Background: A wealth of quantitative literature exists exploring the impact of parental alcohol misuse on adult and child offspring. It is often proposed that children of alcoholics are at risk of experiencing a host of negative outcomes, many of which are said to persist into adulthood. Confusing and contradictory results have led researchers to identify a subset of offspring deemed to be resilient. Little remains known about the factors that influence who becomes negatively affected and who becomes resilient, or how these factors are experienced by individuals. The recent up rise of qualitative methodologies also suggest this divide is not clear, with offspring of alcoholics demonstrating a range of functioning. Aim: With this in mind, the current study aims to explore the lived experience of adult children of alcoholics to gather a richer understanding of how these individuals develop into the people they are today. Method: Semi-structured interviews were conducted with six individuals who grew up with at least one alcoholic parent. Interpretative Phenomenological Analysis was used to analyse verbatim transcripts. Results: The analysis produced four master themes. These were: ‘Dealing with the loss of connection to parents’, ‘Feeling hopeless and helpless’, Struggling to stay sane’ and ‘I know who I want to be more than I know who I am’. The master themes and corresponding subordinate themes are discussed in relation to the relevant literature. Clinical implications, methodological considerations and directions for future research are also presented. Conclusions: This study provided insight into the lived experience of being an adult child of an alcoholic. It highlighted the challenges and struggles they faced in childhood and the ways in which they battled to overcome the difficulties they experienced to forge a preferred identity in adulthood. It also emphasised the importance of perceived parental rejection as the pathway to causing distress and the desire to be better than their parents as a pathway to resiliency.

Difficulties developing and maintaining intimate relationships are often attributed to adult children of alcoholics (ACAs). However, the focus of the literature has been on those obtaining psychological treatment and has primarily involved clinical impressions. The purpose of this study was to examine intimacy in the close friendships and love relationships of ACAs. Autonomy and intimacy in respondents' families of origin were also analyzed. Comparisons were made between ACAs currently in (n = 59) and not in (n = 53) therapy, and comparisons who had (n = 48) and had not (n = 77) received therapy. Alcoholics were eliminated. It was hypothesized that ACAs would score significantly lower than comparisons on love and friendship intimacy and autonomy and intimacy in their families of origin. Among the ACAs, those in therapy would score lower than those not in therapy. Hypotheses were tested using MANOVAS. ANOVAs were administered where there were significant differences, and Newman-Keuls contrasts further delineated the divergence. Multiple regression analyses were conducted to obtain explanatory data. The two ACA groups seem to represent distinct populations with those not in therapy failing to report intimacy differences previously ascribed to them. While all of the groups were similar in friendship closeness, only the ACAs in therapy had significantly less intimacy in love relationships. Furthermore, clinical ACAs differed from the other groups by having less family of origin health, more physical and sexual abuse, more maternal drinking, more depression, and more suicidal thoughts and behaviors. Family of origin health predicted intimacy in a love relationship. Family characteristics encompassing honesty, empathy and respect, which may or may not involve alcoholism, seemed to create an atmosphere of faulty parenting in the ACA clinical group which may have subsequently affected the child's intimacy in a love relationship. Results of the study support a developmental model and demonstrate the importance of including nonclinical ACAs as well as clinical comparisons in future research.

The subject of this thesis is resilience of children from alcoholic families, with an emphasis on relational resilience. The theoretical part deals with systemic view of the family, alcoholism as a family illness and difficulties of children, resp. adolescents from such families. The subsequent chapter studies the theme of resilience, protective factors with regard to social ties, and proceeds with relational resilience, applied in the empirical part. The final part of the thesis is dedicated to health in the context of subjectively perceived life satisfaction. The empirical part, based on qualitative research, consists of methods: documents analysis, work with timeline, family map, semi-structured interview, SEIQoL questionnaire. The sample consists of adolescents from alcoholic families, attending a therapeutic program, selected by CAST questionnaire. The obtained data are analyzed for occurrence of relational resilience within each respondent, composed into case studies. Results of the study show that all respondents reported incidence of all items of relational resilience. The first and most frequently mentioned person in relation to the items was female therapist of the program; the most common community is the therapeutic group. We did not find any gender differences in the items incidence....

This study examined the relationships of adult attachment, locus of control, and fear of intimacy between adult children of alcoholics (ACOAs) and non adult children of alcoholics (NACOAs). A convenience sample of 224 participants, specifically 108 ACOAs and 116 NACOAs, completed the Experiences in Close Relationships-Revised Questionnaire (ECR-R), Rotter's Locus of Control Scale (LOC), and the Fear of Intimacy Scale (FIS). Participants were drawn from self-help groups, gatherings, and a health fair held in Palm Beach County, Florida. Data were analyzed utilizing multivariate analysis of variance (MANOVA), series of analyses of variance (ANOVA), stepwise regression analyses, discriminant function analysis, in addition to correlational analyses. ... ACOAs demonstrated insecure, fearful avoidant attachment patterns, an external locus of control, and greater fear of intimacy. In contrast, NACOAs exhibited secure adult attachment, an internal locus of control, and lower fear of intimacy. This study lends empirical support to clinical practice pertaining to the constructs of adult attachment, locus of control, and fear of intimacy in ACOAs and NACOAs. / by Raffaela Peter. / Thesis (Ph.D.)--Florida Atlantic University, 2012. / Includes bibliography. / Mode of access: World Wide Web. / System requirements: Adobe Reader.

<p>There are many children in Sweden today, approximately 200 000, who have parents or a parent that abuses alcohol or other drugs. The aim of this study was to investigate how group leaders in support groups for children with addicted parents relate to this sort of support groups. What are their advantages and disadvantages, according to the group leaders?</p><p>The method used was qualitative and the empirical material was collected through group interviews. We have interviewed eight persons who are social workers and the interviews were carried out at three work places. The analysis of the material takes a survey of previous written literature as the point of departure. The theoretical framework was eclectic, combining a child perspective with a holistic approach to the situation of children with addicted parents. The interview material was interpreted with the help of hermeneutic theory. Furthermore, Antonovsky’s salutogenic theory, system theory and theory on social change have been used in the analysis.</p><p>The analysis shows that the group leaders’ position is that children that have parents or a parent, who abuse alcohol need support groups. The group leaders of support groups bring up that the most important thing for these children is to have other children that they can talk to and trust. However, it was clearly more difficult for the interviewees to discuss possible disadvantages. Drawing upon a holistic perspective, we argue that one disadvantage is how group leaders see children as individuals instead of seeing the family as a whole and the need to deal with the children’s main problem, their parents’ addiction. We also discuss the fact that it seems as if a case worker with overall responsibility rarely monitors the child’s situation. Drawing upon theories on social change we argue that although support groups may empower children to some extent, support groups cannot in themselves be regarded as a way of creating social change.</p>

There are many children in Sweden today, approximately 200 000, who have parents or a parent that abuses alcohol or other drugs. The aim of this study was to investigate how group leaders in support groups for children with addicted parents relate to this sort of support groups. What are their advantages and disadvantages, according to the group leaders? The method used was qualitative and the empirical material was collected through group interviews. We have interviewed eight persons who are social workers and the interviews were carried out at three work places. The analysis of the material takes a survey of previous written literature as the point of departure. The theoretical framework was eclectic, combining a child perspective with a holistic approach to the situation of children with addicted parents. The interview material was interpreted with the help of hermeneutic theory. Furthermore, Antonovsky’s salutogenic theory, system theory and theory on social change have been used in the analysis. The analysis shows that the group leaders’ position is that children that have parents or a parent, who abuse alcohol need support groups. The group leaders of support groups bring up that the most important thing for these children is to have other children that they can talk to and trust. However, it was clearly more difficult for the interviewees to discuss possible disadvantages. Drawing upon a holistic perspective, we argue that one disadvantage is how group leaders see children as individuals instead of seeing the family as a whole and the need to deal with the children’s main problem, their parents’ addiction. We also discuss the fact that it seems as if a case worker with overall responsibility rarely monitors the child’s situation. Drawing upon theories on social change we argue that although support groups may empower children to some extent, support groups cannot in themselves be regarded as a way of creating social change.

Thesis (Ph. D.)--Virginia Polytechnic Institute and State University, 1991. / Vita. Abstract. Includes bibliographical references (leaves 131-151). Also available via the Internet.

This thesis encompasses studies that examine autonomic reactivity and neuropsychological function in preadolescent boys who are at-risk for developing alcoholism and conduct disorder. The literature suggests an association between cognitive impairments and behavioural undercontrol, and that autonomic hyperreactivity may facilitate the use of alcohol to dampen stress. Thus, either factor may contribute to early alcohol use. In the first study, preadolescent sons of male multigenerational alcoholics were found to be cardiovascularly reactive during cognitive stress, and impaired on tests of executive function. Furthermore, reactivity was correlated with anxiety, and executive function deficits with conduct problems. In the second study, reactivity during a laboratory aggression task was monitored and cognitive functions (attentional or memory processes and executive functions) were assessed among aggressive boys rated as disruptive, or anxious-disruptive. During the aggression task, anxious-disruptive boys, unlike disruptive boys or controls, moderated their aggression when their opponent engaged in retaliatory behaviour. Anxious-disruptive boys were more highly aroused throughout the task, and the neuropsychological assessment found they were impaired on tests of executive function, independent of attention and memory. In the third study, anxious-disruptive boys exhibited greater cardiovascular, electrodermal, and muscle tension reactivity than disruptive or control boys during cognitive stress, while disruptive boys were electrodermally underaroused. These studies suggest it is possible to delineate specific neuropsychological profiles among at-risk youth, using either a behavioural genetics model, or selecting for personality traits. There were consistent autonomic reactivity patterns across tasks among groups defined by similar behavioural profiles. Thus, while cognitive impairments and hyperreactivity may comprise a vulnerability among sons of alcoholics, thes

Theoretical speculation implies Adult Children of Alcoholics (ACOAs) are drawn in disproportionate numbers to caretaking occupations. This study compared the prevalence of ACOAs between nursing and noncaretaking occupations. A cover letter, demographic questionnaire, and Children of Alcoholics Screening Test (CAST) were distributed to a random sample of 196 registered nurses and 184 noncaretaking employees at a large metropolitan hospital. Seventy-nine nursing and 104 noncaretaking occupations respondents completed the questionnaires.Comparison of demographic data for nursing and noncaretaking occupations revealed similar composition regarding age, number of marriages, and race. There were more male, divorced, widowed, and first born respondents in noncaretaking occupations than in nursing.ACOAs were identified in 21.5% of nursing respondents and 19.2% of noncaretaking occupation respondents. Chi-square showed no significant difference between the proportion of ACOAs in nursing and noncaretaking occupations at the .05 level of confidence. Thus, the null hypothesis was not rejected. This study found ACOAs are not drawn in disproportionate numbers to nursing. / School of Nursing

Thesis (D. Min.)--Denver Seminary, 2000. / Includes bibliographical references (leaves 141-148).