FAMILY CRISES etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster
FAMILY CRISES etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster

CHALLENGING THE FAMILY TO ACT AND ORGANIZE ITSELF

02 Ağustos
CHALLENGING THE FAMILY TO ACT AND ORGANIZE ITSELF
Test can happen once trust has been built up. The way toward testing should occur in little strides. The advisor's recommendations may come in little measurements, typically confined as far as the skills that relatives have just appeared. By first taking note of that they are capable, he would more be able to effectively push toward testing their reactions to his proposals. The thought of home detoxification ought not be tended to in an express, coordinate way until the point when the relatives are capable and willing to examine the implica-tions of the test. Once more, this requires a development of certainty amongst family and specialist. In a few families, this sort of liking will come right on time over the span of treatment, nearly without exertion or mindfulness. By and large, in any case, building up such an affinity will en-tail a blend of tolerance, determination, and demonstrating by the advisor, with the goal that the errands he in the long run shows can be seen as achievable by relatives. 

The procedure of test is begun by getting the someone who is addicted and other relatives to confer themselves to performing, on a - hone premise, a little undertaking or venture. The errand should address some issue that they are fit for taking a shot at as well as, more critical, one that they will do. The undertakings might be performed either inside the session or at home. An undertaking in the session ought to be a portrayal of what is to occur at home. For instance, on the off chance that one individual from the family is to be a spectator at home, that individual ought to likewise see in the session (i.e., - establishment of the task).1°" Instructions ought to be concrete, obviously engaged, and completely under-remained by the whole family,. The specialist ought to affirm that all individuals acknowledge their piece of the assignment as sensible, regardless of the possibility that they don't completely acknowledge the general arrangement. A dedication by every individual just to his part is very worthy. Every thing must be arranged, with the goal that all individuals know about their own and others' parts. 

By centering, at any rate at first, on a minor as opposed to a huge scale errand, the advisor builds odds of progress later on. A little errand will probably be dealt with ably by the family. This facili-tates promote achievement in consequent undertakings and builds the relatives' trust. A restricted concentration additionally controls the family's desires far from confusing the single undertaking as a panacea or cure-all. At this beginning time in treatment, the advisor ought not enable the family to expect that detoxification will come rapidly or effortlessly. 


At the point when the specialist sets up an underlying assignment, it is not excessively mindful for him to anticipate disappointment. Doing as such guarantees that the out-come, regardless of whether achievement or disappointment, has additionally use in the treatment. In the event that there is disappointment in playing out any part of the assignment, the advisor concentrates on this in checking on it—investigating with the family how this may look like different routes in which they have been unsuccessful. The discourse should then continue from such - shortcomings into ranges where more positive methodologies and arrangements can be created. Victories and recuperations have occurred some place in the family's understanding; these must be evoked, developed, and brought into the administration of treatment. This activity of investigating an underlying disappointment can deliver an extensive sparing of time and exertion in executing the genuine detoxification design.

THE ADDICTION CYCLE AND FAMILY CRISES

12 Haziran
THE ADDICTION CYCLE AND FAMILY CRISES

As emphasized in Chapter 1, the behavior of the addict is part of a cyclical process of crisis and resolution involving the family of origin. This behavior, including enrollment in treatment programs, being hospitalized, and relapsing, typically serves to detour interpersonal conflicts that the family has been unable to resolve. One of our major therapeutic assumptions  is that effective therapy involves keeping the problem within the family so that an inter-personal crisis can emerge, which the therapist can then help the family to resolve. In order to test this assumption, we attempted to ascertain whether successful therapeutic outcome was related to the emergence and resolution of major interpersonal crises.
THE NATURE AND RESOLUTION OF THE CRISIS
Thirty-nine families involved in the AFP were studied for the oc-currence of major crises during the course of therapy.* Therapists in the project filled out questionnaires asking them (1 ) if there was a major crisis during the course of therapy; (2) to describe the nature of this crisis and other crises; (3) if this crisis was successfully resolved; (4) if the therapist considered the treatment of the addict and his family a successt The crisis could have ( I.) been intensifying at the time of intake (2) resulted from standard restructuring moves within therapy ; or (3) been intentionally induced by the therapist 

In 36 of the 39 families a major crisis involving the addict emerged during therapy. The addict's behavior varied from threat-ening to leave therapy, to the use of illegal drugs, to criminal activity, and, in one case, to a threat of violence within the family therapy session itself. Of the three families without crises, two dropped out of treatment before a crisis emerged, while a third—which remained longer in therapy—simply experienced no crisis. In the group of 36

families where there was a clear crisis (usually involving the addict), the therapist worked with family members in an attempt to resolve the crisis manifested by the addict in a way that kept him drug-free; the goal was to interrupt the usual drug cycle in which the addict acted out to -save- the family from other problems.* Commonly, this took the form of urging the parents to pull together against the addict, and, at the same time, encouraging the addict's autonomy from his family. For example, in one family where the addict had been arrested for stealing merchandise, the therapist got the parents to refuse to pay the damages, while also working with the addict around returning to work. In another family (described in in which the addict had taken illegal drugs, the therapist was in constant contact with the family over a complete weekend as they worked at detoxifying the addict in the family's home.
In these 36 cases with crises the therapist was asked to indicate whether or not the crisis was successfully resolved. Resolution was indicated in 26 cases. In the remaining 10 cases crises occurred but were not resolved ) or there were multiple crises but only some were resolved 
Family Types without Crisis Resolution
A major hypothesis of this chapter is that much of the crisis-like behavior revolving around the addict is a detour for larger issues in the family, usually involving the parents. Therefore, treatment is more likely to be successful if these larger issues are either overtly or covertly resolved. Conversely, cases in which these issues are not resolved tend to follow one of three courses: (1) no crisis occurs and the family aborts treatment (3 of the 13 cases in which no crisis either occurred or was resolved); (2) the addict throws up a smokescreen of crises that prevents the therapist from dealing with the family  crises occur in the family early in treannent that prevent the successful resolution of the addictive crisis—for example, it is impossible to get parents unified enough to establish and adhere to rules for the addict