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Family Adaptation to Addiction

There are many people who suffer from addictions, and in some cases their loved ones actually enable the addiction because they want to help. Sure, you want to help the one you love to overcome addiction, but you definitely do not want to enable the addiction any further.

Take a minute to think about an addict. They intend to continue what they are doing no matter what. Why not go ahead and get someone to help them with the addiction? You see, without someone to enable them, an addict would need to start dealing with all the consequences that their actions cause, which could actually bring the addiction to an end. Unfortunately many well intentioned enablers actually help to protect the addict from the problems that are a result of the addiction.

In some cases family members actually help the addict get the drug in a safe manner to try to protect them. They are afraid that they will get hurt or that they will go through withdrawal and so they go on to help their loved one keep using, which does not fix the problem at all. Some of the actions that may signal you are acting as an enabler include making excuses, lying, and helping your loved one to get what they need. This means you are no longer helping them; you are enabling them to continue in their addiction.

Usually this type of behavior starts out quite slowly over time and in the beginning is just behavior that is used to help smooth things over. People want to keep their family problems a secret so they keep their mouth shut. Also, many times denial of the problem actually affects the enabler and they rationalize things away to try and avoid the problem that is occurring. Sadly, the problem will not just go away.

Once a person starts enabling an addict, it turns into a cycle. The person who is addicted never has to deal with consequences, and so they continue in their addictive behavior. Since their addiction becomes even worse, then the enabler gets drawn deeper and deeper into the problem. Soon this turns into more chaos in the home, which an addict will use for an excuse to continue using.

So, how can you get this cycle to end? Well, while the person who is enabling the situation may be fearful and full of shame, at some point this will probably turn into anger. While they may try to bottle it all up, at some point it is going to come out in an explosion. They will be sick of excuses and they will need to decide to lovingly detach themselves from the situation.

This means that now there are no more excuses being made by the enabler, and suddenly the addict has to deal with the consequences of their addiction. In some cases this may lead them to try and find treatment for their addiction. Usually people who go for treatment either get tired of the addiction or they end up experiencing a dramatic crisis that leads them to seek out treatment for the problem. It is important that you never protect a loved one from this type of crisis because you may be keeping them from finding the treatment that they need for their addiction problem.

Van Wormer and Davis (2008) describe the family dynamic according to ecosystems insights as “the individual alcoholic/addict is not viewed in isolation but as someone in dynamic interaction with the environment. Attention is paid to the complex ways that individual persons, in terms of the roles they perform, are linked with other roles in the family” (Van Wormer Davis, 2008, pp.390).

Just as families can do a lot to make things worse, they can also help things get better. When the enabling system turns into an intervening system, the disease becomes much harder to maintain. Friends and family cannot cure chemical dependency, but they can have a very positive impact on the problem. Families can break the cycle of enabling in three ways:

Talk openly and honestly with the alcoholic about the problem. Stick to the facts and don't be judgmental. Talk about your own feelings, but don't try to inflict guilt. Only talk when the person is sober. Do not nag or scold. Talk about what you will do to help, and also talk about what you will no longer do to enable the problem. Also, talk openly and honestly with other family members about the problem, so everyone is on the same page.

Do not give or lend money for the addiction, or to cover debts caused by the addiction. For example, if the rent money has been spent at the bar, don't block the natural consequences of that action. Otherwise, one is only buying the next drink. However, if young children are involved, this strategy may not be appropriate. Be vigilant in protecting these silent victims of addiction.

Become involved in a program of recovery. Al-anon, Nar-anon, and Families Anonymous are invaluable resources. It is often too difficult to stop the enabling process without help and support from those who have been down this road. Join a group, and draw on their experience, strength, and hope.

"According to Dr. Max Schneider, an internist specializing in families of alcoholics, the people around the alcoholic suffer from higher incidences of gastritis, stroke, heart disease, insomnia, respiratory problems, anxiety, and depression. Dr. Schneider warns that the risk of accidents, homicide, and suicide are much higher among families living with active addiction. (Jay & Jay 2000).

Enabling causes every member of the family to suffer. Anger and disputes arise; blame is bounced from person to person, and the family unit itself is eventually damaged. Children are especially vulnerable to this phase of enabling. The adults in the family are so focused on keeping the alcoholic in line; they don't always notice what the children are going through. Make children your number-one responsibility.

References

Jay, D. & Jay, J. (2000). Love First: A new approach to intervention for alcoholism and drug addiction.Center City, Minnesota. Hazelden

Van Wormer, K. and Davis, D.R. (2008). Addiction treatment: A strengths perspective.

Belmont, CA: Thomson Brooks/Cole.