A Case Study to Illustrate the Point
You may recognize similarities in your own addictive processes even if the circumstances vary from yours. Two children are born into a family in which there are no overt addictions, no abuse or trauma and whose parents have a loving marriage that lasts more than five decades. There is very little conflict and when disagreements occur, they seem to be resolved calmly. There is a large, extended family in which they are nurtured and supported. Their needs for food, shelter, clothing, education and affection are amply met. One caveat is that their father had tendencies toward workaholism and emotional enmeshment with his daughters. One child developed a 30-year smoking addiction and obesity. The other engaged in workaholism and co-dependent relationships. Both entered into marriages in which elements of abuse were present. Both experienced health crises in middle age. One was widowed in her 40s and the other in her 50s. The second sibling engaged in treatment, both inpatient and outpatient, as well as attended 12-step meetings for several years. The first had no intervention and doesn’t do a great deal of exploration into her life circumstances, but simply takes things at face value, with the stated attitude, “It is what it is.” Several questions come to mind:- How did they marry partners who grew up in seemingly polar opposite family circumstances in which there was addiction and abuse when those were foreign to their own upbringing?
- Why did one sibling develop substance related disorders and the other process disorders?
- Why did one enter treatment and the other decline it?
- Why did both incur health challenges later in life?

