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Alcoholism / Co-Dependency. Going over the edge… stepping beyond the line!!. Where do we get our attitudes about alcohol?. Parents Religion / Spiritual beliefs Culture and tradition Social norms Direct contact with an alcoholic Peers. Why do people “drink”?. Milk - health

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Alcoholism co dependency l.jpg

Alcoholism / Co-Dependency

Going over the edge… stepping beyond the line!!


Where do we get our attitudes about alcohol l.jpg
Where do we get our attitudes about alcohol?

  • Parents

  • Religion / Spiritual beliefs

  • Culture and tradition

  • Social norms

  • Direct contact with an alcoholic

  • Peers

HSS 4933 - Drug Education


Why do people drink l.jpg
Why do people “drink”?

  • Milk - health

  • Water - thirst

  • Soda - good taste

  • Coffee

    • curiosity (“big people’s drink”)

    • custom (coffee break)

    • conviviality (social meetings)

    • alertness (morning start)

HSS 4933 - Drug Education


Why do people drink4 l.jpg
Why do people “drink”?

  • Alcohol

    • curiosity (“big people’s drink”)

    • custom (celebrations, contracts)

    • conviviality (social meetings)

    • pleasure / euphoria

    • escape

    • pain relief

HSS 4933 - Drug Education


Affects on brain organization l.jpg
Affects on Brain Organization

X

X

X

X

X

X

C2H5OHHOH5C2 (ethanol) - H2O (water)  C2H5O - C2H5 (ether)


Alcohol use creates l.jpg
Alcohol use creates...

  • dryness / burning

  • pleasure / euphoria

  • excitement

  • nausea

  • pre-anesthesia

    • Note: typically can’t drink enough to get past here!

  • anesthesia

  • death

HSS 4933 - Drug Education


Metabolism of alcohol l.jpg
Metabolism of Alcohol

Alcohol  Acetaldehyde  Acetate  CO2 + H2O

  • 80% of absorption occurs in small intestine

  • 90-98% of metabolism occurs in the liver

  • metabolism competes for oxygen

  • ~ 1/3 ounce per hour (more efficient in males)

HSS 4933 - Drug Education


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Alcohol States of Consciousness

  • ASC-1: absorption and increasing BAC

  • ASC-2: post peak and declining BAC

  • ASC-3: halfway between peak and “zero” BAC

  • ASC-4: post zero BAC (up to 32 hours)

HSS 4933 - Drug Education


Behavioral types l.jpg
Behavioral Types

  • Jocose - the “joker”

  • Amorose - the “lover”

  • Lachrymose - the “cryer”

  • Bellacose - the “fighter”

I / E (intellect controls emotion) + drug 

E / I (emotion controls intellect)

HSS 4933 - Drug Education


Characteristics of alcoholism gamma alcoholism l.jpg
Characteristics of Alcoholism(gamma alcoholism)

  • Primary disease

  • Progressive disease

  • Chronic disease

  • Fatal disease

    • accidental death

    • choking / aspiration

    • liver cirrhosis and other chronic conditions

HSS 4933 - Drug Education


Statistics l.jpg
Statistics:

  • Alcoholism

    • 5% of all adults who drink become dependent

    • 7% experience negative psychosocial consequences

  • 20% of college students come from families where chemical dependency is a reality

  • Societal costs ($25 - 50 Billion)

    • accidents

    • health care

    • absenteeism

    • decreased productivity

HSS 4933 - Drug Education


The feeling chart l.jpg

Euphoria

Normal

Pain

The “Feeling Chart”

“Learn” and/or “Seek”

the Mood Swing

HSS 4933 - Drug Education


The feeling chart13 l.jpg

Euphoria

Normal

Pain

The “Feeling Chart”

“Harmful Dependence”

HSS 4933 - Drug Education


The feeling chart14 l.jpg

Euphoria

Normal

Pain

The “Feeling Chart”

Drinking to Feel

“Normal”

HSS 4933 - Drug Education


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Signs / Symptoms of Trouble

  • Progressive emotional costs

    • discomfort  low self image  self destruction

  • Intellectual defenses

    • rationalization

    • fantasy

    • denial

    • projection (spouse, family, co-workers, etc.)

HSS 4933 - Drug Education


Signs symptoms of trouble16 l.jpg
Signs / Symptoms of Trouble

  • Mood swings / Personality changes

  • Rigidity of thinking

  • Tolerance to effects of alcohol

  • Unpredictable and compulsive patterns

  • Blackouts (physical) and repression / euphoric recall (psychological)

HSS 4933 - Drug Education


Co dependency l.jpg
Co-Dependency

primary disease within every family

member of an alcoholic family of

origin; related to attempts to adapt

to a sick family system that seeks to

protect and enable the dependent

individual (“external referenting”)

HSS 4933 - Drug Education


Types l.jpg
Types:

  • Co-Alcoholic: assumes the responsibilities of the dependent individual (i.e., adaptation)

  • Para-Alcoholic: learns and expresses the behavior of the dependent individual (i.e., imitation)

HSS 4933 - Drug Education


Feeling signs l.jpg
Feeling Signs

  • Super-responsibility

  • Hyper-sensitivity

  • Hypochondria

  • Powerlessness

  • Self blame

  • Difficulty with emotional expression, in general

HSS 4933 - Drug Education


Behavioral signs l.jpg
Behavioral Signs

  • Difficulty with following through (falling short of potentials)

  • Difficulty with intimacy

  • Difficulty with work commitments

  • Difficulty with self-destructive enmeshments

  • Difficulty with telling the truth

  • Difficulty with personal evaluation

  • Difficulty with life perspective

HSS 4933 - Drug Education


Family systems l.jpg

Unhealthy Families

closed to change

rule by edict

power driven

actions by impulse

poor communication

deceit

Healthy Families

open to change

choices

self worth

actions by reality

good communication

honesty

-- Family Systems --

HSS 4933 - Drug Education


Family dynamics l.jpg
-- Family Dynamics --

  • Hero Child / Responsible One

  • Scapegoat

  • Mascot / Clown

  • Lost Child

HSS 4933 - Drug Education


Family intervention l.jpg
-- Family Intervention --

C ommunication

A cceptance

R eality

I ndividuality

N eeds

G rowth

HSS 4933 - Drug Education


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