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1、FAMILYINTERVENTION: ALCOHOLISMBy:NancyD.Losinno,LCSW,CASACBNLEAPManagerEffectsofalcoholismonthefamilyDevelopmentofalcoholismin1familymemberaffectsalltheothermembers;Thelonger-lasting&moresubtletheprocess,thegreatertheacceptanceofitasthe“norm;”Rigidpatternsofbehaviorforall,att
2、emptstochangecanbecomethwarteduntilacrisisdisruptsthenorm-steadystate-homeostasis.Seethescalesinbackground-alcoholicfamilyisalwaysinadelicatestateofbalance.Paralleldefenses&symptomsJellinekmodel:denial,projection,isolation,rationalization,personalitychange;Asimultaneousproces
3、sinthemembersofthefamily;SocialisolationleadstoemotionalisolationFears,anxiety,&guiltparallelthoseofalcoholic;Familymembersexperiencedeclineintheirownhealth,mayquestiontheirsanity,andsufferrages,frustrations&self-pitywhensituationdoesnotchange,as“promised.”Whatis“Codependency
4、?”Adysfunctionalpatternofliving/problemsolvingdevelopedbyfamilyrulesinchildhood;CODAhaveagreatertendencytolovetheunreliable,emotionallyunavailable,needy,“woundedbirds”whoneed“rehabilitation”CODAtriestoprovide&controleverypartoftherelationshipwhiledenyingtheirownneeds,desires,
5、dreams,settingthemselvesupformoreunfulfillment;Creationofthe“emotionaldebt”phenomenonoutoffearofabandonment.CodependentBehaviorsControllingDistrustPerfectionismAvoidanceoffeelingsFearsofbeingengulfed(intimacyissues)CaretakingHypervigilanceStress-relatedphysicalillnessHowdidIg
6、ethere?Familiesoforigin:whatwerethepatterns/dynamicsinyours?Howdidmyfamilyhandleconflict,anger,love,etc.?Manypeoplearetaughtnottobeassertiveortoaskdirectlyforneedstobemet;HowdoIbecomemorefulfilled&feelbetteraboutmyselfandthelifeIlive?The“Rules”ofCodependencyDon’trocktheboat.I
7、t’snotokaytotalkaboutproblems.Keepyourfeelingstoyourself.Bestrong,good,right,perfect.DoasIsay,notasIdo.The“best”communicationisindirect.Don’tbesoselfish.WhatisEnabling?Enablermakesiteasierforalcoholictofunction;Spousestakeoverthefinancial&homeresponsibilities;Spousesmakeallow
8、ancesfor&forgivebadbehavior;Maycontinuetobeloving/givinginthefaceofp
