PSY 200 7-2 Case Study (1) (1)

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PSY 200 7-2 Case Study: Final Paper Sara Hazbiu October 14, 2023

Client Information: Robert is a male who is 66 years old. He has been retired for the past four years. He is a spouse, a parent, and a grandfather. (WayBack Machine, 2019) Assessment: Robert has been drinking alcohol for a long time, and since he retired four years ago, his drinking has gotten steadily worse. For the past 35 years, Robert and Colleen have been in the same house where they have raised two daughters, countless pets, and been married for 44 years. Due to Robert's drinking, the marriage has changed, and they now sleep in separate bedrooms. Robert spends the majority of his time at home and starts drinking in the morning after finishing his regular errands and duties. Collen and Robert seldom ever converse, and Robert feels that when they do, it's always to berate him for his drinking. Despite everything that has happened in Robert's life, he has a great support system. Strong advocate Robert's daughter made the initial inquiry about if an intervention could assist her father with his drinking issue. In addition to support from his wife Colleen, youngest daughter Liz, nephew Mark, and pals Arthur and Terry, Robert also receives support from his older sister Marsha, older brother Franz, younger brother Bill, and wife. Each member of the intervention team took part. To avoid Colleen, Robert drinks alone and gets up early. Robert's years of drinking have led to certain health problems. Robert's doctor had advised against drinking, and he now needs to have blood work done every three months to check for diabetes and prostate problems. The family intervention touched Robert, and he reluctantly consented to enroll in an inpatient program. While it is unclear why Robert wants the

assistance, potential reasons include his health and the possibility that if he declines, he won't be able to see his grandkids. The fact that Robert's family and friends expressed the opinion that he was also depressed may have contributed to his decision to enroll in the program. There was a sense of hope when Robert readily agreed to enroll in the program (The Way Back Machine, 2019). Addiction Information: Robert suffers from an alcohol addiction. Alcohol has had a significant impact on numerous societies and cultures throughout history, including those of the Sumerians, Egyptians, Greeks, Romans, Chinese, and British. Starting in the past, when beer recipes were written down on tablets, moving through Prohibition in the United States, and ending with the shockingly high rates of drunkenness in the present. Alcohol has split families apart and brought people closer. Between 700 and 6000 B.C. in northern China, alcohol brewing first appeared. About 20 different beer recipes that were used by the Sumerians in Mesopotamia have been discovered on clay tablets. Alcohol was also employed by the Sumerians as a sacrifice and a sacred offering to the gods. Beer was consumed by the ancient Egyptians for its virtues and purported nutritional benefits. Beer was also utilized by them to treat illnesses. Beer was regarded by the Egyptians as the divine libation. As early as 2000 B.C., the Greeks were thought to have been the first people to cultivate vines and make wine. Alcohol was also used medically by them. The Greeks introduced the Romans to winemaking. Wine was a commodity that the Romans exported and traded for slaves and money. Spirits with bases that have

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undergone yeast fermentation were first distilled in China. In China, alcohol was likewise regarded as holy. Alcohol was also used medically by them. Alcohol abuse in England dates back to 1525–1550 (Wagener, 2022). In 1600, authors described the widespread intoxication that pervaded all social groups. The act to Repress the Odious and Loathsome Sin of Drunkenness was passed by Parliament in 1606. The levy of distilled spirits in Britain started in 1643, which accelerated the moonshine trade. Gin was created in Holland about 1650. Scotland and Ireland's whiskeys started to gain popularity in the 1700s. English immigrants to America at the time avoided drinking the water out of fear that it was poisoned and only did so when they had no other options. Colonists started making their own beer in the 1630s. By the end of the 17th century, Americans were consuming rum in large quantities. The Civil War involved a lot of alcohol in the 19th and 20th centuries.It was used for medicine and sedation by nurses and doctors. Drinking alcohol was linked to violent crimes including rape (Wagener, 2022). Beginning in the 1800s, the Temperance Movement strove for complete abstinence by 1820. The Volstead Act of 1919 made it clear that alcohol may only be produced or sold for medicinal and religious purposes, and that it could only be consumed in a home by a person who had lawfully acquired it. With the belief that making alcohol legal would improve the economy, the 21st amendment repealed Prohibition in 1933 (Wagener, 2022). Alcoholics Anonymous (AA) was founded in 1935 by doctors Bill Wilson and Bob Smith, who pioneered the field of alcoholism teaching and treatment. The term "alcoholism" was initially coined by the American Medical Association in 1952. They updated the concept of alcoholism as a complex disease in 1967, and counseling and education-based treatments became increasingly prevalent.

Despite greater knowledge of alcohol and its negative effects, excessive drinking is still a common issue. 136.7 million Americans over the age of 12 reported drinking alcohol in the previous month in 2016. 488,00 youths between the ages of 12 and 17 had an alcohol use disorder. In people aged 18 to 25, 3.7 million have an alcohol use disorder. Alcohol use disorders affected 10.9 million adults older than 26 (Wagener, 2022). Robert is suffering as a result of his drinking; it has endangered his health, and he was being checked for diabetes and prostate issues through blood work every three months. Robert's marriage is in trouble, and if he doesn't get treatment, his daughter has threatened to stop letting him see his grandchildren. Robert is a retired man who only seems to have one close friend. According to his relatives, Robert may also be depressed.His drinking has physically had an impact on his health, some of which may be permanent if he keeps drinking. Alcohol's short-term physiological consequences include impairments with eyesight, reflexes, and task attention. Long-term physiological repercussions include cancer, early death, heart, liver, and pancreas damage, problems with learning and memory, increased tolerance, and stunted brain development (The Right Step, 2022). Family and acquaintances have noted that Robert appears to be depressed psychologically. The inability to concentrate, relaxation, and a reduction of stress and tension in the body and mind are some of alcohol's psychological short-term effects. memory issues. Alcoholism, mental health diseases like anxiety and depression, and learning and memory issues, including dementia, are examples of long-term psychological issues (Alcohol Abuse, 2022).

Treatment: A team of family, friends, and psychotherapist Jerry Wittman served as Robert's initial interventionists. Each member of Robert's intervention team read him a letter they had written to him outlining their feelings over his drinking. Robert was given a residential treatment program's treatment plan when the intervention was over (The WayBack Machine, 2019). I concur with the residential program and how Robert was handled. In addition to his alcoholism, Robert also seems to be dealing with despair. Suicidal thoughts are often brought on by depression. Robert will receive round-the-clock care, a secure setting for detoxing, as well as depression counseling at a residential treatment facility. After Robert resolves his problems, he will be given coping skills to keep sober (Sharp, 2022). The Multicausal Model, one of the seven therapeutic models covered in this course, is the one I believe would work best for Robert. The Multicausal Model does not confine an individual's addiction to a single cause; rather, it considers the person as a whole. It considers the genetic components, cognitive make-up, expectations regarding drug use experiences, family history, personality traits, environmental influences, and changes in social, political, cultural, and economic issues. 2020 (Capuzzi & Stauffer) The first step in a relapse prevention program can be group therapy. The individual is assured that they are not alone in group therapy. The same issues are experienced by others in the group. Support can be given and received in a group situation, which promotes group cohesion, growth, and learning. It allows for a variety of viewpoints and

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enables participants to perceive them, develop communication and socialization skills, which enables them to learn how to express themselves and how to accept criticism, self-awareness, and the capacity to model successful behaviors through observation of others (Generes, 2022). If medicine were to be used, I would work with a psychiatrist. Safer withdrawal is made possible by pharmacotherapy, which lessens cravings and eases symptoms. Decreases the chance of overdose fatality. increases the use of safer, controlled medications in therapy and decreases the use of illicit substances, which has significant risks as well as potential legal repercussions. relapse prevention when combined with counseling and behavioral therapy For 2020, see New Choices Treatment Center. Everyone engaged may benefit from the suggested relapse prevention strategy. Family therapy has been recommended by the counselor as a way to help people cope with their own problems related to how Robert's drinking affected them and as a way to help them join other groups like Alanon. This enables the family to mend as well as comprehend ways to support Robert in staying on the appropriate route.Robert would be able to rely on someone other than his family if he attended AA meetings and had a sponsor. This person could assist Robert when he feels the want to drink and drive him to meetings if necessary. Robert would leave the house and meet new people through community service, rather than continue to live alone in his house as he had in the past.

Results: Robert's search yielded no results. However, given his willingness to leave, Robert's situation appears to be improving, particularly if he adheres to the relapse prevention program. Colleen, Robert's wife, is reaching out and participating in family week at the program where Robert is while Robert is abroad in order to continue her own healing process. I think Robert can return home and sustain his sobriety with an even stronger support structure if everyone follows through. The rest of the intervention team seems to be doing well, too, saying that this was a significant and meaningful event in their life.

References: ReferencesAlcohol Abuse. (2022). Psychological effects of alcohol abuse. https://www.alcoholabuse.com/ Capuzzi, D., Stauffer, M. D. (2020). Foundations of addictions counseling. (4th ed.) Pearson. https://www.pearson.com/en-us.html Generes, W. M. (2022, Sep 12). Psychotherapy guide. Group therapy vs. individual therapy .American Addiction Center. https://americanaddictioncenters.org/ New Choice Treatment Center. (2020). Medication assisted treatment. https://newchoicestc.com/ The Right Step. (2022). Physiological effect of alcohol. https://www.rightstep.com/ Sharp, A. (2022, Nov 9). The benefits of residential drug & alcohol addiction treatment. American Addiction Centers. https://americanaddictioncenters.org/

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Wagener, D. (2022, Nov 15). The history of alcohol throughout the world. American AddictionsCenter. https://recovery.org/ The WayBack Machine. (2019, Seo 7). Intervention solutions case study 1. https://web.archive.org/

PSY 200 7-2 Case Study (1) (1)

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