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Chapter 6. Parenting Impact on Alcohol/Drug Use and Abuse. Chapter Objectives. Explain the role parent-child bonding plays in preventing problem behaviors and future alcohol/drug problems. Define the diagnostic criteria of abandonment depression.

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chapter 6

Chapter 6


Impact on Alcohol/Drug Use and Abuse

chapter objectives
Chapter Objectives
  • Explain the role parent-child bonding plays in preventing problem behaviors and future alcohol/drug problems.
  • Define the diagnostic criteria of abandonment depression.
  • Describe the child temperaments that may contribute or make the child at-risk for substance abuse.
  • Explain “quality” of parent-child relationship and its impact on substance use and abuse.
chapter objectives3
Chapter Objectives
  • Define shame and describe the domains of shame and the common affect-shame binds.
  • Describe rejection sensitivity, difficulty making decisions, and poor frustration tolerance.
  • Classify behaviors that indicate parental imbalance.
  • Define and describe boundaries and boundary inadequacy.
chapter objectives4
Chapter Objectives
  • Describe triangulation in the family.
  • Describe the impact of parental use or abuse of alcohol/drugs on the child’s future use or abuse.
  • Describe the imbalanced life cycles of families.
parent child bonding
Parent-Child Bonding
  • Abandonment Depression
    • An affective disorder with six key elements:
      • Homicidal rage
      • Suicidal depression
      • Panic
      • Feelings of hopelessness/helplessness
      • Emptiness and void
      • Guilt
    • Impact of early abandonment on adult interpersonal relationships
parent child bonding6
Parent-Child Bonding
  • Child’s Temperament
    • Evidence that extremes in certain temperament traits, such as high activity level, emotionality, attention span, and sociability are associated with children of alcoholics.
    • Aspects of temperament may predict the behavior problems and substance abuse problems that frequently arise during adolescence.
parenting styles that shame children
Parenting Styles That Shame Children
  • Shame
    • The self looking at itself, and finding it lacking, flawed, inadequate.
    • Is like a flash flood of emotion that wipes out the interpersonal connection with people
  • Differences between a shame-based system and balanced system
    • Shame-based
      • No hope, inescapable, and exterior-based
    • Balanced system
      • Hope-choice, can make amends, internally based
parents shame
Parents’ Shame
  • Parents who have not done a good job of parenting may experience shame.
shame and feelings
Shame and Feelings
  • Shame is a very powerful feeling, and when it is attached to other feelings, they are escalated:
    • Anger plus shame equals rage
  • Adolescent sexual identity and shame
  • Sexual violation and shame
  • Drug, sex, and shame
characteristics of shame and abandonment
Characteristics of Shame and Abandonment
  • Rejection sensitivity
  • Fear and difficulty making decisions
  • Poor frustration tolerance
  • Other reactions and defenses
    • Overly defensive
    • Extremely critical or judgemental
    • Rage or distorted thinking
    • Masking true feelings and emotions
parental imbalance and boundary setting
Parental Imbalance and Boundary Setting
  • Clear boundaries
    • Allow mutual respect and concern
  • Enmeshed boundaries
    • Are inflexible, are unyielding, and leave no room for differences
  • Disengaged boundaries
    • Are overly rigid, with little or no opportunity for communication
boundary inadequacy
Boundary Inadequacy
  • Ambiguous boundary inadequacy
    • A pattern of double messages
  • Overly rigid boundary inadequacy
    • Smooth and efficient functioning is a priority over being responsive and adaptable
  • Invasive boundary inadequacy
    • An imbalance of power is used to objectify people
boundary ambiguity
Boundary Ambiguity
  • Stage 1 – Clustering
  • Stage 2 – Conflict
  • Stage 3 – Individuation
  • Stage 4 - Connection
  • Triangulation is at least two adults involved in an off-spring’s problem, where the parent-child dyad is pitted against a more peripheral parent, stepparent, grandparent, parent’s lover, or another relative.
imbalanced life cycles of families
Imbalanced Life Cycles of Families
  • Relationships between families and the joining of families
  • Family and the young child
  • Family and the adolescent
  • Launching of children
  • Later life
fathers of alcoholics addicts
Fathers of Alcoholics/Addicts
  • Dealing with resistance
    • Reassure the father that he is important
    • Point out that changes depend on his action
    • Make the father aware that he has the power to sabotage treatment
    • Note that the father has choices
    • Place responsibility for change squarely on father’s shoulders
    • Get the father to consider realigning his priorities