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Tables of Contents for Treating Adult Children of Alcoholics
Chapter/Section Title
Page #
Page Count
Introduction
1
8
PART 1 THE ALCOHOLIC FAMILY
9
78
1. The Children of Alcoholics
11
15
Focus on the Alcoholic
12
1
Alcoholism as a Family Disease
12
1
Review of the Literature
13
13
Transmission
14
2
Family Systems
16
1
Problems in Childhood
17
3
Adult Children of Alcoholics
20
1
The Family Environment
21
3
Prevention and Treatment
24
2
2. The Alcoholic Family Environment
26
32
Foundations for Theory Development: Introduction
26
1
Theoretical Rationale for the "Family Environment"
27
4
The Ideal Family
31
2
Alcohol: The Central Organizing Principle
33
3
Denial: An Emphasis on Defense
36
7
The Impact of Denial
41
2
The Clinician's View: Targeting Alcohol as the Central Organizing Principle in the Face of Persistent Denial
43
4
A Focus on the Environment: What Is It Like?
47
11
Control
47
2
Chaos
49
2
Inconsistency and Unpredictability
51
2
Roles
53
2
Tension
55
1
Shame
55
3
3. Interactions, Patterns, and Adaptations
58
29
Codependence
59
3
Codependence: What Is It Like? The Parent
62
2
Codependence: What Is It Like? The Child's Perspective
64
2
Childrens of the Handicapped: Methodological Considerations of an Analogous Model
66
3
The Impact of Parental Disability on the Family
68
1
Family Systems Theory
69
7
Socialization
72
4
Variables
76
4
Time of Onset
76
3
Severity
79
1
Which Parent Is Alcoholic?
79
1
Assessment: The Family Diagram
80
7
PART 2 THE IMPACT OF PARENTAL ALCOHOLISM ON INDIVIDUAL DEVELOPMENT
87
114
Origins of the Centrality of Alcohol and the Importance of Cognitive Theory
91
4
4. Trauma and Defensive Adaptations
95
43
Effects of Trauma
96
6
Anxiety Disorder
97
5
Defensive Dimensions of Adult Personality
102
2
Origin and Meaning of Defensive Adaptations
104
2
Denial
106
2
Dichotomous All-or-None Thinking
108
7
The Codependent Dichotomous Response
111
4
Control
115
23
Feelings
119
2
Anger
121
4
Control Symbolized in Group Themes
125
6
Self-Blame and the Assumption of Responsibility
131
7
5. The Impact of Parental Alcoholism on Attachment
138
31
Attachment: Theory Building
138
31
Parental Egocentrism
144
4
Role Reversal
148
3
Boundaries and Limit Setting
151
8
Deep Need and Dependency
159
1
Primitive Attachment and Symbiosis
159
6
Dependency in the Group
165
4
6. The Impact of Parental Alcoholism on Identity Formation
169
32
Personal Identity and the Development of Self-Knowledge
170
2
The Significance of Denial
172
1
Perception, Belief, and Attachment
173
3
The Assumption of Responsibility
176
2
Socialization
178
1
Identity Formation
179
9
Alcohol: An Organizing Principle in Identity Formation
181
1
Limitation and Identification
182
6
Becoming Alcoholic: A Developmental Milestone
188
13
The Adolescent Struggle
188
3
The Adult Struggle
191
1
Belonging and Being Alcoholic
191
5
The Symbol of Alcoholic--The Alcohol in the Group
196
3
The Longing to Know
199
2
PART 3 THE PROCESS OF RECOVERY
201
112
7. The Process of Recovery: Theory
205
10
A Cognitive Theoretical Base
207
2
Cognitive Equilibrium
207
2
The Process of Recovery in Alcoholism
209
6
Overview of Alcohol as the Central Organizing Principle
209
1
The Process of Recovery: ACAs
210
3
Significance of Dynamic and Cognitive Theory
213
2
8. Preparation for Recovery: Drinking and Transition
215
24
Drinking
215
4
Drinking: The Child
215
2
Prevention
217
1
Intervention
218
1
The Adult Child
219
3
What It Is Like
219
1
Breaking Denial
220
1
The Unidentified ACA
221
1
Behavioral, Cognitive, and Dynamic Interventions
222
4
The Decision to Seek Treatment
226
1
Transition
226
7
Transition: The Child
226
1
Transition: The Adult
227
1
The Task
228
1
Focus on the Self
229
1
Resistance
230
3
Behavioral, Cognitive, and Dynamic Integration
233
3
Focus on Alcohol
234
2
9. Early Recovery
236
20
The Child
236
1
The Adult
237
2
The Task
237
1
Focus on Alcohol
238
1
Behavioral, Cognitive, and Dynamic Integration
239
2
The Process of Treatment
240
1
The Process of the Group: Family Transference
241
2
Core Issues Arising in Early Recovery
243
13
The "Pull of Attachment,"
243
3
The Threat of Loss
246
2
The Issue of Trust
248
1
Role Reversal
248
2
Identity Formation
250
3
Separation
253
3
10. Ongoing Recovery
256
33
The Child
256
2
The Adult
258
5
The Task
258
1
Focus on Alcohol
259
1
Equilibrium
260
1
Behavioral, Cognitive, and Dynamic Integration
261
2
The Process of Treatment
263
13
The Process of Expansion: The Loosening of Controls
264
12
Expansion and Challenge within the Interactional Focus of the Transference
276
13
Transference and the Value of Group
276
2
The Challenge of Defense within the Transference
278
6
When Defenses Hold
284
5
11. What Is Progress: Growing Up, Growing Out, and Coming Home
289
24
What Is Progress
290
4
The Use of the Summary
294
8
The Process of Recovery
302
11
Growing Up
302
4
Growing Out
306
4
Coming Home
310
3
References
313
12
Index
325