Thursday, January 31, 2013

Sibling Betrayal and Estrangement in Dysfunctional Families

Recently, I found myself sitting with a patient Elsa, who was crying inconsolably in my office. It turns out that her sister had stolen her inheritance out from under her. It wasn't the loss of the money that was devastating her, however; it was the shocking betrayal by her only sibling.

Elsa's sister Joyce had gotten their dying mother to change her will at the last minute, leaving everything to her. Their mother had been ill for a long time and Joyce had found a way to convince their mother that she and not Elsa really needed and deserved the substantial inheritance.

During our session, Elsa kept repeating, over and over, "I don't understand how she could have done this. I don't understand why!" Although they had never been close and in fact, had only seen each-other at family gatherings for the past several years, Elsa didn't think that there was any animosity between them; certainly not enough to cause Joyce to do such an awful thing.

Sibling Betrayal and Estrangement in Dysfunctional Families

Despite the fact that Elsa was utterly confused by her sister's behavior, I understood it all too well, as it was representative of a pattern of sibling behavior that I'd observed many times before. I have heard dozens of similar stories where one adult sibling turns against another, shocking and horrifying the person who never would have expected their sibling to stoop so low. The betrayal was almost always having to do with money of inheritance, and it always arose from a particular type of family dynamic.

Elsa and Joyce had grown up with parents who were extremely involved in the successful family business and very neglectful toward them both. From early on, the girls had had to learn how to fend for themselves. Elsa was older than Joyce by two years and had taken almost a parental role with her, helping Joyce with her homework and listening to Joyce's hopes and fears. Despite this, they weren't really close while growing up; having very separate activities and groups of friends.

When they married, they grew even further apart but were always cordial when they saw each-other at family holidays and events. This is why Elsa was so surprised by Joyce's seemingly inexplicable behavior around the will. What Elsa couldn't know is how the siblings of dysfunctional families tend to end up at odds with each-other.

A dysfunctional family is one in which there is either abuse, neglect or both going on. The adults may not get along and might expose their children to terrible arguments or even physical fights. Conversely, the parents might be allies who care for and protect each-other at the expense of their children.

In a dysfunctional family, the parents are inadequate or abusive. As a result, there is not enough love available for the children. Sometimes there's no love at all. This sets up an unconscious competition between the children for whatever love might be available. During childhood, one child might ingratiate themselves to one or both parents in an attempt to get some attention from them. They are simply doing their best to survive in an environment deficient of the emotional necessities of life.

Joyce was one of these children. Despite professing to Elsa on numerous occasions how much she despised her parents, around them she was sweetness personified. Elsa had a different way of coping, preferring to find emotional support from her teachers at school, her friends and her extended family.
When they grew up, Joyce maintained more of a close connection with her parents, while Elsa had moved to a different city and had pursued fulfillment in her new family and in a meaningful career.

What Elsa didn't realize, as she was getting on with her life, was that Joyce was secretly resenting her for having received more than her fair share of their parents' love. Although this was in no way true - neither girl had received any love, really - Joyce had convinced herself that since she hadn't been adequately loved, Elsa must have been the one receiving all the love in the family.

Psychologically, this phenomenon can be explained by the fact that even for an adult, it's extremely painful to face the truth that your parents didn't love you (enough). It's easier to blame your sibling, accusing them of taking all of the available love and leaving you with nothing. Paradoxically, it's the individuals who were doing their best as children to curry favor who most often feel this way, as opposed to the ones who were looking for emotional fulfillment elsewhere.

In a dysfunctional family where none of the children are getting their emotional needs met, there is often one child, like Joyce, who tries their best to get their parents to pay more attention to them. This child sets up a competition between themselves and one or more siblings. Even if the other siblings are unaware of the competition, they've been entered into it by default. Every time the actively competitive sibling (Joyce) fels deprived of love, she imagines that her passive competition (Elsa) has stolen it from her.

The problem is that no matter what, currying favor with the parents is a no-win proposition: if the parents ignore the child then she feels even more hurt and deprived of love; if the parents do give the child more attention the child nevertheless feels deep-down inside that still, there is no actual love coming to them but rather, attention born of parental self-interest.

Joyce had (consciously or unconsciously) decided that since she'd never felt loved despite all her attempts to get love, it had to have been Elsa who'd received all the parental love. The resentment percolated within her over many years until their father had passed away and their mother lay dying in her hospice bed. Elsa hadn't visited very often because when she did, her mother talked only about how wonderful Joyce was. It was clear to Elsa that she and her mother had no relationship and apart from doing the right thing by visiting her occasionally, Elsa had no interested in spending time with a virtual stranger.

No matter how much their mother praised Joyce and ignored Elsa, however, Joyce felt like the deprived child and saw Elsa as the "spoiled" one. Elsa, on the other hand, because she had given up on really getting any parental love years ago, didn't feel like she was competing with Joyce, and although somewhat estranged from her, felt no resentment or hostility toward her sister.

Paradoxically, the child who is more able to recognize that her parents don't have enough (or any) love to give is the one who ends up somewhat better off, because they're not constantly frustrated in their attempts to get it, and aren't expending energy, vying with their sibling(s) for it.

When her last remaining parent was dying Joyce went into a panic. The prospect of losing her mother also meant losing her last chance to finally obtain parental love. Her anxiety quickly turned to desperation, and her brewing resentment toward her sister finally erupted in her betrayal of Elsa.

Money most often is the substance which becomes the substitute for parental love, and it was no different for Joyce. At the prospect of losing the chance of ever receiving her mother's love, she unconsciously transferred her need for parental love onto the need for parental money. In her desperation for love, she found a way to talk her mother into giving Joyce the money. Taking all of it was meant to psychologically remedy her feelings of deprivation and jealousy toward her sister.

Unfortunately, this too is a no-win situation. Elsa feels deeply hurt and even more disconnected from her sister, and Joyce, whether she realizes it or not, will never find happiness or fulfillment with her mother's money. In reality, there's no way that it could compensate for the love that was never there.

In a dysfunctional family where the natural resource of love is scarce or absent, the children end up in a competition by default for this necessity of life. This turning of erstwhile allies and best friends into competitors is sadly, the inevitable outcome of the dysfunctional family, and the classic low point usually comes when the last chance for love is about to disappear.

In a panic, the actively competitive adult child (in this case, Joyce) enacts a terrible betrayal upon her passive competitor (Elsa), stealing the money which has come to stand in for the lost love. The betrayal serves to destroy whatever tenuous connection might have been there, alienating the siblings forever.

This tragic outcome demonstrates that the legacy of the dysfunctional family is not just the emotional trauma caused by parental abuse or neglect but also and significantly, a toxic disruption of the normal loving bonds that siblings would otherwise share.

(C) Marcia Sirota MD 2010

Sibling Betrayal and Estrangement in Dysfunctional Families
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Sunday, January 27, 2013

Inexpensive Christmas Gifts - Four Great Gift Ideas That Your Friends and Family Will Love

The Christmas holidays are just around the corner! It's a wonderful time to share with family and friends, but it is also a time of stress for many people because of the pressure of the expectations of giving expensive gifts.

When you are shopping for Christmas gifts it helps to have a budget and a plan to follow to alleviate spending too much. There are many thoughtful inexpensive Christmas gifts that can be given to family and friends that will be remembered for years to come. The following gifts are inexpensive and will easily fit into any budget:

1. DVD's-This is a great gift for any age group. Many popular DVD's can be purchased for less than , with some stores selling great titles for 4 for .00. Consider such titles as Kung Fu Panda, Wall E, or I Am Legend. Pair your choice up with some microwave popcorn, chocolate covered raisins, and a cozy blanket and your gift will long be remembered for its thoughtfulness.

Inexpensive Christmas Gifts - Four Great Gift Ideas That Your Friends and Family Will Love

2. A magazine subscription is a gift I would love to receive! For the readers in your life, this is the perfect gift. It keeps on giving long after the bustle of the holidays and you can find many great titles for under .00. Some great titles to give would be Better Homes & Gardens, Family Fun, Ranger Rick, or Oprah. The possibilities are endless because there are magazines for every interest.

3. CD's are very popular with the younger crowd. You can make the young person in your life very happy by finding out their favorite artist and purchasing the CD or MP3 from Amazon or iTunes. This time of the year you can get many top sellers at awesome prices.

4. Gift Cards-Sometimes these are seen as impersonal and a little too easy. I think they are wonderful because they take the pressure off the person giving the gift and the receiver can purchase what they really want and not have to deal with returning an unwanted gift. I love gift cards from Walmart, Overstock.com, Amazon.com, Sears or Visa. Some offbeat gift cards that would enable the recipient to try something new would be Starbucks, Cooks.com, or Williams-Sonoma.

Purchasing inexpensive Christmas gifts does not need to cause any headaches this season. There are many great gifts that can be given that won't strain the budget that will be loved by family and friends.

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Wednesday, January 23, 2013

Family Dynamics of Addiction and Recovery - What to Do When Your Child Relapses Just After Treatment

When your young adult or adolescent offspring is exhibiting all the symptoms of using again after just leaving the treatment center, there are some things you can do. If in your child's discharge planning, s/he was planning to return to the family home, you, the addict, and the treatment team, probably developed a formal relapse contract before discharge. This contract spells out parental expectations in regard to continuing recovery behavior in exchange for being allowed to live in the family home (and any other benefits identified). If you didn't do that before s/he left treatment, you can still do that. A behavioral relapse contract and its contents is not about punishment. It is about setting and maintaining appropriate structure and boundaries that can assist the newly recovering person to stay on the path to recovery, and once off that path, to return to recovery quickly.

Parents who believe that their child is once again using should consider drug testing him or her to remove all doubt and to cut down on the denial and protestations of innocence. A home test kit for a wide range of drugs can be purchased at your local drug store. Or the parent can send him/her to the local hospital or health department for a urine drug screen. When you confront her/him about using, chances are very good that s/he will deny it. If you have results from a urine screen, it is more difficult for the addict to argue you out of the truth.

If your child is living in the family home, you are probably allowing him/her the use of your house, your car(s), your television, your cell phone, etc., any of which, may have motivational meaning to him/her. If that is the case, with your positive UA, you can construct a behavioral contract that spells out concretely the consequences of future relapse.

Family Dynamics of Addiction and Recovery - What to Do When Your Child Relapses Just After Treatment

A relapse contract should have the following elements:

1. That in exchange for living in the family home, along with room, board, (whatever else is involved), the alcoholic/addict agrees to maintain abstinence from any and all mood altering drugs, including alcohol (with possible exception for psychiatric medications prescribed by a psychiatrist).

2. That if a relapse does occur, the addict agrees to go back to inpatient treatment, a half-way house, or some other therapeutic facility, that you have pre-agreed to.

3. That as a consequence to the present relapse, that s/he will lose privileges to the car, television, cell phone, etc. (whatever you think is appropriate and whatever has meaning to him/her) for a specific amount of time, or until parents have seen a change in behavior and attitude indicating that s/he is once again on a recovery path. (The criteria should be observable behavioral change).

4. That additional structure will be implemented to assist the newly recovering person to regain abstinence and maintain it. Such additional structure could be a specific number of 12 step meetings a week, random urine analyses, a curfew, day treatment, outpatient counseling (whatever you think is appropriate at this time).

5. That should relapse re-occur that the patient may lose his/her privilege to live in the family home.

The parents get to decide what they are willing to live with and what they are not willing to live with. If you have a "bottom line" that says that you will not tolerate an addict in active addiction living in your home, you can put that in your contract. If you cannot uphold this bottom line if and when relapse occurs, it is not a "bottom line", and merely a threat. Threats are not useful and in fact, make matters worse. If you have a bottom line, name it. If not, don't say it. The contract should be written out, signed and dated by all parties. If your "child" is an adolescent, you cannot "abandon" him/her. So, if your child forfeits living in the family home by continuing to drink/use, you must find him/her an alternative place to live. A more structured therapeutic environment, including long term inpatient treatment, halfway house, or other youth facility. If you do not have the financial means for such a facility, a local community mental health or chemical dependency treatment center will have the names and phone numbers of programs that have state contracts and a sliding scale.

Parents can and should begin to go to Al-Anon on a regular basis, and find a sponsor that has dealt with chemical dependency of a child (or adult child). Look for a local "Parents Helping Parents" support group. Look in your local Sunday Paper under clubs, organizations, or meetings. If your local newspaper does not have such a section, call a local chemical dependency treatment center and ask them when and where the meetings are. Or you can always do an internet search and find an Al-Anon meeting that way.

Learn everything that you can about addiction and remember that it is not your fault. All parents feel guilty, regardless of whether they have a chemically dependent child. Remember that you did not cause it, that you cannot control it, and that you cannot fix it. It is up to him or her. Remember too, that alcoholism and other drug addiction is an illness. It is not something that they are deliberately trying to do to destroy themselves and the family.

Learn about family dynamics of addiction and recovery and learn what you can do to stop enabling and allow the addict to suffer the natural, negative consequences of his/her addiction, so that s/he will become motivated to change. You can provide resources that assist him/her in changing (i.e., treatment, ride to meetings, reading materials, etc.), but you cannot make them change. You could also provide them the resources to continue to drink and use, and to continue their downward spiral in addiction (i.e., bailing them out financially, legally, socially, etc.). Although it is harder for family members to stop enabling, it is better for the recovering person's recovery.

Family Dynamics of Addiction and Recovery - What to Do When Your Child Relapses Just After Treatment
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There are many things about addiction and recovery that are counterintuitive. The best thing that family members can do to assist their loved ones in their recovery efforts is to gain as much information and knowledge about addiction as possible. There is a great deal of information about individual and family dynamics of addiction and recovery on my website, along with helpful links to other websites and information sources, a recommended readings page, and an "Ask Peggy" column. Click here to purchase my ebook, Understanding Cross Addiction to Prevent Relapse * http://www.peggyferguson.com/ServicesProvided.en.html"

Check out my website or sign up for my newsletter here * http://www.peggyferguson.com

Peggy L. Ferguson, Ph.D., LADC, LMFT, Licensed Alcohol/Drug Counselor, Licensed Marriage/Family Therapist, Author, Trainer, Consultant.

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Monday, January 21, 2013

Causes and Effects of Dysfunctional Family Relationships

To raise a healthy child requires consistent reliable diligence, love, kindness, effective communication and the ability to apply reasonable parameters and boundaries of discipline in the home. Understandably, financial and emotional provisions are standard necessities if one is to raise a balanced family and have a reasonable lifestyle. When parents repeatedly fail to deliver their roles with awareness and sensitivity to each member of the family, the family unit may become unbalanced. Difficult behaviours may result in one or all of the family members. Dysfunctional relationships occur and are maintained when the action and communication lines are continuously breeched and broken and cannot be restored for the benefit of each party.

The infant is designed positively at birth to receive a level of quality nurturing from its biological care givers. Apart from the infant's absolute dependency, all infants come into this world with physiological and emotional needs that ought to be considered responsibly and lovingly as they grow and develop. The family environment that parents create plays an important role in determining how an infant will be raised and whether it will be a well adjusted child, teenager and finally, a responsible adult, who in turn will rear its own well orientated family.

Long term deprivation, neglect or abuse of specific needs (caused by insensitive parenting roles), are able to affect a child's development, emotional responses and personality formation. These behaviours will readily transfer from parents to their offspring. If dysfunctional role modelling and communication have occurred within the family without any intervention and no behaviour modifications are managed in the individual's lifetime, the transmission of these behaviours is probable and will very likely prevail into the next generation.

Causes and Effects of Dysfunctional Family Relationships

Frequent displays of negative (or absent) communication and behaviour, by one or more persons within the family, which are ultimately difficult for the family members to cope with, will seep into the family, creating a dysfunctional set of relationships. Each individual in the family may encounter a level of reaction while relationships spiral and change into a fixed pattern of responses that deal with what they are experiencing. These burdening moments defy the norm. Families may be openly oblivious of these events and may accept the havoc as it comes because this is what they are used to, while others unused to the change may grasp for unusual coping mechanisms or hopefully, realistic and humane solutions to avoid their re-occurrence.

All families experience their unique troubles and problems at some stage or another. In all fairness, these events should pass. We all know this. Life in this millennium is not designed to be a straight line without hitches and bumpy rides now and again. However, when problems re-occur frequently in the home, parents need to be aware of them and pay attention to their remedy if they are to avoid permanently dysfunctional relationships within the family.

Symptoms that may be the cause or effect of the dysfunctional family may include one or more of these consistent behaviours:

- Difficult parents without adequate flexibility and insight
- Absent parenting style (there, but not there)
- Ridicule or belittling, or over-criticizing
- Prejudice towards one or more family members
- Mixed feelings of love and hate
- Faulty communication
- Lack of attentiveness to issues of importance (brush off, downplay or avoidance)
- Lack of care or concern for the needs of another (absent care or denial)
- Lacking in the ability to empathise with children, siblings or parents
- Dual values and double standards, or lack of clear boundaries
- Diminished ability to make decisions
- Over-interest or micro management of one member or the entire family
- Insensitivity towards other family member(s)
- Emotional intolerance
- Emotional outbursts
- Emotional insecurities
- Depression, deep rooted anxiety and feelings of gloom and despair
- Childish behaviours in adults
- Poor self image and worth, or lack of sufficient self identity
- Controlled/contrived speech or stifled speech
- Verbal abuse which others must tolerate
- Sexual or physical abuse that other members must accommodate
- Overworked family environment lacking any family fun (workaholic - no recreation)
- Perfectionist behaviours, over-demanding parents or children
- Disowning behaviours of parents or children
- Isolation or inadequate socialising with others
- Narcissistic parents or children
- Rule-by-fear parenting
- Bullying (to re-gain the upper hand)
- Growing up too fast because of advanced roles
- Reduction of roles and responsibilities caused by over protectiveness

Causes and Effects of Dysfunctional Family Relationships
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