Mental Health Counsling
There are 3 specific questions this week. Please number your responses in your discussion:(1) Is addiction an individual or family problem? Please discuss your rationale for your response. (2) Discuss your understanding of how intimacy is affected by growing up in a substance abusing home (if you have it, reference the recommended Woititz book). (3) Please list 5 common traits of Adult Children of Alcoholics (ACOA) and how they might impact treatment.
Please discuss your understanding of ACOAs from this reading. Note what stood out to you, surprised you, what reinforced other readings and information you have on this topic, and anything else of particular interest to you on this topic.
Adult Children of Alcoholics
When a parent misuses or abuses alcohol, it can have a profound effect on the whole family. Being a child in an alcoholic family system means learning to relate to the world and the people in it in ways that are not necessarily healthy or adaptive. If you are a child of an alcoholic, then your emotional and psychological well-being may have been affected. You may even consider yourself an “Adult Child of an Alcoholic” (ACoA).
What is an ACoA?
Stephanie Brown, author of Safe Passage: Recovery for Adult Children of Alcoholics, points out that growing up with an alcoholic parent is both a common experience and a unique experience. It is the similarities among those from alcoholic families that led to the adoption of the label “Adult Child of an Alcoholic” many years ago. To quote Stephanie Brown:
The alcoholic family has been described broadly as one of chaos, inconsistency, unpredictability, unclear roles, arbitrariness, changing limits, arguments, repetitious and illogical thinking, and perhaps violence and incest. The family is dominated by the presence and the denial of alcoholism. The alcoholism becomes a major family secret, most often denied inside the family and certainly denied to outsiders. This secret becomes a governing principle around which the family organizes its adaptations, its coping strategies, and its shared beliefs, to maintain its structure and hold the family together (p. 8).
Obviously, having lived day to day in a family that is like this can continue to affect you even as an adult. It is important to learn about the unique and specific ways that you were affected.
Consider the following questions:
“How can I be sure if my parent is really an alcoholic?”
It is not necessary to diagnose your parent. Alcohol disrupts the consistency and predictability which should be present in every family. It is this disruption and the resulting confusion and chaos that are important
– not a medical diagnosis of your parent. A recent poll reported that one in every three American families is affected by alcohol abuse. If alcohol was or is an important influence in your family, it is important that you learn about patterns related to being an Adult Child of an Alcoholic. An “alcoholic” family is any family disrupted by alcohol abuse.
“But I’m gone from home now; why should my parents’ problems bother me?”
If you grew up in an alcoholic family you may have longed for the day when you could go to college and leave the pain and chaos of your family behind.
You may be surprised, therefore, to find at college that you experience feelings of dissatisfaction, apathy, or distance from other people, similar to those you felt at home. Such feelings are easy to understand when you consider that families are places where you learn about yourself and about life. Although all families operate with “rules,” alcoholic families have rules which severely limit the development and growth of their members.
Claudia Black, a leading author and theorist regarding ACoAs, has identified three such rules in alcoholic homes:
1. Don’t trust. In alcoholic familes, promises are often forgotten, celebrations cancelled and parents’ moods unpredictable. As a result, ACoAs learn to not count on others and often have a hard time believing that others can care enough to follow through on their commitments.
2. Don’t feel. Due to the constant pain of living with an alcoholic, a child in an alcoholic family must “quit feeling” in order to survive.
After all, what’s the use of hurting all the time? In these families, when emotions are expressed, they are often abusive, and prompted by drunkenness.
These outbursts have no positive result and, along with the drinking, are usually denied the following day. Thus, ACoAs have had few if any opportunities to see emotions expressed appropriately and used to foster constructive change. “So,” the ACoA thinks, “why feel anything when the feelings will only get out of control and won’t change anything anyway? I don’t want to hurt more than I already do.”
3. Don’t talk. ACoAs learn in their families not to talk about a huge part of their reality – drinking. This results from the family’s need to deny that a problem exists and that drinking is tied to that problem.
That which is so evident must not be spoken aloud. There is often an unspoken hope that if no one mentions the drinking it won’t happen again.
Also, there is no good time to talk. It is impossible to talk when a parent is drunk. When that parent is sober, everyone wants to forget. From this early training, ACoAs often develop a tendency to not talk about anything unpleasant.
“If my family is the root of all this, why do my brothers and sisters seem OK?”
Each member of an alcoholic family tends to find his or her own way to live with these three rules. Claudia Black and others talk about different “roles” that emerge for children in their attempts to make sense of the
Hero: These children try to ensure that the family looks “normal” to the rest of the world. In addition, they often project a personal image of achievement, competence, and responsibility to the outside world. They tend to be academically or professionally very successful. The cost of such success is often denial of their own feelings and a belief that they are “imposters.”
Adjuster: In order to cope with the chaos of their families, these children learn to adjust in inappropriate ways. They learn never to expect or to plan anything. They often strive to be invisible and to avoid taking a stand or rocking the boat. As a result, they often come to feel that they are drifting through life and are out of control.
Placater: These children learn early to smooth over potentially upsetting situations in the family. They seem to have an uncanny ability to sense what others are feeling at the expense of their own feelings. They tend to take total responsibility for the emotional care of the family.
Because of their experience in this role, they often choose careers as helping professionals, careers which can reinforce their tendencies to ignore their own needs.
Scapegoat: These people are identified as the “family problem.” They are likely to get into various kinds of trouble, including drug and alcohol abuse, as a way of expressing their anger at the family. They also function as a sort of pressure valve. When tension builds in the family, the scapegoat will misbehave as a way of relieving pressure while allowing the family to avoid dealing with the drinking problem. Scapegoats tend to be unaware of feelings other than anger.
Some of these roles may look more effective than others, but each has its own drawbacks and its own pain. From the perspective of your role, it may be hard for you to understand the pain of a brother or sister in another role.
Even though their pain may not be obvious, all of these roles have potentially serious consequences.
“The past is the past; shouldn’t I just try to forget it and move on?”
Trying to forget the past without understanding how if affected you will usually not work and may lead to more problems. The best way to “move on” is to squarely face the past, its importance, and its meaning for you. Often this means understanding and forgiving your parents so that the healing process can begin. You can learn more about making peace with the past in several ways. You may choose to read some of the excellent books written for ACoAs or you may opt for individual therapy, group therapy, Al-Anon, or support groups for ACoAs. Most communities also offer educational programs for ACoAs. Recovery is not easy, but it is possible.
Some excellent books on the topic are:
1. It Will Never Happen to Me. Claudia Black. Denver, Colorado:
Medical Administration Press, 1982.
2. Safe Passage: Recovery for Adult Children of Alcoholics.
Stephanie Brown. John Wiley & Sons, Inc., 1992.
3. Another Change: Hope and Health for the Alcoholic Family. Sharon Wegsheider. Science and Behavior Books, 1981.
4. Guide to Recovery, A Book for Adult Children of Alcoholics. H.
Gravitz and J. Bowden. Pompano Beach, Florida: Health Communications, Inc., 1985.
5. The Struggle for Intimacy. Janet Woititz. Pompano Beach, Florida:
Health Communications, Inc., 1985.
Copyright 1996 by The Board of Trustees of the University of Illinois Adult Children of Alcoholics Introduction Many adolescents believe that they are escaping from the emotional and social problems of their alcoholic parent by leaving home and going to college. However, they eventually realize that these problems continue to affect them, even as an adult.
Definition of an Alcoholic Parent
When excessive drinking interferes with a parent’s health, social, and economic functioning, then that parent is an alcoholic parent.
Home Environment for Children of Alcoholic Parents
* The family bears the burden of coping with the alcoholic parent and
assisting him/her with facing the problem.
* The family experiences feelings of:
* The family feels anger and resentment towards an alcoholic parent
who cannot maintain responsibility.
* Alcoholic parents may lose their jobs due to inefficient performance
* Alcoholic parents constantly break promises made to children.
* Older children experience role confusion
* taking care of younger siblings
* worrying about their parents
* Life is unpredictable and inconsistent:
* Parents are fighting.
* Alcohol produces mood fluctuations in the alcoholic parent.
* Children make excuses for their alcoholic parents when they have not
fulfilled their obligations.
* Children have fantasies of running away.
* Children are afraid to confide in anyone about their family
situation. They have difficulty identifying and expressing their feelings.
* Why the Family Will Not Speak Out
* Denial that this is happening to their family.
* Embarrassment about the reality of the situation.
* Lack of knowledge about the impact of alcohol abuse.
How Adult Children of Alcoholics are Affected in the Long Run
* Low self-esteem.
* No frame of reference for a normal life.
* Difficulty expressing feelings.
* Difficulty building a healthy intimate relationship.
* Feelings of isolation and aloneness.
* Difficulty having fun.
* Constant seeking of approval and affirmation.
* Being extremely responsible or irresponsible.
* Difficulty completing projects.
* Judging oneself harshly.
* Difficulty solving problems.
* Lying unnecessarily.
Showing extreme loyalty even when it is not necessary.
* Acting impulsively.
How to Cope and Break the Cycle
* Learn skills and techniques for relating to others in a comfortable
and responsible manner.
* Become aware of your bad habits and try to change them, for example,
do not judge yourself harshly.
* Become aware of the things you do well and build on them:
* Reward yourself for your accomplishments.
* Whenever someone gives you a compliment, think positively.
* Take time out to become socially active.
* Find time to consider the consequences of your action.
* Join a support group.
Copyright – Counseling Services, State University of New York at Buffalo