INTERVENTION ALCOHOLISM Brookhaven National 家庭干预酒精中毒布鲁克海文国家课件.ppt

FAMILY INTERVENTION:ALCOHOLISM By: Nancy D. Losinno, LCSW, CASAC BNL EAP Manager Effects of alcoholism on the family Development of alcoholism in 1 family member affects all the other members; The longer-lasting more subtle the process, the greater the acceptance of it as the “norm;” Rigid patterns of behavior for all, attempts to change can become thwarted until a crisis disrupts the norm-steady state-homeostasis. See the scales in background-alcoholic family is always in a delicate state of balance. Parallel defenses symptoms Jellinek model: denial, projection, isolation, rationalization, personality change; A simultaneous process in the members of the family; Social isolation leads to emotional isolation Fears, anxiety, guilt parallel those of alcoholic; Family members experience decline in their own health, may question their sanity, and suffer rages, frustrations self-pity when situation does not change, as “promised.” What is “Codependency?” A dysfunctional pattern of living/problem solving developed by family rules in childhood; CODA have a greater tendency to love the unreliable, emotionally unavailable, needy, “wounded birds” who need “rehabilitation” CODA tries to provide control every part of the relationship while denying their own needs, desires, dreams, setting themselves up for more unfulfillment; Creation of the “emotional debt” phenomenon out of fear of abandonment. Codependent Behaviors Controlling Distrust Perfectionism Avoidance of feelings Fears of being engulfed (intimacy issues) Caretaking Hyper vigilance Stress-related physical illness How did I get here? Families of origin: what were the patterns/dynamics in yours? How did my family handle conflict, anger, love, etc.? Many people are taught not to be assertive or to ask directly for needs to be met; How do I become more fulfilled feel better about myself and the life I live? The “Rules” of Codependency Don’t rock the boat. It’s not okay to talk about problems. Keep your feelings t