Deck 10: Family Risks and Resiliencies

Question 1

Diagram family communication patterns such as enmeshed,isolated,and healthy.

Answer 1

Answers May Vary

Question 2

Discuss healing work from the strengths perspective ("rename,reframe,reclaim").

Answer 2

Answers May Vary

Question 3

Al-Anon

A) ​was founded in the 1950's to meet the needs of persons with substance use problems.
B) ​was originally only for wives of alcoholics
C) ​uses a totally distinct version of the 12 Steps
D) ​has declined significantly in popularity today.

Answer 3

​was originally only for wives of alcoholics

Question 4

An ecosystems framework relevant to the family

A) ​views members in constant interaction.
B) ​is no longer accepted as a popular model.
C) ​focuses exclusively on the nuclear family.
D) ​is a predominant model in psychology today.

Question 5

According to classical family systems theorists,the person with the drug use problem is viewed as______________.

A) ​a person suffering from a mental disorder.
B) ​the symptom carrier.
C) ​the problem.
D) the person in need of a formal Intervention.​

Question 6

What are some of the major objections to use of the concepts,"chief enabler" and "codependent?" What are some substitute terms that could be used?

Question 7

From a strengths perspective,consider the characteristics of the various family roles as originally named by Sharon Wegscheider.

Question 8

Family therapy as a profession is criticized in the text for its use of a traditional _________model

A) ​holistic
B) ​classic systems
C) ​ecological
D) ​linear approach

Question 9

The rules for the alcoholic family,according to Claudia Black,are

A) ​"every unhappy family is unhappy in its own way"
B) ​"don't talk,don't trust,don't feel"
C) ​"one day at a time"
D) ​"seek change slowly"

Question 10

Explain how the systems perspective has advanced since the early days of classic systems theory.How did mothers end up getting the blame for strange behavior in the child?

Question 11

In her role theory,Wegscheider (1981)introduced the role of_____ to represent a significant role in the drug dependent family dynamics.

A) ​the family manager
B) ​the scapegoat
C) ​the taskmaster
D) ​the family monitor

Question 12

According to the text,generalizations about family role traits-hero,scapegoat,etc.

A) ​are not empirically validated.
B) ​are not based on personal observation.
C) ​are rarely helpful in engaging family members in systems work.
D) ​are refuted by Wegscheider and Black.

Question 13

According to Wegscheider,a high risk for marrying an alcoholic faces the family

A) ​hero
B) ​scapegoat
C) ​lost child
D) ​mascot

Question 14

How can referrals to Al-Anon be helpful to some clients?

Question 15

According to the text,_____________ is/are addressed in substance abuse treatment but is/are relatively ignored by professional family therapists.

A) ​genograms
B) ​children's roles in the family
C) ​spirituality
D) ​interactionism

Question 16

Children who grew up in addict/alcoholic homes often develop coping mechanisms that may be useful later.The hero,for example,more than other siblings learns to ____________.​

A) ​assume responsibility early
B) ​make friends easily
C) ​have a great imagination
D) ​become peer group oriented.

Question 17

According to the boxed reading,"Children of Addicts," Iowa families increasingly are facing problems related to substance use involving

A) ​marijuana
B) ​an increase in immigration.
C) ​methamphetamines.
D) ​high unemployment rates.

Question 18

Describe some of the exercises that can be used to engage family members.

Question 19

A major thesis of chapter 10 on family counseling is that

A) ​the drug addict is the symptom carrier of the family dysfunction
B) ​anorexia is often the product of an overprotective mother
C) ​One should seek the cause of family mental illness in faulty family communication
D) ​Addiction is a family illness.

Question 20

For the role of partner or spouse of the addict/alcoholic,the present text recommends use of the term​

A) ​codependent.
B) ​family manager.
C) ​chief enabler.
D) ​scapegoat.

Question 21

The Community Reinforcement and Family Training Approach (CRAFT)

A) ​is derived from teachings from Al-Anon.
B) ​teaches family members how to provide positive feedback to the addicted member.
C) ​helps family members dissociate from the addicted member in order to become independent.
D) ​is geared toward the criminal justice system.

Question 22

The CRAFT approach to family treatment and Al-Anon's are somewhat contradictory.

Question 23

Harm reduction expert Alan Marlatt,regarding a formal Intervention,states that it

A) ​can be effective only if done soon enough.
B) ​is an important part of increasing client motivation.
C) ​should not be done under any circumstances.
D) ​is of proven effectiveness.

Question 24

In situations of domestic violence,the counselor is advised by the text authors to

A) ​refer the couple to conjoint counseling.
B) ​refer the violent partner to a batterers' group.
C) ​not mention domestic violence in screening;let the partner bring it up later.
D) ​if children are endangered,keep it confidential so not to risk loss of trust.

Question 25

Because Al-Anon and the family counseling program may differ in their approaches to family members,the best response,according to the text is to

A) ​recommend Al-Anon without any reservations.
B) ​recommend against involvement in 12 Step programs.
C) ​prepare family members for possible contradictions in models.
D) ​attend Al-Anon meetings along with the clients to help Al-Anon change with the times.

Question 26

Network therapy is a disease-based approach to reinforce social networks and includes treatment that involves ________________.

A) ​family members without the presence of the client.
B) ​the client out of the presence of family members.
C) ​the therapist,family members,and client.
D) ​music therapy.

Question 27

The family hero,according to Wegscheider,often grows up to enter the helping professions.

Question 28

Family group conferencing used in child welfare programming

A) ​has roots in indigenous customs.
B) ​was borrowed from a British innovation.
C) ​is distinctly different from African kinship care.
D) ​is rarely used outside of New Zealand.

Question 29

Mueser et al.recommend for working with families with a member who has a co-occurring disorder,that therapists​

A) ​focus on getting the addicted client sober above all else.
B) ​recommend against AA attendance for the addicted client.
C) ​not give substance use priority;wait for the family member to bring it up.
D) ​focus exclusively on the mental disorder at the beginning.

Question 30

If the client is unmotivated for change,family counseling is premature.

Question 31

McGoldrick et al.in their book on ethnic families bring our attention to

A) ​the fact that all families are alike
B) ​differences in the definition of what a family is.
C) ​the need for great assimilation of foreign groups into the dominant culture.
D) ​the risks of international child adoption regarding substance use.

Question 32

It is never too early to begin preparing family members of alcoholics/addicts for the changes they need to make.

Question 33

Key themes of African American families of which the counselor should be aware are all except:

A) ​a network of extended family ties.
B) reciprocity in providing aid.​
C) ​the personal connection between family and therapist.
D) ​non-reciprocity regarding gift-giving.

Question 34

Male partners of alcoholics are less likely to join support groups than female partners.