CLASS RULES
******THIS IS YOUR ONLY WARNING*****
1. BE ON TIME AND PREPARED WITH PENCIL AND
NOTEBOOK.
2. DEMONSTRATE RESPECT FOR TEACHER AND EACH
OTHER.
3. FOLLOW ALL RULES AND ETIQUETTE FOR THE
ACTIVITY.
4. BE RESPONSIBLE FOR ALL MAKE UP WORK.
5. USE OF CELL PHONE IS NOT PERMITTED DURING
CLASS. A DETENTION WILL BE ASSIGNED ON THE FIRST
OFFENSE. THIS IS YOUR WARNING!!
6. EATING OR DRINKING DURING CLASS IS PROHIBITED.
CONSEQUENCES
1. AN AFTER SCHOOL DETENTION.
2. A CALL TO PARENTS.
3. AN ADMINISTRATIVE DETENTION
Ocean City High School
Health & Physical Education Dept.
OCEAN CITY HIGH SCHOOL
HEALTH & PHYSICAL EDUCATION DEPARTMENT
Policy regarding Plagiarism
Plagiarism is defined as the act of stealing and passing off (the ideas or words of another) as
one’s own; the use of a created production without crediting the source; literary theft.
Plagiarism is intellectual dishonesty; besides being a serious academic offense and grounds
for expulsion in many colleges, it is also illegal. As a writer, you are guilty of plagiarism if
you neglect to properly acknowledge or cite:






All word-for-word quotations (except common sayings)
All passages that you have summarized or paraphrased
All charts, graphs, diagrams that are not your own
All statistics that you have not compiled yourself
All theories or interpretations that are not your own
All key words or terms that you have taken from a specific source
Technology has made plagiarism more tempting than ever, as students can easily cut &
paste into their own files material found on the internet. However, technology has also made
catching student plagiarists much easier. Teachers need only to go to one of several research
engines, type a phrase or two of suspected material, and they will be taken immediately to
the source.
It is the policy of the Ocean City Health & Physical Education Department that any student
papers (essays, book reports, term papers, projects, etc.) found to contain plagiarized
material will receive a grade of 0. Students will not be afforded the opportunity to rewrite
the assignment or make up the grade.
In the same vein, since all of our health classes require the same or very similar written
assignments, health teachers will be comparing projects for copying or plagiarism.
I have read & understood what constitutes plagiarism and the OCHS H & PE Department’s
policy regarding it.
Signature
Date
OCEAN CITY HIGH SCHOOL SENIOR HEALTH
MINIMUM PROFICIENCY REQUIREMENTS
I. COURSE DESCRIPTION: The senior health course is designed to include many
aspects of family life, which are important now and will be important in future years. The
most accurate and up to date information available will be presented to the students
enabling them to make decisions regarding family living. Additional knowledge is
provided to enable positive changes in the modification of the student’s behavior.
II.
A.
B.
C.
D.
PROCEDURE FOR GRADING: Students must attain a minimum grade of
65% to pass the course.
TESTS, QUIZZES 40%.
Tests will be announced at least one day in advance. Projects will also be
assigned by the instructor and must be completed by the required due date.
Quizzes may or may not be announced.
CLASS PARTICIPATION AND NOTE BOOK 40%.
Students will be alert and participate in both large and small group discussions.
Student is responsible for completion of written classroom exercises, homework
assignments and obtaining any assignments missed.
PROJECTS 10%
Project completion date: March 21st
Quarterly Benchmark Exam 10%
III. STUDENT RESPONSIBILITY:
A. ATTENDANCE:
The student is expected to attend all classes. Details of attendance and tardiness
are set forth in the Student Attendance Policy.
B. PROMPTNESS:
The student is expected to be ON TIME for all classes. Tardiness without a
legitimate excuse is unacceptable behavior.
C. MATERIALS:
The student is responsible for having the necessary materials for class; such as
pencil, pen paper, notebook, and any other materials assigned by the instructor.
D. EXTRA HELP:
If the student is experiencing difficulty in understanding the subject matter
he/she has the responsibility of contacting the instructor and making
arrangements for additional help.
IV. PERFORMANCE OBJECTIVES: Each student must demonstrate minimal
proficiency in the following areas:
A. Students will be able to discuss openly a variety of topics and to develop an
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
awareness of their personal feelings as well as the feelings of others by using the
value clarification approach.
Students will understand the functions of today’s family and the various family
structures present in our society today.
Students will understand responsibilities involved in the decision to marry and
how to have a positive, healthy and successful relationships.
Students will be involved the decision making process, learn to work with other
individuals and to make compromises.
Students will understand the factors and responsibilities involved with parenting.
Students will understand the changes that the American family faces today can
cause problems of death, grief, disasters and adjustment.
Students will identify sexually transmitted diseases and available health services.
Students will identify the problems alcohol can cause in one’s life and the disease
of alcoholism.
Students will understand how use of alcohol and/or drugs can adversely affect
life, the need for treatment and health services available.
Students will discuss and participate in communication enhancement activities.
Students will understand warning signs of suicide.
It is understood that the proficiencies listed above are minimal and that the teacher has
the right to require additional material relevant to the course and its objective.
STUDENT: I have read the proficiency requirements and to the best of my ability I will
comply with them.
SIGNATURE:
DATE:
Senior Project
For the senior project you will have two choices:
Community Service or Written Report. The project will be done with a partner of your
choice.
Both projects will require a power point presentation.
Community Service
If you choose to do the Community service project you will need to do 4 hours at an
organization of your choice. Refer to the attached page for suggestions. This service must
be done during the third marking period of you senior year. You will make 2 visits to the
site. Other community service that you’ve done in the past will not count for your
senior project. You may choose to go back and do four hours of service for the same
organization but it must be done during the third marking period (Feb 1st, 2010- March 18th
2010). If you have a question regarding your service please see your teacher.
Babysitting, raking leaves etc. does not count as community service. It must be done though
an established organization. If you do community service, you need to fill out the journal
entry in the notebook and prepare a power point presentation. There is no written report
for this assignment other than the journal entry.
Written Report
If you choose to do the Written Report, you will choose from the list provided or have one
approved by your teacher. The report should be no less than three pages double spaced
using 12 font. It should include a cover page with the topic as well as your
name/period/date. It should include a bibliography of where you obtained your information
and materials (included in the three pages). You should use at least three different
sources in your paper. Remember plagiarism will not be not tolerated. Do not cut and
paste your project.
Community Service Organizations
Atlantic City Rescue Mission
serving meals
345-5517
Community Cupboard – St. Peter’s United Methodist Church
399-2988
th
Community Action Now (After School Program) – 8 & Haven Ave.
398-1934
Wesley Manor (United Methodist Homes), Ocean City
399-8505
Holy Redeemer Nursing Home, Swainton
465-2082
Linwood Convalescent Center, Rt. 9 & Central Ave., Linwood
927-6131
Eastern Shore Nursing and Rehab Center (Swainton)
465-2260
Matthews Stocking Christmas Wrapping Event
465-6755
Lutheran Home (Ocean View)
624-3881
Senior Center of Ocean City (34th & Bay Aves.)
398-2552
Upper Twp Senior Center
390-1969
Shore Memorial Hospital – Volunteer Office
653-3543
Betty Bacharach
652-7000
Burdette Tomlin Hospital – Volunteer Office
463-2367
Ocean City Animal Shelter
399-2018
Upper Twp Animal Shelter
525-7362
Hope Pregnancy Center
398-9449
Cape May County Zoo
390-8733
Your Local Church
Rutgers Cooperative Extension Program
465-5115
Human Resources
463-2008
Hospice
390-9100
American Red Cross
465-7382
American Heart Association
546-5600
American Cancer Society
390-0622
Leukemia Society of American (South Jersey Chapter)
931-8500
Organ Donation Network
1-800-742-7365
Coalition Against Rape and Abuse (CARA)
522-6489
Foster Care 1-877-NJFOSTER
Homeless Hotline – Training and Personnel
465-1060
Adoptions From The Heart – Cape May Area 1-800-355-5500 or 1-800-99adopt
Sister Jeans Soup Kitchen in Atlantic City
Web sites
www.Gap.com
Bill and Melinda Gates Foundation
www.Oprah.com
Angel Network
www.mtv.com/thinkmtvglobe/Clinton_in_africa
www.lostboysbook.com
www.heifer.org
www.africaaction.org
http://www.cozanet.co.za/2004/08/gif001a.shtm
humanitarian crisis in Darfor, Africa
U.S. Holocaust Museum committee on conscience (information@ushmm.org.)
COMMUNITY SERVICE PROJECT CONTRACT
A COPY OF THIS PAGE MUST BE INCLUDE IN THE PROJECT
YOUR NAME:
PLACE OF COMMUNITY SERVICE:
DATE OF SERVICE:
NUMBER OF HOURS:
SUPERVISOR’S SIGNATURE:
PHONE # OF CONTACT PERSON:
WHAT SERVICE DID YOU PROVIDE:
JOURNAL ENTRY: (write a short paragraph about details of the jobs you did and the people with whom you
interacted).
COMMUNITY SERVICE PROJECT CONTRACT
YOUR NAME:
PLACE OF COMMUNITY SERVICE:
DATE OF SERVICE:
NUMBER OF HOURS:
SUPERVISOR’S SIGNATURE:
PHONE # OF CONTACT PERSON:
WHAT SERVICE DID YOU PROVIDE:
JOURNAL ENTRY: (write a short paragraph about details of the jobs you did and the people with whom you
interacted).
VALUES
Do you think you know yourself? Have you ever really thought about who you
are? What do you stand for? Where are you going? Young people often look at their
future and wait for it to arrive. They plan major events but usually ignore the causes or
preparation for these events. Much of what happens in people’s lives is caused by past
events. Take a closer look at your values. Your values are those things that are important
to you. Values are tangible (i.e. money, clothes. cars) and intangible (i.e. friendship,
love, religion). Values are learned. You have learned your values from your family,
your schooling, your religious background, your friends, your own experience, society
and the media. Values can change. You have already made decisions in your life that
agree with or differ from learned values (i.e. friendship, dating, drinking, and schooling).
Values should be reflected in your behavior. If friendship is important to you, your social
behavior (not just your words) shows your friends that your care; if education is a value,
your school behavior reflects your concern.
List 5 of your most valued traits:
1.
2.
3.
4.
5.
9
ALLIGATOR RIVER
Once upon a time there was a woman named Abigail who was in love with a
man named Gregory. Gregory lived in Somers Point and Abigail lived in
Ocean City. The bay which separated the two lovers was teeming with maneating alligators. Abigail wanted to cross the bay to be with Gregory.
Unfortunately, all the bridges had been under construction and were closed
to all traffic. So she went to ask Sinbad a boat captain, to take her across. He
said he would be glad to if she would consent to go to bed with
him preceding the voyage. She promptly refused and went to a friend named
Ivan to explain her plight. Ivan did not want to be involved at all in the
situation. Abigail felt her only alternative was to accept Sinbad’s terms.
Sinbad fulfilled his promise to Abigail and delivered her into the arms of
Gregory. When she told Gregory about her amorous escapade in order to
cross the bay, Gregory cast her aside with disdain. Heartsick and dejected,
Abigail turned to Slug with her tale of woe. Slug, felling compassion for
Abigail, sought out Gregory and beat him brutally. Abigail was overjoyed at
the sight of Gregory getting his due. As the sun set on the horizon, we hear
Abigail laughing at Gregory.
10
Alligator River (Written Work # 1)
Purpose
The students will become aware of their values by the way they react to each
character in the story.
Procedure
Students are to privately rank the five characters form the least objectionable as
#1 to the worst as #5.
Abigail- (In love with Gregory)
Gregory- (Abigail’s boyfriend)
Ivan- (Wouldn’t get involved)
Sinbad- (Riverboat captain)
Slug- (beat up Gregory)
1. WHAT VALUES OF EACH PERSON DID YOU LIKE?
AbigailGregoryIvanSinbadSlug2. WHAT VALUES OF EACH PERSON DID YOU DISLIKE?
AbigailGregoryIvanSinbadSlug3. DO YOU EXHIBIT ANY OF THESE VALUES IN YOUR DAILY
BEHAVIOR? IF SO WHICH ONES?
AbigailGregoryIvanSinbadSlug-
11
Chapter 17
Marriage, Parenthood, & Families
Section 1 Marriage
The Responsibilities of Married Partners
A healthy marriage requires that both partners
____________________________
_____________________________________________________________
_____.
They include the following:
 Love: In a healthy marriage,
______________________________________
________________________________________________________
________________________________________________________
__________.
 Commitment: In a healthy marriage, spouses make a commitment to
________________________________, remain faithful to one
another, and to make their relationship ___________. Commitment in
marriage requires that both partners be willing to
____________________________________
________________________________________________________
_____.
 Compromise: Compromise in marriage means
_______________________
__________________________________________. Although
compromise requires sacrifice, both partners benefit from the
___________________
_________________________________________.
 Emotional Intimacy: Emotional intimacy is the state of being
___________ _________________ to the other person. Each partner
is responsible for expressing feelings in a truthful, loving way if the
relationship is to grow.
Engagement and a Healthy Marriage
12
 Helps develop ________________ that is the ability to assess a
relationship or situation and react according to what is best for oneself
and for the other person in the relationship.
 Gives couples the opportunity to discuss the ____________________
ahead and build strong _______________________.
 Allows the couple time to go to _____________________ classes,
which help couples discuss their ______________________________
of marriage.
Stresses Caused by Teenage Marriage


 Changes in relationships with ___________________
 Interaction with __________________
 Concern for a spouse’s _______________ & _______________ wellbeing
 Possible ____________________
Common Reasons for Divorce

 Unfulfilled ____________________; changing spouses
 Different _______________________________
 Generally several factors contribute
 Page 413
Marriage and Divorce Statistics
 The average age of a woman getting married in the United States is
27. — Bride's Magazine
13
 The average age of a man getting married in the United States is 29.
— Bride's Magazine
 88 percent of American men and women between the ages of 20 and
29 believe that they have a soul mate who is waiting for them. —
University Wire, Louisiana State University
 59 percent of marriages for women under the age of 18 end in divorce
within 15 years. The divorce rate drops to 36 percent for those
married at age 20 or older. — "Cohabitation, Marriage, Divorce and
Remarriage in the United States," M.D. Bramlett and W.D. Mosher
 65 percent of altar-bound men and women live together before getting
married. — Bride's Magazine
Research indicates that people who live together prior to getting
married are more likely to have marriages that end in divorce. — The
Boston Herald
Key Terms:
Marriage-
Emotional Intimacy-
Emotional Maturity-
Divorce-
14
QUALITIES THAT ARE IMPORTANT TO ME! (Written Work # 2)
List the five qualities you consider most important in:
SAME SEX FRIENDS
OPPOSITE SEX FRIENDS
TYPE OF PERSON YOU
WOULD CHOOSE AS A
MATE
1.
1.
1.
2.
2.
2.
3.
3.
3.
4.
4.
4.
5.
5.
5.
DESCRIBE YOURSELF USING FIVE ADJECTIVES. (If the teacher were to read
these aloud your classmates should know who was being described.)
1.
2.
3.
4.
5.
15
Marriage Outline
LOVE - EMOTION
SEX - ACT
MARRIAGE - CONTRACT
I.
II.
WHY DO PEOPLE GET MARRIED?
1.
2.
3.
4.
5.
6.
QUESTIONS TO ASK YOUR SELF BEFORE GETTING MARRIED.
1. Am I marrying because I want to or because others want me to?
2. Am I ready for the commitment?
3. Are my values similar to his/hers?
4. Are our lifestyles similar?
5. Should we have children?
6. Where should we live?
7. What are our economic expectations?
III.
SKILLS FOR A GOOD MARRIAGE
1. Strong sense of identity
2. Mutually supportive
3. Growth emotionally and intellectually together
4. Capacity to take criticism, express and share emotions, argue fairly and
effectively.
5. Keep lines of communication open
6. Ability to play
7. Ability to resolve power struggles
IV.
A.
SIX STAGES OF MARRIAGE
“NEW COUPLE”
(0-3 YEARS)
1. Learning to live with each other, difference in values, habits &
personalities.
2. Anxiety about living with someone new.
3. Trying to please spouse at all cost.
4. PROBLEM
a. staying individuals
b. working things out together
B.
“CAREER DEVELOPING” (BEFORE THE CHILDREN)
1. become concerned with status, income & achievement
2. become homeowners
3. invest enormous effort into their careers
4. PROBLEMS
a. must balance career and relationship
b. confront future goals together
16
C.
“PARENTHOOD” (WHEN THE BABY ARRIVES)
1. Marriage relationship changes greatly (another person is involved)
2. Couple must be ready to except responsibilities.
3. PROBLEMS
a. spouse can’t be jealous of all the time the children take.
b. must see spouse in the new role
D.
“ MIDDLE AGE”
(35-49 YEARS OLD)
1. Stability is achieved - same old job, friend’s routine.
2. Bored with spouse (1/4 of all divorces occur now)
3. PROBLEMS
a. coming to terms with the aging process
b. try to spice up your relationship.
E.
“GROWING OLDER”
(50-65 YEARS OLD)
1. Recognition of old age
a. Menopause: touchy, anxious
b. Frightened
2. Sex can be more spontaneous (no worry about pregnancy)
3. Roles change from parents to grandparents
4. PROBLEMS: dealing with adult children, preparing for future
F.
“ OLD AGE”
(65 UNTIL DEATH OF A SPOUSE)
1. Rediscover spouse (do more things together)
2. Must take better care of physical and emotional health
3. Make life more meaningful by doing the things you always wanted to do.
4. CHALLENGE: dare to make mistakes, relax more, and take more chances.

The average person falls in love 6 times before they get married.
DIFFERENT TYPES OF LOVE RELATIONSHIPS
Parental love:
the love between a parent and a child.
Fraternal love:
the love between brothers and sisters.
Friendship:
the love between peers.
Agape:
Being in a state of wonder. Love of God
Romantic love:
attraction based on physical appearance
and often the basis for dating.
Conjugal love:
long term love developed in a healthy
marriage.
17
FAMILY
Studies prove that most people marry and have a family. Do you think you will
follow this typical pattern? Have you ever imagined yourself as a husband/ wife/ parent?
Can you imagine yourself as a parent of a child your age?
Since you learn how to be a parent from watching your own parent(s), it only
makes sense to take a close look at the way you are being raised. It is important to
identify the healthy parenting practices so that you can repeat them and to be aware off
the negative practices in order to avoid them.
Each family is a system unto itself. Each family has its own values, customs,
communication patterns and expectations. These are learned and passed on to members
of the system. This happens almost automatically, regardless of whether the learning is
desirable/ undesirable or healthy/unhealthy.
FAMILY FORMS
Nuclear Family -
39% of families -( Mom, Dad, kids).
Single-Parent Family - 11% (one parent, kids under 1 roof), 90% are headed by Moms.
Blended Family -
(parent, stepparent, and children).
Cooperative Family - (two adults share expenses, chores and raising children).
Extended Family -
(nuclear family plus aunt, uncle, grandparent, cousins).
Foster Family – A person or couple not related to a child agree to house and raise then
children for a period of time.
Adoptive Family – A legal process through which adults are given permanent
guardianship of children.
Multiracial Family- two adults from more than one racial or ethnic group in family
relationship. This family group could also include adopted children
from a different racial/ethnic background.
Same-sex Family- family in which two people of the same sex live together as a family
18
IF YOU WERE THE PARENT: (Written Work #3) read each situation,
briefly explain what you would do if you were the parent.
1. Wendy came home two hours late after a date.
2. Clarke got an “A” in English after working hard on a term paper.
3. You caught your 10-year-old son smoking a cigarette in the bathroom.
4. Allen wrecked the family car because of drunk driving.
5. Jerry wants to buy an old broken-down car and restore it to running condition.
6. Hal cut school to go hang out with friends.
7. Carol is dating a new boyfriend whom you do not like or trust.
8. Jenny is continually unprepared for gym and is going to fail.
19
Writing within the Discipline (Written Work #4)
SENIOR HEALTH WRITING ASSIGNMENTS
Reflecting on how you were parented and the various parenting styles discussed in
class, what will you do differently if you choose to have a family?
Use an opening paragraph, body and conclusion. Include at least 6 ways you will
parent differently in your body paragraph.
20
Listen To What It Is Like To Be Married: (Written Work #5) Interview two couples
who are married. Write your answers in complete sentences. Include in your report
something about their ages. Ask them the following questions.
MARRIAGE A (Age:
)
LENGTH OF MARRIAGE
1. Why did you get married?
MARRIAGE B (Age:
)
LENGTH OF MARRIAGE
1. Why did you get married?
2. Did you feel you were ready for marriage? Can a person tell if they’re ready
beforehand?
3. What advice would you give teens to prepare for marriage?
4. How would you describe marriage, from your experience?
What do you think are the most important things that make for a successful marriage?
21
22
23
WHY MARRIAGES GO WRONG
0
Communication
86.6%
Children
45.7%
Sex
43.7%
Money
37.0%
Leisure
32.6%
Relatives
28.4%
Infidelity
25.6%
Housekeeping
16.7%
Physical Abuse
15.6%
Others
8.0%
20
24
40
60
80
100
Name:_____________________
Chapter 5
Preventing Violence and Abuse
Section 1
Conflict Resolution and Violence Prevention
How people are affected by the violence around them?
 We are surrounded by __________________ which
___________________ us so when we see it we think no big deal.
 __________________________________________ can often make a
person insensitive to others who might be in trouble or make a person
more violent towards others.
 This __________________ violence and
________________________________________________________
_____
Five factors that lead to conflict between teens:



 Bullying
 Gangs
Ways to resolve a conflict without violence:
 Don’t raise your voice
 Don’t make ________________
 _______________ on the real issue
 Allow __________________________
Avoiding dangerous situations:
 Recognize the signs

25
 Leave the ______________

Handling a situation in which you or a friend is bullied


 Be _____________, not aggressive
Key Terms:
Violence –
Tolerance –
Bullying –
Negotiation –
Peer mediation –
Section 2
Recognizing and Preventing Abuse
 AbuseWarm-Up:
Describe any abusive behavior of which you have some knowledge.
Verbal abuse between siblings.
Types of abuse:
 Child abuse
 The ______________of a care taker to provide
______________________________________________

 Elder abuse

26
Abusive Behavior


 Selfish

 Needy
 Tries to control what you wear
 Difficulty controlling anger and/or crying

 Threatens isolates
Effects of Abuse:


 Poor appetite or overeating

 Poor ________________ and difficulty making decisions
 Difficulty sleeping
 Feelings of ___________________
 Feelings of quilt

Help that is available for those in abusive relationships

 Go ___________________________
 Consider counseling

27
Protecting yourself form abuse
 Create a __________________________________________
 Avoid disrespectful people
 Be _________________
 Show disapproval if someone doesn’t treat you with respect
Key Terms:
Abuse –
Neglect –
Domestic violence –
Hazing –
Section 3
Sexual Abuse and Violence
Sexual Harassment vs. Sexual Assault
 Sexual Harassment Sexual Assault Every _____ minutes, someone in the U.S. is sexually
assaulted.
If you are sexually assaulted:
 Make sure you are away from further harm
 Call the ____________

 Ask someone to take you to the hospital
 Seek _______________
28
Date Rape
 Date RapeStatistics:
 ___ in ___ women and ___ in ___ men will be a victim of
sexual assault in their lifetime.
 ____ percent of rapes occur while out on a date
 ____ percent of completed rapes occur by classmates or friends
 College age women are ____times more likely to be sexually
assaulted.
 Incest93% of juvenile sexual assault victims know their attacker.
 _________ of attackers were family members
 _________ were acquaintances
 Only ______ of the perpetrators were strangers to the victim
How can you protect yourself form sexual abuse and violence?
 Keep your home safe (lock doors and window, don’t hide keys, check
before you answer the door, have a phone available).
 On the street don’t ____________, be __________, walk
purposefully,_____________________________________________
_____________.
 Most sexual violence comes from
_____________________________. Don’t get involved with
___________________ or people you meet on the internet. Say
_______________________________________________ .
Key Terms:
Sexual abuse –
Incest –
Sexual harassment –
Sexual assault –
Date rape –
29
CHAPTER 20
SECTION 1
RISKS OF ADOLESCENT SEXUAL ACTIVITY
What are the two major risks of sexually active teens?
1.
2.
Fact or Myth?
You cannot get pregnant the first time you engage in sexual intercourse.
_____________________________
Statistical Facts About Teen Pregnancy
 _____________________________ teens get pregnant each year
 _____ in _____ sexually active teen girls get pregnant
 The teen birth rate and pregnancy rate in the US
___________________
________________________________________________________
___
 The majority of pregnant teens __________________
Health Concerns of Pregnant Teens

 Bones and muscles of teens are
___________________________________
________________________________________________________
_____
 Pregnant teens must
_________________________________________
Statistics from the Centers for Disease Control - teen pregnancy(2001)
 ___________________ of all students had already engaged in sexual
intercourse.
 ________________ of sexually active students had used alcohol or
drugs during their last episode of sexual intercourse.
30
 ___________ of students had been pregnant or had gotten someone
else pregnant.
Hardships for Teen Parents
 Page 478- Figure 1

 Accepting adult responsibilities at a young age.
 May have limited
___________________/________________________
 May have to ___________________________________


Health Risks for the baby of a Teen Mom
 Low ___________________________
 More likely to be born _________________
 Pre-mature babies are more likely
_________________________________
________________________________________________________
_____.
Define abstinence.

List as many advantages of abstinence as you can think of. Include
physical, mental and social ones.
o
o
o
o
o
o
o
o
o
31
SECTION 2
WHAT ARE SEXUALLY TRANSMITTED DISEASES
Define epidemic.

Define asymptomatic.

STD’s, the “Silent Epidemic”
 Many people are _____________________________________

Health Problems that STD’s Can Create

 Other serious illnesses and even death.
 ____ in ____ sexually active teens that have an STD
STD Risk Behaviors
 Being __________________
 Having a sexual partner who ______________________________
 Having __________________________
 Using ______________ or ___________.
Reasons Why Teens are Particularly at Risk for Being Infected with STD’s

 Females are at greater risk because of
_____________________________. (more mucous tissue can be
exposed to infection; females receive a greater volume of potentially
infected fluid; the teen cervix is more susceptible to infections than
the adult cervix.)
32
 Teen bodies may
_______________________________________________
Preventing the Spread of STD’s
 Practice ________________________
 Avoid ____________ and _________________
 Respect _____________________

33
SECTION 3
COMMON SEXUALLY TRANSMITTED DISEASES
Page 485- Belief vs. Reality
Bacterial STD’s
 Page 486- Table 1




What is the treatment for bacterial STD’s?
_______________________
What could be some possible results if left untreated?

 ___________________ pregnancies
 PID

 Pain
 Swelling in testicles
 Life threatening _________________________________
Viral STD’s
 Page 488 Table 2




What is the treatment for viral STD’s?
34
_____________________________________________________________
______
What could be the possible results if left untreated?

 Genital cancers in the male


 Cancer
 Opportunistic infections
STD’s Caused by Parasites



Ways Sexually Transmitted Diseases can Spread
 Sexual contact (can be skin to skin in genital or mouth area – not
necessary to have intercourse.
 Direct contact with _____________________________
 From ________________ to _____________ during birth.
What should you do if you suspect that you have been exposed to an STD?
 Seek
_______________________________________________________

 Have __________________________________ done.
 Avoid all
______________________________________________________.
35
STD’s
1. Treatment
A. Virus- No cure (AIDS & Herpes)
B. Bacterial – Treated with antibiotics usually penicillin. Most STD’s are bacterial,
thus they are curable.
2. Disease
A.
B.
C.
D.
E.
F.
G.
H.
SYPHILIS & GONORREHA
HERPES GENITALIS
CHLAMYDIA (most frequently transmitted STD)
VAGINITIA
TRICHOMONIASIS
HPV (GENITAL WARTS)
URINARY TRACT INFECTIONS
AIDS: Acquired Immuno deficiency Disease Syndrome
HISTORY: Before scientists had discovered the HIV virus they named
the set of symptoms and diseases experienced by people with a severe breakdown
of the immune system “AIDS”. Later, the definition was changed to include
anyone infected with the HIV virus, with the advanced breakdown of the immune
system, even if they didn’t have a disease or cancer. No definite origin of HIV
has yet to be found. HIV was discovered in 1983. It is a retrovirus that infects
several kinds of cells in the body; the most important of which is a type of white
blood cell called the CD4 Lymphocyte (also known as the T4 cell). The CD4 cell
is a major component of the human immune system that helps keep people free
from infections and some cancers. HIV can effectively disable the body’s
immune system, and destroy its ability to fight disease.
What is an AIDS diagnosis? The first symptoms of infection can be a lot
like those of many viruses: fever, headache, fatigue and rash. Some people may
experience strong symptoms but other experiences none at all. Symptoms can
occur within days or weeks of the initial exposure to the virus. A person is given
an AIDS diagnosis by a doctor when they are infected with HIV and they come
down with one of several diseases or cancers including: Tuberculosis,
Toxoplasmosis, and PCP wasting syndrome, Candidiasis, HIV dementia (memory
impairment). People who haven’t had one of these diseases but whose immune
system is shown by a laboratory test to be severely damaged also qualify (CD4
count of 200 or below).
Spread of HIV: The infection is spread through exposure to semen and
vaginal fluid (including menstrual blood) from unprotected sex or through
exposure to blood from injection drug use from contaminated needles or syringes.
HIV can also be transmitted from mother to child through birth or by breastfeeding. Saliva, tears, sweat and urine can have the virus in them but in such
small concentrations that nobody have ever been infected through them.
However, if any body fluid is visibly contaminated with blood, the risk of
transmission exists.
36
Testing Information: A new technology for the early detection of HIV is called
the HIV Proviral DNA by PCR. The PCR is sensitive enough to detect the
presence of an HIV infection conclusively after 28 days from the time of possible
exposure. Rapid HIV antibody tests: Where the standard HIV antibody testing
procedure requires up to two weeks for results, the rapid test gives results in 5-60
minutes. The Centers for Disease Control and Prevention estimate that between
850,000 and 900,000 Americans are infected with HIV. An estimated 180,000 to
280,000 Americans do not know they are infected and may continue to engage in
behavior that could jeopardize their health and the health of others.
Drug Therapy: New compounds in a new class of drugs, called protease
inhibitors have been federally approved to treat HIV infection. These drugs,
when taken in combination with previously approved drugs such as ZDV also
called AZT, 3TC and did reduce the level of HIV particles circulating in the blood
to a very low level in many individuals. Treatment results using these drugs have
been extremely encouraging, as these drug combinations are more effective than
any previously available therapies. Researchers are hopeful that this type of
combination therapy, with further study will prove effective long-term and
increase the healthy life span of HIV infected people.
37
STD ESSAY (written work #6)
Write a letter to your younger sibling or friend on how to avoid sexually transmitted
diseases.
Dear_____________,
38
CHILD-PARENT INTERVIEW
NAME:
1.
(Written Work # 7)
IF I CAME HOME AND TOLD YOU I WAS PREGNANT/OR MY
GIRLFRIEND WAS PREGNANT....
A. HOW WOULD YOU REACT?
B. HOW WOULD WE DEAL WITH THE PROBLEM?
2.
WHAT IS YOUR OPINION ABOUT TEENS USING
CONTRACEPTIVES?
3.
WHAT IS YOUR OPINION OF DISTRIBUTION OF
CONTRACEPTIVES IN THE SCHOOLS?
4.
WHAT DO YOU THINK ABOUT THE CONFIDENTIALITY LAWS
WHICH ALLOW TEENS TO HAVE AN ABORTION WITHOUT
PARENTAL CONSENT?
PARENT’S SIGNATURE
Writing within the Discipline
39
SENIOR HEALTH WRITING ASSIGNMENTS
After interviewing your parent regarding pregnancy and birth control, how would you
say your views differ from their views?
40
Chapter 18
Section 3
Pregnancy and Early Development
How a Human Life Begins
Life begins with the union of an __________ from a female and a
___________ from a male. Fertilizations can occur because of sexual
intercourse.
Pregnancy Test
 Page 444- Four Early Signs of Pregnancy and Belief vs. Reality
 HCG-human chorionic gonadotropin (hormone produced by
pregnancy)
 HCG can be detected as early as ___________ after a missed period.
 Lab test can usually detect HCG as early as ___________ after
fertilization occurs.
Pathway of the Fertilized Egg
41
The Stages of Pregnancy
First trimester

 The embryo is called a ________ (3rd month)
Second trimester
 Months _____ to ______
Third trimester
 Months _____ to ______
First Trimester
 A time of ______________________

 By the _____________ week a development, the
____________________, arms and leg buds appear, and the
________________________ begin to develop.
Second Trimester
 ____-_____ months is a time when the __________systems continue
to develop.
 By the 4th month, the mother can
_______________________________.

42
Third Trimester
 The fetus ________________________________________________.
 A fetus requires a lot of nutrients ___________________. A large
percentage of the ________ and _____________ in the mother’s food
will be delivered to the growing fetus.
Function of Placenta and Umbilical Cord

 Placenta receives ______________ from the fetus and sends it
back to the mother into the __________________.
 Mother and fetus have _______________________________.
Amniotic Sac

 Through the amniotic fluid and in this sac,
the______________________________________.
Staying Healthy Before and During Pregnancy

 Maintain a _________________________
 Take prenatal vitamins (Folic Acid, Iron)
43


 Page 447- Problems During Pregnancy Chart
Stages of Childbirth
1.
2.
3.
Pages 448-449- Figure 7
Dilation of the Cervix
 Can last from ___ hours to ________________
 Effacement- ________________________
 Dilation- ___________________________
 Beginning contractions are weak & become intense
 A mother should go to the hospital
_____________________
________________________________________________
__.
Expulsion- Delivery of the Baby

 The mother experiences __________________________________
 Continued contractions of the uterus deliver baby (few minutesfew hours)

How will the baby fit??
44
 Passageway _________________________________________
___________________________________________________
 Fetus’ bones are made of _______________________

Delivery of the Placenta
 _________________ is expelled
 The _____________ contracts tightly to
_______________________
_______________________________ through the walls of the
uterus
Early Child Development
The fastest period of growth after birth
___________________________________________________________
___.
2 months4 months- can roll front to back, more
___________________________, many babies can
______________________________
9 months1 year2 yearsKey Terms:
Sexual Intercourse-
Embryo-
Placenta-
FetusPrenatal Care45
PREGNANCY TERMS
*ABORTION - the termination of a pregnancy
*ABSTINENCE - the avoidance of sexual intercourse
*AMNIOTIC FLUID - the liquid surrounding the fetus in the uterus
*ARTIFICIAL INSEMINATION - procedure in which a doctor injects male semen into a
female’s uterus
*BASAL BODY TEMPERATURE - temperature taken first thing in the morning.
The pattern indicates ovulation.
*BIRTH CONTROL- a method or device used to prevent pregnancy
*CESAREAN SECTION- surgical removal of baby from the uterus.
*CELIBACY - abstaining from sexual intercourse for personal or religious reasons
*CONCEPTION - when sperm and egg unite
*CONTRACEPTIVE - a mechanical or chemical device used to prevent pregnancy
*ECTOPIC PREGNANCY - developing egg outside the uterus (usually in the fallopian tube).
*EPISIOTOMY - cutting the opening of the vagina
*INFERTILE - inability to reproduce
*IN VETRO FERTILIZATION - technique for conception of a human embryo outside the
mother’s body. Several ova or eggs are removed from the mother’s body; sperm from the father
are then added. After undergoing several cell divisions, the embryo is transferred to the mother’s
body for normal development.
*MISCARRIAGE - body rejection of pregnancy
*OBSTETRICIAN - doctor that cares for prenatal health and delivery of babies
*PEDIATRICIAN - doctor who treats infants and children
*PLACENTA - exchange organ between mother and fetus (nutrients and waste)
*STILLBIRTH - birth of a dead baby
*TWINS (IDENTICAL, FRATERNAL) - born from one egg/ born from separate eggs
*ULTRASOUND - use of high frequency sound waves, which bounce off tissues, to determine
position, size, problems, etc. of fetus
*UMBILICAL CORD - tube which connects fetus to placenta
*VIRGIN - a person who has not had sexual intercourse
46
PREGNANCY
A. Signs of Pregnancy
1. Missed period (slight spotting)
2. Clothing fits tighter
3. Nausea morning sickness caused by empty stomach
4. Frequent urination
5. Breasts tender and enlarged
6. Tired and fatigued
B. Fetal Development
1. First Trimester 0-3 months
a.
growth 0-4 inches long, 1 oz. in weight
b.
physical characteristics
heart, eyes, ears, head, trunk, tail, fingers, nerves, sex organs,
muscular movement, heart beat heard, blood circulation.
c.
considered a fetus at the end of the second month because the
cartilage turns to bone.
2. Second Trimester 4-6 months
a.
growth
4-14 inches
up to 2 lb.
b.
physical characteristics
bones, hair, sucking reflex, hearing, grasping, fetal respiration.
c.
mother feels movement.
3. Third Trimester 7-9 months
a.
growth
14-20 inches
2 lb. - birth weight approx... 7-9 lb.
b.
physical characteristics
respiratory and digestive systems develop.
c.
fetus sleeps and awakes.
d.
placenta weighs approx...1 lb.
C. Stages of Labor
1. Dilatation and Effacement
12 hours
a.
upward contractions to dilate cervix
b.
head will crown
c.
Transition
1 hour
downward push of baby
2. Expulsion
15 minutes
Birth (mother helps to push)
3. Placenta
a.
separation of placenta from the uterus
b.
episiotomy is sewn up, uterus is massaged.
47
BIRTH CONTROL
Studies have shown that many teens wait at least nine months after their first intercourse before they seek
birth control advice. Yet half of all premarital teen pregnancies occur in the first six months. Only 1/3 of
sexually active teens use a birth control method regularly; 1/3 uses it inconsistently; 1/3 never use it. Teens
think it will never happen to them!
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
XII.
XIII.
XIV.
XV.
XV.
ABSTINENCE
100% EFFECTIVE
A. Prevents pregnancy, and STD’s
B. Self control gives control to your life.
STERILIZATION
99% EFFECTIVE
A. Operation is considered permanent
B. Male- Vasectomy
Female- Tubal Ligation
THE PILL
99% EFFECTIVE
A. Ovulation is prevented by release of hormones estrogen and progesterone.
B. Female must remember to take them daily
DIAPHRAGM/CERVICAL CAP 84% - 94% EFFECTIVE
A. Barrier method
B. Must be fitted and prescribed by a doctor
C. Can be inserted up to 2 hours before intercourse
D. Must be left in place 6-8 hours after intercourse
E. Must be used with a spermicidal gel.
CONDOM
90% EFFECTIVE 98% effective when used with spermicidal foam or gel
A. use latex not lamb skin
B. ninoxinal 9 might help prevent HIV
C. Inexpensive & don’t need a doctor’s prescription
D. May break or slip off
FEMALE CONDOM
A. projects females against STD’s
B. must be held in place
THE SPONGE
86% EFFECTIVE
A. must be left in place for 24 hours
B. don’t need a prescription
CHEMICALS
50% EFFECTIVE
A. choices of foam, gels, creams or suppositories
B. must be reapplied after each sexual encounter
NORPLANT
99% EFFECTIVE
A. 6 silicone capsules are place under the skin of upper arm by a doctor
B. Protection is good for 5 years
INJECTABLES
99 % EFFECTIVE (Depo-Provera or Lunnel)
A. A scheduled injection four times a year
THE PATCH
99.8% EFECTIVE
A. Each patch is good for one week like a nicotine patch.
INTRAUTERINE DEVICES (IUD)
95% EFFECTIVE
A. increase chance of PID
B. must be inserted and removal by a doctor
WITHDRAWAL
70% EFFECTIVE
A. Pre-ejaculatory fluid can cause pregnancy
EMERGENCY CONTRACEPTION
75% success rate
A. Must be used up to 72 hours after unprotected intercourse.
B. During the first 24 hours it is most effective.
C. Delays or inhibits ovulation, inhibits fertilization or prevents implantation of a fertilized egg
in the uterus.
VAGINAL RING 99% EFFECTIVE
A. Each month a ring is inserted into the vagina and left in place for 3 weeks.
B. Female must learn how to insert and remove the ring.
C. Hormonal contraceptive
NATURAL FAMILY PLANNING
76% EFFECTIVE
A. Includes calendar rhythm, charting ovulation and temperature charting
B. Effective if woman has regular periods, keeps accurate records, avoids intercourse on unsafe
days and knows her body.
48
Abortion, Adoption, Childbirth Issues (Written Work #8)
(Write a paragraph below)
Sheila is 17 and a senior in high school. She has been accepted to Mary
Washington College and Western Maryland but she is hopeful of getting into Delaware
because she really wants to go there. Her chances are 50-50.
Yesterday she found out she was 2 months pregnant. Due date is August 2. She
had sex seven times in the last nine months. Her boyfriend Mike used a condom most of
the time. He graduated from high school a year ago and is making $19,000/year in
construction. Sheila is really up in the air about what to do.
If you are a female what would you do if you were Sheila?
If you are a male what would you do if you were Mike?
49
SETTING A COURSE (Written work #9)
Career choice
What type of career or work have you envisioned in your future? Write that career or job
in the space above and then answer the questions below in complete sentence form.
Where do you see yourself living in five years?
With whom are you living?
Are you a parent? If so, how many children do you have?
What form of transportation do you have?
Do you feel confident about your ability to fulfill your dream?
What kind of education do you think you’ll need to reach you career goal?
What kinds of subjects could you take in school to help you prepare for your future?
Have you participated in any activities or worked at any summer jobs which will help
you in your career goal?
What else can you do to help achieve your goals?
50
OCCUPATIONS
ACCOUNTANT/BOOKKEEPER
MILITARY
ACTOR
OCEANOGRAPHER
ADVERTISING
PHOTOGRAPHER
AEROBICS INSTRUCTOR
PHARMACIST
AIR TRAFFIC SPECIALIST
PIPE FITTER
AIRLINE ATTENDANT
PLUMBER
AIRLINE PILOT
POLITICAL SCIENCE
ARCHITECT
POSTAL WORKER
ARTIST- FREE-LANCE, COMMERCIAL
PSYCHOLOGIST
ATHLETICS- COACH, AD, PROFESSIONAL
PUBLIC RELATIONS
ATHLETIC TRAINER/ PHYSICAL THERAPY
REAL ESTATE
ASTRONAUT
RECREATION-DIRECTOR
BANKING- LOAN OFFICER, TELLER
DERMATOLOGIST
CASINO EMPLOYEE
RETAIL- BUYER, CLERK,
MANAGER
CATERER
SCIENTIST- chemist, research,
biologist
CHEF- restaurant work, waitress, waiter, cook, business manager
COMMUNICATIONS- radio, TV broadcasting, announcer
COMPUTERS
SECRETARY- para-legal, medical
office
CONSTRUCTION WORKER
SOCIOLOGIST
COUNSELOR
VETERINARIAN
DENTIST
DJ.
DIRECTOR-SUBSTANCE ABUSE PROGRAM
DRAFTER
ENTERTAINER/ SINGER, DANCER, MUSICIAN
ECOLOGY
ECONOMIST
ELECTRICIAN
ENGINEER
FARMER
FASHION COORDINATOR/ DESIGNER
FAST-FOOD WORKER
FIRE FIGHTER
FISHING INDUSTRY
FUNERAL DIRECTOR
GUARD, SECURITY.
HOTEL/MOTEL MANAGER
JEWELER
JOURNALIST, REPORTER WRITER-FREE LANCE
LANDSCAPER
LAW ENFORCEMENT FBI, Criminologist, Detective, Policeman, Correction Officer
LIBRARIAN
MANAGEMENT, Management Trainee
MECHANIC
MEDICAL FIELD- E.M.T., Chiropractor, Physician, Nurse-(RN, LPN, MIDWIFE) Surgeon,
Anesthesiologist, Physician’s Assistant
TEACHER- pre-school, elementary, secondary, college
51
Setting a Course
(WW #10)
-Career and Salary
For information on Jobs & Salaries go to:
http://www.studentsreview.com/salary.shtml
(This site offers information for students attending college and also student who will
enter the work force after high school. The Student Review gives you the opportunity to
research and make the career choice which suites you best.)
-Alternatives: What’s next after graduation?
1. College- about 80% of high school students at Ocean City go on to a university
for higher education but this isn’t necessarily the only road to take to success.
2. County College- Stay close to home and earn your degree. Save money and this
allows you the option of transferring after 2 years.
3. CMC Vo-Tech- This school offers students the chance to travel the road in which
they would like to go and offers classes in such areas as Cosmetology, Graphic
Design, Carpentry, Travel & Tourism and so much more
Visit:
http://www.capemaytech.com/ContinuingEducation.htm
4. Interested in becoming a Carpenter? Electrician? Become a tradesman and check
out http://www.njbctc.org/ and get more information on joining a union. They are
always looking for bright, hard working people willing to learn skills that will last
a lifetime.
5. ACC Non-College Credit Courses- Let ACCC’s Casino Career Institute trains you
for a rewarding career. CCI has prepared more than 50,000 people for positions in
gaming and continues to be the industry’s training leader. For further information
go to http://www.atlantic.edu
6. Take time and look at the jobs that the NJ department of Personnel offers. You
can find a job working for the state and also locally at www.state.nj.us/personnel/
* Remember there are plenty of options. Hopefully you will find the right one or the
right one will find you. Take advantage while you’re young!
52
JOB / OCCUPATIONS (ONE TEST GRADE) Written Work #11
“A DAY IN THE LIFE OF...an architect, auto mechanic, etc.” You select an
occupation or a profession that you would like to do someday, or you would like to
investigate. Interview someone; either in person or on the phone who is currently
employed in that field. Collect as much information as you can entrance
requirements, personal suggestions, income possibilities, security, challenges and
conflicts. Supply the name and address of your interviewee.
JOB CHOICE:
YEARLY STARTING SALARY:
JOB DESCRIPTION:
EDUCATION OR TRAINING NEEDED:
ADVANCEMENT OPPORTUNITIES:
JOB AVAILABILITY:
INTERVIEW A PERSON IN THIS PROFESSION: (What is an average day like in
this profession? Stress? Vacation time? Benefits? Would they recommend the job?
Would they choose the same profession again, if they had it to do all over? What are
some points they dislike about the job? (This may be typed on a separate sheet of paper.)
NAME OF PERSON INTERVIEWED:
SIGNATURE:
DATE:
53
FINANCES
(Written Work #12)
OCCUPATION:
____________________________
YEARLY SALARY (GROSS-BEFORE TAXES):
MONTHLY SALARY
PAYROLL DEDUCTIONS:
FEDERAL TAX (.17)
PENSION (.05)
STATE TAX (.033)
SOC. SEC (.06)
UNION DUES
MONTHLY NET INCOME (TAKE HOME PAY):
BUDGET
I. HOUSING (36%)
1. RENT/MORTGAGE
2. HO. INSURANCE
3. REAL ESTATE TAXES
4. ELECTRIC
5. WATER/SEWER
6. PHONE
7. CELL PHONE
7. HEAT
8. CABLE
9. PUBLICATIONS
10. HOME REPAIRS
II. FOOD (19%)
III. TRANSPORTATION (21%)
1. MO. PAYMENTS
2. GAS
3. REPAIRS
4. INSURANCE
54
*
IV. CLOTHING/ PERSONAL CARE (5%)
1. CLOTHING
2. PERSONAL CARE
V. MEDICAL (6%)
1. INSURANCE
2. DOCTOR/DENTIST
3. PRESCRIPTIONS
VI. ENTERTAINMENT (4%)
1. VACATION
2. RECREATION
3. EVENINGS OUT
VII. MISCELLANEOUS
VIII. CREDIT CARD
IX. STUDENT LOANS
TOTAL EXPENSES
NET INCOME - TOTAL EXPENSES = SAVINGS
X. SAVINGS
55
ALCOHOLISM
Alcoholism is defined by the American Medical Association as a disease, which can be
arrested but not cured. It is a progressive and debilitating illness. If the disease is not
arrested (by abstaining from alcohol) it will lead to insanity or death. Treatment involves
a lifetime commitment to abstain from alcohol. Alcoholic’s Anonymous is the best
known and widely regarded as the most effective means of treatment.
A. Why do people become alcoholic?
1. Heredity may play a role. There may be a genetic link.
2. Cultural attitudes. Some cultures are known for heavy alcohol
use.
3. Modeled behavior.
4. Addictive personality.
5. Permissiveness toward drinking in the home.
B. Early stage of alcoholism.
1. Person makes promises to quit but can’t stay stopped.
2. Person frequently drinks to relieve tension.
3. Must drink more to obtain desired effect.
4. Has difficulty stopping once drinking has started.
C. Middle stage of alcoholism.
1. Tries to deny or conceal drinking.
2. Drinks any time of the day and alone.
3. Drinks on a daily basis.
4. Has bouts of depression.
D. Later Stage of alcoholism.
1. Drinking comes before family and job.
2. Avoids and distrust people, isolates.
3. Loss of ambition.
4. Poor health beginning of liver damage.
E. Final stage
1. Person can no longer hold down a job nor does little or no work
when on the job.
2. People no longer invite person to social functions due to the
unpredictability of person when intoxicated.
3. Continues to drink despite painful and injurious
results.
F. Treatment options.
1. Detoxification at a hospital or rehabilitation center usually lasts 3-5
days depending on a person’s general condition.
2. 28-32 day treatment program. Usually involves a family
component along with individual counseling.
Follow up consists of weekly Alcoholic Anonymous meetings and
group counseling with members of group from the rehabilitation
program.
56
CHEMICAL DEPENDENCY IN THE FAMILY
When a family member becomes a victim of alcoholism or another drug
addiction, the rest of the family tends to react in predictable ways. They may move
through any or all of the following stages:
STAGE 1: DENIAL
Family members deny there is a problem; nonetheless, they try to hide the
problem from themselves and others. The family feels embarrassed, and becomes
concerned with its reputation. Relationships in the family become strained, and members
try to create the “perfect family” illusion.
STAGE 2: HOME TREATMENT
Everyone tries to control the chemically dependent person’s drug use, in a variety
of ways-eliminating the supply of drugs, nagging, threatening, etc. The family becomes
socially isolated, and members feel themselves to blame. Low self-worth mounts as they
fail to control the dependent family member.
STAGE 3: CHAOS & DISORGANIZATION
A crisis occurs as a direct result of the dependent person’s use of drugs, and the
disease can no longer be denied or hidden. The family feels helpless, children become
confused and frightened, family violence may occur, financial difficulties may become
pressing, and the family may seek outside help-with a desire for a “magic solution”
STAGE 4: REORGANIZATION
The family attempts to reorganize by easing the dependent person out of her/his
family role and responsibilities. The dependent person is either ignored or treated like a
child, and other family members remain torn with conflicting emotions-love, fear, guilt,
anger, shame, and resentment.
57
FAMILY MEMBERS DEVELOP ROLES TO SURVIVE:
1. CHIEF ENABLER.
Chief enabler assumes primary responsibility for protecting the chemically dependent
person and the other family members from the harmful consequences of the addiction.
The Chief ENABLER behavior includes lying about work or school absenteeism,
covering financial debts, and making excuses for inappropriate actions.
2. FAMILY HERO.
Family heroes assume responsibility for providing the family with self-worth. They often
take on the role of family counselor, and are usually high achievers.
3. FAMILY SCAPEGOAT.
Family scapegoats cannot compete with family heroes, so they try to get attention by
becoming troublemakers. The family then often directs its hostilities toward the
scapegoat, thus diverting the attention away from the real problem of chemical
dependence. Family scapegoats soon become estranged from their families, develop
strong peer group attachments, and often become chemically dependent themselves.
4. LOST CHILD.
Lost children try to escape the family’s crises by withdrawing. This withdrawal is often
characterized by a retreat into a fantasy world of books or television. Family members
appreciate the lost child, who doesn’t cause any trouble, thus they reinforce the behavior.
5. FAMILY MASCOT.
Family mascots use humor and clowning to attract attention. Family mascots can be
hyperactive, and become accustomed to being the center of attention.
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16 WARNING SIGNS OF ALCOHOLISM
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Do you ever feel remorse after drinking?
Do you ever take a drink or two before going to a party where you know drinks
will be served?
Do you find yourself sneaking “extra” drinks at a party or gulping drinks while
other people are drinking slowly?
Do you argue or have “discussions” with your friends or family members about
your drinking and the money it costs?
Do you ever take a drink to “calm down” or to feel “together”?
Have you ever awakened in the morning and been unable to remember events that
occurred while you were drinking?
Do you ever drink alone to “feel good”?
Do you take a drink first thing in the morning?
Have you missed time from work because of your drinking or a hangover?
Do you look for occasions to drink or excuses to celebrate?
Do you drink frequently or go on binges?
Do you ever lie about your drinking or hide the amount you drink?
Do you ever take a drink when you’re angry or upset?
Have you ever avoided attending functions where you think drinks will not be
served?
Do you crave a drink at a particular time of the day?
Do you deny your drinking?
If an individual answers “yes” to two or more of these questions, then he or she is
probably in trouble with alcohol and should find out more about the disease of
alcoholism. Alcoholism is a progressive disease and guaranteed to worsen without
treatment.
The early signs of alcoholism should not be dismissed, any more than one would ignore
signs of any other major health problem. Alcoholism is very serious condition; but one
for which help is available. Once the presence of the disease has become evident, help
should be sought.
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WARNING ALCOHOL POISONING IS DEADLY!
“Chug it! Chug it! Chug it!” Have you ever been to a party and heard this cry? Ever
seen someone “celebrate” their birthday by drinking 17 or 18 drinks in a row? Maybe
you’ve seen someone drink till they passed out. Every one of these scenes has something
in common; they could all end in death, even if no one tried to drive after drinking. If
you witness one of these scenes, you might loose a friend to alcohol overdose.
Alcohol poisoning is deadly and it is becoming more prevalent in communities across the
country. Last year at least 800 high school and college students died from alcohol
poisoning, but researchers believe the number may be higher than 4000 because many
such deaths may be attributed to other causes. Alcohol is a depressant drug that can be
ingested in qualities that will cause cardiac arrest and death.
What is alcohol poisoning? It is a severe physical reaction to an overdose of alcohol binge drinking. You may have seen one of your friends or an acquaintance at a party
pass out after drinking too much. This is not a rare scenario. And most often, the
reaction is to leave the person to sleep it off thinking the result will only be a terrible
hangover. It can be death.
The following are true stories, (provided by RID-USA) of young people who died
needlessly from alcohol poisoning.
TODD WILLIFORD (16), entering his senior year in high school was encouraged to
celebrate using a beer bong to pour liquor down his throat. While his friends cheered him
on, “no one tried to stop it.” After he passed out, his intoxicated friends put him in the
back of a truck and went joy riding: Finally hitting a tree, exploding a tire. They
panicked and left the scene. By the time Todd’s parents were contacted, Todd was dead.
MATTHEW HICKOK (21),was being driven from bar to bar by a designated driver
friend who was told at the last bar that Matthew would not be served and that he should
be taken to the hospital at once. The designated driver put Matthew in the back seat of
his car to “sleep it off” and went to bed. The next morning Matthew was dead of alcohol
poisoning.
KIMBERLY MICHELLE MONEY (17), one month after graduating from high school
she went to an “all you can drink” party for $5. Kim had consumed 17 drinks before she
passed out. Her older sister arrived and took Kim home and put her to bed at 9:30 PM.
Her mother found her dead at 6:30 am.
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CO Dependency
Characteristics: 1.
2.
Driven by 1 or more compulsions.
May have grown up in a family which had similar
dysfunctional pattern.
3.
Self-esteem and maturity very low.
4.
Happiness hinges on others.
5.
Feels inordinately responsible for others.
6.
Relationship with spouse/significant other is
marred by a damaging, unstable lack of balance
between dependence and independence.
7.
Master of denial and repression
8.
Worries about things he/she can not change and
may try to change them with no success.
9.
Life is punctuated by extremes.
10.
Continuously looking for something that is lacking
or missing in life.
Signs of CO-dependency
1.
Does not talk about feelings.
2.
Does not openly express feelings.
3.
Communication is indirect.
4.
Unrealistic expectations of self: perfectionist.
5.
Does not learn how to relax and play.
6.
Learns not to rock the boat.
Enabling Behaviors
Denial:
1. The person doesn’t have a substance abuse problem.
2. Expects the addicted person to be rational.
3. Expects the addict to control drug or alcohol use.
4. May drink or drug with the addict.
5. Justifies the addict’s use of drugs or alcohol by agreeing that job or other
pressures are a good reason to use.
6. Protects the person from the consequences of their actions, covers up at work.
7. Controls activities, which may have alcohol involved.
8. Skips parties, etc…
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COMPULSIVE OVER EATING
SIGNS AND SYMPTOMS:
1.
EATING WHEN YOU ARE NOT HUNGRY.
2.
GOING ON EATING BINGES FOR NO APPARENT REASON.
3.
FEELING GUILTY AND REMORSEFUL AFTER OVEREATING.
4.
GIVING TOO MUCH TIME AND THOUGHT TO FOOD.
5.
LOOKING FORWARD WITH PLEASURE AND ANTICIPATION TO THE
MOMENTS WHEN YOU CAN EAT ALONE.
6.
PLANNING SECRET BINGES AHEAD OF TIME.
7.
EATING SENSIBLY WITH OTHERS BUT NOT ALONE.
8.
LETTING YOUR WEIGHT AFFECT THE WAY YOU LIVE YOUR LIFE.
9.
CONSTANTLY STARTING AND FAILING AT DIETS.
10.
RESENT ADVICE OF THEIRS WHO TELL YOU TO USE WILLPOWER TO
STOP OVER EATING.
11.
DESPITE EVIDENCE TO THE CONTRARY, YOU CONTINUE TO ASSERT
THAT YOU CAN DIET ON YOUR OWN.
12.
CRAVE TO EAT AT A DEFINITE TIME, DAY OR NIGHT OTHER THAN
MEALTIME.
13.
EATING TO ESCAPE FROM YOUR WORRIES.
14.
YOUR PHYSICIAN HAS TREATED YOU FOR BEING OVER WEIGHT.
15.
YOUR OBSESSION FOR FOOD MAKES YOUR UNHAPPY.
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