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Addiction and family
TIP 39 review
Elements of family as subsystem
Complimentarity – refers to the
communication and behavioral
patterns of family members to meet
each others needs. Recovery needs
to address these patterns and
establish healthy communication
pattern
Family as a system
Boundaries- in families with addiction,
boundaries can become unclear, rigid and
enmeshed. Healthy boundaries allow for
individuation, are clear and flexible. In
addicted family systems, boundaries can
be too strong or too weak not providing
appropriate structure, expectations, or
communication.
Culture should always be a consideration
in assessing family boundary norms.
Family as a system
Subsystems- in families, subsystems exist
to fulfill particular functions. A parental
subsystem (healthy) provides structure and
decision making and children as
subsystem. A further subsystem may be
older children as a subsystem, younger
children as a subsystem. In addicted
families, these subsystems become
enmeshed and unclear, with children
assuming parental roles or not having clear
delineation
Family as a system
Enduring family ties- refers to the
emotional bond of families, even
when they are separated. Family
loyalty becomes distorted in addicted
families
Family as a system
Change and balance- refers to the
flexibility and adaptability of families.
Tendency in all families is
homeostasis, which can cause
resistance to change. Addicted
families tend to be too flexible or too
rigid without adaptability. In recovery,
the goal is for family to be flexible with
structure and stability.
Family traits
Homeostasis- in recovery, family
members may encourage return to
old behaviors in an attempt to restore
homeostasis. Can encourage relapse
either overtly or covertly. Education
about family roles, change process is
important for family to define a new
homeostasis
communication
Triangulation- when two members of
family are not having direct
communication and divert attention to
a third person- either in or out of
family. Reduces emotional tension,
prevents conflict resolution and
emotional intimacy. Often present in
families with low levels of
differentiation. Counselors need to be
cautious of becoming drawn into
triangualtion.

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SA 201 Hybrid 2 2

  • 2. Elements of family as subsystem Complimentarity – refers to the communication and behavioral patterns of family members to meet each others needs. Recovery needs to address these patterns and establish healthy communication pattern
  • 3. Family as a system Boundaries- in families with addiction, boundaries can become unclear, rigid and enmeshed. Healthy boundaries allow for individuation, are clear and flexible. In addicted family systems, boundaries can be too strong or too weak not providing appropriate structure, expectations, or communication. Culture should always be a consideration in assessing family boundary norms.
  • 4. Family as a system Subsystems- in families, subsystems exist to fulfill particular functions. A parental subsystem (healthy) provides structure and decision making and children as subsystem. A further subsystem may be older children as a subsystem, younger children as a subsystem. In addicted families, these subsystems become enmeshed and unclear, with children assuming parental roles or not having clear delineation
  • 5. Family as a system Enduring family ties- refers to the emotional bond of families, even when they are separated. Family loyalty becomes distorted in addicted families
  • 6. Family as a system Change and balance- refers to the flexibility and adaptability of families. Tendency in all families is homeostasis, which can cause resistance to change. Addicted families tend to be too flexible or too rigid without adaptability. In recovery, the goal is for family to be flexible with structure and stability.
  • 7. Family traits Homeostasis- in recovery, family members may encourage return to old behaviors in an attempt to restore homeostasis. Can encourage relapse either overtly or covertly. Education about family roles, change process is important for family to define a new homeostasis
  • 8. communication Triangulation- when two members of family are not having direct communication and divert attention to a third person- either in or out of family. Reduces emotional tension, prevents conflict resolution and emotional intimacy. Often present in families with low levels of differentiation. Counselors need to be cautious of becoming drawn into triangualtion.