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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 .
Dr. Gene Heyman [14] and others assert alcoholism is not a progressive, incurable disease. See disease theory of alcoholism for a full discussion. The diagnostic assessment of alcoholism in someone can include an assessment of co-morbidity with conditions such as mental illness and domestic violence. From SMART Recovery, section: Family & Friends:
From the ACA fellowship text (also known as "The Big Red Book"): [21] "By attending these meetings [19] on a regular basis, you will come to see parental alcoholism or family dysfunction for what it is: a disease that infected you as a child and continues to affect you as an adult." [22] The goal of working the program is emotional sobriety. [12]
Alcoholism is characterized by an increased tolerance to alcohol – which means that an individual can consume more alcohol – and physical dependence on alcohol, which makes it hard for an individual to control their consumption. The physical dependency caused by alcohol can lead to an affected individual having a very strong urge to drink ...
An influential cognitive-behavioral approach to addiction recovery and therapy has been Alan Marlatt's (1985) Relapse Prevention approach. [62] Marlatt describes four psycho-social processes relevant to the addiction and relapse processes: self-efficacy, outcome expectancy, attributions of causality, and decision-making processes. Self-efficacy ...
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]
Usually, this communication is an expressed dissatisfaction with the main party. For example, in a dysfunctional family in which there is alcoholism present, the non-drinking parent will go to a child and express dissatisfaction with the drinking parent. This includes the child in the discussion of how to solve the problem of the alcoholic parent.
In children and adolescents, cognitive behavioral therapy (CBT) [49] and family therapy [50] currently has the most research evidence for the treatment of substance abuse problems. Well-established studies also include ecological family-based treatment and group CBT. [ 51 ]
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