Deck 23: Substance Use Disorders and the Family

Question 1

Which of the following is NOT one of the "rules" commonly enforced in families with SUDs?

A)Do not trust anybody.
B)Do not have your own thoughts or feelings about the problem.
C)Do not feel responsible for the abuser.
D)Do not talk about the problem.

Answer 1

Do not feel responsible for the abuser.

Question 2

The "adult children of alcoholics" parent model postulates that

A)it is the only accurate formulation of how parental alcoholism affects the child's growth.
B)the dysfunctional family member frequently attends sessions to learn how others have suffered from their parents' alcoholism, thus allowing them to learn by example.
C)many children learn to cope by becoming "overly" responsible.
D)politicians need to better understand the overlooked problem of parental alcoholism.

Answer 2

many children learn to cope by becoming "overly" responsible.

Question 3

Coping skills training

A)aids in the process of confronting the dysfunctional person.
B)helps interpret the meaning of the dysfunctional person's behavior to the family.
C)helps family members learn how to cope with the dysfunctional person and his or her behavior.
D)encourages the formation of alternative addictions that are less destructive to the family, providing a means for family members to cope with stress.

Answer 3

helps family members learn how to cope with the dysfunctional person and his or her behavior.

Question 4

It has been suggested that the "adult children" movement

A)allows the "baby boomer" generation to retain a portion of their own childhoods.
B)encourages the victims of dysfunctional homes to seek professional assistance.
C)takes into account the fact that thousands of generations of children have been raised in dysfunctional homes, and identifies how each generation suffered.
D)will continue to meet needs of those who suffered in childhood from being raised in an unhealthy home well into the 21st century.

Question 5

Which of the following is NOT a characteristic of adult children of alcoholics purported by the ACOA movement?

A)Adult children are loyal to no one.
B)Adult children judge themselves harshly.
C)Adult children have trouble relaxing and having fun.
D)Adult children tend to be loyal to others, even when that loyalty is misplaced.

Question 6

A child's natural tendency to develop adaptive systems that may help them resist the damaging effects of their environment is called

A)resilience.
B)hardiness.
C)temperament.
D)coping.

Question 7

Family members who break the "no talk/no trust" rule, even years after they leave the home,

A)can be emotionally "expelled" from the family.
B)are reinitiated into the position they used to hold in the family, even if it is to the exclusion of their own parental roles and duties.
C)become objects of ridicule within the extended family.
D)are encouraged to do so by other, emotionally weaker family members.

Question 8

Proponents of the "adult children" movement suggest that of the adults in this country were raised in "dysfunctional" homes, without .

A)80%; listing the relative impact of each form of trauma
B)99%; an explanation of the foundation for this claim
C)96%; an explanation of this claim's basis
D)79%; telling us how to deal with this problem

Question 9

Extremes of either abuse or parental neglect might predispose the child to all of the following later in life EXCEPT

A)depression.
B)anxiety states.
C)improved self-concept.
D)suicidal gestures.

Question 10

The role a person's substance use plays in his or her choice of marital partners is

A)exaggerated by most textbooks.
B)considerable.
C)counteracted by the influence of each spouse's extended family.
D)normally not a factor in spouse selection.

Question 11

Which of the following is described as a "weapon" commonly used in families with SUDs as a way to try to control other members?

A)Enmeshment
B)Differentiation
C)Conditional love
D)Individuation

Question 12

What is the term used to describe the process by which attachments to parents change as a child matures?

A)Codependency
B)Differentiation
C)Parentification
D)Stabilization

Question 13

The damage model holds each of the following assumptions EXCEPT

A)dysfunctional homes automatically result in childhood trauma.
B)there are certain characteristics of healthy homes.
C)the child is permanently scarred for life because of trauma in childhood.
D)resilience never is the result of childhood trauma.

Question 14

It is thought that, at one point in the last quarter-century, of the adults in this country were involved in a 12-step support group.

A)10%
B)19%
C)40%
D)30%

Question 15

What term is used to describe the notion that most people are incapable of dealing with adversity without the help of a professional therapist?

A)Freudism
B)Differentiation
C)Therapism
D)Cognitivism

Question 16

During courtship and the first year of marriage,

A)many alcoholic individuals strive to reduce their level of alcohol use.
B)the nonalcoholic spouse is too enamored to notice the warning signs of an impending alcohol use disorder.
C)the nonalcoholic spouse is so focused on building a good home that he or she does not notice the other person's alcohol use pattern has increased to dangerous or unhealthy levels.
D)the nonalcoholic spouse is so focused on finding a job that will accommodate his or her new lifestyle that he or she overlooks the warning signs of an alcohol use disorder.

Question 17

According to your text, the lowest level of intimacy between partners is when

A)only one partner has an active alcohol use disorder.
B)both partners have similar levels of alcohol abuse.
C)there are children younger than 5 in the home.
D)the marital partners have different shifts to work.

Question 18

In support of the pseudo-stability found in homes where one parent has a substance use disorder,

A)important roles within the family are strongly adhered to.
B)the excitement of never knowing how the addicted person will behave becomes a source of entertainment for the family members.
C)parental roles are often left unfulfilled, unless others assume those tasks.
D)both parents must still assume responsibility for providing for the safety of their children.

Question 19

Which of the following interventions helps family members learn to deal effectively with an addicted family member?

A)Rational relationship training
B)Tough love training
C)Cognitive behavioral training
D)Coping skills training

Question 20

It has been estimated that million children in the United States live in a home where at least one parent has an active substance use disorder.

A)7
B)10.3
C)9.6
D)11.8

Question 21

ACOA is the modern name of "Alcoholics Anonymous," whose name was changed after founders realized that family members should be welcome at the same meetings.

Question 22

A child raised in a home with an SUD may be protected from the full impact of the SUD if there are healthy parental alternatives in the child's life.

Question 23

Use the family systems perspective to discuss how the state of the family, whether healthy or dysfunctional, may affect the process of differentiation in a child.

Question 24

Emotional withdrawal, a tactic commonly used by spouses of people with SUDs, is reported to be an effective way for them to control their partner's substance abuse.

Question 25

Discuss the effective therapeutic interventions available to family members of a person with a SUD.

Question 26

Discuss the "damage model" of alcoholism as it relates to the family unit, and how it is related to criticisms of the ACOA model.

Question 27

List the three "parental rules" used to maintain a sense of pseudo-stability.Discuss the potential benefits and drawbacks of these three rules.

Question 28

Discuss the philosophy and development of the adult children of alcoholics (ACOA) movement.

Question 29

In spite of protests to the contrary, it has never been proven that growing up in a home where there is parental alcoholism is sufficient to cause psychosocial problems for a child.

Question 30

For a child, one of the main developmental goals is to emotionally separate from one's parents.