This is a presentation that presents the nature of traumagenic family dynamics and how those dynamics support the inter-generational transmission of trauma and addictions

1. Alcoholism within a Multigenerational Traumagenic Family Framework P. Robert Rhoton PsyD [email_address] www.Azturamatherapy.com Psychological Health and Wellness

41. Stage I: Introductory Phase Hangover/Feeling Ill May Be Expensive May Be Illegal May Miss Work Energy Thinking Ability Sexual/Social Confidence Euphoria Work Output Increased Status Relief from: Loneliness Insomnia Depression Anxiety

42. Stage I: Introductory Phase Strength of Conditioned Connection MILD Parties Special Occasions Triggers Responses Infrequent Use No Physiological Response Pleasant thoughts about AOD

43. Sports Hobbies Homework Work Family A.O.D. Stage I: Introductory Phase

44. Confidence Boost Sexual Enhancement Social Lubricant Boredom Relief Depression Relief Beginnings of Physiological Dependence Financial Problems Vocational Disruption Relationship Concerns Stage II: Maintenance Phase

45. Strength of Conditioned Connection MODERATE Stage II: Maintenance Phase Triggers Responses Parties Friday Nights Friends Concerts Alcohol “ Good Times” Sexual Situations Thoughts of AOD Cravings Occur as Use Approaches Mild Physiological Arousal Eager Anticipation of AOD Use Occasional Use

46. A.O.D. A.O.D. A.O.D. Homework Hobbies Sports Work Family Stage II: Maintenance Phase

47. Social Currency Occasional Euphoria Relief from Lethargy Relief from Stress Nose Bleeds Infections Relationship Disruption Family Distress Impending Job Loss Stage III: Disenchantment Phase

48. Strength of Conditioned Connection STRONG Stage III: Disenchantment Phase Triggers Responses Weekends All Friends Stress Boredom Anxiety After Work Loneliness Continual Thoughts of AOD Strong Physiological Arousal Psychological Dependency Strong Cravings Frequent Use

49. Stage III: Disenchantment Phase A.O.D. A.O.D. A.O.D. Homework Hobbies Sports Work Family A.O.D. A.O.D. A.O.D.

50. Relief from Fatigue Relief from Stress Relief from Depression Weight Loss Paranoia Loss of Family Seizures Severe Depression Unemployment Bankruptcy Stage IV: Disaster Phase

51. Strength of Conditioned Connection Overpowering Stage IV: Disaster Phase Triggers Responses Any Emotion Day Night Work Non-Work Obsessive Thoughts about AOD Powerful Automatic Response Powerful Physiological Dependency Automatic Use

52. Stage IV: Disaster Phase A.O.D. A.O.D. A.O.D. A.O.D. A.O.D. A.O.D. A.O.D. A.O.D. A.O.D. A.O.D. A.O.D.

53. No Simple Answer

54. What can we do to address the multigenerational nature of Alcoholism?