For therapy to be effective with the alcoholic couple, it must be directive, psychoeducational and provide concrete steps that can be taken by both partners to change
the patterns of alcoholism that impact them.
This chapter provides a working definition of alcoholism, then describes the types and developmental
pattern of alcoholism, the problem of the woman alcoholic, and the size and seriousness of the problem.
It is essential that we know something of the developmental
pattern of alcoholism.
Another useful intervention is the use of a genogram to show the couple
the pattern of alcoholism and other illness in the family and how it affects their relationship.
Not exact matches
This may mean that the traditional con trols which tended to keep Jews from developing
alcoholism are weakening as Jews become increasingly integrated into the mainstream
of American life, including its drinking
patterns.
In her review
of the professional literature on
alcoholism and marriage, Margaret Bailey concludes: «Most students
of the problem have found in some or all
of their cases this interactive
pattern of the dependent, inadequate alcoholic male married to a dominating woman who is usually seen as maintaining a semblance
of adequacy only at his expense.»
A candid look at America's drinking
patterns reveals a measure
of truth in the quip, «If
alcoholism is a sickness, a lot
of people are trying to catch it.»
This was the accepted social
pattern among some frontier groups, and although there was a great deal
of this kind
of drunkenness, there was probably less
alcoholism than there is today.
Replacing the holy wars
of the Old World have been religious
patterns that left few dead bodies, though competitive denominational missionaries in many a new suburb have come down with ulcers, heart disease, endocrine disturbances,
alcoholism arid, as they say, «other specifically Christian diseases» in their scrambles.
And so we found a variant in one
of the GABA receptors [that] is associated with
alcoholism, and this fits in with some
of the brain wave
pattern activity that it looks like
alcoholism [and] is linked to disinhibition, so [it's] a problem with the inhibition
of brain waves that people should generally have.
The National Institute on Alcohol Abuse and
Alcoholism defines binge drinking as a
pattern of drinking that brings a person's blood alcohol concentration to 0.08 or above.
«
Alcoholism is best thought
of as a cause, not a consequence,
of personality disorder» (The Natural History
of Alcoholism: Causes,
Patterns, and Paths to Recovery, Dr G Vaillant, 1983).
While other developmental factors can lead to a role - reversal relationship (such as parental
alcoholism), the symptomatic presence in «parental alienation»
of both a role - reversal relationship and borderline personality organization in the parent suggests the possible presence
of sexual abuse «source code» in the internal working models
of the narcissistic / (borderline) parent's attachment system that was inserted into the trans - generational transmission
of attachment
patterns (Benoit & Parker, 1994; Bretherton, 1990; Jacobvitz, Morgan, Kretchmar, & Morgan, 1991).