Adolescent drug abuse is a symptom of family system dysfunction. It reflects a defect in the normal family “launch sequence,” by which the adolescent is prepared for gradual disengagement and separation from the family of origin. Malfunctioning patterns of interaction characteristic of families of drug abusers are described, as is the central role played by impaired mourning and impacted grief. Family therapy is recommended as the treatment of choice in preparing the youthful drug abuser to resume the launch sequence and achieve successful separation and individuation from his or her family.
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References
1.
AlexanderBruceK.GaryS. Dibb1975“Opiate Addicts and Their Parents.”Family Process, 14(4):499–514.
2.
AponteHarryJ.Van Deusen JohnM.1981“Structural Family Therapy.” in AlanS. GurmanDavidK. Kniskern (Eds.), Handbook Of Family Therapy. New York: Brunner/Mazel, Inc.
3.
Boszormenyi-NagyIvanGeraldineM. Spark1973Invisible Loyalties: Reciprocity in Inter generational Family Therapy. New York: Harper and Row.
4.
ColemanSandraB.1980“Incomplete Mourning in the Family Trajectory: A Circular Journey to Drug Abuse.” in BarbaraG. Ellis (ed.), Drug Abuse From The Family Perspective. Department of Health and Human Services Publication No. (ADM) 80–910. Washington, D.C.: National Institute on Drug Abuse, Department of Health and Human Services.
5.
FischerJoelGochrosHarvey1975Planned Behavior Change: Behavior Modification In Social Work. New York: The Free Press.
6.
FramoJamesL.1972“Symptoms from a Family Transactional Viewpoint.” in CliffordJ. SagerHelenS. Kaplan (Eds.), Progress in Group and Family Therapy. New York: Brunner/Mazel Publishers.
7.
FreudSigmund1917“Mourning and Melancholia.” In RiviereJean (Transl.), Sigmund Freud, Collected Papers. Volume 4, First American Edition, (1959). New York: Basic Books.
8.
GoldfriedMarvinDavisonGerald1976Clinical Behavior Therapy. New York: Holt, Rinehart and Winston.
9.
HaleyJay1976Problem-Solving Therapy. San Francisco: Jossey Bass Inc., Publishers.
10.
HaleyJay1980Leaving Home—The Therapy of Disturbed Young People. New York: McGraw Hill Book Company.
11.
HaleyJay1981“Heroin My Baby: A Clinical Model.” in StantonM. DuncanThomasC. Todd, and Associates The Family Therapy Of Drug Abuse And Addiction. New York: The Guilford Press.
12.
HarbinHenryMaziarHoward1975“The Families of Drug Abusers: A Literature Review.”Family Process, 14(3):411–431.
13.
KaufmanEdwardPaulineN. Kaufmann1979Family Therapy Of Drug And Alcohol Abuse. New York: Gardner Press, Inc.
14.
KrogerWilliamS.1977Clinical and Experimental Hypnosis. Second Edition. Philadelphia: J. B. Lippincott Company.
15.
KrogerWilliamS.WilliamD. Fezler1976Hypnosis and Behavior Modification: Imagery Conditioning. Philadelphia: J. B. Lippincott Company.
16.
L'AbateLucianoGeraldR. Weeks1982Paradoxical Psychotherapy: Theory and Practice with Individuals, Couples, and Families. New York: Brunner/Mazel, Publishers.
17.
LazarusArnold1976Multimodal Behavior Therapy. New York: Springer Publishing Company.
18.
MannJames1973Time-Limited Psychotherapy. Cambridge, Massachusetts: Harvard University Press.
19.
MinuchinSalvador1974Families and Family Therapy. Cambridge, Massachusetts: Harvard University Press.
20.
NooneRobertJ.RobertL. Reddig1976“Case Studies in the Family Treatment of Drug Abuse.”Family Process, 15(3):325–332.
21.
PaulNorman1975“The Role of Mourning and Empathy in Conjoint Marital Therapy.” in GeraldH. ZukBoszormenyi-NagyIvan (Eds.), Family Therapy and Disturbed Families. Palo Alto, California: Science and Behavior Books, Inc.
22.
ReillyDennisM.1975“Family Factors In The Etiology And Treatment Of Youthful Drug Abuse.”Family Therapy, 2(2):149–171.
23.
ReillyDennisM.1978“Death Propensity, Dying, and Bereavement: A Family Systems Perspective.”Family Therapy. 5(1):35–55.
24.
ReillyDennisM.1979“Drug-Abusing Families: Intrafamilial Dynamics and Brief Triphasic Treatment.” in KaufmanEdwardPaulineN. Kaufmann (Eds.), Family Therapy Of Drug And Alcohol Abuse, New York: Gardner Press, Inc.
25.
StantonDuncanM.1977“The Addict as Savior: Heroin, Death, and the Family.”Family Process, 16(2):191–197.
26.
StantonDuncanM.1978“Heroin Addiction as a Family Phenomenon: A New Conceptual Model.”American Journal of Drug and Alcohol Abuse, 5(2): 125–150.
27.
StantonDuncanM.1979a“Drugs and the Family.”Marriage and Family Review. 2(1):1–10.
28.
StantonDuncanM.1979b“Family Treatment Approaches to Drug Abuse Problems: A Review.”Family Process. 18(3):251–280.
29.
StantonM. DuncanThomasC. Todd and Associates 1982The Family Therapy of Drug Abuse and Addiction. New York: The Guilford Press.
30.
StierlinHelm1974Separating Parents and Adolescents. New York: Quadrangle/The New York Times Book Company.
31.
WatkinsJohn1977“The Rational-Emotive Dynamics of Impulsive Disorders.” in EllisAlbertGriegerRussell (Eds.), Handbook of Rational-Emotive Therapy. New York: Springer Publishing Company.
32.
WatzlawickPaulWeaklandJohnFischRichard1974Change: Principles of Problem Formation and Problem Resolution. New York: W. W. Norton.