effects of alcoholism on families and society pdf

Effects Of Alcoholism On Families And Society Pdf

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Social and Cultural Contexts of Alcohol Use

Alcohol effects on family relations: a case study. Problems related to alcohol abuse have been associated to different factors, regardless of the causes attributed to this phenomenon. Alcohol consumption and dependence is considered a public health problem and deserve attention because of the social, work, family, physical, legal and violence-related risks it represents.

This study aimed to identify the effects of alcoholism on family relations and, by means of case management, to encourage the recovery of these relationships. The results show that the problems caused by alcohol abuse impose profound suffering to family members, which contributes to high levels of interpersonal conflict, domestic violence, parental inadequacy, child abuse and negligence, financial and legal difficulties, in addition to clinical problems associated to it.

Descriptors: alcoholism; family practice; patient care planning; psychiatric nursing. Problems related to alcohol abuse have been associated to different factors, regardless of the causes attributed to the phenomenon.

The frequent consumption of alcoholic beverages increases in the Brazilian population, according to region, consumption standards, gender, age, socioeconomic status and kind of beverage consumed 1. The fact that alcohol consumption and dependence increase the risk of social, work, family, physical, legal and violence-related problems deserves attention and is by itself considered a public health problem.

Twelve percent said they had started an argument or fight with the partner while drinking", which points out the importance of working with these people's families 1. Based on this comprehension, a study was developed to identify the effects alcoholism caused in the family nucleus. The aim of the study was to identify the effects of alcoholism on family relations and, by means of case management, to encourage the rekindling of these relationships. This is a case study, which enables direct observation of this phenomenon.

This comprehensive methodological approach describes and analyzes the context, relations and perception concerning a phenomenon or social situation.

It has been useful when the study generates knowledge about events experienced and change processes. Through a case study, associations can be appointed among intervention situations and real situations, their contexts, development, sense and the way they are performed This research aimed to identify the effects of alcoholism on family relations and, by means of case management, encourage the rescuing of these relations. The analyzed units were the families and alcohol users who attended the AA in a city on the countryside of Minas Gerais, Brazil.

The proposals are related to the belief that case management applied to these subjects can permit their social re-insertion in the community and the rescuing of family relations troubled by the social costs of alcohol abuse. According to this proposal, the results of this case management strategy in the field of alcohol abuse treatment were applied and evaluated. Guided interviews were used to collect data, as well as observations and a field diary.

The obtained data were transcribed interviews and analyzed through content analysis as proposed by Minayo 2. Case management CM "[ CM is a process that includes many roles and responsibilities, achieving a comprehensive care that needs to be identified, planned and performed, however, without massification, monitoring care actions according to the evolution in the patient's learning, or criticizing and reconsidering postures whenever necessary. Case management, used as a strategy in the treatment of alcohol abuse, has been used for some years with good results, particularly when used in the clinical mode.

In some cases, it does not only consider alcohol dependence, but also the comorbidities 5. Alcohol dependence in the target city is observed in a large part of the population; However, there is no official figure to exhibit the problem. The city located in the North of Minas Gerais shows serious economic and social inequality problems, mainly observed from unemployment and poverty in the region. Social policies are fragile and have auxiliary characteristics, and increased urban violence, teenage pregnancy, child abuse and domestic violence are associated to alcohol abuse.

The production and sale of distilled beverages in the region are part of family income, a component that facilitates the use and abuse of alcohol among teenagers and adults.

Mental diseases are also found as comorbidities in the region. There are no official services for alcohol dependence. The Family Health Program refers users to other healthcare services, or they spontaneously contact the Psychosocial Care Center - PAC in the city, which do not have staff capable of working with these people and attends seventeen cities, always working at its maximum capacity.

Another option is the Alcoholics Anonymous AA association in the city. The research subjects were chosen at the AA because, at the PAC, these patients only receive care in emergency situations.

There is neither systematic nor outpatient healthcare, so that patients are dispersed and do not return to the service. The AA coordinator was asked to provide a written authorization to permit the researcher's first contact with the research subjects, according to the demands of the Research Ethics Committee CEP at the researcher's institution.

The inclusion criteria were: users who had been participating in AA meetings for at least two months and accepted to collaborating with the research. After the user's acceptance, the family was invited to participate in the study. Then, all subjects were asked to sign the consent term. The researcher visited each family five times. During these visits, meetings were held to plan care for the user and the family according to their needs and health education activities on alcoholism. The subjects were interviewed individually in places and periods determined by the researcher, and each lasted one hour.

Two interviews were held with each subject: one at the start and another at the end of the project. The members of the users' family nuclei took part in the research. All family members who lived with the alcohol user were considered. Two families were followed for six months. The history of these people is presented as a narrative, constructed by the transcripts of the interview and the researcher's field diary. Daniel, 42, says he has been drinking alcohol for 28 years.

For him, alcohol has destroyed his life because, whenever he drank, he felt like sinking more and more, and everything in his life became more difficult. His second wife says that she knew he used to drink when they first met, but she thought it was normal, saying it was a weekend habit , even though she thought he abused during weekdays.

Daniel was a widower and did not have children from his first marriage. In his second marriage, he had a daughter and a stepson who live at his mother's house. Three years ago, Daniel entered the AA group, and he says his life has drastically changed.

Before, he used to change jobs all the time because he could not work or arrived late, was absent or fought with the co-workers. He got a new job after quitting drinking, which he has kept since then without further problems.

He says his life has been difficult because his fame of being a drunkard still lingers in his neighborhood, even after he stopped drinking. His wife says Daniel caused much trouble, fought with the neighbors , attacked her and her children and even dislodged his mother from the house in a moment of rage.

After he joined the AA, the mother of Daniel says that things have changed and that, at the beginning, it was very difficult because he would stop and get back to drinking for almost a year but, at a certain point, he drank less and less, until he quit definitively.

Vera, Daniel's wife, points out that things have changed in a general way but that he still suffers with the distancing of his children, especially her son from her first marriage. According to Daniel's mother, the problem is that he mistreated everybody. This is difficult to forget, but he regrets it and now tries to compensate the family. For the children, he stopped drinking because he had blood pressure problems and almost died once, but they consider that he can start drinking again any time.

The intervention proposal was presented to Daniel's family and they were informed that the researchers were available to cooperate with whatever was necessary. Daniel is willing to get along well with the children.

Vera his wife would like the neighbors to stop looking at them with diffidence, as if her husband could fail at any moment. Daniel's mother believes that he needs to be in peace with his children in order to be well, because their indifference makes him anxious and nervous.

In the face of these results, it is concluded that the focus of our work would be to approach Daniel and his children, trying to sensitize the community where he lives about the process he is undergoing, that he needs support and not contempt in his new condition.

Everyone agreed this was the most important at that time. About his children, the authors tried along with the family to list activities that were of interest to everyone. This included some walks at weekends. It was suggested for the family to spare some time during the week to plan the weekend walk.

Thus, the first week, despite some resistance, the children accompanied Vera, Daniel and Leonora Daniel's mother to a waterfall near the town. The first ride was considered good, but Daniel came home disappointed, saying that generally the walks happen but the children are aloof: when they speak, it is always with their grandmother or their mother.

It was observed that, over time and as family activities took place that were planned for everybody, Daniel's children were sensitized about their father's problems. This was considered good for the whole family. Regarding the neighbors, Vera decided to prepare a party to celebrate Daniel's birthday, using the opportunity to invite the neighbors. The researchers did not take part in the preparation of the party, which was delegated to Vera and Leonora Daniel's mother.

Despite the purchase of alcoholic beverages for the party and some family members being distressed with the possibility that Daniel could re-start drinking on the occasion, that did not happen. Leonora said that everything was completely calm. One month after the party, in family 1's house, relationships have changed. They were invited to other parties in the neighborhood, a fact that had not happened for a long time.

Daniel is going to church with his wife and family. Although he says he is not fond of churches, he thinks this makes his family happy, so he has always gone. At the end of the management program, the family evaluates things as good and it seems that they only needed some guidance to solve what seemed too hard in the beginning. Gustavo is 36 years old and has been an alcoholic for 20 years.

He works temporarily as a delivery person in a city market and has never had a steady job. According to his father, drinking does not allow him to have a steady job, due to its harmful effects on people's lives. He started to attend the AA two months ago but is not a regular. He has received care at the Psychosocial Care Center in the city, but has relapsed many times during the five years of treatment.

Gustavo's father decided it was good for his son to attend the AA. Gustavo agreed, even though he said that he does not believe this kind of thing can work. Gustavo says he is not an alcoholic, drinking to feel good, and has never fought because of that, neither in the streets nor with his family.

However, he is aware that, sometimes, his drinking disturbs the relations with people at work. However, in other aspects of life, he considers it normal. Lenise Gustavo's mother does not agree with her son and points out that he looks older when compared to other people his age, being frequently sick, not eating, drinking alcohol everyday and sometimes getting late to work because he cannot get up early in the morning, as a result of spending the nights drinking.

Gustavo's brothers say this is not their problem. It only disturbs them when he is unemployed and the family has to provide for him, including his addiction, since he has debts in bars. His father has been paying off these debts little by little.

5 Effects Of Alcoholism On Family

Alcoholism is a very complex disease, and every case is different. There are dozens of risk factors and causes, any of which can impact a specific individual. Also, no factors are determinative, so someone with very few risk factors may have severe alcoholism, and someone else with many risk factors may have no drinking issues. Treatment Center Locator. Tukwila, WA.

Addiction happens in all types of families, and its emotional side effects are felt by spouses, children, and other loved ones. Their lives, behaviors, and attitudes can change forever as a result of the disease. They can even experience anxiety, depression, and shame as a result of alcohol addiction. Living in a home with AUD can lead to disruptive behavior, tension, and strained relationships—all of which can cause significant stress on the family unit. Moderate alcohol use may have few consequences, but heavier drinking that leads to AUD disrupts relationships in many ways, including:. Worsening any existing stressors, like financial troubles or childcare responsibilities. Emotional or psychological abuse, such as making insulting comments, threatening abuse, humiliating actions, intimidation, and manipulation.

Alcoholism: A Family Disease - How Alcohol Addiction Affects Families

They treat all others in it as if they own them! Thus, feeling that they quite rightly can treat them anyway they want. Google chrome download for pc. Abused Minister's Wives.

Alcohol effects on family relations: a case study. Problems related to alcohol abuse have been associated to different factors, regardless of the causes attributed to this phenomenon. Alcohol consumption and dependence is considered a public health problem and deserve attention because of the social, work, family, physical, legal and violence-related risks it represents. This study aimed to identify the effects of alcoholism on family relations and, by means of case management, to encourage the recovery of these relationships.

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The impact of alcohol on society: a brief overview

Indeed, individuals other than the drinker can be affected, for example, by traffic accidents or violence.

Alcoholism Causes and Risk Factors

Alcohol use and misuse account for 3. The harmful effects of alcohol misuse are far reaching and range from individual health risks, morbidity, and mortality to consequences for family, friends, and the larger society. This article reviews a few of the cultural and social influences on alcohol use and places individual alcohol use within the contexts and environments where people live and interact. It includes a discussion of macrolevel factors, such as advertising and marketing, immigration and discrimination factors, and how neighborhoods, families, and peers influence alcohol use. The alcohol research literature is overwhelmingly focused on risk factors, from the societal level down to the individual.

Approximately 14 million people in the country meet the diagnostic criteria for alcohol use disorder. This means millions of families suffer the effects of this challenging disease. Alcohol causes more than just trouble for the person drinking, especially with prolonged alcohol misuse and abuse. One way in which alcoholism affects families is in damaged relationships. Families of people affected by alcohol abuse often struggle to create strong emotional bonds, even within their family unit. This starts with the parents.

Alcoholism in family systems refers to the conditions in families that enable alcoholism , and the effects of alcoholic behavior by one or more family members on the rest of the family. Mental health professionals are increasingly considering alcoholism and addiction as diseases that flourish in and are enabled by family systems. Family members react to the alcoholic with particular behavioral patterns. They may enable the addiction to continue by shielding the addict from the negative consequences of their actions. Such behaviors are referred to as codependence. In this way, the alcoholic is said to suffer from the disease of addiction , whereas the family members suffer from the disease of codependence.


▷ Notable examples of second-hand effects of alcohol include motor vehicle crashes and drunk driving, sexual assault, domestic violence, child maltreatment and.


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