Transcript They Fuck you Up, Your Mum and Dad

“They fuck you up, your mum and dad.”
Ron McKechnie
Dumfries
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“They fuck you up, your mum and dad.
They don’t mean to but they do.
They fill you with faults they had
And add some extra, just for you.
Larkin 1971
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
They fuck you up , your mum and dad.
And your siblings
And your relatives
And your partner
And your culture
And your country
And your helping agency
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
BASIC ASSUMPTIONS
Drinking is normal
Attracts approval
Not drinking attracts disapproval
Sobriety a problem
Drinking is a wilful act
Drinking (intoxication) is an
“element in a social commumication
system”
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
1967 Undergraduate (25) Pd Wives
1972 Marital Patterns in Alcoholic
Marriages
My Man From Malta
Symbiosis
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
Factors associated with substance use in
ESPAD 2003
Living with one parent / Living with step-parent
Parents not knowing where you are Saturday nights
Truancy
Elder sibling substance use
Not liking school
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
Correlations Between European Countries
Well Being
Total
Risk
Cigarettes
Drunk<2
Cannabis
0.4754
Sig >0.05
0.3079
Not Sig
0.3000
Not Sig
0.3368
Not Sig
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
FACTORS ASSOCIATED
WITH GOOD OUTCOME
Family involvement
Community Reinforcement
Characteristics of partner
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
SPONTANEOUS RECOVERY
Changes in Relationships
Change in Employment Status
Conversion Experiences
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
RELAPSE PREVENTION
Triggers and Cues
Coping Strategies
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
HAVE THOUGHT OF THESE AS
UNIDIRECTIONAL
CONSIDER THEIR INFLUENCE
IN THE OTHER DIRECTION
DO THEY CREATE/ENCOURAGE THE
DRINKING IN THE FIRST PLACE?
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
FAMILY ARE NOT INNOCENT
BYSTANDERS
NOT JUST A
FUNCTIONALIST/SYSTEMIC
MODEL
CENTRAL CORE IS LOSS OF
PERSONHOOD
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“To the Iroquois, intoxication meant
not flight, but search;
not escape but fulfilment;
not loss of self,
but discovery of self.
It was a positive spiritual
experience.”
Morris E Chafetz LIQUOR the servant of man 1965
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“I Drink
Therefore I am”
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
More Assumptions
Identity Projects
Constructing ourself/selves
Product of interaction with others
and our other selves
Repertoire of selves and drinking styles
Invisibility/Oblivion
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
EVIDENCE FOR CENTRALITY OF LOSS
OF PERSONHOOD l
Childhood Studies
Familial Transmission
Egocentrism
Assortive Mating
Narrative Studies
“Invalidating Environments”
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
EVIDENCE FOR CENTRALITY OF LOSS
OF PERSONHOOD ll
Depression and Alcohol Problems
Interactional Nature of Depression
Abuse and Alcohol Problems
Alcohol Use in Oppressed Nations
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
LOSS OF PERSONHOOD l
Second Class Citizens
Drinkers Tell Lies
What Do You Expect of the Sick?
Locus of Control
Learned Helplessness
Third Abstainers Become Depressed
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
LOSS OF PERSONHOOD ll
Can’t Help It!
Not Responsible
Ignore Them
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007

“An ‘alcoholic’ is a person who has been
subjected to social control processes,
which both discredit him and assign him
to a particular role which may prove
irreversible; ‘alcoholic’ is also a
stigmatising label applied by the most
powerful to the less powerful in order to
justify exercising social control.”

Sargeant M. Drinking and Alcoholism in Australia: a Power Relations Theory
Longman

“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
TRANSACTIONAL ANALYSIS
“Alcoholic is a game, and people who play
the game appear to be struggling for the
survival of their Real Self on the basis of
‘I’ll stay alive even if it (alcohol) kills me’
or ‘I’ll stay Sane even if I have to go
crazy (get drunk) to do it’.
So alcoholics are people who use alcohol
as part of their Game; it is the tool, as it
were – others use sex, money, food,
power, and knowledge.” Gledhill C (1979)
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
THE DANCE
The Drinking
The Attention
Choice of Battlefield
Loss of Personhood
Dynamics of Sustained Drinking
End Game?
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
SYSTEM THEORY PRINCIPLES l
1.
Family interactional behaviour during
drinking is ‘highly patterned’ (Steinglass
1976) and very different from sober family
behavior.
2.
Alcoholism should be viewed with an eye to
determining how it effects the interactional
life of the family, rather than the intrapsychic
or social functioning of the alcoholic.
Paolini and McCrady 1977
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
SYSTEM THEORY PRINCIPLES ll
3. Alcoholism serves as an organising
principle for interactional life within
these families (Steinglass 1976)
4. Alcoholism produces predictable if not
enjoyable patterns for the family, and
therefore serves a stabilizing function.
Paolini and McCrady 1977
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
SYSTEM THEORY PRINCIPLES lll
5. The family should be the patient
6. If the therapist does his assessment
properly, he will identify adaptive
consequences of the drinking which
maintain it regardless of the original
etiology of the problem.
Paolini and McCrady 1977
The Alcoholic Marriage: Alternative Perspectives
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
Brideshead Quotes predate Systems
theory
Knots
Perceptual Adjustment Therapy -Filters
Walters Escaping the Journey-Unmet
Need
Badge
Resilience
ESPAD meets Unicef
AA Cartoon
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
RESPONSIBILITY and BLAME
Intention
Foreseeablity
Control
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007
Socio-Cultural Theories of Alcoholism
Holocultural
Anxiety Relief, Dependency Conflict
Personal Power
Sociocultural
Attitude to Alcohol/Drinking
Proscriptive
Prescriptive
Permissive (Ambivalent and Over Permissive)
Integrated/Unintegrated
“They fuck you up, your mum and dad.”
Ron McKechnie
Unhooked Thinking
Bath 2007