1 Lewis Clark State College Fall 2016 ADS/PSYC 446-01 - Chemical Dependency and the Family System Tuesday/Thursday :30AM - 11:45AM Meriwether Lewis Hall, Room 130 Instructor: Judith St. Louis, PhD Assistant Professor, Addiction Studies Social Sciences Division Office: Spalding Hall 277 Phone: (208) 792-2827 Email: jstlouis@lcmail.lcsc.edu Office Hours: T/TH 12:00-1:15 pm and by appointment Course Description This course includes behavioral patterns in dysfunctional family systems, intervention techniques and best practice model programs in dealing with family issues surrounding addiction problems. This course will expose the student to a plethora of various approaches to family systems and cultures that are diverse in nature. Students will create and experience sculpting, remodeling and replicating family roles and dysfunctional systems within a learning lab model. Students will study and become intimately acquainted with the roles of family dysfunction and dependency issues. Additionally, the student will review historical perspectives that help shape and steer the current modes of treatment for this underserved population within the addictions field. Pre-requisites: PSYC 1 or PSYC 205 or permission of instructor and PSYC 442. Cross-listed with PSYC 446. Learning Objectives The student who successfully completes the course will be able to: 1. Identify and explain roles in families by differentiating between healthy and unhealthy characteristics. 2. Understand these roles by observing specific family behaviors. 3. Describe, select, and appropriately use accepted techniques to intervene with chemically dependent family systems. 4. Teach family members to use these intervention techniques. 5. Help family member s practice and evaluate alternative interaction patterns. 6. Understand the impact of cultural differences in treatment and define strategies that will be culturally sensitive to individual and family differences. 7. Recognize your personal issues that may interfere with the treatment of families. 8. Communicate in written and electronic form summations about family systems issues that are required in this course. 9. Role plays and engages in family sculpting skits and demonstrations as viable therapeutic techniques and strategies.. Develop an enhanced awareness, sensitivity and appreciation for the aspects of family dysfunction. 11. Develop awareness for cultural diversity and personal sensitivity to various cultural differences that set the tone for family interventions and treatment. 12. Develop, integrate and engage in personal communication skill building to effectively intervene with family systems and organizations as an agent of change and intervention.
2 Confidentiality We may be sharing personal information about ourselves so I am requesting that we respect the information we gain about each other and hold that information confidentially. This class is designed to be interactive so that students can learn from each other as well as from lecture. Discussions will be part of the process and in order for us to have discussions we need participation from all students. We also need to appreciate and value each other s opinions. Required Texts Books Substance Abuse and the Family Author: Michael D. Reiter ISBN: 978-1-138-79507-5 Copyright Year: 2015 Publisher: Routledge The Glass Castle Author: Jeannette Walls ISBN: 9781439156964 Copyright Year: 2005 Publisher: Scribner Course Articles The texts are available in full text format on the course page in the appropriate week's folder on Blackboard. You are not expected to print them out, but you need to be prepared to discuss them in class. Black, C. (20). Families and Addictions: Interventions NASW WV Chapter Choate, P.W. (2015). Adolescent Alcoholism and Drug Addiction: The Experience of Parents. Behavioral Science, 5, 461-476 Kumpfer, K. (2014). Family-Based Interventions for the Prevention of Substance Abuse and Other Impulse Control Disorders in Girls. ISRN Addiction, 1-23 Miller, B. J., Cardona, J. P., & Hardin, M. (2007). The use of narrative therapy and internal family systems with survivors of childhood sexual abuse: Examining issues related to loss and oppression. Journal Of Feminist Family Therapy: An International Forum, 18(4), 1-27. doi:.1300/j086v18n04_01 Mount Holyoke College Alcohol and Drug Awareness Project (2000). Role Responses of Children from Alcoholic Families. Retrieved from https://www.mtholyoke.edu/sites/default/files/health/docs/role_responses.pdf Videos LCSC Library: Research Databases & More --> Films on Demand Do I Drink Too Much? Human Biology, Genetics, and Alcohol http://ezproxy.lcsc.edu:2048/login?url=http://fod.infobase.com/p_viewvideo.aspx?xtid=41379&tscript= 0 Kids and Heroin: A Wake-Up Call to Parents http://ezproxy.lcsc.edu:2048/login?url=http://fod.infobase.com/portalplaylists.aspx?wid=3545&xtid=4 8028 Up Heartbreak Hill (substance abuse on a reservation) http://ezproxy.lcsc.edu:2048/login?url=http://fod.infobase.com/portalplaylists.aspx?wid=3545&xtid=5 8646&loid=268559
3 The Meth Epidemic (2:25-17:50) "Meth Orphans" http://ezproxy.lcsc.edu:2433/pbsv/view/work/2339569 Adult Children of Alcoholics: A Family Secret http://ezproxy.lcsc.edu:2865/p_viewvideo.aspx?xtid=2629&tscript=0 A Mother's Desperation (HBO Series) https://www.hbo.com/addiction/thefilm/supplemental/62_mothers_desperation.html Brain Reward: Understanding How the Brain Responds to Natural Rewards and Drugs of Abuse (NIH) https://www.youtube.com/watch?v=7vulkp4ldyq Mechanism of Drug Addiction in the Brain https://www.youtube.com/watch?v=nxhnxmjv2bq Codependency: The Chemical Dependent Family https://www.youtube.com/watch?v=h0e5gzfkvcg Narrative Therapy Session https://youtu.be/tl6wtij4fya Additional readings/material and videos may be assigned throughout the course Attendance and Participation You are expected to come to class prepared, participate in the class discussions and group activities, as well as to complete all your assignments. Class/group activities and projects cannot be made up. Participation is measured by the thoughtfulness of your contributions and their value to the session as a whole. Missing more than 4 classes will result in automatically failing the course. Evaluation Grades will be based on your individual performance on the tasks listed below. You will find the course schedule below and on the Blackboard, with due dates for all assignments and exams. Instructions Weekly Class Prep assignments /Blackboard (BB) In the weekly class prep assignments, you will reflect more in depth about the concepts presented in the readings. They are due before class and need to be posted in the appropriate "weekly class prep" assignment folder on Blackboard. You may print them out to discuss in class, have them handy in electronic form, or handwrite notes to help you reconstruct your thoughts. You will be given full points if: 1) you post the class prep assignment on BB before class and 2) you come to class prepared to read/discuss your thoughts. Points will be deducted if e.g. you only post on the BB but do not show for class, or fail to post your reflections on BB before class. Many of the class prep assignments will function as the foundation for the bigger class assignments and for the exams. Chapter/Readings Quizzes Chapter/readings quizzes will cover the assigned readings for that week. The quizzes are posted in the appropriate weekly folders consist of multiple choice and short answer questions. Final Paper on The Glass Castle The aim of the papers is a reflection on your own learning as you have explored addictions through the lens of family. This paper will include an assessment on the Walls family. Choose a theory on family
4 member roles and then give a synopsis on each family member and the role they played. Consider (but do not limit yourself to covering) the following questions: When was the role helpful, when was the role unhealthy? How did this family function and what strengths did they gain? What were some of the family weaknesses and what would you have suggested for treatment? The paper will need to be minimum of 600 words and follow APA style. You need to submit it on the BB before the end of the day (11:59 PM) on the due date. Individual assignments/presentation You will be assigned two presentations in this course. Group projects/assignments You will participate in 4 group project and are expected to contribute make a significant contribution to the whole. Exams You will complete two major exams, a midterm exam and a final exam. The exams will consist of a combination of multiple choice questions and short essay questions. Use the weekly quizzes and case assignments as your study guide, and review the chapters/readings. Grades Blackboard (BB) discussion preps: (21): 2 points Chapter review quizzes (7): 70 points Group/class projects: (4): 70 points Individual assignment: Case presentation (Glass Castle family) (1): 20 points Reflection Paper (1): 90 points Individual assignment: Reflection Paper presentation: 30 points Midterm Exam: 0 points Final Exam: 0 points Total Points: 700 Class Date Readings and Assignment Points Week 1 August 23 Course introduction Peer and instructor introductions Chapter 1 overview, key concepts August 25 Week 2 August 30 Chapter 1 Conceptualizing Addictions Blackboard (BB) discussion prep Theories of Addiction
5 September 1 Week 3 September 6 September 8 Chapter 2 The Neurobiology of Addiction Q: Chapter 1-2 key terms and reflection questions quiz on BB Medical Aspects of Chemical Dependency: The Neurobiology of Addiction video/lecture Chapter 3 The Genetics of Addiction Q: Chapter 3 key terms and reflection questions quiz on BB Genetic vulnerability to addiction Chapter 4 The Addicted Family Article/handout: Family history/genograms Characteristics of addicted families Video: Adult Children of Alcoholics: A Family Secret (pt.1) Q: Key terms and refection questions quiz Chapter 4 on BB Family patterns and impact in adulthood Week 4 September 13 September 15 Chapter 5 Family Diversity and Substance Abuse Culture and ethnic diversity Video: Up Heartbreak Hill (Substance abuse and family on a reservation) Q: Quiz: Key terms and Reflection questions Chapter 5
6 Culture: Risks and protective factors Class discussion/activity Week 5 September 20 September 22 Week 6 September 27 September 29 Chapter 6 Roles in the Addicted Family Role Responses of Children from Alcoholic Families Video: Adult Children of Alcoholics: A Family Secret (pt.2) Q: Key Terms and reflection questions Chapter 6 quiz Family Secrets discussion/activity Chapter 7 Family Life Cycle Normal family development vs. hampered development in families dealing with addiction Cognitive, emotional and behavioral issues of COAs Chapter 8 Issues in Substance Abusing Families Cycle of domestic violence, anger, and abuse
7 Week 7 October 4 October 6 Week 8 October 11 October 13 Week 9 October 18 October 20 Chapter (Treatment) Systems Theory Cybernetics, systems, boundaries, alliances Chapter 11 Family Therapy Overview Q: Key Terms & Reflection questions Chapter 8 & 9 quiz Bowen's Natural Systems Theory, MRI Brief Therapy Model Group role play Chapter 12 (p.191-198; p.203-208 Narrative Therapy) Review questions on BB Structural and Narrative Family Therapy Group role play Midterm Exam, October 13! Ch1-12 & other sources Video: Kids and Heroin: A Wake-Up Call to Parents A Mother's Desperation (HBO Series) Impact of an addicted child on parents, family, and community Adolescent Alcoholism and Drug Addiction: The Experience of Parents (article) Explore therapeutic techniques for group presentations/role play When parents feel powerless Class time for group presentations/role play 0 Week
8 October 25 October 27 Week 11 November 1 November 3 Week 12 November 8 November Week 13 November 15 Chapter 13 Multidimensional Therapy Developmental model of family recovery Use Family Sculpting in Assessment and Therapy Group project time finish therapeutic techniques group project Group presentations Chapter 14 Family Recovery Developmental Model of Family Recovery Video: Families in Recovery (Part 3, 4 and 5) Q: Key Terms & Reflection questions Chapter 13 & 14 quiz Wet and Dry Family System Article: The use of narrative therapy and internal family systems with survivors of childhood sexual abuse: Examining issues related to loss and oppression. Family risk factors such as childhood sexual abuse for developing SA disorder Family-Based Interventions for the Prevention of Substance Abuse and Other Impulse Control Disorders in Girls (article) 40
9 November 17 Week14 November 21-25 The Glass Castle (I and II) Class discussion: discuss characters/family roles Dysfunctional family patterns (Ch I and II) Thanksgiving break/no assignments Week 15 November 29 December 1 Week 16 December 6 December 8 The Glass Castle III &IV (finish book) - mini case presentation Walls family Class discussion: relate Walls family characteristics to course concepts Mini case presentations Walls family (individual assignment) work on developing reflection/final paper outline Group/class project: Walls family genogram Revise final draft of reflection paper Prepare short class presentation on the paper Class group/discussion Reflection paper due by December 8 Reflection paper presentations (individual assignment) 20 90 30 Week 17 December 13 December 15 Exam Prep, Course Evaluations Final Exam December 15! 0
Syllabus Addendum In 2008, the federal government required all post-secondary institutions offering federal financial aid programs to provide key data to both prospective and current students. To comply with this requirement, Lewis-Clark State College has developed a consumer information page, which may be accessed at http://www.lcsc.edu/student-consumer-information/ ADS 446/ PSY 446 1 Disability Accommodations Students requiring special accommodations or course adaptations due to a disability and/or a healthrelated issue should consult their course instructors and the LCSC Student Counseling Center immediately (RCH 111, 792-2211). Official documentation may be required in order to provide an accommodation and/or adaptation. Student Rights and Responsibilities Students have the responsibility for knowing their program requirements, course requirements, and other information associated with their enrollment at LCSC. Students should review the LCSC General Catalog (http://www.lcsc.edu/catalog/) and the LCSC Student Handbook (http://www.lcsc.edu/media/1152314/13-14-student-handbook-revised.pdf) for more information. Accidents/Student Insurance Students participating in LCSC classes normally must look to their personal health insurance policy (Student Health Insurance Plan or comparable private coverage) should an accident occur. In the event of an accident, please seek medical help, if necessary, and report the incident to LCSC Security (792-2226). Fieldtrips or other special student activities may also require students to submit a signed participation waiver (forms can be obtained from the supporting Division Office). Enrollment Verification/Attendance Students who are not actively pursuing their classes may have to repay part or all of their financial aid awards depending upon the circumstances. Academic Dishonesty Academic dishonesty, which includes cheating and plagiarism, is not tolerated at LCSC. Individual faculty members will impose their own policies and sanctions regarding academic dishonesty. Students who are accused of being academically dishonest may be referred to the Dean of Student Services for official disciplinary action. Illegal File Sharing Students using LCSC s computers and/or computer network must comply with the college s appropriate use policies and are prohibited from illegally downloading or sharing data files of any kind. Specific information about the college s technology policies and its protocols for combating illegal file sharing may be found on the VP for Student Affairs web page (http://www.lcsc.edu/student-affairs/student-codeof-conduct/). Diversity Vision Statement Regardless of race, color, age, sex, religion, national origin, disability, veteran status, or sexual orientation, you will be treated and respected as a human being. Disclosures During this course, if you elect to discuss information with me which you consider to be sensitive or personal in nature and not to be shared with others, please state this clearly. Your confidentiality in these circumstances will be respected unless upholding that confidentiality could reasonably put you, other
students, other members of the campus community, or me in danger. In those cases or when I am bound by law to report what you have told me, such as incidents involving sexual assault or other violent acts, I will submit a report to appropriate campus authorities. In cases of sexual assault, the report can be done anonymously at the request of the victim. 11