You might have seen traffic accidents caused by drunk driving. Like some
epidemics, substance abuse is a mass killer. Addict is a safety hazard to the
addict himself, to the family and to society. Addiction leaves the scars of
its ravages to the next generation as well.
This blog demonstrates the implications of drug abuse at the various strata of
the society. It describes in detail the wider implications of drug abuse as it
affects children in the families and economic development for the society and
nation.
SUBSTANCE ABUSE, FAMILY AND THE NATION
Addiction leads to deformation of the character of the children. When one
member of the family abuses drugs-be it a parent, child, or relative-it causes
disruption and disharmony within the family and every family member suffers.
Drug abusers often become so obsessed with the habit that everything going on
around them, including the needs and situations of other family members is
ignored, leading to a breakdown of the family as an entity.
The nation pays a heavy price for drug abuse in economic terms as well as in
human terms. Most of the drug users are 18 to 35 years of age. Some; of them
are employed and others are not. The employed ones create serious problems in
their workplace.
Drug abuse has another price to pay: the ecological cost. Deforestation, soil
erosion, pollution of water sources, the extensive spraying of herbicides,
degradation of ecosystems, changes in the hydrographic system, demographic
pressure and population migration are indirect consequences of drug
production.
Substance Abuse and Family
The damaging effects of drug abuse on the family are perhaps those, which pose
the greatest threat to the nation. When own members of the family abuse drugs-
be it a parent, child or a relative-it causes disruption and disharmony within
the family and every member suffers. Drug abusers are often obsessed with the
notion that everything is going on smoothly around them, including the needs
and situation of family members. Their ignorance lead to a breakdown of the
family functioning.
The abuser often demonstrates certain criminal behaviour by disturbing the
family atmosphere, and as a result suffers physically and psychologically. The
effect on the family members due to the loss of a beloved one-very often an
earning member is very painful.
Substance Abuse and Domestic Violence
Daily expertise and research has shown that domestic violence is a common
occurrence in the drug abusers family. Children and women are particularly
vulnerable to violence caused by addiction. "Child abuse, wife battering,
dowry deaths, marital violence and desertion are common manifestations of
domestic violence" (UNDCP 1999). Drug abuse, particularly alcohol abuse and
violence go together.
Drug addicts manifest many aspects of socially unacceptable behaviour.
Violence, aggression, grandiosity, irresponsibility, selfishness and gambling
can all become part of the chemical dependent life-style. Violent drug related
crimes constitute a large proportion of the crimes committed in South Asian
Countries- ranging from between as high as 70% in Nepal and 20% in India.
(UNDCP Report 1999).
Addictive Families and Children
Addiction affects children more than all other categories. Adults can choose
to live in the same family or leave it. Children can neither choose to leave
the addictive family, nor do they have the means to do it. A wife or a partner
may feel helpless about another family members addiction, but the truth is
that the child is truly helpless.
Due to the addictive behaviour of one member of the family the whole attention
of the family will be focused on that family. That effect of such an
environment is permanently disastrous for the child. They lose their identity;
they become victims of depression,
anxiety, and stress and will have severe adjustment problems in the society.
Researches show that domestic violence is total harmful to the emotional and
mental development of a child. Even if they are not physical by abused,
witnessing violence lead them copy on parents and siblings also tend to be
abusers in adulthood. Many children of the alcoholics become alcoholics.
Studies in India and other nations show that domestic violence is common in
drug abuser s family. Women and children are the usual victims of this
violence. Child abuse is the most serious form of this violence. It is
estimated of every four female victims of sexual abuse, three are minors.
Family Response to Addiction
As mentioned earlier, family remains the first and most important socialising
institution, where safety and security for the individual is found while
facing difficulty in life. Drug abuse is a sign that a family has failed to
help the child in its maturing process. It is sign of helplessness from the
family like a person attempting suicide, because he cannot cope with the tasks
of life.
A family copes with addiction in different ways. Almost in all cases the
methods are unsatisfactory, indirectly encouraging addiction of the children.
If the family has adopted a healthy method, it would have been able to solve
the problem successfully. We shall describe below the various responses of
families in the face of addiction. You can identify that they are all negative
methods.
Similarly, the family of the addict responds to addiction in certain ways,
which are often damaging to the individual. The six-stage process is given
below.
1) Denial: Denying and justifying the drinking problem of the member. When
the family becomes aware of the problem, it would refuse to accept it as a
problem or deny the problem. The family members might also find other reasons
justifying the addict s drug habit.
2) Withdrawal from the society: The family
withdraws from all social interactions, for fear of being identified as a
problem family. They will try to protect the addict from the consequence of
drug abuse by taking responsibility for his actions.
3) Loss of control: When the family members
dance to the tune of the addict for a long time and the addict continues to
behave the same way, taking advantage of the good will of the family members
they begin to feel angry.
4) Re-organising the Family System: This is
one of the early methods, which the family found effective. The family members
take up the responsibility of the addict and fulfil the roles the addict is
supposed to fulfil.
Emotional Response of the Addictive Family
We would like to repeat that addiction is a family disease. No member can
escape the consequence of the addiction of one member of the family. They
suffer physically as well as emotionally. Here we are describing how the
family responds emotionally addiction:
Guilt: The family members feel that addiction of a
dear one is due to some of their own fault. This response is strengthened by
social stigma attached to addiction.
Anger : The family members try their best to adjust themselves to the
demands of the addict. They may not express their resentments and may
not even meet their own physical needs to placate the addicts.
Grief: The family has lost all interest in life.
They also feel the loss of a very dear person. There are sorts of loss, like
material goods, good name of the family, personal dignity etc. grief needs to
be expressed, just like any other emotion.
Shame: Living in an addictive family is very
stressful. The behaviour of the addict is highly unpredictable. The members do
not know what to expect from the addict.
Behavioural Response of the Addictive Family
All behaviours are expressions of emotions. Addictive families have certain
predictable behavioural patterns. The intensity of these behaviours may
differ, but they do not have similarities in contents.
Protecting: The family members want the addict to
get out of the problems. So they take up the work and duties he himself has to
perform. Instead of making him realise and face the problem arising out of his
irresponsibility, they will do all his work, clear his debts, and tell lies
about his absence. This process is called enabling. We will be discussing more
in the next section, i.e. codependency.
Controlling: The family members make all kinds of
efforts to control the addictive habits of the addict. They may buy a fixed
amount of drugs for him to use at home; they may try to destroy the supply of
drugs in his possession, and they may try to accompany him whenever he goes.
Blaming: The addict s actions are damaging for the
family. This makes the members angry. But often they do not express it to
avoid confrontation. When something goes wrong seriously in the family, the
members will begin blaming the addict for the misfortune.
Denial: No one would like to admit unpleasant
realities, which they cannot control. One way to handle such situations is to
deny them.
Co-Dependency
"Co-dependency is an emotional, psychological and behavioural condition that
develops as a result of an individual s prolonged exposure to, and practice
of, a set of oppressive rules which prevent the open expression of feeling as
well as the direct discussion of personal and interpersonal problems. In other
words it means being a partner in dependency.
When a person takes to drugs he will not be able to continue his habit for a
long time if somebody is not there to help him to face the consequences of his
action. Without them he would be forced to face the consequence of his drug
habit, before it becomes a case of full-blown addiction.
Reference
1. National Institute on Drug Abuse. (2020, September). Helping someone you care about: How to talk about substance use. https://nida.nih.gov/research-topics/parents-educators
2. SAMHSA. (2020, September 30). Substance Abuse and Mental Health Services Administration. https://www.samhsa.gov/
3. The National Council on Alcoholism and Drug Dependence, Inc. (n.d.). Helping a loved one with addiction. https://ncadd.us/
4. Azrin, N. H., & Powell, J. N. (1968). Behavioral contracting with alcoholics. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9042643/
5. Flinn, M. A., & Garland, A. N. (1988). Family therapy for alcoholism and drug abuse. https://pubmed.ncbi.nlm.nih.gov/22514845/
6. Meyers, R. J., & Smith, J. E. (2000). Clinical handbook of alcohol and drug abuse treatment protocols. Springer Publishing Company.
7. O Farrell, T. J., & Cutter, F. (1978). Taking care of yourself: The complete family guide to alcoholism. New York: Simon and Schuster.
8. Wegscheider, C. (1976). The miracle of change: Overcoming substance abuse and codependency. Hazelden.