ABSTRACT The author explicates the complex family relationships of children of severe alcoholics, and internalizations of these relationships, which can be addressed in the treatment of children and in corollary parent work. Children of serious alcoholics (or other substance use disorders) share features with other children whose parents are troubled. However, the author suggests that it is useful to consider what children of severe alcoholics have in common. Children of serious alcoholics can experience the substance of abuse as a mysterious potion, which their alcoholic parent prefers to them. Additionally, alcoholics (along with other substance abusers) expose their children to the specific results of inebriation or withdrawal from alcohol. The author discusses the following common experiences of the children of severe alcoholics: extreme difficulty in understanding parental addiction, particularly for very young children; an unconscious struggle to repair the damaged parent and to try to protect that parent from strain; and guilt at the often-necessary exclusion of the addicted parent from the household unit. Another confusing issue is mourning for a parent who is still alive and in some contact, yet severely impaired. The author describes parent work in these situations (collateral to a child psychoanalysis or psychotherapy), both with the “co dependent” parent and the alcoholic parent.

中文翻译：

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“爸爸的头被打断了”：重度酗酒儿童的治疗

摘要：作者阐述了重度酗酒儿童复杂的家庭关系，以及这些关系的内化，这些关系可以在儿童的治疗和随之而来的父母工作中得到解决。严重酗酒（或其他物质使用障碍）的孩子与其他父母有问题的孩子有共同的特征。然而，作者建议考虑重度酗酒者的孩子有什么共同点是有用的。严重酗酒者的孩子可以将虐待物质视为一种神秘的药水，他们酗酒的父母更喜欢这种药水。此外，酗酒者（以及其他药物滥用者）会使他们的孩子暴露于醉酒或戒酒的具体结果。笔者就重度酗酒儿童的以下共同经历进行探讨：理解父母成瘾的极端困难，特别是对于非常年幼的孩子；无意识地努力修复受损的父母并试图保护父母免受压力；并且对经常有必要将吸毒的父母排除在家庭单元之外而感到内疚。另一个令人困惑的问题是为仍然活着并有某种联系但严重受损的父母哀悼。作者描述了父母在这些情况下的工作（儿童心理分析或心理治疗的附属物），包括“共同依赖”的父母和酗酒的父母。另一个令人困惑的问题是为仍然活着并有某种联系但严重受损的父母哀悼。作者描述了父母在这些情况下的工作（儿童心理分析或心理治疗的附属物），包括“共同依赖”的父母和酗酒的父母。另一个令人困惑的问题是为仍然活着并有某种联系但严重受损的父母哀悼。作者描述了父母在这些情况下的工作（儿童心理分析或心理治疗的附属物），包括“共同依赖”的父母和酗酒的父母。