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[The wives of alcoholics: experience in the study of psychopathology].

The authors examined clinically 215 wives of alcoholics or divorced women who had been previously married to alcoholics. None of the women abused alcohol. Only 12 of them were officially registered as psychiatrist's patients. Borderline psychopathological conditions were diagnosed in 174 women who had long been married to alcoholic husbands or lived with them in one apartment. Of them, psychopathy, neurotic personality, neurosis, reactive depressions were identified in 27%, 24.7%, 23%, 15%, respectively. 41 divorced women living apart from former alcoholic husbands had no psychopathology at the moment of the study. Borderline neurotic disorders in alcoholic husbands' wives should be considered in familial analysis made for subjects seeking genetic advice.

Adjustment Disorders↗

Agoraphobia: the interface between anxiety and personality disorder.

Although agoraphobia includes distinct symptoms of avoidant and dependent personality disorder, it is currently classified as a form of "anxiety disorder." Such categorization seems to imply that uncontrolled panic attacks sometimes generate subsequent avoidant and dependent traits, leading afflicted persons to virtually seclude themselves in the home. The authors propose an alternate view, suggesting that in many cases the etiology of the disorder can be attributed to a predisposing antecedent character structure. The initial panic attacks are triggered by a stressor, but patients can then use these symptoms to further intensify and justify avoidant and dependent behavior. This paper features the autobiographical account of an agoraphobic woman who seldom comes to the clinic for therapy, and never on her own. The "fear of fear" characteristic of agoraphobia is readily traced in her history to a family background in which she was conditioned to feel that she could not manage without the direct support of her father.

Agoraphobia↗

[The husbands of alcoholic women: experience in studying the psychopathology].

The familial and personal histories and present status of 41 married couples with the family pattern wherein the wife was alcoholic and the husband was non-alcoholic were clinically studied. The purpose was to study the incidence and nature of psychopathological disorders in males in this marriage. It was found that 8 males who were divorced and had been married to an alcoholic female showed no mental disorders at the moment of the study. The remaining 33 husbands living with their alcoholic wife had borderline mental disorders. The diagnostic assessment of the detected disorders was the following in order of decreasing: neuroses, psychopathies, neurotic development of a personality. The high incidence rates of borderline psychopathological disorders in the husbands of alcoholic females suggest that aid should be rendered to the whole family rather than an alcoholic alone.

Adult↗

Reassessing the codependency movement: a response to Sorrentino.

The literature on codependency has had a profound effect upon drug abuse counselors and the clients they serve. Originally derived from the alcoholism treatment field, the codependency concept is increasingly noted in the health care administration literature. Interventions such as employee assessment and counseling programs have been suggested by Sorrentino and others as ways to prevent the negative outcomes of codependent behavior among employees in health care organizations. A reassessment of the literature over the last decade, however, does not support the codependency concept or the treatment formats. Recommendations for health services administrators are subsequently offered.

Alcoholism↗

Recent developments in alcoholism:family systems.

Over the past decade, research on alcohol and family systems has made notable advances, as reflected by major publications. Concepts elucidated in these writings encompass issues of (1) risk and vulnerability (resiliency, vulnerability, at-risk groups, mediating moderating risk factors, multifactorial determinants, and predisposing and precipitating factors); (2) family process (regulatory mechanisms, homeostasis, morphogenesis, systemic maturation, developmental distortion, family rituals, family identity, and deliberateness); (3) drinking context (sobriety-intoxication cycle, steady-episodic drinking, and alcohol expectancies); (4) alcohol controls (coercive controls, informal drinking controls, and formal controls); and (5) family response to alcoholism (codependence, denial, and definitional careers). In the following review of some of the major contributions to this research tradition, we pay particular attention to how alcohol researchers have refined many of these concepts in light of new empirical data.

Adolescent↗

Reconstruing codependency using self-in-relation theory: a feminist perspective.

Judging from advertisements for professional books, continuing education workshops, and speakers, social workers appear to believe that codependency is a problem about which they should be knowledgeable. This article traces the evolution of the codependency construct and its burgeoning popularity in the 1980s. It critically examines codependency from the perspective of researchers who have found little empirical support for the constellation of characteristics used to define the term and from the perspective of feminist analysis. In addition, the article analyzes the assumptions about health and relationships that are embedded in the concept of the codependency and contends, from the perspective of self-in-relation theory, that the concept does not provide a useful framework for social work conceptualization and intervention with women.

Codependency, Psychological↗

Supervising the co-dependent nurse.

Co-dependent behaviors influence not only the effectiveness of the individual nurse involved, but the entire work environment as well. Recognizing such patterns and using proven techniques to manage these behaviors can help nurse managers encourage nurses to move towards autonomous, healthy functioning.

Codependency, Psychological↗

Oppression's influence on behavior: first hand impressions.

This author, who has been in Latvia every year since 1989 to teach, consult, observe health care and hold seminars for nurses, discusses conditions as she has viewed them in Latvia after the demise of Communism and attempts to explain with the use of theory why conditions exist which prevent the full implementation and acceptance of democracy using oppressed group theory.

Codependency, Psychological↗

Children of alcoholics and adolescence: individuation, development, and family systems.

Recent developmental studies have highlighted the traumatic experiences faced by youngsters from alcoholic families. So far, however, the concept of individuation has remained missing from the discussion. This article links the developmental-familial implications of parental alcoholism with the individuation process and suggests a developmental agenda for understanding adolescents coping with the influences of parental alcoholism.

Adolescent↗

Relationship between social support, self-esteem and codependency in the African American female.

Increasing numbers of minorities are seeking mental health assistance. Inclusion of cultural considerations is important for increasing sensitivity to those whose life experiences differ. For African Americans, therapy is better facilitated if one operates from a cultural specific frame of reference. African American women attending a women's support group were surveyed. Questionnaires querying dimensions on family relationships, self-esteem and dependency were utilized. Results indicated a relationship between social support, self-esteem and codependency in African American females. Social support and self-esteem were inversely associated with codependency. This study provides insight for mental health professionals in counseling African American females.

Adult↗

Detection of benzodiazepine abuse in opiate addicts.

There is an increasing problem with benzodiazepine co-abuse in the opiate dependent population of Dublin. The importance of early detection of this co-abuse is essential as there is an increased risk of dangerous injecting practices such as sharing of needles and criminality in those who co-abuse benzodiazepines and opiates. This study was carried out in the National Drug Treatment Centre, Dublin. It aims to describe the current difficulties in identifying the co-abuse of short acting benzodiazepines including flunitrazepam in a cohort of opiate dependent patients. Using a sample of those attending the clinic it was discovered that standard methods of urinalysis failed to identify 10% of co-abuse. For those patients whose abuse of flunitrazepam is undetected on screening, clinical interventions which aim to minimise the consequence of the co-abuse and reverse the chaotic drug using patterns fail to be put in place at the earliest possible time.

Ambulatory Care Facilities↗