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Substance Abuse and Intimate Relationships

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Substance Abuse and Intimate Relationships ... Dysfunctional families may be equally damaging to the development and health of family members in homes with substance ... – PowerPoint PPT presentation

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Title: Substance Abuse and Intimate Relationships


1
  • Substance Abuse and Intimate Relationships

2
Jennifer L. Baker, Psy.D. Anne B. Summers, Ph.D.
Debbi Steinmann, M.A. Training Instructor /
MentorsMelissa A. Gibson, M.S. Kim Rozell, M.A.
Graduate AssistantsBrent Anderson, M.S.
Matthew Biller, M.A. Cate Brandon, M.A Dawn
Clinard, M.A.Jessie Clinton, M.S. Tabitha
Carlson, M.S.Anup Jonathan Tony Larson, B.A.
Nicole Mannis, M.A.Robert Mindrup,
M.S.S.W.Colleen Quinn, Ph.D. Amber Schafer,
M.A. Amanda Schroeder, B.S.
  • The Training for the Healthy Marriage and Family
    Formation curriculum was created through the
    cooperative efforts of

3
Recent Statistics on Substance Abuse
  • Substance abusers dramatically impact the lives
    of the people around them.
  • One out of ten individuals currently struggle
    with substance abuse or dependence.
  • Two out of ten have been alcohol dependent at
    some time during their lives.

4
How many are affected?
  • Substance abuse negatively impacts not only the
    drinker, but also his/her partner and other
    family members.
  • Approximately one child in every four (28.6), in
    the U.S., is exposed to alcohol abuse or
    dependence in the family.
  • A third of Americans report family problems due
    to alcohol abuse.

5
The Family
  • Often the family system has unintentionally
    evolved to support the addiction.
  • Each family member plays a role that serves a
    specific purpose.
  • Each family member must perform his or her role
    to keep the family functioning.

6
Family Roles
  • The dependent is the substance abuser.
  • The enabler is the one closest to the dependent.
  • The enablers behavior, allows the dependent
    person to continue drinking.
  • Rescuing and caretaking behaviors
  • Taking care of household chores, etc.
  • Inner feelings powerlessness, self-pity, fear.

7
Family Roles
  • Family Hero often the oldest child, high
    achiever
  • Scapegoat often the second born child,
    troublemaker
  • Lost Child Usually a middle child, loner
  • Mascot often the youngest child, class clown

8
Summary of Family Roles
  • Most people can identify with parts or
    combinations of these roles.
  • However, in an alcoholic or dysfunctional family,
    these roles are usually fixed and inflexible.
  • Other types of family dysfunction, addictions, or
    mental illness may produce similar roles in the
    family.

9
Impact on the Family
  • Increased level of stress.
  • Higher incidence of domestic violence.
  • Lack of trust, often due to broken promises to
    cut back or quit using the substance.
  • Anger and resentment may begin to build.

10
Impact on the Family
  • When parents become preoccupied with drugs, or
    any other activity which dominates and
    monopolizes their time and energy, children
    suffer.
  • Children often lack the love, support, and care
    that they so desperately need.

11
Impact on the Family
  • Chaotic and inconsistent home environment.
  • Lack of routines.
  • Kids never know what to expect.
  • Inadequate supervision and monitoring.
  • May be exposed to violence.
  • Increased risk of teenage substance use.

12
Impact on Couples
  • Often leads to unhappiness within the
    relationship.

13
Impact on Couples
Arguing and Fighting
Increased conflict
More substance abuse
14
Assessment of Relational Factors
  • Examine the extent or seriousness of substance
    use by each partner.
  • Tell-tale signs
  • Strengths and weaknesses of the couple
    relationship.
  • Empowering the couple

15
Couple Relationship Assessment The 7 Cs
  • Character Features
  • Cultural Factors
  • Contract
  • Commitment
  • Caring
  • Communication
  • Conflict Resolution

16
How Do I Know If My Partner or I Have a Problem?
17
Assessment of Substance Abuse
  • Informal assessment
  • Types of substances
  • Quantities
  • Frequencies of use
  • Formal assessment
  • CAGE
  • UNCOPE

18
CAGE
  • HAVE YOU EVER
  • Thought you should Cut down on drinking?
  • Become Annoyed when people criticize your
    drinking?
  • Felt scared, bad, or Guilty about your drinking?
  • Taken an Eye-opener drink to feel better in the
    morning?

19
UNCOPE
  • Consists of six questions.
  • Most appropriate for identifying risk for abuse
    or dependence when neither is identified as the
    presenting problem.
  • Easy to administer and score.

20
UNCOPE
  • U- Have you continued to use alcohol or drugs
    longer than you
  • intended or have you spent more time
    drinking or using than
  • you intended?
  • N- Have you ever neglected some of your usual
    responsibilities
  • because of alcohol or drug use?
  • C- Have you ever wanted to cut down on using
    alcohol or drugs
  • but couldnt?
  • O- Has your family, a friend, or anyone else
    ever told you they
  • objected to your alcohol or drug use?
  • P- Have you ever found yourself preoccupied with
    wanting to
  • use alcohol or drugs?
  • E- Have you ever used alcohol or drugs to
    relieve emotional
  • discomfort, such as sadness, anger, or
    boredom?

21
Goals for Effective Treatment
  • Eliminate abusive drinking and drug use, and gain
    partner support to reinforce sobriety.
  • Alter partner interactions to promote a family
    environment supporting abstinence.

22
There is hope . . .
  • Chemical dependency is treatable.
  • Families can change patterns of interaction.
  • The process is difficult, but help is available.
  • Treatment for the substance abuser and the family
    is critical.

23
Websites
  • Partnership for a Drug-Free America
  • http//www.drugfree.org/
  • American Council for Drug Education
  • http//www.acde.org/
  • National Institute on Drug Abuse
  • http//www.nida.nih.gov/
  • Phoenix House
  • http//www.phoenixhouse.org
  • Substance Abuse and Mental Health Services
    Administration
  • http//www.samhsa.gov

24
  • Questions
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