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ADDICTION (Family disease)

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Stage I
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Stage II

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Stage III

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Stage -IV

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Codependency
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WHAT IS CO – DEPENDENCY?

A pattern of living and coping based on a set of


dysfunctional rules within the family system

due to

preoccupation and an extreme


emotional dependence on the addict
CO-DEPENDENCY TRAITS

 Loss of daily structure


 Lack of personal care
 Indifference to health problems
 Loss of priorities in life ……….
In their attempts to eliminate the problem,
the family unknowingly enables the addict
to continue with his inappropriate
behaviour
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WHAT THE FAMILY NEEDS….. (Contd..)

 To start communicating openly to the other


family members about their concerns
 To plan one day at a time
and start executing them
 To start looking after their
own needs and the needs
of other family members
WHAT THE FAMILY NEEDS….. (CONTD..)

 To accept that they are not


alone and that help is
available

 To identify healthy
leisure activities
WHAT SHOULD THE FAMILY
AVOID DOING?
 Hiding / throwing away alcohol / drugs
 Arguing when he is under the influence
 Asking reasons for alcohol / drug use
 Punishing, threatening,
bribing, lecturing or
making emotional appeals

In the long run, none of these methods work


FAMILY THERAPY TOWARDS MEETING
THE CHALLENGES

 Specific, with attainable therapeutic goals


 Shifts focus from spouse’s addiction to
changing her own self
 Emphasis on ‘here and now ’
GOALS OF FAMILY THERAPY

 To provide information about addiction and its


effects on the family system
 To help the family understand their inappropriate
responses and deal with their defects of character
 To provide a safe and acceptable environment for
the family to discuss and deal with their problems

………..
GOALS OF FAMILY THERAPY (contd..)

 To improve interaction among family members

 To equip parents with the skills needed to raise


adolescents / to improve marital relationship
THERAPEUTIC PROCESS

Random phase
 Thefamily acts in a relatively unstructured
manner
Recrimination phase
 The family makes accusations
 Attempts to engage the therapist in
discussion of “what he did when he drank”
………..
THERAPEUTIC PROCESS (contd..)
Therapeutic realization phase

 A solid working alliance is built


 Reduced references to alcohol and drugs
 Willingness to make changes in oneself
 The family begins to
communicate more
effectively with
other members

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