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Q: Adult Siblings of Alcoholics/Addicts ( Answered 5 out of 5 stars,   1 Comment )
Question  
Subject: Adult Siblings of Alcoholics/Addicts
Category: Relationships and Society > Relationships
Asked by: grammatoncleric-ga
List Price: $20.00
Posted: 14 Oct 2003 17:29 PDT
Expires: 13 Nov 2003 16:29 PST
Question ID: 266327
*This question is for pinkfreud-ga*

Adult children of alcoholics (ACoA) display certain personality
characteristics that have been ingrained from young childhood.  These
negative tendencies can take years, and I believe, the grace of God to
work out.

Assuming that adult children of people with other drug addictions
function in a similar way....my question is: can adult siblings who
grew up in the same household as a drug addict whose behavior was not
secret and did impact the home display similar behaviors? 
Intuitively, I assume so, but is there evidence to back this up?

In short:  Do ASoA display similar personality traits as ACoA?

Request for Question Clarification by pinkfreud-ga on 14 Oct 2003 19:01 PDT
Hello, Grammaton Cleric!

Thank you very much for directing this question to me. Unfortunately,
I have been ill for several days, and will not be able to answer your
question in a timely fashion.

I suggest that you open the question to other Researchers. I cannot
speculate on my availability in the near future, and I am certain that
many of my colleagues are capable of providing a satisfying answer to
this thought-provoking question.

Best wishes,
pinkfreud

Request for Question Clarification by nancylynn-ga on 15 Oct 2003 09:52 PDT
Hello grammatoncleric-ga: 

Since my friend Pinkfreud is ill, I can attempt to answer this
question for you, if you'd like. (Since Pinkfreud is an animal lover,
I will donate your fee to the animal shelter of her choice and in her
name, should I answer the question.)

If you prefer, we can just let your question sit until Pinkfreud is
able to work on it.

If you would like me to answer your question, please clarify: do you
mean if a youngster becomes an addict, will his or her siblings be
impacted by this, even into adulthood, in ways analogous to the
problems we see in adult children of addicts, including alcoholics?

Regards,
nancylynn-ga

Clarification of Question by grammatoncleric-ga on 15 Oct 2003 13:38 PDT
Nancylynn,

"If you would like me to answer your question, please clarify: do you
mean if a youngster becomes an addict, will his or her siblings be
impacted by this, even into adulthood, in ways analogous to the
problems we see in adult children of addicts, including alcoholics?"

Precisely.  Thank you for clarifying.  You may go ahead and research the question.

-The Grammaton Cleric

Request for Question Clarification by nancylynn-ga on 16 Oct 2003 03:45 PDT
Hello again grammatoncleric-ga: 

I have begun researching your question.

There are very few studies that involve siblings of addicts, so I've
e-mailed some experts for insight, and additional resources.

I hope to have an answer for you within the next few days.

Regards,
nancylynn-ga
Answer  
Subject: Re: Adult Siblings of Alcoholics/Addicts
Answered By: nancylynn-ga on 18 Oct 2003 11:13 PDT
Rated:5 out of 5 stars
 
Hello grammatoncleric-ga:

I'm doing something I don't normally do: posting a partial (albeit
nearly complete) answer. I've not yet heard back from some of the
experts I contacted and likely won't until next week. When I do hear
back, I'll post their comments as an "Answer Clarification."

Your fascinating question ultimately reveals how little this matter
has been studied: the lingering effects of growing up with a sibling
who is addicted to drugs and/or alcohol.

Based on anecdotal evidence and the puny amount of clinical study done
so far, it seems siblings of addicts are very much analogous to
parents and children of addicts: they suffer feelings of guilt over
their helplessness to stop the addiction once and for all, and a
profound sense of shame and even social stigma (everyone in the
neighborhood -- or town --  knows about your sibling's addiction). The
addict causes a total disruption of "normal" family life, and since
the addicted sibling is always the center of attention, the addict's
siblings are often neglected by parents.

Not surprisingly, given what we now know about genetics (in addition
to environmental factors), siblings of addicts, just like children of
addicts, are prone to developing addiction problems, themselves. See
"Addicted to pleasure - nature of drug addiction":
http://www.globalchange.com/drugs/TAD-Chapter%203.htm

"Sons of alcoholic fathers who are brought up by sober foster parents
are
still eight times more likely to become alcoholics than their fostered
siblings born of a non-alcoholic father. As many as seven out of ten
alcoholics may carry the Dopamine D2 receptor A1 gene, compared to
only one
in five of the general population.The gene is also more common among
cocaine
addicts. It may be linked with other kinds of sensation-seeking
behaviour or
compulsive behaviour . . . "

Even those who grew up in a home with an addict but who don't become
addicts themselves often become "para-alcoholics," in the
substance-abuse vernacular; that is, they take on the characteristics
of an addict.

See this list of "Characteristics of Adult Children of Alcoholics" at
Psychpage.com. Based on anecdotal evidence (cited below), these same
characteristics seem to apply -- *in general* --  to immediate family
members who grew up in a household with an addict:
http://www.psychpage.com/learning/library/assess/subabuse2.htm

"1  Isolation, fear of people, and fear of authority figures
2  Difficulty with identity issues related to seeking constantly the
approval of others.
3   Frightened by angry people and personal criticism.
4   Have become an alcoholic yourself, married one, or both. A
variation
would be the attraction to another compulsive personality such as a
workaholic. . . .
5  Perpetually being the victim and seeing the world from the
perspective of
a victim.
6   An overdeveloped sense of responsibility. Concerned about the
needs of
others to the degree of neglecting your own wants and needs. This is a
protective behavior for avoiding a good look at yourself . . .
7  Feelings of guilt associated with standing up for your rights. It
is
easier to give into the demands of others.
8  An addiction to excitement. Feeling a need to be on the edge, and
risk-taking behaviors.
9  A tendency to confuse feelings of love and pity. Attracted to
people that
you can rescue and take care of.
10  Avoidance of feelings related to traumatic childhood experiences.
. .
Denial of feelings.
11  Low self-esteem. A tendency to judge yourself harshly and be
perfectionistic [sic] and self-critical.
12  Strong dependency needs and terrified of abandonment. . . .
13  Alcoholism is a family disease which often results in a family
member
taking on the characteristics of the disease even if they are not
alcoholics
(para-alcoholics). Dysfunctional relationships, denial, fearful,
avoidance
of feelings, poor coping, poor problem solving, afraid that others
will find
out what you are really like, etc.
14  Tendency to react to things that happen versus taking control and
not
being victim to the behavior of others or situations created by
others.
15  A chameleon. A tendency to be what others want you to be instead
of
being yourself. A lack of honesty with yourself and others."

Research (what little there is regarding siblings) still concentrates
on
genetics and how siblings may influence each other regarding drug use:

The National Center on Addiction and Substance Abuse (CASA) at
Columbia
University published a study in 2002:
http://www.casacolumbia.org/usr_doc/TeenSurvey2002.pdf

Under "Table Of Contents," click on "Siblings: Protectors Or Pushers":
"We found that sibling behavior has a major influence -- for good or
ill --
on a teen's substance abuse risk. An older sibling can be a protector
whose
conduct provides a support system that helps a younger sibling stay
substance free. Or a sibling can be a pusher in the home by the
example of
his or her own drug use . . . ."

Narconon posted a January 2003 study that determined "Teens who smoke
marijuana at an early age are more likely than their siblings to use
more
dangerous drugs later on or to become addicted to drugs or alcohol . .
. .
The study found that a twin who smoked marijuana before the age of 17
was up
to four times more likely to use other drugs and up to six times more
likely
to abuse drugs or alcohol, compared to their twin sibling who did not
smoke
at an early age . . . .":
http://www.drug-rehabilitation.info/news-3.htm

Narconon also notes at its site: "Family members often try to protect
an
addict from the results of his behavior by making excuses to others
about
his addiction problem and by getting him out of drug-related jams." 

These kinds of co-dependency problems -- a need to "fix it" or
"protect" the
addict -- seem to afflict siblings as well as parents and children of
addicts, from what I could tell from my research.

I also checked support groups for families of addicts:

See some of the heartbreaking discussions among those with loved ones
who are addicts, at the Sober Recovery Message Boards:
http://www.soberrecovery.com/forums/forumdisplay.php?s=e5a3c92fa648614282e0bd5b1043eddf&forumid=49

The above discussions really highlight how easy it is to fall into the
pitfall of co-dependency and learning to recognize that. "Hating the
yo-yo" is an apt phrase that popped up on the above board, and the
term seems to encapsulate what it's like to live with an addict:
getting your hopes up that things are improving, only to be shattered
when your loved one has another incident. There is also discussion of
tough love: do you literally shut out your loved one in a desperate
attempt to get him or her to stop using drugs? You can imagine how it
would feel to turn your back on your brother or sister.

You can readily see how emotionally exhausted these spouses and other
family members are, yet I didn't happen to stumble upon a post from a
sibling. (You may find one.) Could it be that siblings of addicts feel
that they somehow don't have the right to vent or ask for help; that
that's the province of spouses, parents, and children of addicts?
Again, it's astounding how little the impact of addiction on siblings
has been explored, possibly even by the affected siblings themselves.

I found a BBC report on a British support group for addicts'
families:"Many families of those who misuse drugs feel guilty, ashamed
and unable to cope with many of the spin-off problems. These problems
can be wide-ranging but commonly include theft, deceit, despair,
depression and police involvement.":
http://news.bbc.co.uk/1/hi/england/northamptonshire/3091914.stm

I also found a support group called "From Grief To Action," which is
based in Vancouver, British Columbia:
http://www.fromgrieftoaction.org/about.html

FGTA, as the group calls itself, was formed to help relatives of
addicts, including siblings, cope with "feelings of shame, perceived
guilt, helplessness and grief."

The site also has a very helpful resources page:
http://www.fromgrieftoaction.org/resources.html
which notes "Users of drugs and their friends and families are often
stereotyped and stigmatized by other members of their communities."

So the profound sense of shame associated with children of alcoholics
certainly applies when other relatives are addicts.

FGTA is sponsored in part by the Kaiser Foundation:
http://www.kaiserfoundation.ca/modules/Document.asp?LocID=621&DocID=1040

Kaiser's page of recommended books includes, "Drugs and Your Brothers
and Sisters." (The Rosen Publishing Group Inc, 1992.) "This book looks
at the difficulty of living in a household with a chemically-dependent
brother or sister. It explores the roles that family members may
adopt, such as enabler or clown, and provides suggestions on how to
find help for a brother or sister. The book also stresses the need for
self-help and lists several resources for support."

For first-person accounts, see:

"Addiction's other victims," by Shruti Daté Singh and Hilary Shenfeld,
which
appeared in the January 14, 2003 edition of The Daily Herald (suburban
Chicago newspaper):
http://www.dailyherald.com/special/clubdrugs/story.asp?intID=375813645
"Melanie Minton didn't shoot heroin into her veins. Her 22-year-old
brother was the heroin addict. Yet the Schaumburg woman has suffered
the consequences almost as profoundly as he has . . . . now Minton
can't bear tocope with anyone else's problems. She lost confidence in
her ability to help others because she could not help her brother. . .
. Mothers, fathers, sisters, brothers: These are the often overlooked
victims of drug abuse . . . .They may feel responsible: 'Why couldn't
I do more to stop it? What did I do wrong?' Sometimes they feel shame:
'People will think less of me when they find out drugs are involved.'
. . . . While the addict is enjoying a nonstop high, those around him
endure financial ruin, marital strife, embarrassment and depression."

In addition to heartbreak and shame, the article highlights how an
addicted child drains parents' attention from other siblings: Minton
"was the 'good kid,' but her parents focused mostly on her brother.
The more he screwed up, the more they were willing to do for him. They
invested so much energy and emotion in him, there wasn't much left for
her."

An evocative, and troubling overview of growing up with an addicted
sibling is revealed in this interview, "A mother's regrets," conducted
with an anonymous source, which appeared in the 6/7/02 Chesterton
(Indiana)Tribune:
http://www.chestertontribune.com/PoliceFireEmergency/a_mothers_regrets.htm

". . . Holidays, birthdays, weddings, graduations, and everything in
between are not the same anymore, because either the addict child is
away in treatment or possibly incarcerated or the addict child hasn't
been home in the past few days. It's not only their presence that is
missed, it's the thought that the child would be graduating from
college right now or this would possibly be their wedding to plan if
it hadn't been for the drugs . . . . Whatever the cycle of addiction,
your family is in turmoil. Life has revolved around the addict child.
Other children's needs haven't always been met because of the crisis
of the moment. Mothers and fathers deal with the situation sometimes
separately and all relationships within the family suffer. Parents
tend to be very suspicious of their other children and their friends
now. The other children resent the implication. They are not only
embarrassed by the behaviors of their addict sibling, but are very
angry for what they see their parents are going through because
so-and-so was so stupid to even use drugs and life as this family knew
it was sucked from everyone . . . ."

And:

Families and Addicts in the Family:
http://www.angelfire.com/nj2/carolslittleangels/famdrugs.html

"Your Family life becomes a real living hell and you can't see any way
out, that is your son / daughter or husband or brother or sister. You
fight because not everyone in the family can deal with this again and
again, they become resentful and so very tired of it all the time. You
may even lose family members because they can't take anymore of this,
or when you see your other children getting hurt by this in so many
ways, well you cry because you don't know what to do or what to say.
Trust me people can be real mean and cruel and nasty. They don't want
it to hit them or affect their family, and if they are with your
children it can happen . . . ."

Then there's this essay, at "Heroin Pages," from a young woman
explaining why she'll no longer attend the funerals of drug victims,
following the drug death of her sister's friends:
http://www.heroinpages.org/past_letters/may_01.html
"I grew up watching my older sister and her friends smoke pot, drink,
trip, coke, dust, e, and I thought they were the greatest. In fact my
friends in high school were choosen [sic] by me to replicate what my
sister's group was doing. They were popular, beautiful, and bright
futures, not to mention good people.They took me on as their child in
some aspects. I was always watched over, and backed, and could always
turn to any of them when I got in over my head. Which happened quite
frequently. So at 15 i was acting like a wild 18 year old . . . . I
never even thought that death was going to be a
consequence. It is. And so is my sad eyes, and my broken heart. And
that i no longer have anyone to look up to. And that I have lost
people that I feel to be siblings to me."

Search Terms:
"siblings of addicts"
"addiction AND siblings"
addiction impacts siblings
"'growing up' brother addict"
"'growing up' sister addict"
"research addicts siblings"
"addicts' siblings"
"'psychological trauma' AND addicts AND siblings"
"'psychological trauma' AND 'dysfunctional family' + addiction"

I am still waiting to hear back from an anti-drug activist who grew up
with
a sibling afflicted with addiction, and a specialist at a rehab
clinic. Of
course, I can't be certain that either or both will reply to my
inquires.

I hope my research has shed at least some light on your provocative
question.

Regards,
nancylynn-ga

Request for Answer Clarification by grammatoncleric-ga on 20 Oct 2003 13:09 PDT
Nancylynn-ga,

Your answer so far is good.  I look forward to reading the rest of it
when it is posted.

Thank you,
The Grammaton Cleric

Request for Answer Clarification by grammatoncleric-ga on 21 Oct 2003 12:04 PDT
Nancylynn-ga,

Have you heard from the experts regarding the rest of my question?  If
so, please post.  If not, please give me an ETP (estimated time of
posting).

Sincerely,
The Grammaton Cleric

Clarification of Answer by nancylynn-ga on 22 Oct 2003 17:35 PDT
Hi, I'm sorry if you didn't see the comment I posted yesterday, below.

I am hunting down a few more experts and hope to have an answer by
Friday.

As far as I know, there haven't been any studies on characteristics of
adult siblings who grew up with siblings who had an addiction, a la
children of addicts.

I'm very doubtful that such a study has been done, but I will try to
get an answer from a few more people.

Unfortunately, one expert I contacted has moved on, and the few others
I tried haven't responded at all.

I hope to be able to clarify this point by the end of the week.

Regards,
nancylynn-ga

Clarification of Answer by nancylynn-ga on 22 Oct 2003 18:14 PDT
Right after I posted this I receieved a response from a source I
contacted. Here is what she, the adult sibling of an addict, had to
say:

"Drugs are everywhere and that will never change.  What may change is
the understanding of what addiction is and how it effects the family."

I asked her: "Can adult siblings who grew up in the same household as
a drug addict whose behavior was not secret and did impact the home
display similar behaviors?"

Her response:

"Siblings of addicts may be addicts themselves or may not be.  I must
admit first off that I view addiction from a biochemical viewpoint
then as something that is ingrained on the individual.  As more and
more research is done on dual diagnosis I believe that an addict is
prediposed to addictive behaviour from a chemical imbalance - the high
fills the space that has been missing and the addiction starts at the
age of alcohol/drug introduction.  My brother and I both experimented
with drugs - he became addicted and I did not!
 
I always explain the sibling as the right angle of the family
dynamics.  The sibling has a relationship with the parents and a
relationship with the addict and it watches the relationship between
the addict and the parents.  In my experience, siblings feel
hopelessness and guilt for what their parents are going through and
not a sense of neglect.  I must clarify that for myself and those I
have spent time talking with come from a middle class economic
background where as adults we are stable and secure in our love from
our parents.  What tears us up inside is the heartache and
disillusionment that our parents suffer.  As a sibling I struggle with
my own emotional rollercoaster and that of my parents.  But I have
never waivered on how my parents feel about me.  Yes I have had to
make sacrifices at times for the addict but ultimately I have an
understanding of why those sacrifies were made.
 
I don't believe that as an adult I have displayed any negative
tendencies that have been ingrained in me from growing up in an
addicts household.  Other siblings that I have talked to do feel shame
and regret, sadness, anger and resentment.  The addict changes their
families lives forever.   But this doesn't create addictive like
behaviour in the sibling.  As a sibling I have always been my
brother's protector but whether that was because he was an addict or
because I was just stronger in personality is moot.
 
I am not the 'good' kid.  I am a sister and daughter of a family of
four.  I have had to comfort my brother and parents, hide away my
valuables, develop coping strategies in moments of crisis and educate
myself in order to 'help' my brother or better 'help' myself.
 
I have gone through stages of trying to save my brother to telling my
parents to quit enabling him to being so sad and lost and hopeless to
admitting that this is not my disease it is his disease and I will
always be his sister.  I have listened to the stories of many other
siblings and their frustration with the disease is the same.  How it
affects the family and how it destroys the addict.  But as the months
and years pass the sibling will graduate, get a job and start a family
while the addict is clean and relapses again and again.  I am always
amazed at the strength, love and support that siblings have.  And the
knowledge they possess.  It is almost like a bit of you grew up really
fast as the addict remained static.
I am not aware of any research regarding this topic.  I have done some
research on literature in the addiction area and all I have found thus
far is books from the addicts viewpoint and a lovely book called
'Lover Her As She Is' which is from the mother and addict's points of
view.  Sorry that I can not be of any help in this area."
Signed:  A Member of From Grief To Action"

I am still awaiting response from an expert(s) on addiction, whom I
contacted via addiction research foundations.
 
Regards,
nancylynn-ga
grammatoncleric-ga rated this answer:5 out of 5 stars
Nancylynn - thank you for your answer.  Thank you also for the last
clarification.  That is what nailed it for me.  I appreciate you
taking the time to add to your original text.

The Grammaton Cleric

Comments  
Subject: Re: Adult Siblings of Alcoholics/Addicts
From: nancylynn-ga on 21 Oct 2003 20:10 PDT
 
Hi there:

I'm afraid I'm going to have to hunt down some new sources; I haven't
heard back from those I contacted.

At this point, I don't believe there's ever been a study on
characteristics of adult siblings who grew up with siblings who had an
addiction. (Let's all say that 3 times fast.)

So far, research has concentrated on parental-child relationships/
environnmental factors, and genetic influence.

I'll try to find an expert(s) who can tell me if any such studies have
ever been done.

Regards,
nancylynn-ga

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