Drinking Carl and His Life Story - Case Study Example

 Question 1 The case of Carl remains best considered to benefit from the adaptation based theory of addiction. The psychodynamic theory remains the best suited to address his addiction. Apparently, Carl commences his drinking interest following the demise of his wife, and the subsequent loss of their house, He feels rather unable to play the role of the husband in his family. His wife died of a fire tragedy; thus Carl may be convinced that he was unable to do his best in salvaging her life. Apparently, the loss of his wife seems to be the trigger of uncontrolled alcohol pursuits that were later aligned to the subsequent inclusion of the habitual consumption, leading to the addiction. The loss of his house assisted to elevate his consumption model. Arguably, the psychological model of addiction remains regarded as the best perception that captures on his addiction. However, perceiving the addiction as a disease will eventuate into not being the ultimate solution. Apparently, the previous models of address sought by Carl may have centred on the prospective description of his addiction under the disease model. It essential to detach the perception of Carl from the subsequent sense of guilt that is associated with the failures of his life. Counselling sessions aligned at adjusting his psychological perceptions of the challenges that faced his life may be regarded as being critical in the address of the addiction. Question 2 The psychodynamic theory of addiction was perceived as the model of choice in the address of predicament of Carl. The model proposes the addiction to be founded on the progressive psychological deficiencies that are associated with the life of Carl. On that note, the primary interest of the respective rehabilitation session will focus on the allowing of the patient an opportunity to expound on the respective aspects of their life. The treatment plan will involve the commitment of the patient in the address of the elevated toxicity level. It remained apparent that the alcohols levels associated with Carl needs to be mitigated prior to the commencement of the actual treatment. Such an accession assists in the shaping of the concerns that needs to be embraced in respect to the prospective concern of the psychodynamic approach as an ideal model of the treatment (Bateman, Brown & Pedder, 2010). The protocols of treatment will involve a reflection on the subsequent content of his Johari’s window (Borden, 2010). The region of interest will involve a focus on the mitigation of his facade and blind spot. Carl desires to be exposed to the perceptions shared by the remaining members of his society over his action. He is perceived to be expressing a difficult discernment of his self. The mitigation of the size of his facade will allow the unveiling of the concerns that haunt his psychology. Exposing such interest will involve the development of a novel perception over the impression shared by the rest of the persons that found his family. It is apparent that Carl fears being judged over his perceived “failures” in salvaging the loss of both his wife and house. He needs an assurance from his family that their perceptions on him are rather different from his understanding. Such a measure will narrow the size of the Blind Spot pane of his Johari’s Window. The failure of having a caring and a progressive subsequent regret and self-blame over the challenges faced by his children may be associated to the progressive drinking behaviour associated with Carl. Question 3 Carl will benefit from the inclusion of various models of treatment, including in-patient and out-patient. Additional contribution will be founded on the prospective concerns of individual and group-based counselling. The in-patient program will be used to mitigate the increased levels of blood alcohol level established in his system. The model will be observed till later states of expression, where the stability of his drinking habits will be established. He will be subjected to further individual counselling session in the hope of enlightening him on the associated losses. The same may be argued of the subsequent phase of disclosure of the concealed details of his life. It is apparent that he will be adamant to offer such details in a public forum. The introduction of the out-patient program will be perceived as a sigh of progress in the mitigation of the Blood Alcohol Levels expressed by Carl. It will, thus, be perceived as a measure of acknowledgement. The same may be argued of the subsequent concerns such as the prospective contribution of the external environment in the promotion of the addiction. Group session will be adopted upon the establishment of confidence in the character of Carl. It remains apparent that there exists a significant number of handles to be addressed towards the mitigation of the psychological perceptions associated with the condition of Carl prior to the consideration of the public session. His age will remain ideal in the address of the respective hurdles since there will be little to limit his disclosures. Public session will allow an opportunity to reflect on the perception associated with the character of Carl as outlined by the rest of the community. Such revelations will allow Carl to feel at ease with his self, thus allowing him to share further details of his facade pane. Arguably, the contribution of each of the elements that define his life will be aligned along the possibility of having their effect synergize towards the address of the considered predicament (Truscott & American Psychological Association, 2010). Question 4 Apparently, the elemental trigger that lead to the adoption of a chemical dependency lifestyle was the loss of valuable inputs of Carl’s life. His wife was among the considered net of losses. Carl may be considered to have felt the loss as being a reflection on his failure to offer protection in her time of need. The subsequent loss of his house is considered among the definitive aspects that assist in the elevation of the inability of Carl. He seems convinced that his contribution is rather wanting in both cases. The subsequent observation of cases of distress in the behaviour of his family may be considered as a possible trigger of the progressive cases of relapse from his sobriety. On such regard, it remains apparent that his family desires to be involved in the development of a malady for his addiction. However, their involvement desires to be synergized with the progress made in his path towards stabilizing on his newly acquired sobriety status (Cervone & Pervin, 2010). Question 5 The character of Carl may be best considered as that of an individual aspiring to reform from his devious addiction. He seems to be expressing the will to reform only to be overwhelmed by the external challenges. He was involved in the process of decision making in address of his condition. He agreed to be admitted in the facility as a measure of addressing his consumption levels. The same may not be argued of the progressive nature of the characterization that is accorded onto his behaviour by his family. He seems troubled by the perception related to his drinking by his family as compared to the concern of the effects he stand to fetch from his behaviour. However, the consideration of extensive intoxication may be associated to the perception of solace that he fetches from his drinks. He seems secluded by the rest of his family, thus, the progressive nature of his addiction in respect to the address of the psychological challenges associated to his livelihood. Drinking is thus perceived as a solution to the progressive reminders of his errors encountered in his daily endeavours. The expression of his drinking pattern may be associated to the prospective emergence of a challenge that allows the diminishing of his potential to address the situation. Arguably, the drinking behaviour may be associated to the status of his ego. However, he does not drink to express his ego but to escape from the possible implications of his failed responsibilities. On such note, he may be perceived to in a continuous state of drunkenness as compared to the ego-based patients who are rather periodical in their consumption (Sapp, 2010). Question 6 Carl is reflected as being rather difficult to quantify with respect to his addiction patterns. He expresses a rather high level of Blood Alcohol as related to the rest of the population. The same may be argued of the prospective contributions he offers with respect to the nature of the subsequent relapses he has experienced following his treatment. Relapses remain the only principle aspects that define the symptoms of his addiction. It remains further apparent that the concern of assessing his alcohol behaviours will have to be subjected on a progressive evaluation process prior to the consideration of their impact. However, smell of alcohol, drunkenness and presence of alcohol brands in his personal space may be suggested as possible measures of evaluating his involvement in chemical intoxication. The evaluation of the progress may be perceived to be achieved only upon the consideration of the respective tests that are to be undertaken under periodical perceptions. It remains further apparent that the process of quantifying the respective alcohol levels will have to involve the cooperation of the members of his family. Widening the measures of evaluation will be regarded as being critical towards the address of the challenge (Borden, 2010). Question 7 The primary treatment models under recommendation include the observation of mitigation protocols towards the lowering of his Blood Alcohol Levels. Arguably, the concern of his levels of alcohol being way beyond his considered normal standards remains rather critical in the shaping of his treatment measures (Cervone & Pervin, 2010). He requires immediate detoxification protocols that will be sustained by progressive monitoring and counselling. The counselling process will delve into in-depth consideration of the aspects that add to his drinking character. The arguments pertain the involvement of the respective aspects of modelling a relevant addiction theory that matches his character. Carl needs to be subjected to a treatment model that appreciates the psychological burden that is associated to his character. The proposed model of addressing the addiction desires to incorporate the respective challenges that are faced by Carl. The contribution of his family in the medication theory embraced by the sobriety team needs to be rigid and involving. Such is advised by the perception that a number of his challenges are associated with the opinions of his family towards his decisions. I would recommend that the family express a sense of commitment towards the implementation of the developed sobriety program. Question 8 The case of Carl remains best described along the implications it fetches from the family opinions. It remains apparent that the observations of the subsequent concerns of alcohol consumption are related to the perceptions created by his family over his decisions. The moment the family betters on these impressions will allow for the address of the sobriety challenge associated to Carl. Arguably, the behaviour of Carl in respond to the prospective challenge of alcohol addiction remains vested on the perception that are expressed by his immediate family. The tragic loss of his wife allows to spell the value of family as perceived by the patient. The subsequent loss of his home implied that his family was to be regarded as shelter-free. The moderation of the respective losses and their implications to the family ties held by Carl remains critical in the articulation of their role in the treatment. Question 9 The prospective treatment of Carl will be challenged by the failed initiatives that have defined his drinking life. Arguably, Carl has been associated with three sobriety treatments that failed with definite periods upon their embrace. The concern of the current treatment suffering the same fate remains rather ideal. On that regard, it remains essential to evaluate the possible mechanism that may mitigate the occurrence of relapse upon the engagement of the programme. Among the possible suggestions includes the address of the leading concerns that trigger the prospective embrace of the addiction behaviours (Sapp, 2010). Fathoming these concerns allows for the deduction of ideal measures of mitigation, hence the address. Reference Bateman, A., Brown, D., & Pedder, J. (2010). Introduction to psychotherapy: An outline of psychodynamic principles and practice. Hove, East Sussex: Routledge. Borden, W. (2010). Reshaping theory in contemporary social work: Toward a critical pluralism in clinical practice. New York: Columbia University Press. Cervone, D., & Pervin, L. A. (2010). Personality: Theory and research. Hoboken, NJ: Wiley. Sapp, M. (2010). Psychodynamic, affective, and behavioral theories to psychotherapy. Springfield: Charles C Thomas Publisher, Ltd. Truscott, D., & American Psychological Association. (2010). Becoming an effective psychotherapist: Adopting a theory of psychotherapy that's right for you and your client. Washington, DC: American Psychological Association. Read More