| The purpose of this multiple-case study was to describe the positive experiences of adult children of alcoholics after long-term attendance in Al-Anon. This study included Yin's (2014) case study model, which employed a qualitative, descriptive, and holistic multiple-case study design. Theoretical propositions originated from four theories: (a) genetic theory of addiction, (b) family systems theory, (c) attachment theory, and (d) Bandura's social cognitive theory. The sample consisted of 12 participants, who were adult children of alcoholics (ACOAs) and were long-term members of Al-Anon. This case study included multiple sources of data: (a) face-to-face interviews, (b) direct observations, (c) field notes, and (d) member checking. Five major themes emerged from the data analysis: (a) recovery, (b) understanding alcoholism, (c) self-transformation, (d) interpersonal transformation, and (e) psycho-spiritual transformation. Recovery was composed of four patterns: (a) personal meaning, (b) commitment, (c) residual issues, and (d) the power of the steps. The second theme (understanding alcoholism) was composed of two patterns: (a) effects on others and self and (b) defense mechanisms. The third theme (self-transformation) included five patterns: (a) cognitive processes, (b) emotional development and stability, (c) decreasing control, (d) self-discovery and care, and (e) improved self-perception. The fourth theme (interpersonal transformation) contained five patterns: (a) improved relationships, (b) improved marital relationships, (c) support, (d) healthy boundaries, and (e) reciprocity of helping. The fifth theme (psycho-spiritual transformation) included three patterns: (a) evolving higher power, (b) relying on a higher power, and (c) acceptance of the past. Social support and the application of spiritual principles enabled transformative life changes for the ACOAs in this study. |
