Abstract
Being a child of an alcoholic (COA) is neither a diagnosis nor a psychosocial death sentence. Neither alcoholic families nor COAs are monolithic. A variety of factors converge in developmental trajectories resulting in diverse individual outcomes. Supportive relationships with non-substance using parents and siblings and appropriate levels of parentification all may enable a significant proportion of COAs to enjoy high self-esteem, lack of problematic substance use, and good adaptive capability. Therapists and clients should refrain from looking at COAs through a deficit framework and instead should look for evidence of relational resilience in alcoholic families of origin. Such strengths-based assessments will increase therapeutic leverage with COAs seeking treatment for a range of presenting problems.
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Walker, J.P., Lee, R.E. Uncovering Strengths of Children of Alcoholic Parents. Contemporary Family Therapy 20, 521–538 (1998). https://doi.org/10.1023/A:1021684317493
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DOI: https://doi.org/10.1023/A:1021684317493