How will your intervention assist Robert in resolving the crisis of the stage?

Robert is a 32-year-old Caucasian businessman who was involved in
a car accident on his way home after having a couple of drinks at the local
bar. He was legally mandated to obtain evaluation and treatment because at
the time of the accident, his blood alcohol test showed .09, which was above
the legal limit. He is overweight and tends to have high blood pressure. He
grew up in the neighborhood where he and his wife now live. They have two
children, ages 6 and 4 years. Robert has several childhood friends who come
to the bar, almost every day during the week, to have drinks and socialize.
His father is also a frequent visitor to the bar, and has been for the past
40 years. Robert’s father drinks 4 to 5 drinks when he is at the bar, but
Robert father feels that he does not have any significant problems related to
drinking, except for his hypertension. Robert also drinks 4 to 5 beers at the
bar, but he does not feel that he has any drinking problems because he does
not drink at home except for wine with his evening meal. When asked if Robert
drank more than usual on the night of the car accident he stated, Its not
like I am an alcoholic, I just had a really stressful day at work and maybe
had one too many drinks but its nothing that I cant control.
1. Do Roberts gender,
age, race and/or ethnicity matter to the case? If yes, in what way does it
matter?
2. Erik Erikson
(1963) described eight stages of development. What stage of development do
you suppose Robert is in? What crisis will Robert need resolve during this
stage?How will your
intervention assist Robert in resolving the crisis of the stage?
3. Kanel (2012)
cites seven defense mechanisms commonly observed in alcoholics. Name and
describe at least two of the defense mechanisms that Robert relevant to his
alcohol use.
4. What kinds of
interventions would you recommend for Robert that may assist him in
decreasing his dependency on alcohol (name at least two)?
5. Are there any
codependents in this case? Provide justification for your response.

Question 4
18 out of 25 points

Sally
is a 58-year-old Vietnamese woman who 10 years ago was diagnosed with
multiple sclerosis (MS). In the past four years there has been continuous
degeneration of her gross and fine motor skills, vision, and bladder control.
During the past year, Sally has received eight hours of home health care per
day because she needs total assistance in bathing, grooming, dressing,
getting in and out of bed, and transferring into her wheelchair. During a
snowstorm, home health aides were unable to get to her home. He essentially
stayed in bed for a week, with her husband providing as much care as she
could (she was unable to transfer her from the bed). When an aide
did go into the home and attempted to move Sally from the bed, it became
apparent that during that week she lost even more skills and there was no way
that she could be transferred safely by just one person.
Sally
was admitted to the local hospital to undergo an intravenous drug treatment,
which previously had helped him regain muscle strength. During his hospitalization,
it became apparent that the medication was ineffective. Eventually, there was
no longer need for acute hospitalization. Her husband, who is aging, felt
that he could neither provide nor coordinate the increased level of care that
he now needed. Hospital social workers began the discharge process,
looking for placement in a nursing home. Sally adamantly refused to go to a
nursing home, but she was unwilling to share in the management or
coordination of home health care. The only support Sallys family has is her
husbands sister. Before having to retire from work four years ago,
Sally socialized and lived a very active life. She had many interests and
friends, but now refuses to socialize with others and appears depressed. In
addition to medical providers, Sally and her family have been assigned, you,
as a case manager.

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