How Relationships Influence Addictive Behaviors

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An intimate relationship is a constant interplay of fulfillment and responsibility. Both members of a romantic bond must be able to contribute to the relationship and each other. When substance use is added into the equation, this exchange can quickly become unbalanced. As a relationship with drugs or alcohol begins to invade a personโ€™s priorities, interpersonal relations are undoubtedly strained.

What experts say

In her 2004 essay, โ€œDisorders of desire: addiction and problems of intimacy,โ€ Helen Keane, Ph.D., proposed that to better understand how addictive disorders relate to interpersonal instability, people need to view problematic substance use in different light. Keane explained, โ€œIt is not the objects of addiction that determine the condition, but a particularly intense and rigid relationship between the addict and her substance or activity of choice.โ€

In his 2013 article entitled, โ€œWhen Substance Abuse and Intimacy Issues Are Linked,โ€ Robert Weiss, LCSW, recounted relying on his experience in the field due a lack of research on addiction and intimacy. From his years of seeing patients, Weiss has noticed the undeniable prevalence of co-occurrence between substance and relationship-based problems. In further, he recommended that treatment providers address these comorbid conditions simultaneously to ensure the best recovery outcomes.

According to Psychiatrist David Sack, M.D., an addictโ€™s significant other cannot magically solve dependency issues, but he or she can ignite the desire to change. Sack stated, โ€œYou donโ€™t have control over the addict, but you do have influence. It is often an intervention, an ultimatum or a refusal to enable that leads addicts to take the first step into recovery.โ€

Warning signs of a loved one dealing with addiction

William Fals-Stewart, Ph.D., of the American Association for Marriage and Family Therapy (AAMFT) outlined the warning signs of addiction within a relationship:

  • Continual conflict about drinking, drugs, or consequences of substance use (financial problems, staying out late, not fulfilling household responsibilities)
  • Making excuses to coworkers, friends, or family members to hide a partnerโ€™s substance use
  • The partner justifies drinking or drug use to reduce stress caused by arguments and fights
  • The relationshipโ€™s activities revolve around substance use
  • Incidents of domestic violence while a partner has been drinking or using drugs
  • Substance use within the relationship has caused isolation from other loved ones

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