Biochemical inflGenetic predispositionManipulation; dependency; blaming/criticizing; rationalization/ Altered role function/disruption of family roles●Disturbed family dynamics; closed communication systems, Emotional isolation/loneliness; vulnerability; repressed emotionsAnxiety, anger/suppressed rage; shame and embarrassmentDefiDefiAddictive personalityof the family unit are chronically disorganized, which leads to con-fl ict, denial of problems, resistance to change, ineffective problem solving, and a series of self-perpetuating crises. Possible Etiologies (“related to”)Abuse of alcoholEnabling to maintain drinking; refusal to get help/inability to Lack of problem-solving skillsInadequate coping skillsFamily history of alcoholism, resistance to treatment^ denial of problemsineffective spousal communication, and marital problemsDYSFUNCTIONAL FAMILY PROCESSES nition: ning Characteristics (“evidenced by”) Psychosocial, spiritual, and physiological functions uences Substance-Related Disorders ●^101
2506_Ch04_071-104.indd Sec1:101 2506 Ch 04 071 - 104 .indd Interventions with behaviors and alter behaviors that contribute to client’s addiction.Short-term GoalsS 1. Review family history; explore roles of family members, 3. Family members will initiate and plan for necessary lifestyle Goals/Objectives 2. Family members will identify ineffective coping behaviors 1. Family members will participate in individual family pro-Family members will take action to change self-destructive Long-term Goalecaccept and receive help appropriately 1 potential for change.grams and support groups.changes. and consequences.growth. circumstances involving alcohol use, strengths, areas of : 101 This information determines areas for focus and Selected Rationales 1 10/1/10 9:34:04 AM 0 / 1 / 10 9 : 34 : 04 AM