45). While the literature offers various ways to confront and treat the symptoms, ranging from self-help and spiritual cleansing; none of them deny the more traditional means of pharmacological intervention, especially when the depression is prolonged, persistent, and puts the patient's well-being at risk (suicidal ideations). Treatment Plan: The plan for this client is to admit her for 3-5 days of inpatient evaluation, pharmacological intervention, and psychological testing. The patient will

Theoretical Strips Tracy is a thirteen-year-old, Caucasian female, who is being raised by her mother, Melanie in Los Angeles. Also living in the home is Tracy's older brother Mason, who is fifteen. Tracy's parents are divorced, with Melanie as custodial parent. Tracy is in regular contact by telephone with her father, Travis, who is now remarried with a new baby. Travis is employed with a decent salary but has suffered

I also began to realize that due to the fact that any family is a complex and often unique entity in itself, that there are many subtle and underlying aspects to alcoholism in the family that are often not visible at first sight. Many of the interviewees when describing their feelings as children noted a sense of guilt and a sense that in some way, through bad behavior or

" In addition, many anthropologists have agreed that "cultural expectations define the ways in which drinking, both normal and abnormal, is done in a society" (Mandelbaum 1965: 288) (Wilcox, 1998). Comparisons of drinking behavior patterns across cultures suggest that, "like all other behaviors in any given cultural system, were based on cultural expectations. Who drank and when and how much they drank was determined by custom" (Wilcox, 1998). For example,

Such parent is expected to show higher degree of neglect and rejection. Research conducted by Jackson et al. (1997) have shown that parenting styles that are not balanced are expected to enhance the chances of alcoholism in the child. Where authoritative style of parenting is highly balanced, it not only fulfills the needs of a child but also exerts the demand for the right behavior in a positive manner. The

She did not have the benefit of a bedroom door for the last two years of high school. Without the bedroom door, the client changed her clothes in the bathroom and was often unable to sleep at night because of her father's snoring. The first time her mother confronted her for being wide awake (and reading) in her room in the middle of the night, the client admitted that her