Chapter 12 Oct. 24 Flashcards by Burton Dwight

Research investigations into the field of alcohol or other drugs and families suggest that these families often feel __________ and project the cause of family problems to outside influences.

a. hopeless
b. powerful
c. trapped
d. powerless

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Kaufman and Kaufman view the alcoholic family as:

a. dysfunctional
b. enmeshed
c. codependent
d. aggressive

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Children in alcoholic families, when compared to children from families with no known history of drug abuse have been shown to demonstrate more:

a. depression and anti-social behaviors
b. depression and aggression
c. aggression and anti-social behaviors
d. aggression and fear

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In alcoholic families, communication is most often characterized by:

a. silence
b. criticism
c. body language
d. yelling

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Families are dynamic systems and are influenced by __________ which occur both within and outside of the family system.

a. fears
b. acceptance
c. changes
d. denial

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Significant to the concept of family homeostasis is the notion that:

a. as one family member experiences change in his/her life, the entire family will not necessarily be affected
b. as one family member experiences change in his/her life, the entire family will be affected, but will not likely adjust in any fashion
c. as one family member experiences change in his/her life, the entire family will not be affected, but will adjust in some fashion
d. as one family member experiences change in his/her life, the entire family will be affected and will adjust in some fashion.

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What happens when a family resists change?

a. it remains in neutral zone
b. it becomes rigid and unable to adjust adequately and family dysfunction can follow
c. family anxiety is heightened
d. there is an increase in individual self-esteem

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What often occurs when alcohol is removed from the family system?

a. the family is thrown into chaos
b. nothing happens
c. there is physical abuse
d. there is verbal abuse

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Who first used the term “family homeostasis” to describe the natural tendency of families to behave in such a manner so as to maintain a sense of balance, structure and stability in the face of change?

a. Jackson
b. Wegscheider
c. Kaufman and Kaufman
d. McGoldrick

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One of the basic principles of family homeostasis is:

a. unity and acceptance
b. predictable family roles
c. high self-esteem
d. stability

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Which of the following roles will all family members likely undertake, to varying degrees?

a. child
b. worker
c. citizen
d. all the above

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Who described the dysfunctional family roles of hero, scapegoat, lost child, mascot and enabler?

a. Jackson
b. Satir
c. Wegscheider
d. Jenkins

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In alcoholic homes, which of the following labels best describes the role of the over-achiever?

a. scapegoat
b. hero
c. lost child
d. mascot

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Acting out the family problem through defiance and irresponsibility best describes:

a. scapegoat
b. enabler
c. lost child
d. mascot

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The label best describing the mischievous child who defuses the tension is:

a. lost child
b. mascot
c. enabler
d. hero

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Which label best describes the child in an alcoholic home who requires very little attention, and who is shy, and often isolated from life?

a. enabler
b. hero
c. lost child
d. scapegoat

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In the research on childhood roles in dysfunctional families, the most commonly reported role combination was:

a. scapegoat and lost child
b. hero and enabler
c. lost child and hero
d. scapegoat and mascot

What are the three imperatives that govern alcoholic families?

a. don’t talk too much, don’t trust, don’t feel
b. don’t talk, trust a few, feel only good feelings
c. don’t talk, trust, feel unpleasant feelings only
d. don’t talk, don’t trust, don’t feel

According to the text, impaired mourning often occurs in alcoholic families. Impaired mourning refers to the family’s preoccupation with:

a. separation and rebirth
b. death and restoration
c. loss and attachment
d. attachment and separation

Children who are awaiting adoption

a. have many legal challenges
b. have already faced numerous biological and environmental risk factors
c. have a likely history of abuse or neglect
d. have likely had numerous placements
e. All the above are true

According to many researchers, family collusion results from a break in:

a. the grieving process and how it reinforces the interactive patterns of families with alcohol/drug abuse
b. family relations
c. subsystems
d. boundaries

What are the three essential family subsystems in the Euro-American family?

a. marital, parental and sibling
b. nuclear, extended and blended
c. marital, significant individual and parental
d. significant individual, nuclear and extended

In Asian American, Native American, African American and Latino/Hispanic American families, the family subsystem would include:

a. parental only
b. sibling only
c. extended only
d. nuclear and extended

The loss of autonomy occurring in some Euro-American families is seen as resulting from their:

a. launching family members
b. enmeshed relationships
c. restrictive approach to problem-solving
d. paranoid ideation

25. According to the text, a marital relationship in which alcoholism is found usually reflects a communication style characterized by a. resentment b. a lack of pain c. conditional approval d. constructive criticism

26. According to Shields, symbiotic relationships, often found in alcoholic families, are characterized by: a. love, "formal" psychological boundaries and projection b. frequent use of projection, poor psychological boundaries and intense feelings of love and hate c. blame, a moderate amount of pain, and love d. resentment, ambivalence and intense feelings of love and hate

27. According to the text, Orford and Guthrie claim that the non-drinking spouse in an alcoholic couple will often: a. report the drinking spouse to authorities b. leave the spouse immediately upon finding out about a drinking problem c. attempt to protect the alcoholic d. begin to uncover the alcoholic's pain

28. According to the U. S. Census Bureau (2010) a. 10% of the U. S. population is adopted b. less than 1% of the U. S. population is adopted c. approximately 8% of the U. S. population is adopted d. 2-4% of the U. S. population is adopted

29. According to a study conducted by Kaufman and Kaufman, it was found that of the 75 culturally diverse families in their sample, _____% had enmeshed mother-child relationships. a. 40% b. 23% c. 88% d. 72%

30. According to the text, there are three pathways of sibling influence that tend to lead to sibling drug abuse. Which is not one of the three? a. personality mechanism b. environmental mechanism c. conflicting mechanism d. genetic temperamental connection

31. According to the text, what percentage of American children, born in the 1980s, will experience divorce? a. 35% b. 25% c. 75% d. 45%

32. Psychic and physical boundaries are more permeable in: a. nuclear families b. stepfamilies c. extended families d. stepfamilies with a history of substance abuse

33. Parent-child coalitions may create: a. developmental ties b. tension for the other parent/spouse c. dependency d. family dysfunction

34. Stepfamilies are: a. seen as being at the highest risk for development of an alcohol or other drug abuse problem b. essentially no different from other family types across cultural groups c. at low risk for developing AOD problems d. have some protective factors and some risk factors regarding AOD abuse

35. According to current research, stepfamilies: a. often demonstrate better marital adjustment that do other families b. often reflect weakened parent-child bonds than do other families c. can be at risk for alcohol or other drug abuse when the developmental task of stepfamilies are not addressed d. all the above

36 Which of the following is true for women and alcohol? a. the rate of incidence is the same as for males b. their abuse has been overreported in the research c. it is easier to diagnose alcoholism in women d. none of the above is true

37. Regarding methamphetamine use a. its increase has had no significant impact on child abuse b. its increase has had an effect on child abuse c. it cannot be determined if its increase has had an effect on child abuse d. none of the above is true

38. According to the research, a. women drink more because of multiple roles b. women drink more because of the conflict experienced when they enter the workforce c. women drink more because when they enter the workplace, there is more opportunity to drink d. All are true

39. Kaufman and Kaufman outline four family types who will present themselves for treatment. One of the family types will come for therapy after an individual family member has undergone treatment and is clean and sober. The task for the mental health professional, when working with this families type, is: a. to get others to admit, as early as possible, how they behaved as enablers b. to focus upon the identified patient c. helping to re-balance the system while focusing upon the likelihood of "slips" d. all of the above

40. According to Kaufman and Kaufman, regardless of which type of family present themselves for help, the mental health professional: a. should avoid addressing the parental subsystem b. should focus only upon the parental subsystem c. focus upon the sibling subsystem d. focus upon all of the various family subsystems

41. What situations do Kaufman and Kaufman recommend for individual therapy, as opposed to family therapy? a. when family therapy is seen as potentially being misused to deny personal responsibility b. when there is the likelihood of preventing psychopathology in one of the family members c. when a family member is deceitful d. all the above