Deck 10: Family Systems and Chemical Dependency

Question 1

What defines "family" as used in this class?

A) Two parents and child/children
B) Two spouses and their biological child/children
C) Nuclear, single-parent, and kinship families
D) Nuclear, single-parent, communal, kinship, and gay/lesbian families

Answer 1

Nuclear, single-parent, communal, kinship, and gay/lesbian families

Question 2

comprises a painful feeling of regret, and is an acutely painful feeling about one's self as a person.

A) Normative shame; toxic shame
B) Shame; guilt
C) Guilt; shame
D) Morphogenesis; morphostasis

Answer 2

Guilt; shame

Question 3

An alcoholic family is one in which .

A) all family members abuse alcohol
B) alcoholism has become its organizing theme
C) morphogenesis is the organizing principle rather than morphostasis

Answer 3

alcoholism has become its organizing theme

Question 4

A wife of an alcoholic often alters her behavior to accommodate her partner's drinking. For example, she takes on more household chores when her partner stops doing them to drink in front of the TV instead. When she realizes that changing her behavior supports her partner's alcoholism, she .

A) feels normative shame
B) feels toxic shame and low self-worth and realizes she is codependent
C) notices she is enhancing her self-esteem by taking on more responsibility
D) becomes an overachiever by changing her behavior yet again

Question 5

What is Steinglass' four-stage model for working with an alcoholic family? What is systemic-motivational interviewing?

Question 6

Paquita grew up in a shaming family system. Her single father was an alcoholic. As an adult, she has problems maintaining mature relationships with friends and lovers. She is an) .

A) enabler
B) ACAT
C) COA
D) ACOA

Question 7

During treatment, a family realizes that, through their own behavior, they are rewarding the behavior of their alcoholic parent/spouse. They learn to adjust their behavior such that it decreases the alcoholic's drinking behaviors. This is an example of therapy.

A) behavioral
B) stress-coping
C) unilateral family
D) BCT

Question 8

Secrets hiding the alcoholism and/or hiding neglect or emotional, physical, or sexual abuse) are part of shame-bound systems in that they .

A) disrupt the equilibrium of the system by inhibiting family members from changing their behaviors
B) maintain the equilibrium of the system by allowing family members to change their behaviors
C) maintain the equilibrium of the system by inhibiting family members from changing their behaviors
D) perpetuate the addiction but help to reduce the shame of the people involved; they keep the secrets to bind the shame

Question 9

What are the six typical family roles in an alcoholic family as identified by Wegsheider? Explain using Wegsheider's mobile analogy how an alcoholic family maladapts when trying to stabilize.

Question 10

What is behaviorally oriented family therapy? Name and describe at least two types.

Question 11

Paco is an impulsive COA. His mother is an alcoholic. His father drinks socially but not heavily. He heard of a community support group for teens and immediately started attending both sessions offered each week. What measure can be taken to prevent Paco from developing risky behavior for alcohol abuse?

A) His father can closely monitor his behavior, because his impulsivity is a sign of genetic sensitivity to a risky environment.
B) Because the precise nature of risk or specific family influences remains unclear, there is nothing much more to do than let him attend meetings.
C) He is already showing resiliency by joining the group, so he is not at risk.
D) His father can demonstrate protective behaviors toward him in a discreet manner so that he is not aware of what the father is doing.

Question 12

A woman whose husband is an alcoholic is in family treatment with him and their daughter. She reports improved relationship satisfaction and that her husband has reduced his alcohol abuse. What type of therapy is most likely being used as part of treatment, particularly because it is the most common type of behavioral therapy?

A) BMT
B) BCT
C) CRA
D) Social learning

Question 13

A family you are working with in family treatment has completed the family detoxification stage in Steinglass' four-stage model. What do you do next?

A) Prepare them for the family stabilization stage.
B) Emotional stabilization is needed when alcohol is no longer an organizing factor, so you stop your treatment with them and refer them to a psychiatrist.
C) Address in the most appropriate way the family's emotional instability, which follows when alcohol is no longer the organizing factor in the family system.
D) Renegotiate a family detox contract, as relapse is most likely to occur right after the detoxification stage.

Question 14

Why do you think family treatment is beneficial? Name at least four reasons. How might a family enter treatment? Name at least three ways.

Question 15

A parent is an alcoholic. An intervention for which the training lasts several sessions is planned by the spouse and the 18 year old child in the family of five. Family members plan to encourage the alcoholic parent to stop drinking, enter treatment, and engage in better self- care. What type of intervention is this?

A) Johnson
B) ARISE
C) CRAFT
D) unilateral family therapy

Question 16

A husband of an alcoholic often alters his behavior to accommodate his wife's drinking. For example, he cooks and eats breakfast alone while his wife sleeps in, whereas before he woke her with a hug and they breakfasted together. When he realizes that changing his behavior supports his wife's alcoholism, he .

A) feels normative shame
B) realizes he is enabling his wife's drinking
C) notices he is enhancing his self-esteem
D) becomes an overachiever by changing his behavior yet again

Question 17

During a family assessment, the adolescent child does most of the talking. The parents agree with everything the child says. During individual interviews, each parent does not say much, and it is difficult to get information from them. They are more at ease when the adolescent is present. What might be a main treatment goal?

A) Stop life-threatening behavior
B) Disengage the child from the parental role
C) Help re-form the parental/child alliance
D) Support family members in obtaining necessary resources outside the family

Question 18

Two criticisms of family systems theory are its and its .

A) imprecision; context as an open system
B) non-scientific nature; imprecision
C) gender bias; circularity
D) gender bias; non-scientific nature

Question 19

The spouse of an alcoholic shares during therapy that he often either withdraws or attacks when his spouse is drunk and they argue. He learns that no matter which of these actions he takes, she drinks more until she passes out. He also learns that he needs to act differently. In what type of family therapy might they be engaging?

A) Social learning
B) BMT
C) BCT
D) Stress-coping

Question 20

What is the history of family treatment? How did family systems theory evolve?