Final case study and treatment plan Essays - American Film Directors

Identifying Information: Jack Wellman, 62 year old Caucasian male, unemployed since 1990. Referred to treatment following involuntary commitment to a short-term local mental health facility by a family member. Presenting problem: Mr. Wellman presents following a seven day stay at the Veterans? Hospital in Fayetteville, NC. On December 4, 2010, a close family member visited Mr. Wellman?s residence and found him extremely intoxicated, unbathed, and babbling about ?Vietnamese people watching him from the bushes?. Mr. Wellman was in his bedroom, and several prescription bottles were on the nightstand. The family member immediately called an ambulance. Mr. Wellman was transported to Nash General Hospital, where he detoxed for two days, and was later transferred to the Veterans? Hospital, because of his military status. Upon his admission to Nash General, he was diagnosed with alcohol poisoning, as well as three fractured ribs. He did not know the origin of this injury. He states that he ?must have run into the bedpost?. History of Presenting Problem: Based on information supplied by friends and family, Mr. Wellman has experienced numerous problems, spanning approximately forty years. The problems have worsened with age. He has a long history of abusing alcohol, a problem that began when he returned from the Vietnam War. He reports having feeling of paranoia, anxiety, depression, and episodes of night terrors; all of these problems intensify when he is under the influence of alcohol. Mr. Wellman has been admitted for substance abuse treatment four times, always at the insistence of a family member, and has always been discharged within about ten days. He has been admitted to three different hospitals, but has always been transferred to a Veterans hospital within a day or two, for insurance purposes. He has been prescribed several different antidepressants over the years, but does not take them as prescribed. When he does take them, his alcohol use makes it impossible for him to remember what he has o r has not taken. He also takes sleeping aids almost every night because of his episodes of insomnia and nightmares. He states that when he does not take these, he stays awake and ?paces?. He expresses no desire to quit using alcohol. In the past, it has been recommended that Mr. Wellman attend a support group for Vietnam veterans, but he has refused to do so. He states that he is an adult, and can live as he chooses, and expresses anger towards the people that have had him ?locked up? in the hospital over the years. He has several skin abnormalities, thought to be caused by exposure to Agent Orange. This eventually led up to him receiving 100% disability from the military. He reports having frequent episodes of night terrors related to Vietnam, where he dreams that there are people lurking in the bushes, watching him, and wanting to harm him. At night, he often relives the violence he experienced during the war, and these episodes are more intense when he is under the influence of alcohol. Social History: Mr. Wellman lives alone, in a moderate, older home. He states that he is considering relocating, because the neighborhood has declined over the last ten years or so, and he experienced a break in last year. He owns a newer model truck, as well as a high-end Harley Davidson motorcycle. He drives his truck daily, usually eating out one to two times per day. He states that he spends most of his days at home alone, or having the occasional cup of coffee at the local diner. He rides his motorcycle when the weather permits. He has a bank account, pays his own monthly bills, and maintains his own home. Mr. Wellman has no immediate family, to speak of. He has one child, a 22 year old daughter who lives about an hour away from him. He speaks to her by phone every two to three weeks, and only sees her a few times a year. There have been numerous problems with this relationship over the years, and the two have never been particularly close. Both of his parents, who lived to reach their late 80?s are deceased, both passing away in nursing facilities within a year of one another. Both

Prejudice & Discrimination essays

Prejudice & Discrimination essays On February 11, there were two reports regarding the proposed ban on gay marriages in Massachusetts. The first is an interview with CNN's legal analyst, Kendall Coffey (interviewed by Carol Costello, while the second was reported by Wolf Blitzer. Both reports were conducted in a way that did not suggest any prejudice on the parts of the speakers themselves. However, there are obviously many different viewpoints regarding this Two groups can be distinguished in this debate: fundamental Christians, and gay people, along with those who advocate gay rights. Two distinct viewpoints are also highlighted during reporting. One viewpoint concerns equal rights, while the opposite focuses on the right of people to vote for or against gay marriage. If a court were to decide which law to pass, the latter group claims that democracy and the right to vote hold no Another interview by Daryn Kagan with Sandra Scham from "Archaeology" magazine on the same day is also close to the heart of the Christian community. This interview concerns the historical accuracy of the film "Passion", starring Mel Gibson in the role of Christ. The interview focuses mainly on the ability of archaeologists to determine the exact environment of Christ's world, and therefore prejudice is not truly the However, the beginning of the article does suggest that the film, being centered around a Christian issue, tends to be discriminatory against other religious groups, including Jews. Furthermore the film suggests that Christianity is a great spiritual movement above all others, as well as being the only laudable spiritual "truth". The interview does center around the issue of truth to some degree, as its purpose is to determine the historical accuracy of the world created for the film. According to Scham, very little evidence is available to archaeologists to determine the ...