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Alcoholism in family systems refers to the conditions in families that enable alcoholism and the effects of alcoholic behavior by one or more family members on the rest of the family. Mental health professionals are increasingly considering alcoholism and addiction as diseases that flourish in and are enabled by family systems .
CRAFT is a motivational model of family therapy. [5] It is reward-based [5] —that is, based on positive reinforcement. CRAFT is aimed at the families and friends of treatment-refusing individuals who have a substance use disorder. [5] "CRAFT works to affect [influence] the substance users' behavior by changing the way the family interacts ...
In professional and research contexts, the term alcoholism is not currently favored, but rather alcohol abuse, alcohol dependence, or alcohol use disorder are used. [ 4 ] [ 2 ] Talbot (1989) observes that alcoholism in the classical disease model follows a progressive course: if people continue to drink, their condition will worsen.
For example, the third-largest twelve-step program, Al-Anon, assists family members and friends of people who have alcoholism and other addictions. About twenty percent of twelve-step programs are for substance addiction recovery, the other eighty percent address a variety of problems from debt to depression . [ 39 ]
Dr Johnson's own pioneering work has made important contributions to the understanding of alcoholism as a disease. [77] Frequency and quantity of alcohol use are not related to the presence of the condition; that is, people can drink a great deal without necessarily being alcoholic, and alcoholics may drink minimally or infrequently. [7] [78]
Alcohol dependence refers to an entity in which only alcohol is the involved addictive agent. Alcoholism refers to an entity in which alcohol or any cross-tolerant addictive agent is involved. In alcohol dependence, reduction of alcohol, as defined within DSM-IV, can be attained by learning to control the use of alcohol.
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Though AA usually avoids the term disease [citation needed], 1973 conference-approved literature said "we had the disease of alcoholism", [136] while Living Sober, published in 1975, contains several references to alcoholism as a disease, [137]: 23, 32, 40 including a chapter urging the reader to "Remember that alcoholism is an incurable ...