Deck 5: Substance Abuse and Family Systems

Question 1

The expression ______ refers to an alcoholic/addict who is abstaining from alcohol/drug use by either is unaware of other behavioral, personality, a relationship problems or is choosing not to address these maladaptive behaviors.

A) Hitting bottom
B) Ambivalent alcoholic
C) Dry drunk
D) Hitting Ceiling

Answer 1

Dry drunk

Question 2

Which of the following was suggested by Richard Fields?

A) To use the term dysfunctional only with extremely abusive families
B) To replace the term dysfunctional with the term imbalanced
C) To use the term functional and abusive
D) To describe all families as acting dysfunctionally

Answer 2

To replace the term dysfunctional with the term imbalanced

Question 3

A dysfunctional family system as described by Virginia Satir used the metaphor of

A) A swinging gate
B) A merry-go round
C) An automobile
D) A mobile

Answer 3

A mobile

Question 4

Which of the following is true of rigid family systems?

A) They have relaxed interpretation of rules with many exceptions
B) Their motto forever keeps changing
C) Their values are predominantly black or white, right or wrong
D) The communication system is circular and non-hierarchical

Question 5

Which family system described in this chapter characterizes the family value as maintaining an illusion of normalcy, despite significant physical, emotional, and interpersonal problems of the family?

A) Rigid family system
B) Overextended family system
C) Ambiguous family system
D) Distorted family system

Question 6

The healthy style of functional communication as described by Virginia Satir is _______.

A) Leveling
B) Concurrent
C) Recurrent
D) Harmonious

Question 7

As described by Sharon Wegscheider-Cruse, which of the following does the survival roles in an alcoholic family include?

A) Intellectualizer, clown, and chief bottle washer
B) Blamer, family advisor, chief dependent, and family clown
C) Lost child, family scapegoat, chief enabler, family hero, and family mascot
D) Family clown, model child, and black sheep

Question 8

Which of the following styles has been described by Harriet Lerner for managing anxiety in a family?

A) Overfunctioners
B) Blamers
C) Distancers
D) All of these are correct

Question 9

Which of the following styles of enabling behavior has been described by Charles Nelson (1988)?

A) Attempting to control
B) Taking responsibilities
C) Avoiding and shielding
D) All of these are correct

Question 10

Which of the following styles of enabling behavior includes trying to buy things in an attempt to divert the addict from drug use?

A) Avoiding and shielding
B) Attempting to control
C) Rationalizing and avoiding
D) Pursuing and distancing

Question 11

Which of the following is not a stage in the family's adjustment to dealing with substance-abuse problems?

A) Redistribution of family tasks
B) Separation in roles, escape
C) Denial and minimizing
D) Reorganization without the addict/alcoholic

Question 12

Which of the following best defines an enabling behavior?

A) It is to "kill with kindness"
B) It is to take responsibility for someone's lack of responsibility
C) It is to have an unhealthy doing-for
D) All of these are correct

Question 13

At the _______ stage of the recovery process of an alcoholic/addict in a family, family members rarely acknowledge that something is wrong.

A) Anger
B) Denial
C) Acceptance
D) Secrecy

Question 14

Which of the following is true of the denial stage in imbalanced family systems?

A) The goal is to expose real issues and feelings
B) Feelings are in the form of fear and confusion
C) The defense mechanisms used are minimization and rationalization
D) The motto is to move away from a "normal family illusion"

Question 15

Which of the following is an example of bargaining used by alcoholic/addicted family members?

A) Avoiding making decisions
B) Withdrawing from the addict temporarily
C) Sabotaging counseling in order to avoid the pain of looking at their own role in the dysfunction
D) All of these are correct