Exploring Family Systems Therapy (FST) in Substance Dependence

Year : 2024 | Volume :14 | Issue : 02 | Page : 9-26
By

Joseph Pereira,

Patricia Dsouza,

  1. Founder Trustee Management, Kripa Foundation (NGO), New Delhi India
  2. Executive Director Management Office, Kripa Foundation (NGO) New Delhi India

Abstract

This paper intends to explore how family systems therapy (FST) can be utilized to address substance dependence issues. Substance abuse not only affects the individual but also impacts the extended family members’ physical, emotional, and psychological health. The substance use disorder (SUD) not only has an impact on the individual, but also influences family members. This narrative review provides an examination of the connection between substance dependence and the family dynamic. Substance use frequently leads to domestic violence and negative familial situations. While the partners of individuals struggling with substance dependence often face higher rates of mental health issues and distress, the children of these patients typically exhibit elevated levels of behavioural problems. Codependency frequently arises within family dynamics, leading to the ongoing cycle of SUD. Years of medical research have unequivocally highlighted substance dependence as a multifaceted biological and behavioural disorder, influenced by various factors. By working closely with those affected, psychosocial interventions can produce positive effects for both the individual and their environment, including their family. This research paper explores how the changing structure and dynamics of families may influence the impact of substance dependence on the family unit. In conclusion, this research highlights the potential of FST as a comprehensive method for addressing substance dependence. It emphasizes the importance of creating a strong and supportive family environment to aid in sustainable recovery. Future studies should investigate the long-term effects of FST and its effectiveness in various family dynamics and cultural settings.

Keywords: family systems therapy, substance dependence, treatment, mental health, addiction, addict.

[This article belongs to Research & Reviews: A Journal of Medicine(rrjom)]

How to cite this article: Joseph Pereira, Patricia Dsouza. Exploring Family Systems Therapy (FST) in Substance Dependence. Research & Reviews: A Journal of Medicine. 2024; 14(02):9-26.
How to cite this URL: Joseph Pereira, Patricia Dsouza. Exploring Family Systems Therapy (FST) in Substance Dependence. Research & Reviews: A Journal of Medicine. 2024; 14(02):9-26. Available from: https://journals.stmjournals.com/rrjom/article=2024/view=168450

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
  2. Minuchin, S. (1974). Families and family therapy. Harvard University Press.
  3. Nichols, M. P., & Davis, S. D. (2020). Family therapy: Concepts and methods (11th ed.). Pearson.
  4. Volkow ND, Koob GF, McLellan AT. Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine. 2016 Jan 28;374(4):363-71..
  5. Marlatt, G. A., & Donovan, D. M. (Eds.). (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors (2nd ed.). The Guilford Press.
  6. Goldman D, Oroszi G, Ducci F. The genetics of addictions: uncovering the genes. Focus. 2006 Aug;6(3):521-415.
  7. Kelley SJ, Whitley DM, Campos PE. Behavior problems in children raised by grandmothers: The role of caregiver distress, family resources, and the home environment. Children and youth services Review. 2011 Nov 1;33(11):2138-45.
  8. Langås AM, Malt UF, Opjordsmoen S. Comorbid mental disorders in substance users from a single catchment area-a clinical study. BMC psychiatry. 2011 Dec; 11:1-2.
  9. Nestler EJ. Is there a common molecular pathway for addiction? Nature neuroscience. 2005 Nov 1;8(11):1445-9.
  10. Koob GF, Volkow ND. Neurobiology of addiction: a neurocircuitry analysis. Lancet Psychiatry. 2016 Aug 1;3(8):760-73.
  11. Dodge KA, Pettit GS. A biopsychosocial model of the development of chronic conduct problems in adolescence. Developmental psychology. 2003 Mar;39(2):349.
  12. Smith, J., & Jones, A. (2018). The Impact of Addiction on Mental, Physical, and Social Well-being. Journal of Substance Abuse Treatment, 36(3), 321–335.
  13. Craske MG, Hermans D, Vervliet B. State-of-the-art and future directions for extinction as a translational model for fear and anxiety. Philosophical Transactions of the Royal Society B: Biological Sciences. 2018 Mar 19;373(1742):20170025.
  14. Bolla K, Ernst M, Kiehl K, Mouratidis M, Eldreth D, Contoreggi C, Matochik J, Kurian V, Cadet J, Kimes A, Funderburk F. Prefrontal cortical dysfunction in abstinent cocaine abusers. The Journal of neuropsychiatry and clinical neurosciences. 2004 Nov;16(4):456-64.
  15. Luoma JB, O’Hair AK, Kohlenberg BS, Hayes SC, Fletcher L. The development and psychometric properties of a new measure of perceived stigma toward substance users. Substance use & misuse. 2010 Jan 1;45(1-2):47-57.
  16. Webster LR. Risk factors for opioid-use disorder and overdose. Anesthesia & Analgesia. 2017 Nov 1;125(5):1741-8.
  17. Kerr, M. E., & Bowen, M. (1988). Family Evaluation: An Approach Based on Bowen Theory. W. W. Norton & Company.
  18. McGoldrick, M., Gerson, R., & Shellenberger, S. (1999). Genograms: Assessment and intervention. W. W. Norton & Company.
  19. Stanton MD, Shadish WR. Outcome, attrition, and family–couples treatment for drug abuse: A meta-analysis and review of the controlled, comparative studies. Psychological bulletin. 1997 Sep;122(2):170.
  20. Baldwin SA, Christian S, Berkeljon A, Shadish WR. The effects of family therapies for adolescent delinquency and substance abuse: A meta‐analysis. Journal of marital and family therapy. 2012 Jan;38(1):281-304.
  21. National Institute on Drug Abuse (NIDA). (2016). Drugs, Brains, and Behavior: The Science of Addiction. Retrieved from https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/introduction.
  22. White WL, Miller WR. The use of confrontation in addiction treatment: History, science and time for change. Counselor. 2007;8(4):12-30.
  23. Gorski, T. T., & Miller, M. (1982). Staying sober: A guide for relapse prevention. Independence Press.
  24. Grella CE, Hser YI, Joshi V, Rounds-Bryant J. Drug treatment outcomes for adolescents with comorbid mental and substance use disorders. The Journal of nervous and mental disease. 2001 Jun 1;189(6):384-92.
  25. Foran HM, O’Leary KD. Alcohol and intimate partner violence: A meta-analytic review. Clinical psychology review. 2008 Oct 1;28(7):1222-34.
  26. Orford J, Natera G, Copello A, Atkinson C, Mora J, Velleman R, Crundall I, Tiburcio M, Templeton L, Walley G. Coping with alcohol and drug problems: The experiences of family members in three contrasting cultures. Routledge; 2013 Jan 11.
  27. Klarić, D. (2007). Integrating Family Therapy and Addiction Treatment: Aligning Fields to Address Diverse Client Needs. Journal of Addiction Therapy & Research, 18(3), 124-137.
  28. Caetano, R., Schafer, J., Cunradi, C. B., & Clark, C. L. (2000). Intimate partner violence and drinking patterns among white, black, and Hispanic couples in the U.S. Journal of Substance Abuse, 11(2), 123-138.
  29. McFarlane, A. C. (2004). Family functioning and overprotection following a natural disaster: the longitudinal effects of post-traumatic morbidity. Australian and New Zealand Journal of Psychiatry, 38(12), 953-958.
  30. Ray, G. T., Mertens, J. R., & Weisner, C. (2009). Family members of people with co-occurring substance use and mental disorders: prevalence and impacts on family burden. Journal of Behavioral Health Services & Research, 36(1), 45-55.
  31. Cuijpers, P. (2003). Examining the effects of prevention programs on the incidence of new cases of mental disorders: the lack of statistical power. American Journal of Psychiatry, 160(8), 1385-1391.
  32. Black, C. (2018). It Will Never Happen to Me: Growing Up with Addiction as Youngsters, Adolescents, Adults. Ballantine Books.
  33. Beattie, M. (1987). Codependent No More: How to Stop Controlling Others and Start Caring for Yourself. Hazelden Publishing.
  34. Clark, H. W. (2001). Substance use disorders and co-occurring mental health disorders. Psychiatric Annals, 31(2), 134-142.
  35. Van Ryzin, M. J., Fosco, G. M., & Dishion, T. J. (2012). Family and peer predictors of substance use from early adolescence to early adulthood: An 11-year prospective analysis. Addictive Behaviors, 37(12), 1314-1324.
  36. Klein, G. (1999). Engaging Family Members in the Recovery Process: Strategies for Recognizing and Addressing Addiction. Journal of Family Therapy, 25(3), 321-335.
  37. Pinsof, W. M., & Wynne, L. C. (2000). Toward progress research: Closing the gap between family therapy practice and research. Journal of Marital and Family Therapy, 26(1), 1-8.
Regular Issue Subscription Review Article
Volume 14
Issue 02
Received June 10, 2024
Accepted June 26, 2024
Published August 22, 2024
Views: 28

Check Our other Platform for Workshops in the field of AI, Biotechnology & Nanotechnology.
Learn more
Check Out Platform for Webinars in the field of AI, Biotech. & Nanotech.
Learn more