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KMID : 0438319930020010097
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Pusan Journal of Psychiatry
1993 Volume.2 No. 1 p.97 ~ p.105
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Coaddiction: Treatment of the Family Member
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Abstract
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Coaddiction is a significant psychiatric disturbance that has traditionally gone undertected by those health care professionals providing treatment for alcohol and drug addiction. Most family members of addicted individuals exhibit
characteristics
of
the syndrome to at least some degree. These characteristics includine enabling, ignorance about the nature of addiction, denial, irrational reliance on control, lower self-esteem, and stress-related illness. Some personality-disordered coaddicts
are
predisposed to developing relationships with active addicts because of their own childhood experiences, which is often in a previous addictive system.
Treatment of the coaddiction is essential not only because of its inherent value to the family member, but of its importance to the alcohol-and drug-addicted patient's rehabilitation Through treatment, the enabling system can be dismantled,
boundaries
clarified, self-esteem enhanced, and the potential sabotaging of the addict's treatment by a coaddict threatened by changes in the addictive system prevented. Treatment for the coaddicted patient is most effective when it is conducted in a group
format
and supplemented by didactic presentations and the patient's participation in the self-help community.
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