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Alcoholism within a Multigenerational Traumagenic Family Framework   P. Robert Rhoton PsyD [email_address] www.Azturamatherapy.com   Psychological Health and Wellness
[object Object],[object Object],[object Object],[object Object],[object Object]
What are Addictions? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Traditional Models for Understanding Addictions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A basic truth ,[object Object],[object Object]
BECOMING ADDICTED ,[object Object],[object Object],[object Object],[object Object]
Defining the Traumagenic Family ,[object Object],[object Object]
WHAT DO WE KNOW ABOUT TRAUMAGENIC/ALCOHOLIC FAMILIES   ,[object Object],[object Object],[object Object]
WHAT DO WE KNOW ABOUT TRAUMAGENIC/ALCOHOLIC FAMILIES ,[object Object],[object Object],[object Object]
WHAT DO WE KNOW ABOUT TRAUMAGENIC/ALCOHOLIC FAMILIES ,[object Object],[object Object],[object Object]
WHAT DO WE KNOW ABOUT TRAUMAGENIC/ALCOHOLIC FAMILIES ,[object Object],[object Object]
WHAT DO WE KNOW ABOUT TRAUMAGENIC/ALCOHOLIC FAMILIES ,[object Object],[object Object],[object Object]
WHAT DO WE KNOW ABOUT TRAUMAGENIC/ALCOHOLIC FAMILIES ,[object Object],[object Object],[object Object],[object Object]
Five Traumagenic Family Themes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Theme #1:  DISCONNECTION & REJECTION   ,[object Object],[object Object],[object Object],[object Object]
Theme #1:  DISCONNECTION & REJECTION ,[object Object],[object Object]
Theme #1:  DISCONNECTION & REJECTION ,[object Object],[object Object],[object Object],[object Object],[object Object]
Theme #1:  DISCONNECTION & REJECTION   ,[object Object],[object Object]
Theme #2 DE PENDENCE / INCOMPETENCE   ,[object Object],[object Object],[object Object],[object Object]
Theme #2 DE PENDENCE / INCOMPETENCE   ,[object Object],[object Object]
Theme #3: I MPAIRED LIMITS ,[object Object],[object Object],[object Object],[object Object]
Theme #4:  OTHER-DIRECTEDNESS ,[object Object],[object Object],[object Object],[object Object]
Theme #5:  OVERVIGILANCE  & INHIBITION ,[object Object],[object Object],[object Object]
Traumagenic Families Experience ,[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults ,[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of children and adults  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Traumagenic Families Experience ,[object Object],[object Object],[object Object],[object Object]
Traumagenic Families Experience ,[object Object],[object Object],[object Object]
Traumagenic Families Experience ,[object Object],[object Object],[object Object],[object Object],[object Object]
Highlights of the behaviors common for children raised in Traumagenic families ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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
Stage I:  Introductory Phase Strength of Conditioned Connection MILD Parties Special Occasions Triggers Responses Infrequent Use No Physiological Response Pleasant thoughts about AOD
Sports Hobbies Homework Work Family A.O.D. Stage I:  Introductory Phase
Confidence Boost Sexual Enhancement Social Lubricant Boredom Relief Depression Relief Beginnings of Physiological Dependence Financial Problems Vocational Disruption Relationship Concerns Stage II:  Maintenance Phase
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
A.O.D. A.O.D. A.O.D. Homework Hobbies Sports Work Family Stage II:  Maintenance Phase
Social Currency Occasional Euphoria Relief from Lethargy Relief from Stress Nose Bleeds Infections Relationship Disruption Family Distress Impending Job Loss Stage III:  Disenchantment Phase
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
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.
Relief from Fatigue Relief from Stress Relief from Depression Weight Loss Paranoia Loss of Family Seizures Severe Depression Unemployment Bankruptcy Stage IV:  Disaster Phase
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
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.
No Simple Answer
What can we do to address the multigenerational nature of Alcoholism?
Family-focused Intervention & Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Family-focused Intervention & Prevention
Family-focused Intervention & Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Alcoholism Within A Multigenerational Traumagenic Family Framework

  • 1. Alcoholism within a Multigenerational Traumagenic Family Framework P. Robert Rhoton PsyD [email_address] www.Azturamatherapy.com Psychological Health and Wellness
  • 2.
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  • 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.
  • 54. What can we do to address the multigenerational nature of Alcoholism?
  • 55.
  • 56.
  • 57.

Notas do Editor

  1. Chassin and Colleagues; Jessor and Colleagues; Schulenberg et al., Dennis Wholley Courage to Change Anne Fletcher, Sober for Good