Representations of 'family pain' by adult children of alcoholics

Relevance. The term “family pain” is used in family psychotherapy to refer to the emotional state of dysfunctional family members. Research on this phenomenon in dysfunctional alcoholic families can expand the understanding of the family system and allow us to formulate the goals of psychotherapy with such families.

Objective. To investigate the “family pain” experienced by adult children of alcoholics.

Methods. The sample consisted of 52 people who were in a recovery program for adult children of alcoholics (ACA), and 50 controls. We implemented a phenomenological analysis of ACA groups, a content analysis of images of “family pain”, and factor analysis of the characteristics of “family pain”.

Results. The study showed significant differences between the images of “family pain” experienced by adults who were raised and still live in alcoholic families, by those whose parents were alcoholics and had died by the time of the survey, and by those whose parents were not alcoholics. People who live with their alcoholic parents describe “family pain” as a familiar, long process with effects on the whole family. The experience of “family pain” includes anger, shame, and self-pity. People whose parents were alcoholics and have died describe “family pain” as a feeling of guilt towards their parents and a process of experiencing their parents’ death. The control group had difficulty describing “family pain”, or described it as a process of experiencing their parents’ death.

Conclusions. Representations of “family pain” are associated with the subjective meaning of family dysfunction for the participant and the experience of negative emotions in the family.

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