A 14-year-old girl came with her family to the clinic as her father picked up his medication. The girl became anxious and said she had to go home soon to clean the house and start dinner. Which of the following would the nurse most likely suspect from this interaction?
a. As Freud pointed out, girls try to take over the wife role with their dad.
b. The girl did not want to admit her dad was a drug addict and was trying to get away from an uncomfortable environment.
c. The girl is taking on the role of hero with responsibility for caretaking functions.
d. The girl was afraid she would be seen with her dad, a known drug addict, in a public place.
ANS: C
In the case of substance abuse, a major purpose of the system is to deny the substance abuse of the affected family member and keep it a "shameful" family secret. Generally, ego boundaries between the family members are weakened or nonexistent, with enmeshment of the members and an intolerance of individual differences. Rules are rigid and communication is unbalanced; the dynamics are either always conflicting or always superficially pleasant. Children may become involved in a "role reversal" in which they act as caretakers of their parents.
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