Alcohol Use Disorders and Family Stages Quiz
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Questions and Answers

What percentage of drinkers consume above Canada's Low-Risk Alcohol Drinking Guidelines?

  • 20% (correct)
  • 40%
  • 10%
  • 30%

Which condition is commonly found in individuals with alcohol use disorders?

  • Another psychiatric disorder (correct)
  • High blood pressure
  • Diabetes
  • Obesity

What is the estimated daily number of Canadians who die in hospital from substance use harm?

  • 15
  • 10 (correct)
  • 20
  • 5

What is a significant economic cost associated with alcohol?

<p>Crime-related expenses (B)</p> Signup and view all the answers

What BAC (Blood Alcohol Concentration) level is considered intoxicated?

<p>.08 (B)</p> Signup and view all the answers

What is the primary goal of the single young adult stage?

<p>Accepting responsibility for the self and separation from parents (C)</p> Signup and view all the answers

In the stage of the newly married couple, what is a significant task?

<p>Establishing a new identity as a couple (A)</p> Signup and view all the answers

Which task is NOT associated with the family with young children stage?

<p>Renegotiating boundaries with adolescents (D)</p> Signup and view all the answers

What is a key problem faced during the family launching grown children stage?

<p>Dealing with disabilities and death of parents (B)</p> Signup and view all the answers

The goal of the family with adolescents stage includes which of the following?

<p>Renegotiating family boundaries and responsibilities (D)</p> Signup and view all the answers

What was one noticeable effect of Sarah's relapse on her son?

<p>He exhibited signs of distress. (C)</p> Signup and view all the answers

How did Sarah describe the relationship between her substance use and her son's behavior?

<p>It created a feedback loop of emotional distress. (B)</p> Signup and view all the answers

What role did the Junction Neighbourhood Centre play in Sarah's recovery?

<p>Addressed both practical and emotional needs. (B)</p> Signup and view all the answers

What contributed to the cycle of stress and anxiety for Sarah's son during her substance use?

<p>A lack of parental engagement. (D)</p> Signup and view all the answers

What aspect of support services did Sarah emphasize as critical in her recovery?

<p>They offered a holistic support system. (D)</p> Signup and view all the answers

What was Sarah's initial motivation for seeking recovery?

<p>To ensure her children’s well-being. (C)</p> Signup and view all the answers

What did Sarah experience during her parenting journey that highlighted the need for emotional availability?

<p>The negative impact of her own substance use. (A)</p> Signup and view all the answers

How did Sarah describe the effects of her son's clinginess during her substance use?

<p>It led to increased feelings of parental inadequacy. (B)</p> Signup and view all the answers

What is one major factor that complicates recovery from substance use?

<p>Presence of underlying trauma (A)</p> Signup and view all the answers

Which of the following is a potential outcome for children if the cycle of trauma and substance use is not interrupted?

<p>Development of substance use issues (C)</p> Signup and view all the answers

How does stigma specifically affect mothers with substance use issues?

<p>It deters them from seeking treatment and support (C)</p> Signup and view all the answers

What is one chronic issue that individuals with substance use problems might face?

<p>Chronic physical health concerns (A)</p> Signup and view all the answers

What impact does parental substance use have on parent-child bonding?

<p>It affects the ability to bond and attach (C)</p> Signup and view all the answers

Which complex issue can arise from substance use concerns in parents?

<p>Cognitive impairments and learning disabilities (D)</p> Signup and view all the answers

How does financial stress relate to the dynamics of a family with substance use issues?

<p>It compounds difficulties in parenting and attachment (D)</p> Signup and view all the answers

What aspect of trauma can make parenting more challenging for those with substance use issues?

<p>Difficulty in regulating emotions (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Amotivation Syndrome?

<p>High energy (A)</p> Signup and view all the answers

What does the DSM-5 term 'intoxication' specifically refer to?

<p>Reversible substance-specific syndrome affecting functioning (D)</p> Signup and view all the answers

What is a primary factor influencing intoxication levels?

<p>Duration of the dose (C)</p> Signup and view all the answers

Which of the following behaviors indicates potential Alcohol Use Disorder?

<p>Planning to cut down but failing to do so (A)</p> Signup and view all the answers

In historical contexts, who criticized drunkenness?

<p>Grecian Scholars (C)</p> Signup and view all the answers

What does the term 'withdrawal' signify in substance use disorder?

<p>Using a substance to avoid withdrawal symptoms (C)</p> Signup and view all the answers

Which ancient civilization is credited with producing barley beer?

<p>The Egyptians (A)</p> Signup and view all the answers

What happens to the need for a substance when tolerance develops?

<p>It increases for desired effects (C)</p> Signup and view all the answers

Which of the following is a sign of substance abuse according to DSM-5 criteria?

<p>Failure to fulfill major obligations (B)</p> Signup and view all the answers

Which philosopher advised against alcohol use for individuals under age 18?

<p>Plato (C)</p> Signup and view all the answers

What is a common characteristic of children with parents who suffer from addiction regarding their perception of normalcy?

<p>They often guess at what normal should be. (B)</p> Signup and view all the answers

Which characteristic pertains to children who are adult children of alcoholics or addicts regarding project completion?

<p>They often find it difficult to follow projects through to completion. (B)</p> Signup and view all the answers

What emotional response is common in children of parents who suffer from addiction?

<p>Guilt and self-blame stemming from their circumstances. (C)</p> Signup and view all the answers

What is an observed trait regarding adult children of alcoholics regarding honesty?

<p>They often lie even when telling the truth is easier. (A)</p> Signup and view all the answers

Children of parents who suffer from addiction typically struggle with which aspect related to personal enjoyment?

<p>They have difficulty having fun due to being on guard. (C)</p> Signup and view all the answers

What is a characteristic behavior regarding adult children of alcoholics and intimacy?

<p>They often have difficulty with intimacy and sharing themselves. (D)</p> Signup and view all the answers

What common reaction do children of addicted parents have when faced with uncontrollable change?

<p>Seek to maintain a status quo and overreact to changes. (D)</p> Signup and view all the answers

What trait is commonly observed in adult children of alcoholics regarding how they perceive themselves compared to others?

<p>They often feel incredibly different from other people. (B)</p> Signup and view all the answers

In terms of approval seeking behavior, how do children of parents who suffer from addiction typically behave?

<p>They constantly seek approval from others. (A)</p> Signup and view all the answers

What is a noted challenge adult children of alcoholics face regarding their responsibilities?

<p>They alternate between being overly responsible and completely irresponsible. (D)</p> Signup and view all the answers

Flashcards

What is a BAC of 0.08?

The amount of alcohol in the bloodstream that is considered legally intoxicated.

What is Fetal Alcohol Syndrome?

A condition that occurs when a pregnant woman consumes alcohol, leading to physical and mental impairments in the developing fetus.

How does alcohol impact the brain?

The effects of alcohol on the brain can range from stimulation to depression depending on the amount consumed. It can impair judgment, coordination, and memory.

What is the hospitalization rate for alcohol versus opioids?

Alcohol consumption contributes to over half of substance-use hospitalizations, significantly higher than opioid poisonings.

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What is the economic impact of alcohol use?

While governments earn billions from alcohol taxes, they spend even more on the associated societal costs, including healthcare, crime, and lost productivity.

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Single Young Adult Stage

In this stage, the individual focuses on establishing their own identity, forming close friendships, and achieving financial independence. This is marked by a separation from their family of origin.

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Newly Married Couple Stage

This stage involves the couple committing to their relationship, working together to build a shared identity, and navigating their new roles with family members.

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Family with Young Children Stage

This stage focuses on adapting to the presence of children, balancing parental responsibilities with maintaining a strong couple relationship, and welcoming extended family members into the family dynamic.

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Family with Adolescents Stage

This stage involves renegotiating family boundaries, adjusting parent-child relationships, addressing mid-life transitions, and starting to consider the needs of the older generation.

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Family Launching Grown Children Stage

This stage is characterized by the launching of grown children, renegotiating the marital relationship, developing adult-to-adult relationships, and adapting to the inclusion of in-laws and grandchildren.

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Amotivation Syndrome

A state characterized by a lack of motivation, low energy, little planning, and a tendency to be mellow and lethargic. Individuals with amotivation syndrome often lack goals and have difficulty delaying gratification.

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Substance Use

The ingestion of psychoactive drugs or substances in moderate amounts, which do not interfere with daily functioning.

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Intoxication

A reversible substance-specific syndrome caused by the intake of a substance that interferes with functioning. Examples include impaired judgment, slowed reflexes, and aggression.

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Tolerance

The need for significantly increased amounts of a substance to achieve the desired effect. This occurs as the body develops a tolerance to the substance.

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Withdrawal

A characteristic syndrome that occurs when the use of a substance is stopped or reduced. Symptoms can include physical and psychological discomfort.

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Alcohol Use Disorder

A problematic pattern of alcohol use that leads to clinically significant impairment or distress. It is characterized by at least two symptoms from a list of 11, occurring within a 12-month period.

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Substance Abuse

A category within the DSM-IV TR that encompassed a range of substance use behaviors that were harmful, but not necessarily dependent.

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Substance Dependence

A category within the DSM-IV TR that described individuals with a severe form of substance use characterized by dependence and significant impairment.

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Factors Influencing Intoxication

The tendency for a person to have a lower tolerance for a substance based on factors like age, weight, gender, and the presence of food or medications.

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Withdrawal Symptoms

Characterized by experiencing physical and psychological effects when reducing or stopping substance use. These symptoms can range from mild to severe.

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Vicious Cycle of Substance Use and Child Distress

A situation where a parent's substance use leads to emotional distress in their child, making the parent more likely to turn to substances as a coping mechanism, creating a cycle of increasing stress and substance use for both the parent and child.

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Emotional Availability in Parenting

The ability of a parent to be emotionally present and responsive to their child's needs, regardless of their own challenges.

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Relapse in Substance Use

A period of time where a person who has been recovering from substance use starts using substances again.

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Effects of Parental Relapse on Child Development

The negative impact of a parent's substance use on their child's emotional well-being, often leading to behavioral problems and emotional distress.

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Interconnectedness of Parental Behavior and Child Development

The interconnectedness between parental behavior and child development, where a parent's behavior, especially struggles with substance use, directly impacts their child's emotional state and well-being.

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Holistic Support Services

A type of support that addresses both practical needs (like food, shelter) and emotional needs, promoting a holistic approach to recovery.

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The Transformational Journey of Recovery for Sarah

Sarah's motivation to seek treatment for her substance use initially stemmed from wanting a better life for her children, but ultimately led to her own personal healing and growth.

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Benefits of Secure Attachment on a Child

The positive impact of a secure and emotionally responsive parent on the child's development, leading to a healthier parent-child bond.

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Why is substance use rarely isolated?

Substance use rarely occurs in isolation and is often accompanied by other problems, including mental health issues, family violence, trauma, unstable housing, intergenerational disadvantage, and poverty.

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What challenges does substance use create for parents?

The cumulative harms of substance use, combined with accompanying issues, make recovery more challenging for parents, adding stress that impacts their children.

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What is the intergenerational cycle of substance use?

Children exposed to cycles of trauma, disadvantage, and substance use may develop substance use problems in the future as a coping mechanism for feelings of helplessness, hopelessness, and childhood adversity.

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What additional challenges do people with substance use face?

People with substance use issues may also face chronic health conditions, intellectual or learning disabilities, and low education levels.

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What is the main barrier to seeking support for substance use?

Stigma, especially for mothers, significantly impedes seeking support due to societal expectations around motherhood. Fear of judgment or intervention deters them from seeking treatment.

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Why is stigma a particular challenge for pregnant women with substance use?

Pregnant women who use substances face even greater judgment, making it harder to address their needs and bond with their child.

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How does parental substance use impact the parent-child bond?

Parental substance use and related stressors interfere with bonding and attachment between parents and children.

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How does trauma affect parenting?

Trauma, including childhood sexual abuse or intimate partner violence, often affects parenting due to challenges in regulating emotions, making it difficult to manage children's emotional needs.

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Difficulty Knowing Normal

Children of parents suffering from addiction often struggle to distinguish between normal and abnormal due to the inconsistent and unpredictable nature of their upbringing, leading to difficulty in navigating a world that seems chaotic and unclear.

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Difficulty Completing Projects

Adult children of addicts (ACOAs) often demonstrate difficulty finishing projects, even when motivated, due to underlying issues like low self-esteem and a lack of confidence in their ability to succeed.

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Lying as a Coping Mechanism

Individuals raised in environments marked by addiction may exhibit a tendency to lie, not necessarily for malicious gain, but rather as a coping mechanism or a way to fit in, often due to the chaotic nature of their upbringing.

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Excessive Self-Criticism

Children of parents with addiction problems often engage in excessive self-criticism, lacking compassion for their own mistakes or shortcomings, which can be a reflection of their upbringing and the pressure they faced.

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Difficulty Enjoying Fun

ACOAs often struggle to fully engage and enjoy pleasurable activities, due to a heightened state of alertness and a subconscious fear of being caught off guard, a consequence of living in a volatile environment.

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Difficulty with Intimacy

Individuals with a history of addiction in their family often have difficulty forming close, intimate relationships due to deep-seated fears about vulnerability and a lack of trust stemming from their childhood experiences.

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Overreacting to Change

ACOAs often react strongly to changes they perceive as beyond their control, preferring stability and predictability as a defense against the unpredictability they encountered in childhood.

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Feeling Different

Individuals affected by family addiction often perceive themselves as different from others, carrying an unspoken stigma or sense of otherness that sets them apart, even though it may not be readily apparent to others.

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Seeking Approval

Growing up in an environment marked by addiction can lead to a constant need for approval and validation from others. This can manifest as a tendency to please others and overcompensate for perceived shortcomings.

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Extreme Responsibility

Children of parents with addiction problems may exhibit extreme polarization in their level of responsibility, oscillating between meticulous responsibility and complete irresponsibility, reflecting their struggle to navigate boundaries and establish a consistent sense of self.

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Study Notes

Drug Effects & Drug Interactions

  • Drug effects are categorized as pharmacological properties and drug actions.
  • Drug effects are measured by dosage and route of administration.
  • A dose-response curve displays the relationship between drug dose and effect. It shows desired effects, side effects, and lethal effects.
  • A biphasic curve for alcohol illustrates initial stimulant effects (buzz, euphoria) followed by depressive effects (drunkenness, dysphoria) at higher blood alcohol levels.

Organismic Effects

  • Non-specific drug effects are not tied to the drug's specific action.
  • Organismic effects encompass variables like age, weight, biological rhythms, physiological state, genetics, and expectations.

Environmental Effects

  • Environmental effects involve factors such as the setting and circumstances where a drug is taken.
  • Examples include setting like alcohol use in a social setting or drug overdose, according to a specific event or experience.
  • The placebo effect refers to the inert treatment's psychological or physiological response.
  • The nocebo effect refers to a negative response triggered by the expectation of a harmful effect.

Dose-Response Curves & Effects of Drugs

  • Dose-response curves illustrate relationships between dosages and effects (therapeutic, adverse, or lethal).
  • The ED50 is the effective dose required for 50% of a population to respond to a drug.
  • The LD50 is the lethal dose required for 50% of a population. Threshold dose, maximal response, ED50, LD50, of a drug are all presented in the dose-response curve example.

Drug Interactions

  • Additive effects occurs when the combined effect of two or more drugs is the sum of their separate effects (1 + 1 = 2).
  • Synergistic effects (or potentiation) occur when the combined effect is greater than the sum of their individual effects (1 + 1 = 6).
  • Antagonistic effects occur when the combined effect is less than the sum of their individual effects (a + b = 0).

Tolerance

  • Tolerance refers to an adaptive response to repeated or chronic drug use, where increased drug doses are needed to achieve the desired effect, or the effect is diminished.
  • It occurs due to metabolic, pharmacodynamic factors.
  • Behavioral tolerance & cross-tolerance are additional types.

Stimulants

  • Cocaine, Amphetamines, Methamphetamine, Methylphenidate (Ritalin), and Ephedrine are examples of stimulants.
  • Methylphenidate is commonly used to treat ADHD.
  • Amphetamines are used to treat ADHD, narcolepsy. Cocaine & Amphetamines are stimulants.

Opiates

  • Opiates have strong analgesic and sedative effects.
  • Morphine, codeine, meperidine, methadone, fentanyl, heroin, talwin, Darvon, percodan, and vicodin are examples.

Cannabis

  • Cannabinoids (like THC) are the active ingredients in marijuana.
  • Marijuana has uses in medicinal contexts (e.g., glaucoma, asthma).
  • The effects of cannabis include relaxation and altered perceptions, among other effects.

Alcohol

  • Alcohol is a central nervous system depressant.
  • Factors that influence alcohol's effects include dosage, duration, person's tolerance, time since last dose, and expectations, among others.
  • Alcohol abuse is characterized by impaired control, social impairment, risky use, and pharmacological criteria.

Family Systems

  • A family is defined as those individuals who reside in one household and share common emotional and economic ties.
  • There are two primary types of kinship: biological or consanguineal, and affinal.
  • Families' functioning (e.g., socialization, support) is influenced by structural components, including lineage systems (patrilineal, matrilineal, or bilateral), and systems of authority (patriarchal or matriarchal).
  • Family dynamics are influenced by stages of development, including single young adults, newly married couples, families with young children, families with adolescents, launching grown children, and families in later life.

Family Functioning

  • Stages of the typical development of a family are presented from a young adult to elderly family members.
  • Families use conflict resolution strategies.
  • Family rules and rituals are examined.
  • Substance abuse, and cultural factors have a significant influence on how the family functions.

Treatment of Substance Use Disorders

  • Treatment involves a variety of models (individual, family), interventions (behavioral, medication, integrated) and levels of care.
  • Treatment should be geared around individual needs and the family structure.
  • Families are also affected by substance misuse by parents/carers.

Pregnancy and Substance Use

  • Prenatal and postnatal impacts of substance use on both pregnant women and children were described.
  • Strategies for intervention were also described for families facing substance use issues.

Mental Health and Substance Use

  • Mental health is significantly integrated into substance abuse treatment, and a variety of approaches are discussed from a holistic perspective.
  • Substance use can have a significant effect on mental health.
  • Family/cultural factors can also affect mental health.

Brain and Drug Interaction

  • Drug use results in physical and physiological changes to the brain, which is directly related to how family functioning is affected.

Adolescents and Substance Use

  • Brain development occurs from front to back and this is critical to understanding adolescent decisions and behaviors.
  • Developmental aspects of judgement in adolescents are emphasized.
  • The significant impact of social and peer group dynamics during adolescent development is discussed.

Family Circumplex Model

  • The circumplex model is a tool to assess family cohesion and adaptability.
  • High cohesion and low flexibility result in rigidly emmeshed functioning.
  • A strong understanding of the model helps assess the challenges families face.

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Description

Test your knowledge on the impact of alcohol use and its relation to different family dynamics. This quiz covers statistics on alcohol consumption, health conditions, and the challenges faced by families at various stages. Explore the connections between substance use and family roles.

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