Families with Alcohol/ Drug Dependency, Eating Disorders & Co-Dependency


Instructor: Marcia Iris Baum, MSW, LCSW

SPRING 2005  Wednesdays 4:10-6:55  (February 2-May 25)

                                    Class meets in Humanities Room 301


Course Description:  This course combines both classroom lectures and discussions with  a community-based fieldwork component. Roles and relationship perspectives in families of addiction, recovery issues, intervention strategies for treatment, career paths for service providers. 



Marcia Iris Baum, MSW, LCSW

Office:              Burk Hall 302

Telephone:       415-338-3421



Office hours:   Wednesday  2:30-3:45 or by appointment


Required reading:

Drinking, A Love Story, by Caroline Knapp (1996 NY Dell Publishing)

Hooked, by Lonny Shavelson (2001 NY The New Press)

Surviving an Eating Disorder, by Michele Siegel, et al.  (1997 Harper Collins)

Co-Dependent No More, by Melodie Beattie


Course Requirements: This course satisfies a requirement in the GE 3 cluster Families in Change. It is a 3 unit course. In order to earn GE credit you must complete 60 units by the end of the semester. GE 3 requires a written assignment ( two-page write up of impressions of a 12 step meeting  and two-page research paper on literature review). A minimum grade of a  C - is required if you are taking this course for credit. It is your responsibility to check your enrollment status. 


Withdrawal Policy & CR/NCR Policy:

The last day to drop a class through touchtone is Feb. 25th. Last day to add a classes is Feb. 11. Course withdrawal period is from Feb. 28-April 29 and you must submit a withdrawal petition for serious and compelling reasons. Withdrawal from a class after April 29 will be considered for serious and compelling reasons only, and must have accompanying documentation, after that date refer to registration schedule. If you are applying for credit, no credit option do so on a timely basis,. No “incomplete” grades will be allowed unless there is serious illness accompanied by documentation.

You may elect to withdraw from any class in CHHS. YOU are responsible for withdrawing by touchtone or by petitioning the Registrar. Your instructor is not responsible for dropping you from the class list if you stop attending.



Evaluation and Grading Procedures:

Your course grade will be evaluated and based on points earned.You can earn a total of 335 points.

  1. Midterm Exam-100 points that can be earned.   Exam consists of  45

       multiple- choice questions valued at 2.5 points each.

  1. Final Exam- 100 points that can be earned. Exam consists of 45 multiple- choice questions valued at 2.5 points each.

3.   Community Project and Oral Class Presentation- 45 points. On-site visit of a    treatment or rehabilitation agency, write-up of your visit  and  in classroom oral presentation -5 to10 minutes. (Refer to page 5 for community project guidelines).

4.      Community Project and Written 1-2 page paper- 45 points. Attend one 12 step meeting (AA,NA, AlAnon, OA, CoDA, etc.) and write about the program. Critique the meeting you attended and your experience, feelings and interactions at the meeting. Include date of visit, location of meeting and type of meeting.

5.      Final Research Paper-45 points. Literature review and 2 page paper. (Refer to page 6 for guidelines).

  1. Class attendance is necessary and class participation is encouraged and may be a factor in additional points.  You must complete all exams, oral presentation and two papers in order to receive a passing grade.


CFS Department Phone # 338-1219, CFS office is located in Burk Hall Room 329. 


FINAL Exam- Wednesday May 25  1:30-4 PM.

Due date for final paper is May 11, if you hand it in at least one week early you will be given 5 extra points.


Statement on Cheating and Plagiarism: Cheating is the actual or attempted practice of fraudulent or deceptive acts for the purpose of improving one’s grade or obtaining course credit; such acts also include assisting another student to do so. Typically, such acts occur in relation to examinations. The term cheating is not limited to exams only, but any and all actions taken by a student that are intended to gain an unearned academic advantage by fraud or deceptive means. Plagiarism is a form of cheating that consists of the misuse of published and/or unpublished works of others by misrepresenting the material, ie-their intellectual property, as one’s own work. Penalties for cheating and plagiarism range from an F on a particular assignment, to an F for the course, to expulsion from the University. Refer to Schedule of Courses (legal notices on cheating and plagiarism) or the University Catalog (policies and regulations).


Course Objectives/Student Learning Objectives:

1.              Recognition that recovery is about life changes of persons who are chemically dependent or eating disordered, as well as changes in their family systems.

2.              Understand how the family intervention process is used to initiate change and recovery in the identified patient (the one with the addiction) as well as the family system.

3.              Knowledge of factors associated with risk of developing chemical dependency or disordered eating. Current research and theories based on behavioral, medical and biological sciences.

4.              Ability to recognize signs and symptoms of chemical dependency and         alcoholism and implications for treatment, rehabilitation and recovery. Special issues of identified patients and family members, partners, adolescents, gay and lesbian, women,  neonates with fetal alcohol syndrome.

5.              Comprehend theories and models that account for vulnerability for chemical dependency, disordered eating and alcoholism and cross-addictions.

6.              Comprehend how changes in the family system reflect positive and progressive changes in the addictive family system before and after recovery.

7.              Ability to identify effective treatment programs and therapeutic communities for patients and their families.

8.              Comprehend life and relationship changes of persons in recovery and for their significant others.

9.              Ability to utilize and locate professional literature and community resource agencies.


Schedule for Lectures and Discussions


Required reading for first half of semester Drinking, A Love Story, by Caroline Knapp (1996 NY Dell Publishing), Hooked, by Lonny Shavelson (2001 NY The New Press). Some chapters are highlighted by lecture; content from books will be included on the midterm exam. Please read all chapters in the books, not just highlighted ones.


Wed 2/2

Welcome, review course agenda, boundaries/ rules and roles in functional and dysfunctional family systems, addicted family systems,  history of CD

(chemical dependency), trends and issues (read Hooked, chapters 1 –4, 6)


Wed 2/9   Alcohol – use, abuse, dependency continuum, stages of use, warning signs and “red flags” (read Drinking, chapters 1-8) confidential questionnaire on alcohol use, co-dependency


Wed 2/16            Film- “Requiem for a Dream”- discussion to follow re: drug addiction,

co-dependency, enabling behaviors, pill addiction, disordered eating behaviors


Wed 2/23  Special populations- ACA (adult children of alcoholics),  pregnant women, neonates with fetal alcohol syndrome, gay and lesbian, adolescents, seniors, identified patient, guest speaker


Wed  3/2  “Street and club drugs”, why people use “liquid courage”, (read Drinking, chapters 11, 13-14),  family abuse and violence issues, biological, psychological, neurological factors of addiction


Wed  3/9  Treatment philosophies for drug addiction and alcoholism: Rehabilitation and detox, harm reduction, therapeutic communities, relapse and prevention, 12-step model of AA(alcoholics anonymous), NA (narcotics anonymous),  Al-Anon, barrier to recovery (read Hooked, chapters 5-10 and Drinking, chapters 10,15-16)


Wed  3/16          Midterm  Exam

 Paper due on 12-step meeting (refer to attached guidelines on page 2 under evaluation and grading procedures)


Wed  3/23          Spring Break - No  Class


Required reading for second half of semester Surviving an Eating Disorder, by Michele Siegel, et al.  (1997 Harper Collins) and Co-Dependent No More, by Melodie Beattie; content from both books will be on the final examination. Read all chapters in the books, not just highlighted ones.


Wed  3/30          No class –  prepare for community project and oral presentation

                                            (refer to attached project guidelines on page 5)


Wed  4/6            Disordered eating-binge purge cycle, restrictive anorexic eating, compulsive overeating, signs and symptoms,  (read Surviving an Eating Disorder, chapters 1-5), guest speaker


Wed  4/13         Meet in Library with librarian (library database use and training) for final research project. (first half of class). Oral presentations  (all students must be present for orals).  (second half of class)


Wed   4/20       Oral presentations (all students must be present for orals)

-students who are not present will lose 7 points toward final course grade


Wed  4/27        Recovering from food and weight obsession, cross-addictions,

                         (read Surviving an Eating Disorder, chapters 6-8 and Drinking, chapter 9)


Wed   5/4        Co-Dependency - read Co-Dependency No More


Wed   5/11      Co-Dependency   read Co-Dependency No More

            Final Research paper due  (refer to attached guidelines on page 6)

            (no late papers accepted, no exceptions)


Wed   5/18          Last class, review for final.  Psychotherapy, family therapy, behavioral cognitive therapy for depression, coping strategies, healing, community resources


Wed    5/25        Final Exam – 1:30-4 PM  (bring scantron  form 882 ES)


Disruptive Classroom Behavior: Cell phones and pagers must be turned off at all times, even if you are on call for work.  Due to privacy concerns and the nature of the subject matter TAPE RECORDING IS NOT PERMITTED. The classroom is a special environment where students and faculty come together to promote learning and growth. It is essential that you respect the rights of others to learn, the professionalism of the instructor, and the goals of academic freedom.  Please refrain from talking in class unless you want to share views with the entire class and instructor. Do not sleep, eat or read newspapers in class.  Different viewpoints are welcome, but be respectful of others when disagreeing and avoid degrading remarks and comments. Student misconduct is disruptive for all and disrupts learning. It will not be tolerated and may lead to disciplinary action or removal from the classroom.


American with Disabilities Act: The university is committed to providing students with disabilities  reasonable academic accommodations. The Office of Services for Students with Disabilities can assist students who have  physical, perceptual or learning disabilities as addressed by the ADA act. You must make a formal request through Services for Students with Disabilities. Please notify your instructor so that reasonable efforts can be made to accommodate you.


If you need special accommodations for examinations or other assistance you can contact the student disability resource center on campus, telephone  338-6356.





Include the following information in your oral presentation. At the time of your oral presentation provide the instructor with a type written  paper with this information.


Treatment Provider Name, Address, website and telephone number






Date of your visit and name of the person you interviewed. ________________________


Describe the services provided at this facility and indicate fees and costs of the services






Describe the target population or client base served and the average length of treatment services provided for clients. Also discuss how long this agency has been in existence.





Describe the staff qualifications, i.e.- psychotherapist (MFT, LCSW) or registered nurses, doctors, dieticians, etc. If there is a treatment team describe members of  the team and how they coordinate treatment and care to patients.




Discuss aftercare services and continuity of care. After the patient completes the program are they referred to another agency or not. Describe this process. Also discuss the difference in levels of care and treatment. How does aftercare differ from initial treatment?



Final Research Paper Project  Guidelines


-Review 2 professional journal articles found in the SFSU library and write a one page summary for each article. Many students have already used the SFSU library databases. Review of databases is scheduled for April 13th at the library during classroom time.

-Paper not to exceed two type written pages.

-You must cite reference, name of article, author, date and journal it was located in.

-You must describe the purpose of the research study you review and the sample size.   

-You need to discuss findings and conclusions of research study you review.

----You need to use SFSU database for identification of professional journals. Do not use the internet for articles as they may not be scientifically sound.


Guidelines for all written papers:

Double spaced, type-written, proof read for punctuation, spelling  and grammar correction, numbered pages, name of student, course, date  and title of your paper.