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303CaseStudy1Week2.docx
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chronic alcohol RC
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<!DOCTYPE html PUBLIC "-//ABISOURCE//DTD XHTML plus AWML 2.2//EN" "http://www.abisource.com/2004/xhtml-awml/xhtml-awml.mod"><html xmlns="http://www.w3.org/1999/xhtml" xmlns:awml="http://www.abisource.com/2004/xhtml-awml/"> <head> <meta http-equiv="Content-Type" content="application/xhtml+xml; charset=UTF-8" /> <title> Abiword HTML Document </title> </head> <body> <div> <p> <span style="font-weight:bold;font-size:12pt;font-family:'Book Antiqua'">Case Study 1, Week 2</span> </p> <p> <span style="font-size:12pt;font-family:'Book Antiqua'">Karen (*Case Study adapted from: addictionpro.com article by Carlo DiClemente, Ph.D.)</span> </p> <p> <span style="font-size:12pt;font-family:'Book Antiqua'">Karen is a 37-year-old woman who started drinking regularly in high school. There is a family history of alcoholism, and Karen's paternal grandfather was killed when he fell off a ladder, which her family believes was likely because of his drinking. Karen's adult life revolved around drinking, as her husband, his family, and several of their friends also drank heavily. For Karen alcohol was “performance-enhancing” because she was usually shy, and alcohol allowed her to socialize better, a trait that helped her work in sales. Her ability to drink large amounts—a 12-pack of beer a night, or three to four bottles of wine, or beer plus six to seven mixed drinks—became almost a “source of pride.”</span> <a name="_GoBack"> </a> </p> <p> <span style="font-size:12pt;font-family:'Book Antiqua'">About four years ago Karen's employer suspected she had a drinking problem, and voiced concern to her. Subsequently, Karen tried to stop drinking on her own but became very sick. She returned to drinking but was embarrassed, as indicated by her special efforts to “get rid of the evidence” of her drinking. She passed out one night and left her dog outside, and in the morning yelled in frustration at her dog for being outside all night. Karen felt she had hit bottom.</span> </p> <p> <span style="font-size:12pt;font-family:'Book Antiqua'">Karen had become so tolerant of alcohol that when she drove to the treatment center the day after a night of heavy drinking, her blood alcohol level was 0.4%. She underwent detoxification and wants to begin outpatient counseling. Karen also reports having difficulty controlling alcohol cravings that are triggered by her environment. Certain cues, such as the sound of a popping bottle or beer can, smells, and associations of alcohol with certain meals and daily activities, are all positively associated with alcohol. Hearing stories of alcohol even stimulate her cravings.</span> </p> </div> </body> </html> ">
