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The Dynamics of Family Relationshipin Adolescent Drug Rehabilitation in a Chinese Context
Timothy SIM, Ph.D.
Department of Social Work
National University of Singapore
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Hong Kong Adolescent Drug Abuse and Rehabilitation
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Aim
To map the impact of family relationship in
adolescent drug rehabilitation
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Research
Question
What are the salient
aspects of family
relationship in
adolescent drug
rehabilitation?
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Theoretical Framework
Family systems theory:
Structural Family Therapy
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Research Paradigm
Postpositivistic
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Multiple Methods
Integrating ‘outside’ and ‘inside’ perspective
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Data AnalysisFamily as a unit
Comparison of means Content analysis
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Limitations Small and Convenient SampleUnclear Direction of Causality
Lack Process and Observation Measures
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Participants Characteristics
34 families91 participants
34 adolescents32 mothers25 fathers
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Participants Characteristics
Male adolescents19 years old, single
completed 9 years of educationlived with their parents
in public and aided/rental flats
Three quarters of the adolescents abstained
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Participants Characteristics
Mothers 45 years old
work in manual jobs full-time homemakers.
Fathers 49, mostly hold manual jobs.
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Summary of Findings
Four salient aspects
positive emotional regardnegative interaction positive interaction
negative emotional regard
at both pre-admission &three-month after discharge.
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Summary of Findings
At pre-admission
negative interaction (e.g. conflict)
negative emotional regard (e.g. tension)
particularly between the adolescent and his parents
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Summary of FindingsAt pre-admission
No problemHighly concernCordial HappyLoyal
How dad relates to adolescentHow adolescent relate to sibling
Not fond ofQuarrelsomeUnmotivated
FirmPoor
How mom relates to dad
How mom relates to adolescentHow mom relates to sibling
How dad relates to sibling
Very goodGiving inWith special effortNot quarrelsomeEndearing
How dad relates to momHow adolescent relates to mom How adolescent relates to dad
Disloyal Unhappy
TenseUninvolved
Problematic
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Summary of Findings
At three-month after discharge
family relationship of
relapsed adolescents
generally less favorable
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Summary of Findings
Combined inside and outside perspectives
Families with adolescent drug abuse generally poor in overall family functioning at pre-admission
At three-month upon discharge, family functioning consistently improved when adolescents abstained
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Summary of Findings
Surprise Findings
Positive family interaction and positive emotional regard are present along with negative family interaction and negative emotional regard
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Rudimentary Model Positive Interaction (Family Strength)
Positive Emotional
Regard (Family
Strength)
Father-Mother
Group Abstain-No-FTGroup Abstain-With-FT
Quadrant C (Soap opera) Quadrant D (Mime)
Negative Emotional
Regard (Family Stress)
Quadrant A (Suspense Sequel)
Mother-Adolescent
Group A (Pre-Admission)
Quadrant B (Wrestling Game)
Father-Adolescent
Group Relapse-No-FT
Negative Interaction (Family Stress)
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Practice Implication
1. Improve Family Functioning
2. Cope with Family Stress 3. Build Family Strength 4. Engage Parents as
Partners while recognizing the differential roles
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Research Implication
1. A Framework of Strength and Stress without Blame
2. Chinese Family Model in Adolescent Drug Rehabilitation
3. Expansion of Structural Family Therapy Model in Contemporary Chinese Context
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Recommendation
1. Interaction of Family Subsystems
2. Interaction of Family and Other Contextual Domains
3. Integration of Outside and Inside Perspectives
4. Understanding Family Dynamics in Relapse Situations
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Recommendation
5. Implementing Longitudinal Studies
6. Conducting Process Research in Chinese Families
7. Developing Family Typology in Adolescent Drug Rehabilitation
8. Understanding the Individual Functioning in Context
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ReflectionWhen we answer some questions, we raise others. And no matter how well thought out we think our project is at the beginning, there always are those unanticipated twists and turns along the way that lead us to rethink our positions and question our methods and to let us know that we are not as smart as we think we are
(Strauss & Corbin, 1998, p. 55)
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Discussion
Drawings of this presentation were downloaded from http://www.naivedrawing.com/drawingsmyfamily.htm