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abuse ACoAs Addictive Organization addictive system Al-Anon Alcoholics Anonymous anger Anne Wilson authentic service become behavior Board of Registered boundaries burnout California Caretaker Carol Caryn Summers chemically dependent nurse chemically impaired childhood Claudia Black cocaine codeine codependency critical death Deerfield Beach Demerol denial disease Diversion Program doctor drugs dysfunctional family dysfunctional service earthquake emergency room emotional employees experience fear feel guilty felt give guilt head nurse Healer healing helper hospital identify impaired nurse individual institution intensive care unit issues look manager medication mother narcotics Narcotics Anonymous nurse's okay ourselves pain patients patterns peers perfect nurse perfectionism person Post-traumatic stress disorder powerless problems professional PTSD recovery program Registered Nursing relationship Rescuer responsibility role Schaef self-esteem shame shift sick someone staff step stress subpersonality substance supervisor support group symptoms talk therapy trauma treatment twelve-step programs Vicki Victim vulnerable workplace wounds