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©2010 McGraw-Hill Higher Education. All rights reserved. Chapter 6 Parenting Impact on Alcohol/Drug Use and Abuse
©2010 McGraw-Hill Higher Education. All rights reserved. Parent-Child Bonding Primary relationship that greatly influences behavior Poor bonding impacts: – Development – Self-concept – Social and interpersonal relationships – Achievement – Identity
©2010 McGraw-Hill Higher Education. All rights reserved. Hypothesis regarding adolescent abuse Overinvolvement hypothesis Functional hypothesis
©2010 McGraw-Hill Higher Education. All rights reserved. Overinvolvement Hypothesis The overinvolvement hypothesis is that one parent (frequently the mother) is overly involved in the adolescent’s life to compensate for the lack of availability by the other parent.
©2010 McGraw-Hill Higher Education. All rights reserved. Functional Hypothesis The functional hypothesis is that the adolescent’s substance abuse distracts the family from focusing on other familial problems, such as marital discord, infidelity, and parental abuse of alcohol/drugs.
©2010 McGraw-Hill Higher Education. All rights reserved. Abandonment Depression An affective disorder with six key elements: 1. Rage [Homicidal] 2. Suicidal depression 3. Panic 4. Feeling of hopelessness and helplessness 5. Emptiness and void 6. Guilt (Source: Masterson, James. “Psychotherapy of the Borderline Adult – A Developmental Approach”, 1976)
©2010 McGraw-Hill Higher Education. All rights reserved. Characteristics of Shameful Experiences 1. Unexpected exposure; being judged on a vulnerable aspect of oneself 2. Feeling as if there is a loss of choice 3. Feeling out of place, flawed, defective, or inadequate 4. A threat to the core of one’s identity 5. Mistrust in ability to perceive things properly; unsure of self in making decisions or relating to people
©2010 McGraw-Hill Higher Education. All rights reserved. Characteristics (continued) 6. Trust of self and others is jeopardized; boundaries are distorted; and physical, emotional, and/or sexual violations may occur 7. Difficulty in assessing what is reality 8. Feeling helpless, powerless, and trapped, with no way out (Fossum and Mason 1986)
©2010 McGraw-Hill Higher Education. All rights reserved. SHAME Shame Based System 1. No Hope 2. Inescapable 3. Exterior based Feedback Based System 1. Hope – choice 2. Can make amends 3. Will feel better later Definition: Self looking in on self, finding the self lacking. Feeling exposed “see” in some public way and wanting to cover – feeling hunted. (Source: Facing Shame: Families in Recovery, Fossum and Mason)
©2010 McGraw-Hill Higher Education. All rights reserved. Affect / Shame Binds anger + shame = rage anxiety + shame = panic fear + shame = terror sadness + shame = depression depression + shame = despair despair + shame = suicidal thoughts suicidal thoughts + shame = suicide attempt
©2010 McGraw-Hill Higher Education. All rights reserved. Affect / Shame Binds cont’d hurt + shame = pain pain + shame = trauma (deep or chronic pain) trauma + shame = phobia phobia + shame = loss of reality unavailability + shame = lack of trust of others lack of trust of others + shame = paranoia paranoia + shame = loss of reality
©2010 McGraw-Hill Higher Education. All rights reserved. Obstacles to Reaching Parents & Family Denial Skepticism – Incongruence Assumption that things will be OK Distorted, depressed view of life Fear of being labeled Fear of loss of confidentiality Narcissism of parents Lack of energy/time of parents Lack of credible messages – cultural/racial Lack of concern/respect for experts Lack of awareness of community resources Need for services for basic survival Cultural mores Distrust of the system
©2010 McGraw-Hill Higher Education. All rights reserved. Other Obstacles to Reaching Parents & Family Rejection Sensitivity – Can’t avoid failure/rejection – it is “how long” does it take to recover from defeat Procrastination, rumination – motivation & change Despair – “Universal and permanent causes for misfortune” Lack of hope – depression Shame versus pride Recognition that alcoholism and drug addiction are family diseases
©2010 McGraw-Hill Higher Education. All rights reserved. A Balanced or Healthy Family System (Fossum & Mason) Includes Hope Choice Ability to make amends
©2010 McGraw-Hill Higher Education. All rights reserved. Characteristics of Parental Imbalance (Kempher) Increased alcohol, drug and/or nicotine dependence Increased marital conflict Increased parental absenteeism
©2010 McGraw-Hill Higher Education. All rights reserved. Compassion Definition: recognizing and being sensitive to others suffering as well as one’s own suffering Can counteract shame A noble ascription (the common good not just about me) is: We are all in this together. The most resistant people in families to get to counseling are……fathers.
Chapter 6 Parenting Impact on Alcohol/Drug Use and Abuse.
Chapter 9 Motivation and Intervention for Substance Abuse Problems.
Chapter 7 Growing Up in an Alcoholic Family System.
CHAPTER 3 NOTES Mental health – the state of mental well- being in which one can cope with the demands of daily life.
Stress and Depression Common Causes Common Signs and Symptoms Coping Strategies Caring & Treatment Tips.
Borderline Personality Disorder – Is a condition in which people have long term patterns of unstable or turbulent emotions, such as feelings about themselves.
What is SUICIDE? For those of you that do not know, suicide is when a person kills themselves. Most commonly, people commit suicide do to Stress or.
Chapter 9 Warm-Up What are phobias? List a few of your own phobias.
Chapter 5 Substance Abuse and Family Systems Chapter Objectives Describe families as systems. Describe the need for the entire alcoholic/addict family.
Health Goal #7 I Will Seek Help If I Feel Depressed MENTAL AND EMOTIONAL HEALTH.
MNA M osby ’ s Long Term Care Assistant Chapter 43 Mental Health Problems.
Schizophrenia Definition: A disorder where it becomes difficult to act normally in social situations, think rationally, and differentiate between what.
Chapter 17. Sexual intercourse that occurs without consent Stranger rape Acquaintance rape: 3 out of 4 sexual assaults Date rape Statutory rape All.
MENTAL & EMOTIONAL HEALTH Understanding mental and emotional needs.
Introducing Presenters Lis Cox, LMFT Ihande Weber, LCSW.
“Your present circumstances don’t determine where you can go; they merely determine where you start” 1.What are Mental Illnesses? 2.What are some signs.
Chapter 9 Counseling Children and Adolescents with Special Needs.
Lesson 1 – Mental Disorders Journal: Write as many words as you can think of when you hear the term mental disorder. Categorize the words as positive or.
Effects of Depression Emotional –Sadness –_____________ Physical –Fatigue –_____________ –Eating disorders Intellectual –Self-criticism –_____________.
HEALTH, WELLNESS, ILLNESS & DISABILITY. HEALTH & WELLNESS What is your definition of health? Past definitions of health focused on “not being sick”
Psychosocial model. Types of psychosocial modes Self – Concept Mode ( it focuses specifically on the psychological and spiritual aspects of person)
TUGAS KASUS CHILD DEVELOPMENT Dr. Sri Lanawati PASCA SARJANA UNIVERSITAS PELITA HARAPAN.
©2010 McGraw-Hill Higher Education. All rights reserved. Chapter 5 Substance Abuse and Family Systems.
Sleep changes (insomnia to hypersomnia) Appetite changes (loss of to over eating) Arousal changes (lethargic to manic)
FELICIA JOHNSON 1 out of every 5 people struggles with mental illness. Stop and think and you’ll discover that you probably know someone who is going through.
What are they and how many people are affected? What are they? Behavior patterns or mental processes that cause serious personal suffering or interfere.
Personal BehaviorLesson 4, Chapter 21 Mental and Emotional Health Care.
WOMEN’S HEALTH ISSUES : WHAT YOU REALLY NEED TO KNOW ABOUT DEPRESSION AND SUICIDE.
What is a mental disorder? Someone with a mental disorder may not feel good about themselves or may have a difficult time developing intimate relationships.
What is a mental health disorder? A mental disorder is a diagnosable illness that affects a person’s thoughts, emotions and behaviors. Someone with a.
Chapter 10 Lesson 2- Suicide Prevention. Depression and the Teen years Depression – the feelings of helplessness, hopelessness, and sadness Feelings can.
The basic unit of society SOCIAL HEATH- family helps its members develop communication skills PHYSICAL HEALTH- family provides food, clothing, and shelter.
Hillside Family Finding Family Finding: Opening the Door for Trauma Intervention…. Children’s Mental Health Services Staff Development Training Forum December.
Washington D.C., USA, July 2012www.aids2012.org “We Walk With Fear” Experiences of HIV Criminalization and Disclosure Amongst African and Caribbean.
ABUSE Abuse occurs in all kinds of family regardless of income, education level and ethnicity. Abuse can harm a persons physical, social and mental health.
Presented by: Kevin Wade, LCSW-C. Defining sexual abuse/sibling incest Characteristics of families Roles of family members Treatment Case.
Understanding Mental and Emotional Health Mental and emotional health is the ability to deal in a reasonable way with the stresses and changes of daily.
Suicide is a permanent solution to a temporary problem.
Section 9: Personality Disorders. Personality Disorders Inflexible traits that disrupt social life Appear by late adolescence Can’t be distinguished from.
What is a mental disorder? A mental disorder is an illness that affects a person’s thoughts, emotions and behaviors. Someone with a mental disorder may.
What is mental health? Absence of mental illness Positive mental health Mental well-being.
Attachment Disorders. INSECURE ATTACHMENT AND REACTIVE ATTACHMENT DISORDER (RAD) Confusing, frightening and isolating emotional experiences early in life.
Perfect Daughters Adult Daughters of Alcoholics and Other Traumas Robert J. Ackerman, Ph.D. Robert J. Ackerman, Ph.D.ODAPCA Norman, OK October 9, 2014.
Mayra Evelyn SUICIDE is the act of intentionally causing one's owned death. Suicide is often committed out of despair,the cause of which is attributed.
Family as sense of community and development not as a place for addiction Helena Potočnik Mateja Perše.
Borderline Personality Disorder. Borderline Personality Disorder (BPD) Relatively new (defined in the 1980s) Not depression, bipolar, or suicidal Quick.
1 Battling the Blues Presented by CIGNA Employee Assistance Program Copyright 2008 CIGNA HealthCare – Confidential & Privileged – Not for Distribution.
STRESS & TEARS Helping Teens Cope Britt Rathbone, LCSW-C, BCD, CGP
DEVELOPMENTAL PSYCHOLOGY Chapter 13: Emotional Development.
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