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Recovery for the Alcoholic Family: Family Systems Treatment Model

TO TREAT THE ALCOHOLIC FAMILY one must first define the “alcoholic family.” The definition must be inclusive enough to describe the enormous variety of families presenting themselves with alcohol-related issues. It must be comprehensive enough to address the differences found in families with active alcoholic members, recovering alcoholic members, and families whose “drinker” has left the system by death or divorce. Families, all families, are bound together by a “balancing act” referred to as family homeostasis.’ Homeostasis is the complex interactional ebb and flow that maintains stability in the family, even in the face of destabilizing forces. An often-used metaphor of the mobile suggests that families react to destabilizing forces (such as irresponsible use of alcohol) by establishing sequences of behaviors that stabilize the family and thus keep it in balance.;! So, despite the fact that alcoholic behavior should destroy the family unit, many families remain intact over their life span by adjusting their behaviors and maintaining a state of equilibrium. It is possible to interview a family that presents with various other problems and learn