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Title: Family process at the point of alcohol rehabilitation : towards a systemic understanding of the transition to recovery
Author: Rosen, Andrea Nicole
ISNI:       0000 0004 5991 0498
Awarding Body: King's College London
Current Institution: King's College London (University of London)
Date of Award: 2016
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Theories of family functioning in the context of problem drinking suggest that the family system becomes organised to differing degrees to accommodate an alcohol dependent member, and this organisation influences the expression of addictive behaviour as well as family process. This interconnectivity means that changes in drinking behaviour have consequences that reverberate beyond the individual into the family space. This project focuses on a very specific point in the life cycle of such families – when the alcohol dependent member enters residential treatment. It aims to understand (1) whether the state of family relationships at treatment entry is associated with patient outcome and (2) whether changes occur in family relationships across the rehabilitation process. Two studies addressed these questions. First, a quantitative study of family process across the treatment and follow-up period was conducted. Alcohol inpatients were asked to complete measures of family and individual functioning before, during and after treatment to detect change in key variables and investigate baseline predictors of outcome. Second, a qualitative interview study explored families' own experiences of residential rehabilitation post-discharge. Grounded theory was used to identify common themes and processes. Results from these studies suggest that the family context is indeed a relevant consideration during residential rehabilitation. Patients’ satisfaction with their family relationships was predictive of treatment drop-out, and families themselves experienced considerable change during the transition to sobriety. In consequence, it is proposed that a more systemic view of alcohol dependence and recovery at point of treatment would benefit both patients and their family members.
Supervisor: Kuipers, Elizabeth Alice ; Marshall, Elizabeth Jane ; Eisler, Ivan Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available