FROM ADDICTION TO ABSTINENCE: MAXIMIZING THE CHANCES OF SUCCESS

While advances in neuroscience have clearly delineated the areas of the brain that are affected by mood-altering drugs, the success rate of treatment for people dependent upon or addicted to these drugs remains essentially unchanged over the last several decades. This is due in large part to paying inadequate attention to the craving that occurs after discontinuing a mood-altering drug that produces physical dependency. This article will review the changes that occur when one becomes physically dependent on a mood-altering drug and the process to follow in order to maximize the chances of success in maintaining abstinence when drug use has been discontinued.     

The Effect of Family Structure and Family Functioning on Adolescents' Perceptions of Intimate Time Spent with Parents,Siblings, and Peers

In previous research, family structure variables have been operationalized as family size, birth order, sibling spacing, and sibling density. These structure variables have been linked to parental strictness, reasonableness, and supportiveness [J. S. Kidwell (1981), Number of Siblings, Sibling Spacing, and Birth Order: Their Effects on Perceived Parent–Adolescent Relationships, Journal of Marriage and the Family, Vol. 43, pp. 315–333]. Other research has drawn attention to the link between the amount of time adolescents spend with parents and peers and the influence of family relations variables—intensity, duration, and frequency of conflicts. [R. Montemayor (1982), The Relationship Between Parent–Adolescent Conflict and the Amount of Time Adolescents Spend Alone and with Parents and Peers, Child Development, Vol. 53, pp. 1512–1519]. More recent research has related family structure (family size, sibling spacing, and gender) effects to the amount of time adolescents spend with parents, a measure of relationship quality, and a set of measures of discipline [R. A. Richardson et al. (1986), Parent–Child Relationships in Early Adolescence: Effects of Family Structure, Journal of Marriage and the Family, Vol. 48, pp. 805–811]. To date, the questions asked by researchers have not simultaneously explored whether it is the family relations or the family structure variables that contribute most powerfully to the amount of time that female and male adolescents spend with family members and peers. In this research adolescents were asked to report the amount of time they spend with their mother, father, siblings, and peers, and to respond to a questionnaire that has three factors that define family functioning: Parenting Style (democratic decision making), Intimacy, and Conflict [P. Noller et al. (1992), Parent and Adolescent Perceptions of Family Functioning: A Comparison of Clinic and Nonclinic Family, Journal of Adolescence, Vol. 15, pp. 101–115]. The analyses revealed that complex and interpretable family structure and family functioning factors differentially influence whether males and females spend time with family members and peers.