Survival Roles in the Chemically Dependent Family Denise Eberhart Survival Roles in the Chemically Dependent Family November 4, 2012 Family Systems Moraine Park Technical College 1 Survival Roles in the Chemically Dependent Family Family members take on roles to reduce stress and allow them to continue to function around the craziness caused by the chemical dependent member. Yet these roles often allow the dependent to continue to abuse drugs. The family develops a set of maladaptive compulsive behaviors to survive in a family experiencing great emotional pain. These roles allow the pain of the dysfunction to be a tolerable atmosphere within the family. In a healthy family, members are not cast into rigid roles. Instead of pressing each member into a role to fulfill only one family function, each member is given the opportunity to experience each of the family roles. The assignment of survival roles in chemically dependent families can probably be credited to Sharon Wegscheider-Cruse. (Curtis, 1999)This paper will examine the survival roles within the chemically dependent family system. The need for treatment of the family members is as great as the need for the treatment of the chemically dependent. The whole family acts as an organism. Chemical dependency in one family member is just one of the many problems within the family. Chemical dependency is a family disease and a primary disease within each family member. The family is affected greatly by the chemically dependent person. The dependent’s relationship to the mood altering chemical contributes to the family illness long before he/she goes to treatment. It also greatly influences the family during and after treatment. To understand the phenomenon of chemical dependency occurring in a family one must look at what a family is in itself. 2 Survival Roles in the Chemically Dependent Family A family’s parts are interdependent. The members of a family operate in a system. A system is a body of parts that work together. They may work together for peace and harmony. They may work together for survival. In a chemically dependent family, each of these individual parts is affected by the growing dysfunction of the chemically dependent person. Each family member adapts to the behavior of the dependent person by developing behaviors that cause the least amount of personal stress. Just as the chemically dependent person is suffering from self-delusion in regard to the use of chemicals so are the family members suffering from self-delusion. As addiction progresses, each family member compulsively represses his/her feelings and learns to react with a survival behavior. This behavior serves to build a wall of defenses for protection from emotional and physical pain. The chemically dependent person develops a unique defense system to protect painful repressed feelings. The wall of defenses compulsively covers up the true feelings and the dependent lives in the trap of self-delusion. (Wegschneider-Cruse, 1976 rev.1991) Other family members revolve around this person. They are likely to be experiencing quite a bit of pain and shame even though they may not see it as the result of the excessive alcohol or drug use. As things get worse, the chemically dependent is faced with increasing feelings of shame, guilt, inadequacy, fear, and loneliness. They might develop a number of defenses to hide their shame and guilt including irrational anger, charm, rigidity, grandiosity, perfectionism, social withdrawal, hostility, and depression. They may blame others including family members who take on unhealthy roles in order to survive. Children often feel guilty for their failure to save their parents from the effects of alcohol (Joiners, 2007). 3 Survival Roles in the Chemically Dependent Family The persons living around the dependent are living with both messages coming from the dependent person. There are the internal messages which are the uncomfortable sensations coming from the repressed feelings and the obvious set of defenses which are seen and heard by each family member. Because of the system balance, each member of the family begins to respond to the dependent. Family members, like the dependent, begin to repress their feelings and also develop a set of defenses to protect them from further pain. Each family member finds a survival role. Because the repressed feelings are unavailable to the dependent, there is very little chance that the rest of the family will be any more aware of their feelings. This growing action/reaction of the dependent and family is a self-deluded process. The family grows more out of touch with reality. As the compulsion grows between the dependent and the chemical, the compulsion also grows between the dependent’s behavior and the family’s reaction. Each family member becomes locked into a set of rigid survival defenses and needs help to become aware of these compulsive behavior patterns. What follows are the roles as they are identified within the field of family therapy. The Chief Enabler (Caretaker) begins to step up and take control as the chemically dependent loses power and control. This enabling includes anything that protects the dependent person from the consequences of their actions. The spouse often takes on this role, but children and siblings can also be enablers. Parents can also be seen in this role. The enabler tends to everyone’s needs in the family and loses their sense of self in daily tasks. His or her needs become invisible. Feelings are ignored and repressed. As long as the enabler and the chemically dependent family members play their game of mutual self-deception, 4 Survival Roles in the Chemically Dependent Family things never get better. They will always get worse. Others in the family cannot bond with the enabler due to the total immersion by the enabler to “fix” the situations caused by the addicted. They MUST maintain appropriate appearances to the outside world. Alcoholism and drug addiction demands that the dependent maintain a constant supply. This demand encourages enabling behaviors in loved ones. Enabling means family members facilitate the using to prevent negative consequences from occurring to the family. An example of enabling behavior is the purchasing of alcohol by the loved one. The loved one rationalizes this purchase with the excuse that at least the alcoholic will not have to drink and drive. Another enabling example is a family member volunteering to call the alcoholic's employer with a feigned illness when in fact the alcoholic has a hangover. While well intentioned, the enabling behavior serves to protect the alcoholic from accountability (Addiction, 2012). The negative consequences of this behavior are that the enabler never takes the time to assess his/her own needs and feelings. The caretaker may not deal with his/her own stress and many times this lack of attention may take on physical symptoms, such as headaches, stomachaches, and backaches. The inner feelings of the caretaker may be hurt, despair, anger, pain, guilt, fear, inadequacy, and self-doubt. Maybe they are not doing a good job at fixing things? (Walker, 2012) In each family system, a hero will evolve. The behavioral characteristics include being a high achiever which takes focus off the dependent because of his/her success. They tend to be perfectionists. The hero is often the oldest child who may see more of the family’s situation and feels responsible for fixing the family pain. Usually this child 5 Survival Roles in the Chemically Dependent Family will excel in academics, athletics, music or theatre. She/he gives the family self-esteem. As things get worse, the hero is driven to higher and higher levels of achievement. No level of super responsible, perfectionist, over achievement can remove the hero’s internalized feelings of inadequacy, pain, and confusion. Many others grow up to become workaholics and live under constant stress as they work in the service of others. They continue to seek approval for their extraordinary effort. Eventually, they often end up distancing themselves from their family of origin (Davis, 2012). Interestingly, many family heroes marry alcoholics and become enablers! The negative consequences for a hero are that he/she does not receive attention for anything besides an achievement; therefore, inner needs are not met. He/she loses the ability to feel satisfied. Inner feelings can include guilt, hurt, inadequacy, confusion, and frustration. Nothing seems to be good enough. Self- esteem is identified as accomplishments with very little self-worth. In extreme cases, heroes may attempt suicide leaving everyone dumbfounded since they had “everything going for them.” (Wegscheider-Cruse, 1981) The “scapegoat”, another role within the family, is the one who goes completely against the rules acting out to take the focus off the problems in the family. The direct message is that they are responsible for the family’s chaos. The family sees the problems within being caused by the scapegoat. For example "Mom would not drink so much if (Scapegoat's name) were not always in trouble.” In reality the misbehavior of the Scapegoat serves to distract and provide some relief from the stress of chemical dependency. This child has issues with authority figures as well as negative 6 Survival Roles in the Chemically Dependent Family consequences with the law, school and home. They may show self-pity, strong identification with peer values, defiance, and hostility or even suicidal indicators. This role may seem strange in purpose; however, if there were no scapegoat, all other roles would dismantle. The Scapegoat’s purpose puts the focus away from the chemically dependent thereby allowing the addicted to continue using (Joiners, 2007) .The negative consequences of this role can be that friends become the “family” for the scapegoat, a place where they can find acceptance. Inner feelings may consist of hurt, anger, fear, shame, self-hate, rejection, and loneliness. Scapegoats are risk takers and in extreme cases account for accidental death. For example, driving too fast in a car, or competitively drinking (Wegschneider-Cruse, 1976 rev.1991). In most dysfunctional families we find the mascot. This member will use humor to lighten difficult situations. They attempt to bring humor to all situations even if inappropriate. Often the most liked within the family, the mascot works hard at getting attention and making people laugh especially when the anger and tension of substance use in high. One might be referred to as the class clown. The laughter prevents healing for the mascot by deflecting away from inner emotions. In addition, the mascot frequently demonstrates poor timing for the comic relief. Often times the mascot is very sad deep down inside. If you have heard the saying, “laughing on the outside crying on the inside”, this describes the mascot. The mascot helps the family avoid hurt and pain. (Walker, 2012)They may grow up unable to express deep feelings of compassion. Finally, the Lost Child is found in most substance abuse homes. The Lost Child's purpose is to not place added demands on the family system. She/he is low 7 Survival Roles in the Chemically Dependent Family maintenance (Curtis, 1999). This child will have virtually no connection to the family and brings relief to the family by not bringing attention to the family. He often feels lonely and does not learn communication and relationship skills. Like the scapegoat, he doesn’t feel important. He easily disappears from the activity of the family. He sees much more but does not vocalize. He is often reinforced for NOT causing problems. Many times the family just “forgets” to include him in family decisions. The negative consequences include hiding their hurt and pain by losing themselves in the solitary world of short-term pleasure including excessive TV, reading, listening to music, drugs, object love, eating and fantasy. The family reduces its depth in not listening to what the lost child thinks and feels. “I will just disappear and no one has to worry about me.” A lost child can feel alone and invisible in a room full of people. Inner feelings may consist of emptiness, loneliness, hurt, sad, confused, fearful, and feeling worthless, pained and inadequate. As adults they feel confused and inadequate in relationships. They may end up as quiet loners with a host of secondary issues. Summing it all up, chemical dependency is a family disorder and is recognized by specific characteristics. Each person is part of the system and reacts to another person in the system. Delusions and self-deception move the individuals further from reality and into these survivor roles without awareness. There is a measure of compulsiveness causing the individual to be driven to a specific behavior, trying to make things better. Each individual family member takes on a specific role and each member pays a price to survive. 8 Survival Roles in the Chemically Dependent Family Because of the self -delusion and the compulsive nature of these behavior patterns, family members take these behaviors into every other relationship. Treatment goals for the family members would be to break through the wall of delusion. This would encourage an acceptance of the disease and the recognition of one’s own feelings. This would lead to recovery for the whole person. If the chemically dependent also takes steps to recover, then together the family can begin to share their feelings. Accepting and forgiving can occur which would help to rebuild the family system. The family system of a chemically dependent individual is hurting and in crisis. Within this family, there is self-delusion, compulsive behavior patterns and a growing primary disease of chemical dependency. The dependent person needs primary treatment for the disease of chemical dependency and the family members need treatment for their dysfunctional behavior patterns. Treatment methods may vary but the need for recognition, acceptance and understanding of each member’s role in the family disease is necessary for a full family recovery. Healthy families can contain these roles as well; however, the roles are not as rigid and unchanging as those seen in substance abuse homes. Functional families are allowed to have more than one hero. In fact, in healthy families, behaviors do not cluster toward one particular role. Individual emotions and family talk is allowed to happen. In an alcoholic family, talking, trusting, and feeling are very limited. Excuses are made for behaviors, one does not talk about issues because they don’t exist, and many times children are told they do not feel the way they do. Don’t talk, don’t trust and don’t feel are very strong messages found in families of chemical abuse. 9 Survival Roles in the Chemically Dependent Family Considerations when working with families effectively is to recognize that rocky marriages stabilize by the symptoms shown in children (Curtis, 1999). Many of the symptoms manifest some kind of noticeable behavior so a couple will focus on that “symptom” versus the “elephant in the room” so to speak. Another consideration for the counselor is that loyalty almost always lies with the family even in great dysfunction. Therefore, what is said about members that are present and those that are not, should be considered. Condemning or judging the dependents behavior will cause greater defenses. This could create unsuccessful treatment and discord between the counselor and the family members. A criticism of the survival role concept is the multitude of information. While engaging in a session, it is easy to put forth so much information such as that found in this report, and it can overwhelm a family. Noted is the disengagement from the information when too much information is given. In other words, the audience tunes out. The family may not be able to identify with the roles in early recovery. The timing is important. The counselor can deduce where each member fits within the roles and can utilize this information in treatment, but the family may not understand. The idea of family roles does not resolve immediate problems but over time can become a basis for a counselor to begin assisting the family to change. An immediate crisis is not going to be fixed by the acknowledgement of the survival roles that are being used. In other cases, the survival roles when understood can provide a wonderful framework to begin family treatment. 10 Survival Roles in the Chemically Dependent Family Family members take on roles to function around the chaos caused by the chemical dependent member. The family develops a set of maladaptive compulsive behaviors to survive in a family experiencing great emotional pain. These roles allow the pain of the dysfunction to be tolerable. By identifying the roles within the family, counselors can begin to understand the dynamics of the family and help the family begin to heal from the destruction of addiction. Once identified, the family members can begin to talk openly which hopefully will lead to acceptance and then healing. Survival roles within the chemically dependent family evolve to compensate for the dysfunction happening due to the chemically dependent’s behavior. 11 Survival Roles in the Chemically Dependent Family References Addiction. (2012, June). 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