Case Consultant Report for Mr. Rose
Substance Abuse
Among the crimes which made Mr Rose to be arrested was substance abuse. His criminal history has been centered on theft, assault, reckless driving, drug taking and possession. During a forensic assessment, he points out that alcohol is not a problem to him. He further claims that he regularly drinks until he passes out especially in weekends or after stressful day. His reason for consistent take of marijuana is to remove stress and relax. Concerning any treatment remedies for his condition of substance abuse, Mr. Rose appears not to be ready for such a course.
It is well acknowledged that excess alcohol and drug abuse is plainly dangerous. This is because; the use of drugs and alcohol affects the physical and psychological health of a person. Mr. Rose’s drinking problem has not only posed danger to himself as observed from his frequent arrests and convictions, job dismissals and irresponsibility, but also to others such his girlfriends and family members. Mr. Rose is unable to maintain a stable relationship because of this habit. For instance, we learn that he had more than 60 sexual partners in his life time including prostitutes and bar attendees. These habits will consequently interfere with any future relationship he may aspire to have since few ladies will tolerate that. Concerning employment, alcohol and substance abuse is the main cause for the unstable work record he is experiencing. Other resultant features as observed from his work history include constant absenteeism, problems with his superiors and so on.
The problem of substance abuse has also spurred conflict between him and his parents as he is unable to live with them. His parents complain of irresponsiveness, uncouth behaviors, and failure to comply with the rules and regulations. These uncouth behaviors include stealing to supplement his drinking sprees, playing loud music and parties, damaging properties and so on. Since Mr. Rose is not ready to undergo treatment for the drug related problems, it is probable that proper counseling be established and which will help him to recognize the dangers which this habit has caused on him. Apparently, the patient should be taken into an outpatient alcohol rehab clinic which provides individualized and comprehensive treatment programs for the patient. A comprehensive evaluation on this him should emphasize on comprehending the severity of the alcohol and drug abuse issues as the first step in initiating and established a personalized treatment program that would be appropriate.
Individualized counseling for this patient and his family members should be made available so that he understands how alcohol and substance taking has added to his present predicament. More so, these programs should be followed on at each stage of treatment and recovery process. Another approach to be used in this perspective and which would appear very efficient is that of motivational therapy. This refers to a type of counseling approach developed by Miller and Rollnick (1983). According to these theorists, motivational interviewing is a method which operates on facilitating and incorporating intrinsic motivation with patient in an attempt to change his behavior. The evaluation and resolution of the ambivalence is the rationale for this theory. The counselor undertaking this project should be directive in achieving this objective.
Employment
With regard to employment, facts reveal that Mr. Rose mostly works in the construction industry. He is also a mechanic at local garage where he sometimes spends time repairing cars. He however does not stay long in each of these work stations because of his uncouth conduct resulting from heavy drinking and drug abuse. This behavior also causes a problem with his superiors and workmates at the workplace, thus resulting into frequent dismissals. Apparently, his frequent absenteeism resulting from arrests and conviction has also cost him employment opportunities for he can not sustain a permanent job.
Consistently heavy drinking mostly results into dependence for the patients. This is because the patient will not be efficient in his work and as we have seen in Mr. Rose’s case, he or she can not sustain employment opportunities. Heavy drinking is associated with impaired attendance in the work place as well as the work performance. Dependence is related to alcohol and drug abuse or being in that influence at a time or place which is not appropriate. In addition, lack of employment also results into interpersonal difficulties as well as deterioration of skills. An increased blood level when at work jeopardizes both safety and efficiency in the work place. For instance, there is a likely hood of errors, mistakes, increased danger of accidents as well as impairment of skills for the drinker.
Lack of a stable job for Mr. Rose has also contributed to his drinking sprees since he finds a lot of free time with nothing else to do. In filling the void of this free time, such people look up for activities such as in drinking. The value of lost output for drunkards has long been acknowledged to be the major costs to the economy of alcohol misuse. It is definite that, drinking is an issue affecting the workplace. Those people who drink a lot may think that they are in control of their drinking problems. This is more of portrayed by Mr. Rose who thinks that he is in control of his behaviors. Apparently, he may not realize that his colleagues who ‘fills the void’ for him in his absenteeism may have different thoughts about him altogether. Another thing this man is not realizing is that, his drinking spree and other uncouth behavior are costing him employment opportunities.
With regard to his employment prospects, Mr. Rose should be taken through the employee assistance program. Since Mr. Rose happens to be unwilling to undergo treatment program, he should not be coerced into accepting the assistance so offered. This is because the patient is not obligated to following advice from counselors or supervisors. A reasonable work area should be sought for Mr. Rose and in his first time, the management of authorities should be willing to accommodate him with regard to performance in production as he is undergoing the rehabilitation program. The authorities in wherever he will be working should be willing to offer some leave, be it sick leave or leave without pay just because of the rehabilitation program he is undergoing. This will make him busy and therefore avoid the temptation to drink and at the same time be able to make some coins for himself and his expenses.
One of the symptoms of drug abuse and alcoholism as exhibited by this patient is denial. It is a common phenomenon for employees or person who abuse substances to deny that they have a problem that need to be solved. Therefore, a disciplinary action or removal of such substances from availability is crucial to affect behavior change. Before, taking disciplinary measures however, counseling program should be designed in such away as to make him realize the consequences of his actions.
Marital/Family
Although Mr. Rose has reached 30, he is not yet married. One of the reasons is that he can not sustain any serious relationship from uncouth behaviors including violence on his partners. He also happens to be having casual sexual encounters with several women. In fact, he claims to have had sex with more than 60 partners in his life time. Additionally, he consistently attends strip clubs where he claims to be going after work to “relieve the stress”. He also claims to be having an obsecure sexual desire. Moreover he is also not interested in having along term relationship or marriage though he is ready to continue with his fanned relationship.
Since Mr. Rose has had too many failed relations, his behavior may be regarded as a personal disorder. Usually, people who harbor this behavior are characterized by being too abusive, controlling, and manipulative to their fiancés or partners. They will occasionally ruin not only their relationship but also their reputation, finances and self esteem. A personality disorder (of which Mr. Rose belongs) is a group of people with a history of behavior, personality, emotional and relationship problems. The personality disorder refers to a pattern of an individual’s inner experience (beliefs, values, attitudes, mood and so on) as well as behavior as depicted in instability and aggressiveness. These patterns of dysfunction are both intrusive and inflexible in nearly all aspects of a person’s life. They subsequently regenerate into a myriad of problems in emotional and personal functional function and in most cases are so extreme that they end up causing distress or impairment in all life aspects.
Apparently considering a team approach in treating avictim of personality disorder is the best way to go. Those responsible for the patient care should ensure that all the medical, psychiatric, as well as the social needs of the patient are looked into. This is because owing to the patient’s behavior, the condition happens to be in a chronic stage. Hence along term treatment programs will be necessary. Antisocial personality disorder is characterized by behavior which seeks to violate or challenge the society norms. By employing a special program of personalized therapy, the antisocial personality disorder can be effectively treated. Since the person in question is not willing or cooperative to undergo any form of treatment, he should be forced by a doctor for the same course. As earlier said, motivation should be the key consideration in order to emphasize the positive results from team work and cooperation.
Studies point out that the more an individual engages in multiple sexual partners, the more likely he will develop an alcohol and substance dependence. This may be the reason why Mr. Rose has immersed himself in alcohol and substance dependence. There is a theory articulating that people who have many sexual partners involve themselves in risky behaviors such as substance and alcohol abuse. There is a possibility that the use of marijuana enhances increased sex drive, thus the reason why Mr. Rose has depicted an increased sex drive and therefore wanting to have sex with whomever he encounters. This behavior makes him unable to sustain a relationship and even marriage since many ladies could not tolerate that. The best action to take therefore, in this situation is to make Rose stop his marijuana taking habit and also substance intake through counseling and rehabilitation program. The aspect of having multiple partners by Mr. Rose may also be derived from the essence of having short term relations or the consequence of having a multiple failed relationship.
Mr. Rose has no contact with his parents. This is because he takes them as being “too tough” on him and controlling his actions. However, the parents claim that there only requirement from him is to take responsibility and charge of his actions. It is well acknowledged that lack of personal responsibility results into many negative consequences. Mr. Rose’s overly dependence on his parents is the results of his irresponsible behavior. Another additional note for lack of responsibility is being hostile towards others; angry or depressed on how unfairly one is treated. This is more of depicted in Mr. Rose when he complains of his parents and the state authorities on being too “touch” over what he considers “minor issues”
The counseling program on Mr. Rose should be focused on creating a positive attitude towards policies, laws and regulations by authority figures including his parents. He should be made to understand that whatever laws are made and which are directed towards him, are made for his own good and the good of his neighbors. For instance, his parents “strictness” on him was only meant to make him responsible and take charge on his actions for his own good. Also the concern by other authority figures is meant to protect the rest of the population from harm or injury. Therefore, the laws are supposed to be followed by each and every person for the societies good. The fundamentals of finding positive aspects are simple but not usually an easy affair. The person has to be forced in trying to think of it, that is the benefits of law adherence not only to himself but to others as well.
Associates/Social Interaction
Mr. Rose is well known in the community he lives, perhaps due to his uncouthly behaviors. His closest friends, Bob and Rick are also criminals just like himself. For instance, the friendship between him and Bob emanated from his interaction in a local county jail, where Bob had also been convicted of drug trafficking. Although the guy does no longer do the business, he uses his former connections to procure marijuana for him and Mr. Rose to smoke. This has in a greater deal affected his marijuana smoking since without Bob; he may find it difficult to procure the substance. Steve, his other friend is also an accomplish in his drug taking as he had a connection with Bob, a former drug dealer. These friends of his can be seen as influencing Rose’ behavior as they are depicted as supporting his illegal activities including the latest assault incidence. Therefore, they give her a motivation to do illegal activities.
Association with people of decided excellence and virtue is of greater significance in the formation of a good character. The force by example is powerful as depicted in Rose’s associates. Human beings are creatures of imitation and by necessity, the habits, characters and tempers are much established by the model of those that they interact with on day to day basis. It would be very much better for an individual to be alone than being in a bad company. Good manners are corrupted by evil communication. Ill characters move faster than a communicable ailment and the mind is equally if not more affected.
It is well acknowledged that the true nature of man is recognized by the company he keeps. This is because; he will naturally assimilate by force of imitation, manners and habits of this company. In essence, bad companies affect ones character. This is because engaging one into bad company is like driving a nail into a post which after being blown in the wood, it becomes hard to draw it out. One may be clean but once he or she engages in bad company then he falls into what can be regarded as a bad odor.
The patient should try to encourage the patient strive for strict integrity and mental excellence. This means that he should also be restricted from his former allies and associates who negatively influence into bad behaviors and conduct. Once the patient is habituated into virtuous course, then he would be sure to be acceptable in the society and also the virtuous people. He should be encouraged to join the company of good people who would act as role models for his characters.
Community functioning
concerning the aspect of community functioning, Mr. Rose plans to go on with his normal life, that is drinking sprees, conflicts with other people, sexual activeness and so on. He does not see any problem with his characters nor his he willing to change them. Concerning his relationship problems, he also argues that it is the women who are the cause of all these and he has no part to blame.
In accordance to the social learning theory, also referred as social cognitive theory, behavioral change, there are various factors which determine behavior change. These factors include personal, environmental, and behavioral elements. Each of these factors is associated with another. For instance, in comparison to the principle of self efficacy, a person’s thought’s influences his behavior. In this case, Mr. Rose’ thought tells him that he is on the right and that the authority figures are the one in the wrong for interfering with him with no “cause”. Additionally, the personal characteristics draw out specific responses from the social environment. On the other hand, a person’s environment influences the development of his individual characteristics as well as a personal behavior. Consequently, a person’s behavior may alter the environment as well as the thoughts of that individual. These factors are hypothesized in the social learning theory to focus in the reciprocal interactions between these factors (Bandura, 1977).
Conflict avoidance is a personality trait which every one in a peace loving society is supposed to keep at all costs. In this perspective, a therapist or psychologist should be sought so as to help Mr. Rose learn better methods of dealing with conflicts in a healthy way, rather than engaging himself in frequent confrontations.
Personal/Emotional Orientation
Mr. Rose was too possessive and jealousy on his fiancés and consistently blamed the victim for infidelity though he had no evidence. He always believes that all women always cheated on men. He also places sex as his important aspect of life. He did not care about his sex partners or fiancés but slept to whomever was willing, thus portraying the other partner. He regularly attended strip clubs to “relieve his stress” after work. His other problem is on following stipulated rules and regulations.
It is a well known fact that being possessive and overbearing can turn any happy relationship into one filled with jealousy, fear, and control as depicted in the case of Mr. Rose. Possessiveness emanates from the thoughts of insecurity in a relationship whereby the possessive partner doubts the dedication, love of the other partners and consequently developing control and jealous. It is unfortunate that possessiveness spurs more problems in the relationship than good. This is because; the more possessive partner is, the more he or she will struggle to be free, therefore, making the ones who are possessive to be more and more insecure in an attempt to gain more control for the partner.
Since this problem seems to be chronic in this patient, it would be better if natural remedies such as the original flower remedies should be administered to the patient. The Bach Flower has been known for solving the problem of possessiveness as well as over protectiveness, enhancing care for others in away that would unselfish. Additionally, this remedy assists individuals feeling fulfilled, self assured and valuable. It is also appropriate for those who draw constant and unreasonable demand for recognition.
With regard to his negative attitude towards the community and his behavior, Mr. Rose should be made to understand the significance of being a good citizen. A good citizen is the one who possess the virtues of patient, determination, and dependability but not the opposite of these as Mr. Rose has depicted. In order for other people to see that Mr. Rose is a responsible citizen, he will need to exhibit the characteristics of a responsible citizen. In this way, the people will be able to accept him back in the community, otherwise he continue to remain alienated from the community. Mr. Rose should be taught on the best way to give back to the community, adherence to legal and traffic jurisdictions such as a show of congruence with the society.
Sex Offender Specific
From the assessment, Mr. Rose happens to have a history of sexually abusing women especially his fiancés. In fact, his recent conviction was because of sexually assaulting and abusing his long term girlfriend while in a drunken state. However, Mr. Rose should be taught that violence of any nature against women is wrong, when the victim is her fiancés, lover, sexual partner, a marriage partner, an acquaintance; a family member; or even a stranger. Being abusive to partners also creates a situation where people of the opposite sex will avoid you and this will make it difficult to obtain a marriage partner as most of them know or get to know your character.
Although sex may be a good thing for many people it is not good to be obsessed or get addicted with it as our friend Mr. Rose has. This is because; too much sex will interfere or jeopardize the sex life of the other partner. Worse still, it would cause infidelity and prostitution as in the case of our good friend Rose. Counseling programs should be designed for this patient to try to make him control his sex drives. It would also be very important for this patient to be made to stay proactive in his withdrawal and the process of having a satisfying, and health relationship.
Reference
Bandura, A. (1977). “Self-efficacy: Toward a Unifying Theory of Behavioral Change”. Psychological
Review, 84, 191–215. R
Handmaker, NS; Miller WR, Manicke M (2001). “Pilot study of motivational interviewing” 86.
- 680–683.
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