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Family Systems and Substance Use

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Family dynamics in SUD

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Family Systems and Substance Use
 

Family Systems and Substance UseOnline version

Family dynamics in SUD

by Kennedy Cook-Archambault
1

The Family Disease Model

Substance use affects the whole family; health, emotions, and relationships are interconnected. Recovery requires system-wide change, not just the individual.
2

Roles in the Family

Common roles: Enabler, Hero, Scapegoat, Lost Child, Mascot. Each adapts to support the family, often at a personal cost.
3

Dysfunctional Rules

Don’t Talk, Don’t Trust, Don’t Feel create secrecy and miscommunication, hindering recovery and honest connection within the family.
4

Stages of Change

Precontemplation to Maintenance outline readiness for change; families progress together, not just the person with SUD.
5

Dual Progression of Boundaries

Boundaries can tighten or loosen; rigid or porous patterns sustain dysfunction and impede healthy progression.
6

Interventions for Dysfunction

UseDrama Triangle awareness (persecutor, rescuer, victim) to shift from unhelpful cycles toward healthier interactions.
7

Healthy Family Traits

Open communication, mutual respect, shared meals, play, responsibility, and clear boundaries foster resilience and trust.
8

Concurrent Disorders

Co-occurring mental health issues and SUD require integrated, system-aware approaches for effective support.
9

Self-Care for Families

Education, boundaries, crisis planning, stress management, and coping strategies protect caregivers and support sustained recovery.
10

Pathways to Recovery

Shift from blame to interdependence; rebuild trust, establish flexible boundaries, and seek formal help and community resources.
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