Deck 23: Addiction and the Family

Question 1

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.

Answer 1

considerable.

Question 2

It has been theorized that the effectiveness of the "adult children of alcoholics" group is due to the

A) size of the group, since larger groups provide more people to share feedback with the afflicted group members.
B) application of techniques once relegated to the "pop" psychology realm.
C) willingness of the group members to accept insights offered to them by others in the group.
D) placebo effect.

Answer 2

placebo effect.

Question 3

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 attend 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 3

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

Question 4

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) Guilt
B) Differentiation
C) Conditional love
D) All of these answers

Question 5

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 6

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 7

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.

Question 8

What term is used to describe the notion that most people are incapable of coping with difficult life issues without the help of a professional?

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

Question 9

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 having fun.
D) Adult children tend to "self­sabotage."

Question 10

During courtship and the first year of marriage

A) many alcoholics strive to limit or hide their drinking disorder.
B) the non-alcoholic spouse is too enamored to notice the warning signs of an impending alcohol use disorder.
C) the non-alcoholic 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 non-alcoholic 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 11

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 12

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

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

Question 13

Children who break the "no talk" rule, even decades after they leave the home

A) can be emotionally "expelled" from the family.
B) are re-initiated 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 14

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

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

Question 15

What is the term used to describe the level of emotional growth or maturity achieved by an individual?

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

Question 16

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 17

Which of the following is NOT one of the shifts in relationship patterns following marriage as described in your text?

A) Alcohol abusers tend to drink less after marriage.
B) Husbands tend to discontinue time spent with friends whose alcohol use does not correspond with their own.
C) Husbands tend to spend more time with their partners.
D) Most people with AUD find that their mates have similar alcohol use patterns as their own.

Question 18

One often overlooked factor that helps to explain the impact of parental substance abuse or addiction on a given child is the

A) sex of the dysfunctional parent.
B) level of achievement of the dysfunctional child.
C) availability of pets.
D) child's educational achievements.

Question 19

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

A) Don't trust anybody.
B) Don't have feelings about the problem.
C) Don't feel responsible for the abuser.
D) Don't talk about the problem.

Question 20

Because substance use disorders alternate between periods of active use and abstinence, it has been suggested that the number of children who are growing up in a home where one or both parents have a substance use disorder in the U.S. is around

A) 14 million.
B) 30 million.
C) 19 million.
D) 25 million.

Question 21

It has been suggested that the "adult children" movement

A) allows the "baby boomer" generation to bask in the glory of being a victim of self­identified trauma.
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 22

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 23

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

Question 24

Discuss the three "parental rules" used to maintain a since of pseudo­stability.

Question 25

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 26

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 27

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

Question 28

Discuss some of the criticism of the adult children of alcoholics (ACOA) movement.

Question 29

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 30

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

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

Question 31

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

Question 32

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.