¶ … vignette pertaining to addiction. Ethical and legal factors will be considered. Also discussed will be cross cultural matters related to the topic. Possible solutions to the issue at hand will also be considered.
Middle-aged couple, Anna and James, drops in for an appointment as Kevin, their son aged 16 years, faces suspension from school because of 'drug paraphernalia' found in his school bag. While James is Native-American, Anna is Japanese-American. James goes on to say that it is all Anna's fault, stating that she has smoked pot on a daily basis for the most part of their married life. Anna is of the view that she at least isn't a slobbering drunk like James, further elucidating that James over-indulges in drinking alcohol on weekends. It is discovered, in the course of assessment that James as well as Anna come from alcoholic homes.
Session one
Much is to be taken into consideration with Kevin and his parents. Firstly, both James and Anna need to describe their addictions, or possible addiction behavior to see whether it is a problem.
Certain instruments can be found that assist counselors in determining whether or not further evaluation is warranted, whether the client has any mental disorders, nature as well as extent of substance abuse, kinds of traumatic events experienced by the client and their consequences, and factors related to treatment, which influence client reaction to interventions. No specific screening recommendations and evaluation instruments for women are necessitated by this Treatment Improvement Protocol (TIP); it doesn't aim to raise a comprehensive analysis of this multi-faceted topic (Screening and Assessment). Instead, it gives a brief description about several tools often used by providers to study aspects of the lives of female clients. Preconceived beliefs may be held by intake personnel and counselors regarding the occurrence of drug abuse in women belonging to specific ethnic groups, which is the case highlighted in this vignette. Counselors may, for instance, neglect the need for screening and assessing Asian women. Every assessment staff member must be trained with regards to the ethnic and cultural groups they work with which in this case is Native American and Japanese; the right communication and interpersonal styles to be used for successful conversations with both the clients; and cultural practices and beliefs regarding use and misuse of substances, physical and mental health, trauma and violence in their own homes and lives in general. Counselors can, by way of training, learn the cultural factors that should be taken into account for accurate testing of the two clients in this vignette. Level of acculturation may influence assessment and screening outcomes. Counselors might need to substitute standard approaches for assessment and screening with in-depth talks with both clients and, possibly, also their 16-year-old son, for understanding substance usage from the cultural and personal viewpoints of all the clients involved. Migration experiences should be examined; some immigrants might have faced ordeals in their native countries and will require a sensitive assessment of trauma (Screening and Assessment).
Another point to be investigated is whether there is any family history of neuro-cognitive illnesses like Prion disease or Huntington's. Common symptoms that signify these diseases comprise delusions, paranoia, and probably hallucinations. Another quite common symptom can be agitation (DSM-5).It can emerge as a highly combative behavior, especially in case of caretaking tasks, that include combing hair, bathing, and dressing as well. Behaviors observed in these diseases could take one towards addiction and alcoholism as a means to cope. This is why it is imperative to examine both parents' family histories to determine its root cause.
It is definitely traumatic to grow up in alcoholic families. Children, in such homes, are faced with a routine environment of fear, inconsistency, chaos, denial, abandonment, and potential or real violence. Surviving in such environments is a round-the-clock job. Post-Traumatic Stress Disorder (PTSD) also gives rise to a 'psychic numbing' condition, experienced in the form of an estranged feeling, and a sense of detachment to the extent of believing that no group or place exists where one truly belongs (Helping Children From Addicted). Emotions get constricted, particularly in areas of affection, intimacy, and sexual involvement. It is no wonder that such kids are eight times more liable to becoming addicts or marrying a drug addict / alcoholic. In case of Anna and James, the above-mentioned behavior is observed to some extent, as they both hail from alcoholic homes.
It appears as if the cycle has now passed on to their son. Judging from the information we possess, this cycle is carrying on. Issues that should be investigated include whether or not the boy is using those drugs found in his possession, how did he access it, reasons...
" 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,
E. unbiased -- in its reach. They are very careful to examine the ramifications and implications of each facet of their conclusions. As an example, they note that the shift to outpatient treatment has been generally more effective for many patients with alcoholism, but at the same time this has reduced the number of beds available (and institutions, though the authors do not come to this direct conclusion) for inpatient
From the perspective of Cunningham, Sobell, & Sobell, et al. (1993), as well as Hajema, Knobbed, & Drop, (1999), the fact that Glenn has not yet experienced any significantly negative consequences attributable to his alcohol consumption operates as a specific risk factor in it continuation. Similarly, because adverse consequences of addiction is ordinarily the primary motivation for patients' acknowledgment of the problem or their seeking any treatment independently, the absence of
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
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Etiology of Theories on Addiction There are different sorts of addictions and substance abuse methods that plague the world today. However, in order to cure an addiction, one needs to go down to its root cause, and eliminate it, after which the damages caused can be mitigated and prevented. There are several theories and approaches to tackle an addiction problem. Most trained professionals use these theories in their treatment plan to
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