
    talking with a friend.
  • JOINING become part of a support group that
    meets in person or in an online chartroom to find
    out how other ACoAs have overcome barriers to
    happiness. Twelve step programs, such as Adult
    Children of Alcoholics (ACA) can be particularly
    empowering.
  • No matter what method or combination of methods
    an ACoA chooses, the focus should remain
    positive. Its important to know why we do what
    we do, but its more important to change what we
    do for the future.

62
CHARACTERISTICS of ADULT CHILDREN OF ALCOHOLICS
  • The American psychologist Janet G Woritz was one
    of the first who paid real attention to the
    situation of ACoAs. In this book she proposed
    various characteristics that she found in many of
    these adult children. A few of these can be that
    they
  • Have to guess what normal behavior is in many
    situations.
  • Have difficulties completing projects.
  • Lie when it is equally simple to tell the truth.
  • Are self-judgmental.
  • Have difficulty having fun.
  • Take themselves very seriously.
  • Have problems in intimate relationships.
  • Overreact to changes which they cannot control.
  • Are always looking for approval and confirmation.
  • Think they are different.
  • Are either extremely responsible of extremely
    irresponsible.
  • Are extremely loyal, also to people who do not
    deserve it.
  • Are impulsive.

63
A Hierarchy of Human Needs(Complied in part from
Maslow, 1962 Miller, 1981 Weil, 1973 Glasser,
1985
  • Survival
  • Safety
  • Touching, skin contact
  • Attention
  • Mirroring and echoing
  • Guidance
  • Listening
  • Being real
  • Participating
  • Acceptance others are aware of, take seriously
    and admire the Real You, Freedom to be the Real
    You Tolerance of your feelings validation
    respect belonging and love
  • Opportunity to grieve losses and to grow
  • Support
  • Loyalty and trust
  • Accomplishment mastery, power, control,
    creativity, having a sense of completion, making
    a contribution
  • Altering ones state of consciousness,
    transcending the ordinary
  • Sexuality
  • Enjoyment of fun
  • Freedom
  • Nurturing

64
Some Terms for Mental, Emotional, and Spiritual
Trauma That May Be Experienced by Children and
Adults.
  • Abandonment
  • Neglect
  • Abuse Physicalspanking, beating, torture,
    sexual, etc.
  • Emotional
  • Spiritual
  • Shaming
  • Humiliating Limiting
  • Degrading Withdrawing/ Withholding love
  • Inflicting guilt Not taking seriously
  • Criticizing Discrediting
  • Disgracing Invalidating
  • Joking about Misleading
  • Laughing at Disapproving
  • Teasing Making light of or
  • minimizing your feelings, wants or needs
  • Manipulating Breaking promises
  • Deceiving Raising hopes falsely
  • Tricking Responding inconsistently or
    arbitrarily
  • Betraying Making vague demands

65
Negative Rules and Negative Messages Commonly
Heard in Alcoholic Families
  • Negative Rules Negative Messages
  • Dont express your feelings Shame on you
  • Dont get angry Youre not good enough
  • Dont get upset I wish Id never had you
  • Dont cry Your needs are not all right with me
  • Do as I say, not as I do Hurry up and grow up
  • Be good, nice or perfect Be dependent
  • Avoid conflict Be a man
  • Dont think or talk Big boys don't cry
  • Just follow directions Act like a nice girl or
    lady
  • Do well in school, no matter what
  • Dont ask questions You dont feel that way
  • Dont betray the family Dont be like that
  • Keep the family secrets Youre so stupid
  • Be seen and not heard You caused it
  • No back talk You owe it to us
  • Dont contradict me We wont love you if you
  • Always look good Youre driving me crazy
  • Im always right, and youre always wrong

66
Personal Bill of Rights
  • I have numerous choices in my life beyond mere
    survival.
  • I have a right to discover and know my Child
    Within
  • I have a right to grieve over what I didnt get
    that I needed or what I got that I didnt need or
    want.
  • I have a right to follow my own values and
    standards.
  • I have a right to say NO to anything when I feel
    I am not ready, it is unsafe or violates my
    values.
  • I have a right to dignity and respect
  • I have a right to make my own decisions.
  • I have aright to determine and honor my own
    priorities.
  • I have aright to have my needs and wants
    respected by others.
  • I have the right to terminate conversations with
    people who make me feel put down and humiliated.
  • I have the right NOT to be responsible for
    others behavior, actions, feelings or problems.
  • I have a right to make mistakes and not have to
    be perfect.
  • I have a right to ALL my feelings.
  • I have a right to be angry at someone I love.
  • I have a right to be uniquely me, without
    feelings Im not good enough.
  • I have a right to feel scared and to say Im
    afraid.
  • I have a right to experience and then let go of
    fear, guilt and shame.
  • I have a right to make decisions based on my
    feelings, my judgment or any reason I choose.
  • I have a right to change my mind at any time.

67
The Laundry List
  • These are characteristics we seem to have in
    common due to being brought up in an alcoholic
    household.
  • 1. We became isolated and afraid of people and
    authority figures.
  • 2. We became approval seekers and lost our
    identity in the process.
  • 3. We are frightened by angry people and any
    personal criticism
  • 4. We become alcoholics, marry them, or both, or
    find another compulsive personality such as a
    workaholic to fulfill our sick abandonment needs.
  • 5. We live life from the viewpoint of victims and
    are attracted by that weakness in our love and
    friendship relationships.
  • 6. We have an overdeveloped sense of
    responsibility and it is easier for us to be
    concerned with others rather than ourselves. This
    enables us not to look too closely at our own
    faults.
  • 7. We get guilt feelings when we stand up for
    ourselves instead of giving in to others.
  • 8. We become addicted to excitement.
  • 9. We confuse love with pity and tend to "love"
    people who we can pity" and "rescue".
  • 10. We have stuffed our feelings from our
    traumatic childhoods and have lost the ability to
    feel or express our feelings because it hurts so
    much (denial).
  • 11. We judge ourselves harshly and have a very
    low sense of self-esteem.
  • 12. We are dependent personalities who are
    terrified of abandonment and will do anything to
    hold on to a relationship in order not to
    experience painful abandonment feelings which we
    received from living with sick people who were
    never there emotionally for us.
  • 13. Alcoholism is a family disease and we became
    para-alcoholics and took on the characteristics
    of the disease even though we did not pick up the
    drink.
  • 14. Para-alcoholics are reactors rather than
    actors.
  • Tony A., 1977

68
The Problem
  • Many of us found that we had several
    characteristics in common as a result of being
    brought up in an alcoholic household.
  • We had come to feel isolated, uneasy with other
    peopleespecially authority figures. To protect
    ourselves, we became people pleasers, even though
    we lost our own identities in the process. All
    the same, we would mistake any personal criticism
    as a threat.
  • We either became alcoholics ourselves or married
    them or both. Failing that, we found another
    compulsive personality, such as a workaholic, to
    fulfill our unhealthy need for abandonment.
  • We lived life from the standpoint of victims.
    Having an over-developed sense of responsibility,
    we preferred to be concerned with others rather
    than ourselves. We somehow got guilt feelings
    when we stood up for ourselves rather than giving
    into others. Thus, we became reactors, rather
    than actors, letting others take the initiative.
  • We were dependent personalitiesterrified of
    abandonmentwilling to do almost anything to hold
    onto a relationship in order not to be abandoned
    emotionally. Yet we kept choosing insecure
    relationships because they matched our childhood
    relationship with alcoholic parents.
  • These symptoms of the family disease of
    alcoholism made us co-victimsthose who take on
    the characteristics of the disease without
    necessarily ever taking a drink. We learned to
    keep our feelings down as children and kept them
    buried as adults. As a result of this
    conditioning, we confused love with pity, tending
    to love those we could rescue. Even more self
    defeating, we became addicted to excitement in
    all our affairs, preferring constant upset to
    workable relationships.
  • This is a description, not an indictment.

69
The Solution
  • The solution is to become your own loving parent.
  • As ACA becomes a safe place for you, you will
    find the freedom to express all the hurts and
    fears you have kept inside and to free yourself
    from the shame and blame that are carryovers from
    the past. You will become an adult who is
    imprisoned no longer by childhood reactions. You
    will recover the child within you, learning to
    accept and love yourself.
  • The healing begins when we risk moving out of
    isolation. Feelings and buried memories will
    return. By gradually releasing the burden of
    unexpressed grief, we slowly move out of the
    past. We learn to re-parent ourselves with
    gentleness, humor, love and respect.
  • This process allows us to see our biological
    parents as the instruments of our existence. Our
    actual parent is a Higher Power some of us
    choose to call God. Although we had alcoholic
    parents, our Higher Power gave us the Twelve
    Steps of Recovery.
  • This is the action that heals us we use the
    Steps we use the meetings we use the telephone.
    We share our experience, strength and hope with
    each other. We learn to restructure our healthy
    thinking one day at a time. When we release our
    parents from responsibility for our actions
    today, we become free to make healthful decisions
    as actors, not reactors. We progress from
    hurting to healing to helping. We awaken to a
    sense of wholeness we never knew was possible.
  • By attending these meetings on a regular basis,
    we will come to see parental alcoholism for what
    it is a disease that infected you as a child
    and continues to affect you as an adult. You
    will learn to keep the focus on the here and now.
    You will take responsibility for your own life
    and supply your own parenting.
  • You will not do this alone. Look around you and
    you will see others who know how you feel. We
    will love and encourage you no matter what. We
    ask you to accept us just as we accept you.
  • This is a spiritual program based on action
    coming from love. WE are sure that as the love
    grows inside you, you will see beautiful changes
    in all your relationships, especially with God,
    yourself and your parents.

70
Characteristics of Unrecovered Adult Children of
Alcoholics
  • We guess at what normal iswe dont recognize
    normal when we see it.
  • We have difficulty in following a project through
    from beginning to end. We have the idea of the
    steps necessary to carry the idea out. We
    learned it is the intentions that count, not the
    behavior.
  • We lie when it would be just as easy to tell the
    truth.
  • We judge ourselves without mercy.
  • We have difficulty having fun. We never learned
    how to play.
  • We take ourselves too seriously life is hard
    work.
  • We have difficulty with intimate relationships
    the fears of abandonment are too great to allow
    us to ease into a relationship.
  • We constantly seek approval and affirmation from
    others we cant give it to ourselves.
  • We over-react to changes over which we have no
    control as a child we had no control over
    changes that threatened our safety, security,
    survival.
  • We are either super responsible or super
    irresponsible we cant say no because of our
    need for approval. We set no limits. We are
    prime candidates for burn-out. We have to get
    sick to break the cycle.
  • We have no sense of cooperation or working with
    others. We are used to doing things along and
    for ourselves. That is how we survived in a
    chaotic family. We appear to be cooperative,
    though.
  • We are extremely loyal even in the face of
    evidence that the loyalty isnt deserved. We
    make great friends, employees, etc. We learned
    from practice with alcoholic parents.
  • We are often impulsive We lock ourselves into a
    course of action without thought to the
    consequences.
  • We tend to look for immediate rather than delayed
    gratification we learned as a child, if you
    wait for it, you dont get it.

71
Definitions of Cognitive Thinking Distortions
  • All or nothing thinking You see things in black
    or white categories. If your performance falls
    short of perfect, you see yourself as a total
    failure.
  • Overgeneralization You see a single negative
    event as a never-ending pattern of defeat.
  • Mental Filter you pick out a single negative
    detail and dwell on it exclusively so that your
    vision of all reality becomes darkened, like the
    drip of ink that discolors the entire beaker of
    water.
  • Disqualifying the Positive you reject positive
    experiences by insisting they dont count for
    some reason or other.
  • Jumping to Conclusions you make a negative
    interpretation even though there are no definite
    facts that convincingly support your conclusion.
  • Magnification (Castastrophizing) or Minimization
    you exaggerate the importance of things (such as
    your goof up or someones elses achievement), or
    you inappropriately shrink things until they
    appear tiny (your own desirable qualities or the
    other fellows imperfections).
  • Emotional Reasoning you assume that your
    negative emotions necessarily reflect the way
    things are I feel it, therefore it must be
    true.
  • Should Statements You try to motivate yourself
    with shoulds and shouldnts as if you have to
    be whipped and punished before you could be
    expected to do anything. Musts and oughts
    are also offenders. The emotional consequence is
    guilt. When you direct should statements
    toward others, you feel anger, frustration and
    resentments.
  • Labeling and Mislabeling this is an extreme
    form of over generalization. Instead of
    describing your error, you attach a negative
    label to yourself I am a loser. When someone
    elses behavior rubs you the wrong way, you
    attach a negative label to him Hes a god dam
    louse. Mislabeling involved describing an event
    with language that is highly colored and
    emotionally loaded.
  • Personalization You see yourself as the cause
    of some negative external event which in fact you
    are not primarily responsible for.
  • Excerpted from Chapter 3 Understanding Your
    Moods You Feel the Way You Think. Feeling
    Good The New Mood Therapy. By David D Burns,
    MD. A Signet Book, New American Library, 1980.

72
The Twelve Steps for Adult Children of
Alcoholics
  • We admitted we were powerless over the effects of
    alcoholism or other family dysfunction, that our
    lives had become unmanageable.
  • Came to believe that a power greater than
    ourselves could restore us to sanity.
  • Made a decision to turn our will and our lives
    over to the care of God, as we understand God.
  • Made a searching and moral inventory of our
    parents and realized what characteristics we
    assimilated into our own personalities from our
    childhood.
  • Admitted to God, to ourselves and to another
    human being the exact nature of our wrongs.
  • Were entirely ready to have God remove all these
    defects of character.
  • Humbly asked God to remove our shortcomings.
  • Made a list of all persons we had harmed and
    became willing to make amends to them all.
  • Made direct amends to such people whenever
    possible, except when to do so would injure them
    or others.
  • Continued to take daily personal inventory, and
    when we were wrong, promptly admitted it.
  • Sought through prayer and meditation to improve
    our conscious contact with God as we understand
    God, praying only for knowledge of Gods will for
    us and the power to carry it out.
  • Having had a spiritual awakening as the result of
    these steps, we tried to carry this message to
    others and to practice these principles in all
    our affairs.

73
Recommended Reading
  • ACA Fellowship Text (Steps and Traditions Book)
    ACA WSO, 2006
  • Ackerman, R. J., Children of Alcoholics A
    Guidebook for Educators, Therapists and Parents,
    (2nd Ed.). Holmes Beach, FL Learning
    Publications, 1983.
  • One of the first books on school-aged children of
    alcoholics. An early consciousness-raiser.
  • Black, C., It Will Never Happen to Me, Denver CO
    Medical Administration Company, 1982.
  • Brooks, C., The Secret Everyone Knows, San Diego,
    CA The Kroc Foundation, 1981.
  • The simple heartfelt personal story of an adult
    child of an alcoholic.
  • Farmer, S., Adult Children of Abusive Parents,
    New York, NY Ballantine Books, 1989.
  • Friends in Recovery, The 12 Steps for Adult
    Children, Curtis, WA RPI Publishing, Inc..
    1996.
  • Gravitz, H.L. and Bowden, J.D., A Guide for Adult
    Children of Alcoholics, New York, NY Simon
    Schuster, 1985.
  • Greenleaf, J., co-AlcoholicPara-Alcoholic Whos
    Who and Whats The Difference? Los Angeles, CA
    1981.
  • Wegschieder, S., Another Chance Hope and Health
    for the Alcoholic Family. Palo Alto, CA
    Science and Behavior Books, 1981.
  • Written for both the professional and layperson,
    this is one of the clearest descriptions of the
    family plight. Must reading.
  • Whitfield. C. L., Alcoholism, Other Drug
    Problems, and Spirituality Stress Management and
    Serenity During Recovery. Preprint publication
    available from P T Book Sellers,
    1-800-321-7912, Baltimore, MD, 1985.
  • Whitfield, C.L., Healing the Child Within.
    Deerfield Beach, FL Health Communications, Inc.
    2006.
  • Woititz, J.G., Adult Children of Alcoholics.
    Hollywood, FL Health Communications, Inc., 1983.
  • An important book describing the problems of
    adult children of alcoholics.
  • Woritiz, J. G. and Garner, A., Life-skills for
    Adult Children. Deerfield Beach, FL Health
    Communications, Inc. 1990.
  • Woititz, J. G., Marriage on the Rocks. NY
    Delacorte Press, 1979.

74
  • For additional information attend the ACA group
    held on Monday nights, 7-8 PM, at 7525 John T
    White, Fort Worth TX 76120
  • Or call Josie Estes 817-429-4769
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