Les relations familiales sont généralement perturbées et sont souvent marquées par les exigences de la dépendance. La dépendance peut devenir la dynamique qui organise les relations familiales. La nature dévorante de la dépendance se révèle dans la manière dont elle affecte les familles tant au niveau individuel que dans leur globalité.
Les membres de la famille présentent un certain nombre de symptômes psychologiques et physiques qui sont induits par leur relation à la dépendance. C’est pourquoi nous disons qu’il n’est pas nécessaire d’être dépendant d’une substance ou d’un comportement pour souffrir de dépendance.
Les familles sont souvent considérées comme des éléments d’importance secondaire. Pas à la Clinic Les Alpes. Les familles ont besoin d’aide et d’assistance pour elles-mêmes autant que par rapport à un être cher en traitement. C’est pourquoi notre équipe compte des spécialistes de la thérapie familiale.
We have characterised addiction as an all-consuming relationship with a substance or behaviour that is driven by a conscious or unconscious urge to feel something different which becomes self-perpetuating despite a range of harmful consequences.
It is clear that you do not have to be addicted to a substance or behaviour to suffer from addiction.
As a family or family member you can find yourself in a similarly consuming relationship. This too is based on an urge to experience something different. In this case it is to be achieved by somehow getting the addicted person to change; to stop their addictive behaviour and therefore all the harm associated with it.
Families can live on what has been called “hopium”; the belief that they can find that one thing which will bring about change in the other.
As with an addiction to a substance or behaviour life can begin to reduce to obsessive, consuming preoccupation with what is happening with the addicted person. This is a struggle. It is the family version of trying to control the uncontrollable.
Families come to feel disempowered but rather than facing up to this and what it means, very often the struggle is intensified. This may be borne of desperation – understandable in many ways given the nature of addiction and its potential fatality.
Families and family members experience chronic stress with a measurable effect on their psychological and physical health.
They may experience anxiety, depression, emotional volatility and low self-esteem. They may experience a loss of mental capacity, be distracted and be involved in conflict. There may be physical manifestations such as aches and pains, nervous tension, energy loss, stomach upset, injuries and the immune system may be compromised.
Families and family members find ways of coping either as individuals or as a system. Very often the ways of coping are counterproductive. Addiction becomes the organising dynamic, re-setting and determining the norms of behaviour within the family.
“Coping” may include denial, cover up and even collusion. Families can experience shame much as the addicted person especially given the hold that stigma still has over addiction in the public mind. It may also include twisting out of shape to accommodate the demands of addiction with an increasing inattention to the family’s own needs, individually and collectively.
At Clinic Les Alpes we recognise the needs of families and individual family members. They will have an important part to play in the treatment of their family member and, subject to the agreement of the patient, will be invited to participate in the treatment process. This will include Family Conferences where the members of the family get a chance to explore and understand how addiction has emerged and taken hold and how they might help each other and the family system as a whole to recover.
Also we recognise the need for families and family members to be offered help in their own right rather than simply in relation to the patient with the addiction. It is usually the case that so much focus has been placed on the family member with the addiction and often in a counterproductive way that the needs of others become neglected. They suffer as a consequence. We help them to retrieve and recover themselves from addiction, restoring their health and wellbeing in the process.
Clinic Les Alpes has a Family Therapist available to the family members and the Clinic offers a specially designed six or ten day programme for family members, including a residential option.
Interestingly when family members begin to turn their attention to looking after themselves, the addicted person often benefits. They may find the space they need to take responsibility for their own recovery.