Mid-Term

Question 1

biological family

Answer 1

a family that is created from a mother and a father with children they created together. Blood family

Question 2

triangulation

Answer 2

a two person system that adds a third person to resolve issues and establish homeostasis creating disfunction

Question 3

homeostasis

Answer 3

the ability of a family to self regulate and create balance

Question 4

What to do when homeostasis is broken.

Answer 4

explore on how to live in a new positive setting and discuss new boundaries

Question 5

How does denial or minimization affect seeking out counseling?

Answer 5

If they believe that there is not a problem or they continually minimize it, then they also come with the belief that they do not need counseling, or that they can fix it themselves

Question 6

under responsible family member

Answer 6

over responsible family member enables and takes care of the under responsible family member; appearing unable to take on ones duties and responsibilities

Question 7

over responsible family member

Answer 7

feels responsible for the emotional well being of the family; taking ownership of someone else behavior to enable them

Question 8

What services can be provided to a family as a bachelor’s level clinician?

Answer 8

Clinician, case manager, technician

Question 9

de-triangulation

Answer 9

a person needs to detach from the family and have emotional neutrality

Question 10

disease model

Answer 10

initial drug use > positive reinforcement > repeated drug use > drug wanting, but not drug liking > attempt at abstinence > craving drug > relapse (loops back to attempt at abstinence)- looking at alcoholism as a family disease

Question 11

behavior model

Answer 11

develop ways to replace positive reinforcements from a substance to positive reinforcements when sober,

Question 12

family systems model

Answer 12

Individual, nuclear family (ones who live with you), extended family (relatives and significant others), social level (school, work, friends, neighbors), multicultural level (socioeconomic, cultural, geographical, religious)- looks at the need for homeostasis and multigenerational transmitting

Question 13

multigenerational transmission

Answer 13

The concept of the multigenerational transmission process describes how small differences in the levels of differentiation between parents and their offspring lead over many generations to marked differences in differentiation among the members of a multigenerational family.

Question 14

overt vs. covert

Answer 14

overt meaning open, covert meaning closed off

Question 15

How do family rules change when recovery starts?

Answer 15

the rules may be more or less strict depending on what role the addict has, the focus is on the addiction rather than on the rules

Question 16

Impact treatment could have on recreating a balanced family system.

Answer 16

it could create new boundaries and identities that change the family system

Question 17

enabler

Answer 17

lacks self care bc taking care of person with sud, no strong identity, finds fulfillment in rescuing, prevents addict for change

Question 18

hero

Answer 18

converts pressure to rescue the family and returns it to homeostasis, learned to take on responsibility early, high motivation and achiever, has internal self doubts and judgement

Question 19

scapegoat

Answer 19

builds resentment towards hero, mimics responsibilities, never validated by the parents, believes that they cannot avoid trouble, other family roles turn emotions inward and tries to hide them, they externalize emotions which embarrasses the family.

Question 20

lost child

Answer 20

family overlooks them, builds fantasy world, learns to become emotionally distant from the family, learns to not rock the boat, does not get rewarded for achievements

Question 21

mascot

Answer 21

uses humor and charm to defuse family problems, family does not take them seriously, has low expectations for them, family shields them, their avoidant behaviors make it hard to have personal relationships

Question 22

Hero with recovery

Answer 22

hero suffers form anxiety as is motivated to enable others

Question 23

Scapegoat with recovery

Answer 23

may have the addictive behavior or is blamed for someone else having an addictive behavior

Question 24

Lost child with recovery

Answer 24

the fantasy world is reinforced when others act on the addictive behavior

Question 25

Mascot with recovery

Answer 25

exhibits hiding behaviors or could exhibit direct engaging behaviors or may clown around to minimize the problem