Alcoholism and the Family : A Guide to Treatment and Prevention

Preface ix Acknowledgments xiii PART I-BACKGROUND OF THE PROBLEM 1(42) Chapter 1 - Explanations of the Cause of Alcoholism 3(18) Is Alcoholism a Disease? (Does it Matter?) 4(2) Physiological Theories of Alcoholism 6(4) Psychological Theories of Alcoholism 10(5) Sociological Theories of Alcoholism 15(3) Summary 18(3) Chapter 2 - Skills and Knowledge Alcoholism Therapists Need and Treatment Approaches to Alcoholism 21(22) Skills and Knowledge for Counselors 21(2) Assessment for Treatment 23(1) An Overview of Treatment Approaches 23(3) Natural Recovery 26(2) Summary 28(15) PART II-ETIOLOGY 43(82) Chapter 3 - Viewing the Family as a Client 45(44) Roots of Family Therapy 45(2) The Nuclear Family and the Family of Origin 47(6) Key Concepts in Viewing the Family as the Client 53(14) An Overview of Family Therapy Theory in Terms of Etiology 67(22) Chapter 4 - Physiological, Sociological, and Psychological Influences on the Family 89(26) Physiological Theories of Etiology and the Family 89(7) Sociocultural Theories of Etiology and the Family 96(7) Psychological Theories of Etiology and the Family 103(12) Chapter 5 - The Relevance of Etiology for Treatment and Prevention 115(10) PART III-TREATMENT 125(220) Chapter 6 - Diagnosing the Alcoholic Family 129(36) Observation of Behaviors 135(23) Therapist Assessment of Family Structure 158(7) Chapter 7 - A Prescription for Family Treatment 165(46) Family Therapy and Alcoholics Anonymous 168(1) The Chronic Alcoholic Family 169(5) Family Therapy with Nonchronic Alcoholic Families 174(6) Transition to a Marital Focus 180(9) Adolescent Alcohol and Other Drug Use and Abuse 189(6) An Overview of Treatment Techniques for Family Therapy 195(16) Chapter 8 - Related Problems: Abuse, Sexual Dysfunction, and Divorce 211(28) Family Violence 212(18) Sexual Dysfunction 230(4) Divorce 234(5) Chapter 9 - Children of Alcoholics and Adult Children of Alcoholics 239(36) Introduction 239(1) Problems of the Children 240(10) Treatment to Help Children 250(6) Adult Children of Alcoholics 256(10) The Intergenerational Transmission of Alcoholism 266(3) Resilient Children of Alcoholics 269(6) Chapter 10-When Words Fail: Art Therapy 275(34) Materials 277(1) Techniques 278(7) Art Therapy Sessions 285(22) Summary 307(2) Chapter 11-Treatment with the Alcoholic's Spouse 309(14) Background of the Problem 309(5) Treatment Implications 314(3) The Codependency Movement 317(2) Summary 319(4) Chapter 12-Evaluation of Treatment 323(22) Evaluation of Family Treatment 323(8) The Results of Family Therapy Evaluations 331(2) Evaluation of Alcoholism Treatment 333(4) Evaluation Results - Individual Treatment for Alcoholism 337(1) Evaluation of Family Therapy in the Treatment of Alcoholism 338(7) PART IV-PREVENTION 345(38) Chapter 13-Public Health Model and Implications for Family Therapy 347(22) Viewing Family Therapy as Prevention 347(4) Public Health Model 351(18) Chapter 14-Primary, Secondary, and Tertiary Prevention and Implications for the Family 369(14) Primary Prevention 369(10) Secondary and Tertiary Prevention 379(1) Summary 380(3) Index 383