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Substance Abuse Addiction: Treating the Family Struggling with Sobriety
10 CEUs Addictions: Treating the Family Struggling with Sobriety

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs | Addictions CEU Courses

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are the six steps in the adjustment stage of family addiction?
2. What are the five aspects in the development of a protective persona?
3. What are the four important aspects of the hopelessness stage?
4. What are the three ways the addictive process affects a couple?
5. What are four things to consider when looking at the effect addiction has on children?
6. What are the three key steps family members of addicts make as they become ready to enter recovery?
7. When did the term enabler first enter the therapeutic vocabulary?
8. What are the three important aspects of the collapse stage of recovery?
9. What are the four important aspects of parallel recovery?
10. What is meant by the phenomenon of release?
11. What are the three major characteristics of the middle stage of family recovery from addiction?
12. What are four spiritual principles important in middle recovery?
13. What are the steps in the Amends Process for helping recovering addicts mend bonds with their family members?
14. What are the four spiritual principles of late recovery?
Answers:
A. The four important aspects of the hopelessness stage are negative attachments, unbridgeable gulfs, living in a state of trauma, and connections no longer hold.
B. The initial agreement of the relationship breaks down, anxiety is created due to the breakdown, and the co-addict becomes the sole keeper of the initial agreement
C. Rebuilding is slow, personal examination, the family is still divided, and parallel recovery is only partial recovery.
D. 25 to 30 years ago.
E. 1. the family develops a new vision, 2. more family stability, and 3. moving from borrowed values to integrated values.
F. Polarization of the family, distancing, the breakdown of family rituals, the creation of new rules, and shame and blame.
G. As the addicted family moves away from the addictive instinct to use and behave in self-destructive ways, and towards values and principles, they are released from self- centeredness and the impulsiveness of an inflated ego.
H.  The six steps are: the erosion of trust, avoidance and control, the family becomes reactive, communication breakdown, and monitoring.
I. Accepting that the family cannot control the course of addiction, realizing that family interactions have been controlled by the addictive process, and finding out addiction is an illness.
J. 1. Letting go of long-standing routines and rituals, 2. letting go of old attitudes and behaviors, and 3. the fear of ‘walking backwards’.
K. The consequences of addiction affect children differently, the innocence of children, the attachment of the child to the addict, and the age and development status of the child.
L. Accountability, humility, gratitude, and discipline.
M. Harmony, balance, service, and community.
N. Approaching each person, admitting your role, acknowledging the hurt, apologizing, absorbing anger, asking how to help, asserting love, anticipating mistrust, accepting fallibility, and adventure.

Course Content Manual Questions The Answer to Question 15 is found in Section 15 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
15. The CRAFT approach advises family members to do what when a loved one is under the influence? 
16. According to Berenson, what types of skills should be learned in each phase of treatment? 
17. In what three ways is involvement in the recovery activities critical not only to the addict but to the family members?
18. Not all children living in drug-involved families suffer negative consequences such as abuse and neglect, particularly those who experience compensatory caregiving. However, what do these children often experience by the time they reach school age? 
19. What are the four core domains of the Nurturing Program?
20. What are the three major challenges in parent training interventions with high-risk parents?
21. Why are men 10 times more likely to enter treatment than women, have longer lengths of stay, and have greater rates of treatment completion? 
22. According to Werner, what are the six barriers to intervention with substance-abusing families? 
23. What four areas, which are primary developmental arenas for the adolescent and the family, organize MDFT (multidimensional family therapy) treatment?
24. According to Karroll, what is one social attitude that inhibits women's recoveries and reunifications?
25. What is mimesis?
26. In the name of autonomy, parents of adolescent children are often encouraged by family therapists to "let go" and give their teen space.  What is the negative result of this? 
Answers:
A.  Differences in family roles that can hinder a woman's ability to access, enter, and complete drug abuse treatment.  
B.  Mimesis involves mirroring a family's mood, communication patterns, and so forth. Enactment, which entails allowing a family to "act out" its problems in front of the group, is used frequently.
C. The CRAFT approach advises family members to ignore him or her.
D. Family therapy skills in Phase 1. Family therapy skills (Bowenian family-of-origin work; inner child work; structural family therapy) are more appropriate in Phase 2. Couple therapy skills, intimacy and relationships, are more appropriate in Phase 3.
E.  The areas that organize MDFT are (a) the adolescent, (b) the parent(s) and other family members, (c) family interactional patterns, and (d) extrafamilial systems of influence
F.  1) they have the opportunity to learn about addiction and its physical, psychological, and emotional effects 2) helps them identify relapse warning signs, support efforts to remain abstinent, and achieve some control over the recovery process and 3) gives family members the opportunity to heal any emotional pain they may have experienced as a result of the addict's substance abuse history.
G.  The three major challenges in parent training interventions are 1) difficulty recruiting high-risk parents 2) short-term programs (8-10sessions) are unlikely to succeed.  High-risk parents may require twice as many hours of training as parents from the general population to achieve the same level of change in their own and their children's behavior 3) parent training alone may not be potent enough to produce substantial, lasting changes in parents' and children's behaviors, especially among high-risk families
H.  The six barriers to intervention with substance-abusing families are 1)unfamiliarity with effective methods for detection 2) assessment, and early intervention with families 3) time constraints 4) lack of financial incentives 5) lack of adequate training in the essential knowledge and skills and 6) lack of support from other professionals
I.  Adolescents are cut adrift from their elders and deprived of a context in which to engage in their decision making. At the very time that family and community would be most important, adolescents are in effect abandoned, in the name of autonomy.
J.  cognitive delays such as: attenuated attention spans, difficulties in concentration, and emotional and behavioral problems
K.  Mothers with substance use disorders are considered unfit and, therefore, are subjected to societal disapproval for failing to meet the cultural standards of motherhood.
L.  The core domains of the Nurturing Program are (1) enhancing appropriate developmental expectations; (2) increasing empathy for children's points of view; (3) valuing and using alternatives to corporal punishments; and (4) establishing and maintaining appropriate roles.


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