1. Which of the following is NOT one of the shifts in relationship patterns following marriage as described in your text?
a. Alcohol abusers tend to drink less after marriage.
b. Husbands tend to discontinue time spent with friends whose alcohol use does not correspond with their own.
c. Husbands tend to spend more time with their partners.
d. Most people with AUD find that their mates have similar alcohol use patterns as their own.
2. What is the term used to describe the level of emotional growth or maturity achieved by an individual?
a. Codependency
b. Differentiation
c. Parentification
d. Stabilization
3. WhichofthefollowingisNOToneofthe“rules”commonlyenforcedinfamilieswithSUDs?
a. Don’ttrustanybody.
b. Don’thavefeelingsabouttheproblem.
c. Don’tfeelresponsiblefortheabuser.
d. Don’ttalkabouttheproblem.
4. Whichofthefollowingisdescribedasa“weapon”commonlyusedinfamilieswithSUDsasawaytotrytocontrol
other members?
a. Guilt
b. Differentiation
c. Conditional love
d. All of these answers
5. Which of the following interventions helps family members learn to deal effectively with an addicted family member?
a. Rational relationship training
b. Tough love training
c. Cognitive behavioral training
d. Coping skills training
6. What term is used to describe the notion that most people are incapable of coping with difficult life issues without the
help of a professional?
a. Freudism
b. Differentiation
c. Therapism
d. Cognitivism
7. Which of the following is NOT a characteristic of adult children of alcoholics purported by the ACOA movement?
a. Adult children are loyal to no one.
b. Adult children judge themselves harshly.
c. Adult children have trouble having fun.
d. Adultchildrentendto“selfsabotage.”
8. It has been estimated that __________ children in the U.S. live in a home where at least one parent has an active
substance use disorder.
a. 7 million
b. 10.3 million
c. 9.6 million
d. 11.8 million
9. Because substance use disorders alternate between periods of active use and abstinence, it has been suggested that
the number of children who are growing up in a home where one or both parents have a substance use disorder in
the U.S. is around
a. 14 million.
b. 30 million.
c. 19 million.
d. 25 million.
10. According to your text, the lowest level of intimacy between partners is when
a. only one partner has an active alcohol use disorder.
b. both partners have similar levels of alcohol abuse.
c. there are children younger than 5 in the home.
d. the marital partners have different shifts to work.
11. Theroleaperson’ssubstanceuseplaysinhisorherchoiceofmaritalpartnersis
a. exaggerated by most textbooks.
b. considerable.
c. counteractedbytheinfluenceofeachspouse’sextendedfamily.
d. normally not a factor in spouse selection.
12. During courtship and the first year of marriage
a. many alcoholics strive to limit or hide their drinking disorder.
b. the non-alcoholic spouse is too enamored to notice the warning signs of an impending alcohol use disorder.
c. the non-alcoholic spouse is so focused on building a good home that he or she does not notice the other
person’salcoholusepatternhasincreasedtodangerousorunhealthylevels.
d. the non-alcoholic spouse is so focused on finding a job that will accommodate his or her new lifestyle that he
or she overlooks the warning signs of an alcohol use disorder.
13. In support of the pseudo-stability found in homes where one parent has a substance use disorder
a. important roles within the family are strongly adhered to.
b. the excitement of never knowing how the addicted person will behave becomes a source of entertainment for
the family members.
c. parental roles are often left unfulfilled, unless others assume those tasks.
d. both parents must still assume responsibility for providing for the safety of their children.
14. Childrenwhobreakthe“notalk”rule,evendecadesaftertheyleavethehome
a. canbeemotionally“expelled”fromthefamily.
b. are re-initiated into the position they used to hold in the family, even if it is to the exclusion of their own
parental roles and duties.
c. become objects of ridicule within the extended family.
d. are encouraged to do so by other, emotionally weaker family members.
15. Extremes of either abuse or parental neglect might predispose the child to all of the following later in life EXCEPT
a. depression.
b. anxiety states.
c. improved self-concept.
d. suicidal gestures.
16. One often overlooked factor that helps to explain the impact of parental substance abuse or addiction on a given
child is the
a. sex of the dysfunctional parent.
b. level of achievement of the dysfunctional child.
c. availability of pets.
d. child’seducationalachievements.
17. Coping skills training
a. aids in the process of confronting the dysfunctional person.
b. helpsinterpretthemeaningofthedysfunctionalperson’sbehaviortothefamily.
c. helps family members learn how to cope with the dysfunctional person and his or her behavior.
d. encourages the formation of alternative addictions that are less destructive to the family, providing a means
for family members to cope with stress.
18. The“adultchildrenofalcoholics”parentmodelpostulatesthat
a. itistheonlyaccurateformulationofhowparentalalcoholismaffectsthechild’sgrowth.
b. the dysfunctional family member frequently attend sessions to learn how others have suffered from their
parents’alcoholism,thusallowingthemtolearnbyexample.
c. manychildrenlearntocopebybecoming“overly”responsible.
d. politicians need to better understand the overlooked problem of parental alcoholism.
19. It is thought that, at one point in the last quarter-century, ________ of the adults in this country were involved in a
self-help group.
a. 10 percent
b. 19 percent
c. 40 percent
d. 30 percent
20. Ithasbeentheorizedthattheeffectivenessofthe“adultchildrenofalcoholics”groupisduetothe
a. size of the group, since larger groups provide more people to share feedback with the afflicted group
members.
b. applicationoftechniquesoncerelegatedtothe“pop”psychologyrealm.
c. willingness of the group members to accept insights offered to them by others in the group.
d. placebo effect.
21. The damage model holds each of the following assumptions EXCEPT
a. dysfunctional homes automatically result in childhood trauma.
b. there are certain characteristics of healthy homes.
c. the child is permanently scarred for life because of trauma in childhood.
d. resilience never is the result of childhood trauma.
22. Ithasbeensuggestedthatthe“adultchildren”movement
a. allowsthe“babyboomer”generationtobaskinthegloryofbeingavictimofselfidentifiedtrauma.
b. encourages the victims of dysfunctional homes to seek professional assistance.
c. takes into account the fact that thousands of generations of children have been raised in dysfunctional homes,
and identifies how each generation suffered.
d. will continue to meet needs of those who suffered in childhood from being raised in an unhealthy home well
into the 21st century.
23. Proponentsofthe“adultchildren”movementsuggestthat_______oftheadultsinthiscountrywereraisedin
“dysfunctional”homes,without________.
a. 80 percent; listing the relative impact of each form of trauma
b. 99 percent; an explanation of the foundation for this claim
c. 96percent;anexplanationofthisclaim’sbasis
d. 79 percent; telling us how to deal with this problem
24. Discussthethree”parentalrules”usedtomaintainasinceofpseudostability.​
25. DiscussthetherapeuticinterventionsavailabletofamilymembersofapersonwithaSUD.​
26. Use the family systems perspective to discuss how the state of the family, whether healthy or dysfunctional, may
affecttheprocessofdifferentiationinachild.​
27. ​Discussthephilosophyanddevelopmentoftheadultchildrenofalcoholics(ACOA)movement.
28. ​Discusssomeofthecriticismoftheadultchildrenofalcoholics(ACOA)movement.
29. Forachild,oneofthemaindevelopmentalgoalsistoemotionallyseparatefromone’sparents.
a. True
b. False
30. Emotional withdrawal, a tactic commonly used by spouses of people with SUDs, is reported to be an effective way
for them to control their partner’s substance abuse.
a. True
b. False
31. A child raised in a home with an SUD may be protected from the full impact of the SUD if there are healthy
parentalalternativesinthechild’slife.
a. True
b. False
32. In spite of protests to the contrary, it has never been proven that growing up in a home where there is parental
alcoholism is sufficient to cause psychosocial problems for a child.
a. True
b. False