ADRS 3325 questions

Enabling behavior is much more than just providing money or obtaining the addict's drug of choice for them. What is one other behavior that can be seen as enabling a loved one's addiction?

1. denial 2. supporting addictive behaviors and not allowing to the addict to face or accept any of his/her consequences of their actions. 3. letting things slide - providing a "pillow"

When thinking about family system, 1 + 1 = ?

3

The individual attends three AA meetings a week and talks to his/her sponsor each week.

Action

When Janet's mom found out about her drinking, her mom's response indicated that her mom understood what about addiction?

Addiction is genetic, like any other disease

Case Example 1: Darryl has worked in the oil fields for many years. .JHe used to be addicted to meth when he was married to his first wife who also used meth and alcohol. The children were taken from the couple and given to relatives to raise. Eventually, Darryl stopped using meth but now used marijuana. After giving up meth, Darryl was reunited with his childhood sweetheart Denise. A few years after they married, he was able to regain custody of his son, Michael (12yrs). Denise complains that Darryl doesn't believe her when she tells him that Michael misbehaves when Darryl isn't around. Darryl often sides with Michael. Denise struggles with self-esteem and often tries to control everything in the household. She reports that in her family, there were no rules and that she often had to parent herself which is why she hasn't had any susbtance abuse problems. Darryl reports that Denise takes some prescription pills. With Denise's symptoms of low self-esteem and control that are often associated with codependency, and given some of the information that is provided regarding her family of origin it is possible that she might be a(n):

Adult Child of Alcoholic

What kind of system do the Walsh's have?

Closed System

The individual received a DUI and is beginning to think that they might have a drinking problem.

Contemplation

The Walshe's are a farming family. Rock is the father and he is an alcoholic. He has even crashed a few tractors because of his drinking. But his two sons and daughter know that they are never to speak of this. Whenever anyone asks about the family they put on a great big smile and always boast about what a wonderful man their dad is and how happy their mom is. They have never had a conversation about his alcohol inside the home either. Everyone just knows to not talk about it. What kind of rule is this?

Covert

Alcoholism in which the individual develops both a physiological and psychological dependence is known as:

Gamma alcoholism

Sharia no longer sees herself as a victim in her relationship. She feels she is able to focus on other issues not revolved around sex addiction. She can even express some gratitude for what addiction has brought to her life and her relationship. Sharia is most likely in what stage of recovery for partners of sex addiciton.

Growth stage

Arthur has relapsed with binging for an entire weekend. As his therapist what would be the best to do in this stage of change?

Help client recognize the triggers for his relapse Determine his motivation for maintaining sobriety again A and C only

When a family resists change, this is known as:

Homeostasis

Joshy and Sandra are in a relationship. Joshy has an alcohol problem and often becomes physically abusive towards Sandra when he drinks. These physical outbursts will happen once a week. Joshy will usually spend a few days to a week being very apologetic and nice to Sandra. Always buying her gifts or being very affectionate. What would this phase be according to the abusive cycle?

Honeymoon phase

Mutuality or ecosystemic embeddedness, refers to the idea that:

Individuals do not function in isolation but can function in relation to other parts.

Staggered disclosures to a partner of a person with a sexual addiction may sometimes be partly due to a fear of resulting pain and negative consequences. In such instances, it may be helpful to remind the person with the addiction that:

It is ultimately their behavior, not disclosure, that brings negative results

which of the following is NOT one of Carne's traits of coaddicts of sexual addiction?

James and Andy participate in couples therapy to cope with sexual addiction

The individual attends weekly AA meetings

Maintenance

Marina struggles with depression and also drinks more than 5 drinks a night and smokes marijuana. Which description best represent Marina?

Marina has a dual diagnosis of depression and alcohol.

John is an alcoholic and has a wife and two children. He started his own business and has had much success. Although he owns the company, he has recently been bought out due to his poor job performance as a result of alcoholism. He started drinking as a teenager and often got in trouble while growing up for not following the family rules. He was raised in a home that was very religious and neither parent drank alcohol. John and his wife never fight. Every now and then she will jab at how he drinks too much. The children also don't say anything about dad's drinking. Johnny, or John JR. excels in school. He is very responsible and everyone believes he is a great kid. Philip, the youngest child, struggles in school. He often has a difficult time focusing and often gets blamed for being the instigator when the class gets out of hand. His parents punish him even for little mistakes that Johhny typically gets away with. John's wife, Clarissa is bothered by John's drinking but is afraid to say anything. She has started to talk to ex-boyfriend's online.

Match the family members to their role.

The DSM V diagnoses can classify one's substance use as:

Mild, Moderate or Severe

Janet's dad response suggested that he ascribes to which model?

Moral model

Susan has depression and an Alcohol Use Disorder (Severe). Her therapist and family are trying to get her into treatment and they are specifically looking for a treatment that target both disorders at the same time. Which type of treatment would be the best for her based on her desire?

Parallel treatment

Someone who seeks validation and approval.

Preoccupied attachment

The individual has asked a friend for therapist contact info

Preparation

According to Cohn, when working with couples therapeutically who have struggled with sexual addiction it is important to do which of the following?

Renew trust and forgiveness create new sexual relationship shared commitment to eradicate behavior ALL OF THE ABOVE

When a change takes place that changes the rules of the system, this is known as:

Second order change A positive feedback loop

Someone who is low anxiety and low avoidance

Secure attachment style

A family's structure is maintained by all the following except:

The Empty Chair

This child is often angry and confused from growing up in an unpredictable environment.

The acting out child

This child hides the chaos that rules the family by taking on more responsibility and developing a sense of independence.

The responsible child

Which of the following are direct or indirect ways that drugs influence receptors or neuron cells?

Trigger activism of neurotransmitters act like a neurotransmitter change cell voltage all of the above

According to the Developmental Model of Family recovery, often times, in order for an individual and family to enter recovery, the family's system must collapse.

True

John

addict

the change and organization around the addiction

allostasis

According to "what is normal" A healthy family maintains _______ but also has flexibility. While an unhealthy family is _______ and inflexible.

authority - autocratic

rules about who or how a person can participate in a certain action/activity

boundaries

According to the readings, if a mother uses drugs with one of her children, the family system may be considered:

chaotic

when a system does not allow outsiders into the inner workings of their family

closed system

Metacommunications can be defined as:

communication about communication

The following are all behaviors or attitudes associated with codependency, except:

confidence

Danielle has been characterized by her counselor as sitting on the fence as it relates to her changing her drinking behavior. What stage of change is she in?

contemplation

________ rules are implicit and are learned simply by being introverted in a system over time, while ________ rules are more explicit and may be spoken or said.

covert, overt

Believing addicts lies, Normalizing or tolerating unacceptable behavior, and second guessing are all characteristics of which stages or recovery for a partner of sex addict?

developing/pre discovery stage

Someone who has a high view of themselves and a low view of others

dismissive attachment style

John is an alcoholic and has a wife and two children. He started his own business and has had much success. Although he owns the company, he has recently been bought out due to his poor job performance as a result of alcoholism. He started drinking as a teenager and often got in trouble while growing up for not following the family rules. He was raised in a home that was very religious and neither parent drank alcohol. John and his wife never fight. Every now and then she will jab at how he drinks too much. The children also don't say anything about dad's drinking. Johnny, or John JR. excels in school. He is very responsible and everyone believes he is a great kid. Philip, the youngest child, struggles in school. He often has a difficult time focusing and often gets blamed for being the instigator when the class gets out of hand. His parents punish him even for little mistakes that Johhny typically gets away with. John's wife, Clarissa is bothered by John's drinking but is afraid to say anything. She has started to talk to ex-boyfriend's online. Clarissa being afraid to say anything may likely be associated with an often found rule (according to Claudia Black) in families where addiction is present, which is:

don't talk about the alcoholism

The rules of the alcoholic family are:

don't talk, don't trust, don't feel

The family system organized around alcohol (or drug) and is characterized by rigid roles.

drinking

The family is organized around recovery principles and relies on external support

early recovery

clarissa

enabler

Janet started drinking in high school, but her alcohol consumption increased when she started college. Janet felt a lot of stress in her difficult program. Rather than studying, Janet often sought distraction from her stress by drinking. Overtime Janet's friends noticed that Janet would get black out drunk each time they were together. Her roommate also noticed that Janet had started to drink daily and sometimes by herself. AS her grades started to slip, Janet started to fight with her parents who threatened to withdraw financial support if she didn't pull up her grades. When Janet went home for Christmas break, Janet's mom found some liquor bottles in Janet's things when she was putting away linens in her closet. Janet's parents sat down with Janet and expressed concern about her drinking. Janet's mom was particularly concerned and shared that her own bio dad had been an alcoholic and that was the reason for her parents divorce. Janet's dad was very upset and told Janet that she needed to have self-control and grow up. He also got upset that she was wasting their money on alcohol rather than focusing on school. Janet felt pretty ashamed and attempted to quit drinking but started drinking again once she back at school. What facts in this vignette suggests that Janet might be on the road to addiction?

failed to attempt to quit drinking alone daily drinking all of the above

A pregnant woman who drinks one glass of wine during her pregnancy will likely cause Fetal Alcohol Syndrome. (FAS)

false

Genes would be best thought as the causes of behavior rather than contributor to behavior

false

Sexual addiction is diagnosable the DSM

false

Substance abuse does not increase the risk for domestic violence.

false

System Theory exclusively applies to families

false

according to research most partners regret the amount of disclosure of sexual addiction infidelity.

false

Someone who is high anxiety and high avoidance.

fearful attachment style

accepts and shows feelings

healthy family

encourages play and responsibility

healthy family

johnny

hero

Negative feedback loops can be considered to maintain __________

homeostasis

nonchange or resistance to change whether it is a positive or negative

homeostasis

According to the reading, it is hard to convince a codependent to seek help because:

lack of information scarce practical help they look normal but do not feel normal all of the above

The individual has the capacity for interpersonal and interpersonal focus, "I" and "we".

ongoing recovery

implicit direction or rule about how to behave in the family

overt rule

This child seeks to take care of each family member's emotional needs

placater

The individual drinks several beers each night after work and gets black out drunk each weekend

precontemplation

philip

scapegoat

This child tends to be younger and detaches emotionally, physically, and socially because they feel helpless to change their situation.

the adjuster

When the alcoholic family works to defend the family themes that they have developed over time, this is know as:

the late phase of alcoholism

When the alcoholic family works to defend the family themes that they have developed over time, this is known as:

the late phase of alcoholism

In class, a western-ideal of the purposes of families was highlighted and discussed. What was it?

to help people learn how to communicate effectively. to form a collective unit that cannot be broken under any circumstance. to keep everyone in the family alive. to promote the health, growth, and development of each its members. all of the above.

The family environment is characterized by chaos and crisis. This is often described as chronic acute trauma.

transition abstinence

The family system is in a state of collapse causing defenses to tighten

transition drinking

According to the reading, codependents hurt as much or more than the alcoholic

true

An adult child of an alcoholic can also be an addict.

true

Partners of sexual addicts often come from homes with sexual abuse

true

Recovery is the ability to tolerate feelings without the need to medicate.

true

Sexual addicts can experience tolerance to sex and pornography

true

The "Hero" rule is the only good role in the addictive family

true

The adult child of an alcoholic always has the role of the responsible child.

true

Women are more likely to self refer to therapy and therefore their codependent behaviors may be noticed more than men's codependency behaviors.

true

most partners find out about deviant sexual behavior from their partner on accident

true

doesn't understand how to spend quality time with others

unhealthy family

very little or no time to share with other family members

unhealthy family

willingly accepts lying and secrets

unhealthy family