CH 10 13

Scapegoat Role

(often the second born) 1. This is the child who everyone loves to blame 2. Negative label is applied and seems to stick 3. The irresponsible behavior that accompanies this role often lands them in trouble 1. they make friends easily and may become a business success because of their willingness to take risks

Family Counseling Thesis- Addiction Family Illness

. The term family illness refers to the fact that the addicted family is now functioning.

Portugal- decriminalization

1. Decriminalized the personal use of all drugs, including heroin and cocaine

Family Manager

1. Has excellent organization skills and flexibility 2. This person's capabilities and resourcefulness help the family survive 1.This person is usually the sober partner of the alcoholic or addict 2. Role is to over function or overcompensate for their partners under functioning 3.This person is the one who worries, nags, struggles to keep everything together. 4. Their denial in the early stages of their partners addiction may be replace by a frantic and biter awareness later

harm reduction and marijuana

1. Practitioners who subscribe to a harm reduction model can now more easily suggest to clients addicted to hard drugs that they switch to marijuana

According to Sharon Wegscheider, what are the six roles people play in the chemically dependent family and list two characteristics of each

1. The chemically dependent person - Selfishly preoccupied with the sources of addiction -This family member tends to see life events and personalities in terms of black and white, all or nothing 2. The chief enabler - Role is to over function or overcompensate for their partners under functioning - This person is the one who worries, nags, struggles to keep everything together. 3. The hero -This high-achieving and competent individual is constantly seeking approval - Inclined to suffer from low self-esteem, the child in this position tends to feel loved for what he or she does rather than for who he or she is 4. The scapegoat - This is the child whom everyone loves to blame - The negative label is applied and seems to stick 5. The lost child -When family members fight, the lost child has an excellent escape mechanism - To grow in to a responsible, mature adult, the child in this role requires a lot of help with self-expression and facing problems realistically 6.The mascot -The occupier of this role provides comic relief for the family unit - The mascot can attract positive attention while distracting members from serious matters

Symptom carrier

1. The individual with substance use problems is viewed as the symptom carrier of the family dysfunction A. in his or her abnormal behavior the person helps maintain the family balance by deflecting attention from the real problem

Name three ways that welfare reform has impacted families.

1. Welfare reform deny access to cash assistance or food stamps to applicants with recent drug felony convictions 2. ex-convicts who have committed more serious offenses such as murder or rape had free access to welfare programs 3. The law did specify that states could ban/modify the restrictions as they have chose and most states have done so CH 13

seizure of assets

A. An owner can usually challenge a seizure by arguing that he or she did not know his or her property was being used for criminal purposes

Emphasis of managed care

A. Emphasis on treatment as opposed to punishment for drug users is in line with research on cost effectiveness

Al-Anon's Original Purpose

A. In its early days, Al-Anon was only for wives who were seen as responsible for their partners' drinking

mental health court movement

A. Mental health courts are designed to help people with mental illness who get into trouble with the law stay out of jail by diverting them into treatment B. Intensive supervision, mental health counseling, medication management, and substance abuse counseling are provided

Pregnant Women and Drugs (legal threats)

A. The unfortunate consequence of legal threats to pregnant women has been to deter some women from seeking prenatal care at all

Alan Marlatt- Intervention Viewpoint

Believes Interventions should not be performed under any circumstances 2. His belief is that interventions are confrontational and punishing 3. Such strategies increase resistance and denial 1. Interventions can place too much psychological pressure on people who may feel ganged up on A. Sometimes the reaction is suicide

Domestic Violence- Violent partner

Intimate partner violence among alcohol and drug misusing couples is alarmingly high CH 10

What are four medical uses of marijuana. What three cons of legalizing marijuana? What are three pros of legalizing marijuana?

Medical Uses: 1. Marijuana is used today in the U.S. to reduce pain caused by damaged nerves in HIV patients 2. Useful in stimulating appetite for HIV patients and for cancer patients receiving chemotherapy because of its effect in increasing appetite and reducing nausea 3. Medical marijuana helps people with multiple sclerosis in that in the form of pills or oral sprays it reduces stiffness and muscle spasms 4. People with epilepsy have used it to control seizures CONS: 1. Marijuana may act as a gateway drug 2. Young people who are genetically susceptible to developing schizophrenia area apt to develop mental health problems with heavy drug use 3. Heavy smoking of marijuana among youth is associated with brain abnormalities, memory problems, and loss of motivation PROS: 1. Removal of marijuana from Schedule 1 category will enable scientists to much more easily study the health benefits as well as risks of long-term exposure to THC; legalization will enhance this development 2. Legalization will reduce the crime rate that is associated with black market sales (and gang activity) that accompany prohibition of a popular substance. 3. Incarceration rates associated with the war on drugs will be reduced considerably; family life, especially of minority groups hard hit by the war on drugs, will be restored

Ecosystems Framework- Family

The idea of an ecological framework is constituent with family therapy's focus on understanding human behavior in terms of constant interaction with the people and other systems in a person's life A. Family members adapt to the behavior of one of the members who is underfunctioning in some way, including a substance use disorder B. The family develops patterns of accommodation and ways of coping with the substance use 2. Each family has its own style of adaptation

Community Reinforcement and Family training Approach- Positive Feedback to Family

The training encourages participants to take care of their personal needs and to provide positive feedback when their loved one is sober This approach is more successful than other traditional approaches in helping family members feel empowered and getting their alcoholic or addicted relative into treatment