Free Essay

Case Study on Mary

In:

Submitted By srb35fem
Words 897
Pages 4
Case Study on Mary

Client is a middle-aged female, currently unemployed. She states she is a dropout, a divorcee and has no children, (further into her recovery, we find out that she is a mother of a deceased child). Mary is in the hospital as a result of getting into a fight with a local at the bar. Mary has been in the hospital three times in the last year, she appears to be suffering from hallucinations and possible seizures in the hospital. Mary states that she does not have an alcohol problem and that she will not go into a rehabilitation center.

Mary presents here today with the following issues:

1. Totally in denial about her alcoholism. 2. Past due on rent, lives in a small one-room apartment with two cats. 3. Begs and steals to get money for her next drink, not really worrying about rent. 4. Eventually she gets kicked out of her apartment and is living on the streets.

Mary ends up going into the treatment center mainly because she needs a place to live and to get off the street, she is in denial of her alcoholism, states she has no job no one wants her, she has very low self-esteem.

In the first group session, Mary states she could never imagine not taking another drink. Mary seems codependent, flirts with Patrick (who she calls Patty (which is her uncles name)), covers for Paul the motorcycle guy when he’s doing drugs in the room. She starts gambling with Paul in the room that they share at the Rehab center, which is unethical.

Eventually Mary listens and gets to know the other people and learns their stories and sees that maybe she can do this too. Mary gets to start working as she’s doing so well in the treatment center. At the place she’s working at, she finds alcohol in the cabinets. She ends up having flashbacks, drinks and leaves her job. After leaving job drunk she goes out looking for her kitties and ends up passing out on the sidewalk only to wake up with a hangover. Mary ends up running into a friend of hers on the street, gets some more alcohol from him and promises to watch over him but ends up passing out and her friend dies because there’s a killer out of the street. Mary see’s the killer and runs away from him and calls the police but has no clue where she is and then gets scared by some guy on the street.

Mary tries to go back to the rehab center and the whole group takes a vote to see if Mary can come back. They accept Mary back in and she does well, starts working and gets offer to be promoted. Patrick shows up at her work, wants to go out with her. She is still in the treatment center – not a good idea. They have a date at his house and he proposes to have her be partners in a business. He offers her a “drink” – apple juice, soda etc. 1 year clean. She leaves before it gets out of hand.

Mary shows signs of PTSD from the memory of seeing her friend dead and escaping from his killer, as well as the memory of her daughter dying as a result of her drinking. She is doing good and working and sees the “killer” looking through the window at her workplace (PTSD) – she wants to run away from her past and problems so she leaves the rehab center and lies to Patrick to protect him by acting that she is drinking. When she see’s all the people from the rehab center caring about her, she reflects on things and realizes that she is blessed.

What part of the Jellinek Curve is Mary presenting:

In the beginning it is the Crucial & Chronic phase because she is unable to discuss problems, she has aggressive behavior, she’s full of excuses, just persistent remorse about her failed marriage and the death of her child, she’s lost her apartment, doesn’t have a job, no money so she resorts to stealing and begging, impaired thinking, she has no morals at all right now. She spirals out of control for a bit and relapses but as she continues on the program she goes into the Rehabilitation phase as she stops drinking, opens up in group therapy some, has new hope for future as she obtains a job and gets promoted, she has a commitment in her sobriety (1 day/step at a time thinking), and even though she still has fears about the man who murdered her friend and the paranoia of him coming to get her, she is trying to do better and once she does see him in the window of her work, she wants to run and tries to but she also has the emotional control to try and protect the people she cares about but they only want to help her so when she sees this, she reflects on her spiritual journey, friendships with people in the rehab, helping others realize their dream, realizing that Sarah (her daughter) will always be there with her in spirit. She is definitely in the Rehabilitation phase near the top – Enlightened and interesting way of life opens up with road to higher levels than ever before.

Similar Documents

Premium Essay

Mary Mallon Case Study

...This was case of Mary Mallon. To her, quarantine meant a life of isolation and imprisonment for a disease that she was asymptomatic for. As a "healthy carrier", Mary was considered by the health officials in Manhattan to be too dangerous to be allowed to continue having exposure to society even though she was only infectious when she was cooking. She was presented to the public as a dirty immigrant from Ireland that was heavy in stature, ugly in appearance, and someone who carried and spread the disease to those who were considered to be "American" (Walzer, Typhoid Mary: Captive to the Public's Health, 13). She was deemed unmanageable due to the temper shown as she was accused of being infected with a disease that one only got if they were...

Words: 251 - Pages: 2

Premium Essay

Mary Sims: Case Study

...Facts: The RFH Company’s controller Mary Sims had questions about what needs to be done on certain items such as the $1,500,000 depreciation timing differences and the bad debt reserve increase from the prior year of $250,000. Ms. Sims also wants to know what to do with the accrued liabilities of $300,000 and a lawsuit of $450,000 which can be paid $500,000 over 3 years. Mary Sims wants to know how to classify these tax differences at the end of the year and I will advise her on some FASB standards that Ms. Sims should follow. Issues 1) $1,500,000 as a result of depreciation timing (Straight Line- MACRS method) 2) What to do with the bad debt increase of $250,000 3) What FASB codification should Ms. Sims look at? Conclusions 1) Depreciation is on taxes and will not impact the total depreciation of the tax expense of deprecation timing. Depreciation is an expense on the income statement with no cash value and can be tax deductible at the end of the year. The methods of depreciation for the end of year for tax purposes really have no purpose except for timing. MACRS will have larger depreciation values at the early years and slide off compared to just straight line where it is constant throughout the whole time....

Words: 596 - Pages: 3

Premium Essay

Mary Lee Immormino Case Study

...Facts: Mary Lee Immormino and her husband purchased food from the drive-thru window at McDonald. The item purchased included a hot tea for Mary Lee Immormino who was a front seat passenger. Mary Lee Immormino accomplished a series of actions to steep her tea; unfortunately, she spilled the tea on her lap. Plaintiff Mary Lee Immormino decided to bring suit because of an alleges injury caused by hot water spilled from a cup served by defendant J&M Powers, Inc., d.b.a. McDonald’s fast food franchise. Plaintiff's complaint alleges three causes of action: 1. Defendant was negligent by serving a beverage that was too hot; 2. Defendant failed to warn consumers of the temperature of the beverage; and 3. Defendant placed the beverage in an unsafe...

Words: 327 - Pages: 2

Premium Essay

Mary Owen Sheridan Case Study

...It gives me great pleasure to offer this letter of recommendation on the behalf of Mary Ann Sheridan. In my work with Maryann over the past several years, I’ve observed her demonstrate the leadership skills required for success in Program Coordinator position. These traits include an exemplary ability to work with others as evidenced by her role on our planning and facilitating team, her ability to meet candidates and mentors to offer guidance and support, and her positive and upbeat attitude. One of her greatest strengths is her knowledge of current teaching practice and ability to meet the needs of all learners. As a veteran math teacher of over 25 years, Maryann strives to stay abreast of current instructional practices, curriculum, and...

Words: 317 - Pages: 2

Premium Essay

Mary Alice Case Study Essay

...Reporter: Mary Alice has mental problems and is a drug addict; her drug of choice is meth. The drugs are used around the children. It is unknown if the drugs are accessible to the children. Mary Alice and the children lives with Wanda (maternal grandmother). Mary Alice was picked up by law enforcement 2/23/18 on a mental health Ritz. Mary Alice was released 2/28/18, but nothing had changed. Mary Alice has been referred to Region 8; no mental diagnosis known. Mary Alice was evaluated by Lawrence County Mental Health and was referred to outpatient treatment, but she refused. Wanda and Mary Alice had an altercation 3/3/18 in regards to Mary Alice being up all night and not caring for the children. Wanda suggested at 2:30 pm for Mary Alice...

Words: 563 - Pages: 3

Free Essay

A Laboratory Study of Fear: the Case of Peter Mary Cover Jones (1924)

...A Laboratory Study of Fear: The Case of PETER Mary Cover Jones (1924) October 20, 2014 Francoise Moisan PSY 201A 41163 This is an empirical studies on desensitization as a cure for phobia. It was written by Mary Cover Jones in 1924. It is considered by some to be a defining landmark in behavioral therapy and was a breakthrough in how behaviorism could be studied and manipulated in the laboratory. In order for something to be considered an experiment it must contain some basic elements: * It must ask a question: Can fears be removed under laboratory conditions. * Collect background research: This a sequel to a case contributed by Dr. Watson and furnished supplementary material of interest in a genetic study of emotions. Dr. Watson’s case illustrated how a fear could be produced experimentally under laboratory conditions. . Peter was ~3 years old at the time of the experiment and he exhibited a fear of white rats and this fear extended to a rabbit, fur coat, feather, cotton wool, etc. but not to wooden blocks and similar toys. * Construct a Hypothesis: How a fear may be removed under laboratory conditions. * Test Your Hypothesis by Doing an Experiment * Progress in combating the fear reactions was so marked that many of the details of the process could be observed easily. * It was possible to continue the study over a period of more than three months. * The notes of a running diary show the characteristics of a healthy normal...

Words: 425 - Pages: 2

Free Essay

Mary Beth Johnson

...Case Study - Mary Beth Johnson Patricia Steer Introduction to Human Resource Management B165/MAN 1300 Section 02 January 12, 2014 Dr. Nicole Runyon Case Study – Mary Beth Johnson This writing will discuss the case study regarding Mary Beth; it will describe Mary Beth’s situation and describe some of the challenges women may face in the global marketplace. In addition, this writing will show alternatives and solutions that Mary Beth can consider when facing her problem. Overview Mary Beth is a well-educated, hardworking, experienced woman working for Raxis Corporation. She has been with the company for many years and because of her excellent productivity has been promoted several times. Mary Beth wants to continue advancing within her company so when she learns of a position opening in the Global Services division she immediately applies for the position. Mary Beth is not offered the job and when she asks her manager about the reasoning for not getting the position, was told that she should not worry about it because “women typically do not get hired for international positions.” The key issues in this situation are that Mary Beth is more than qualified to take on the new position; she is loyal to her company and has the education and skills needed to succeed in the Global Services division. Mary Beth has great productivity but does not get the promotion because of her gender. While gender should not matter when considering a promotion, it does; when thinking...

Words: 733 - Pages: 3

Free Essay

Case 3-45

...Case Study Report Case 3-45 The requirement of independence, both independence in appearance and independence of mind, is presented by the rules of the AICPA code of professional conduct. Every practitioner in public accounting profession is required to keep their independence and objectives; however, independence area is so complex that not all specific situation can be answered by AICPA. Instead, in most situations, the public accounting firm and auditors should make their own decisions by professional judgments to avoid possible threatens to independence. This is a case study report of Case 3-45, which is the best case to get a better understanding of these difficult situations that relate to auditors' independence. This report is presented in three parts: case introduction, case 1 analysis, case 2 analysis, conclusion and further study. In case introduction part, the firm and case overview is briefly introduced. In following two parts, case 1 analysis and case 2 analysis, include the detailed case overview, analysis according to AICPA rules and references, and opinions over each case. In the final conclusion and further study, the report reaches to the conclusion of Case 3-45 and develops the further study suggestions. Case Introduction In Case 3-45, the main office of a public accounting firm, charged by partners, has met two difficult situations that may impair the firm’s independence. Don Moore and Mary Reed are two professional staff, who, respectively, are involved...

Words: 1620 - Pages: 7

Premium Essay

Business Law

...there must be a duty of care to protect others against reasonable foreseeable harm or loss. Secondly, there must be a breach of that duty. Thirdly, there must be loss or damage to the plaintiff and finally, there must be a causal link between the breach of duty of care and the loss or damage suffered. Duty of Care Duty of care refers to the relationship which the law recognises as giving rise to a legal duty to take care. A duty of care is a responsibility to take such care and breach of this can lead to the defendant being liable to pay damages to a party who has suffered losses or injury as a result of their breach of care. Therefore it is important for the claimant to establish that the defendant owed them a duty of care. In this case study Donoghue v Stevenson (1932), the duty of reasonable care was established. Mrs Donoghue went to a cafe with a friend. The friend brought her a bottle of ginger beer and an ice cream. The ginger beer came in an opaque bottle so that the contents could not be seen. Mrs Donoghue poured half the contents of the bottle over her ice cream and also drank some from the bottle. After eating part of the ice cream, she then poured the remaining contents of the bottle over the ice cream and a decomposed snail emerged from the bottle. Mrs Donoghue suffered personal injury as a result. She commenced a claim against manufacturer of the ginger beer....

Words: 3182 - Pages: 13

Premium Essay

Joining

...Week 3 Case Study for Discussion This case study provides you with an opportunity to immerse yourself in the role of a community health nurse and explore the resources in your community. As you work through the case, reflect on what you have learned about community health nursing in this course, and how you can apply it to this case. Your role: You are working as a community health nurse in your local health department. One of your roles with the health department is to case manage pregnant women who receive Medicaid. You work with an interdisciplinary team both within and outside the agency. Team members: * Anne is a fellow nurse with the health department. She is going on medical leave, so has asked you to assume this case. * Christina is a social worker with the health department. * Tracey is a case worker from Child Protection Services. * Mark is a dietician with the local Women, Infants, and Children (WIC) office. Your role: You are working as a community health nurse in your local health department. One of your roles with the health department is to case manage pregnant women who receive Medicaid. You work with an interdisciplinary team both within and outside the agency. Team members: * Anne is a fellow nurse with the health department. She is going on medical leave, so has asked you to assume this case. * Christina is a social worker with the health department. * Tracey is a case worker from Child Protection Services. * Mark is...

Words: 750 - Pages: 3

Free Essay

Article Rwview

...pornography addiction, but due to its uncommon occurrence, importance is not given to these addictions. The effects of this addiction are often underestimated, and it is often ignored that these addictions are as severe and difficult as other types of addictions. Therefore, this article addresses the severity of pornographic addictions, in addition to introducing the implementation of a successful structural therapy for obsessive patterns of pornographic addiction. To demonstrate the effectiveness of the structural therapy, the authors present a case study of a couple battling a pornographic addiction. The subjects involved in this case study are a couple named John and Mary, who have been married for ten years. Unfortunately, details of the location of the case study are not mentioned in this article. The origin of the pornographic addiction arose at the beginning of the couples’ marriage, where they used to enjoy pornography together. However, Mary stated that as time passed gradually, John...

Words: 1034 - Pages: 5

Free Essay

Magnolia Therapeutic Solution Case Study

...Magnolia Therapeutic Solution Case Study Patience A. Steward BSHS 373 February 4, 2013 Megan Burke Magnolia Therapeutic Solution Case Study The Magnolia Therapeutic Solutions Case Study defines to other organizations or businesses, especially that falling under the government expense or support how important it is to scrutinize on routine basis the cash flow of finances and effective decision making carefully. The magnolia Therapeutic Case constructed by Mary Stewart, was action put in place to assist those individual suffering from Post Traumatic Stress Disorders. Mary saw the need for initial to continuous help as a steady increase with this disorder from many of her private sessions. Many health professions prior to the Magnolia Therapeutic Solutions was no over concern in the area of Post Traumatic Stress Disorders. In such a manner, Mary Stewart created the organization under non-profit ideals and generously accepted a large government donation. Sadly is the downfall of an assumption that cost Magnolia Therapeutic Solutions to discontinue services that helped so many clients involved. The intent of this essay will explore the problems and concerns of the organization, the decisions made affecting organizational infrastructure, and risks taken within management. Problems and Concerns According to the Mayo Clinic (1998-2012), “Post-Traumatic Stress Disorder (PTSD) is a mental health condition that's triggered by a terrifying event. Symptoms may include flashbacks...

Words: 903 - Pages: 4

Free Essay

Business

...Year | 2014 | Exam Sitting | AUGUST | Subject | E-COMMERCE | Weightage | 25% | Submission Date | 31/7/2014 | Regulations A. Late Submission * A 10% deduction per day of total coursework marks (excluding weekends and public holidays). * Late submission between 5 to 10 days, results in a 50% deduction of total coursework marks. * Late submission past 10 days results in an automatic 0% for coursework and the student will be barred from the final examination. B. Deliverables Students must submit all materials supporting their coursework listed in the deliverable section. * Plagiarism is presenting somebody else’s work as your own. It includes: copying information directly from the Web or books without referencing the material; submitting joint coursework as an individual effort; copying another student’s coursework; stealing coursework from another student and submitting it as your own. Suspected plagiarism will be investigated and if found to have occurred will be dealt with according to the procedures set down by the university/college. The coursework must be done individually and must be entirely your own work. Please make sure that you are aware of the rules concerning plagiarism. If you are unclear about them, please consult your program coordinator/lecturer. * The coursework should exhibit formal research skills i.e. with a table of content, proper citations, references, and appendixes. * The coursework write up must be able to demonstrate...

Words: 1122 - Pages: 5

Premium Essay

Health and Social Care

...Case study 1 (M1) Mrs H. After reading Mrs H’s case study I was shocked, I was shocked to learn that she was given no choice in her personal care. Mrs H was moved to an intermediate care centre for treatment after a fall at home, after her treatment she was then admitted to the Elderly Care Assessment Unit of Birmingham Heartlands confused of what was going on around her, Mrs H wasn’t aware where she was getting transferred to or what care procedures has been put in place for her. Whenever Mrs H was in the hospital she had many falls and during one of the falls she broke her collar bone, her niece holds power of attorney for her and is also her only relative and because of this her niece should have been informed of Mrs H’s fall and her injuries that she sustained during this, but her niece received no information of any of the falls never mind her breaking her collar bone. This could make Mrs H less confident in the people around her such as doctors and nurses, she may lose trust towards them and not want to ask them to lift her in case she was to fall again, so in result of this this could lead Mrs H to urinating herself by not making it to the toilet. As Mrs H was given no choice in her personal care this would make her feel disempowered because before her fall at home she was a very independent woman whose appearance was important to her, this could result in Mrs H isolating herself. Mrs H was in no way treated and valued as an individual, during Mrs H journey home she was...

Words: 1902 - Pages: 8

Premium Essay

The Educator in a Pastoral Role

...The educator in a pastoral role Registration period: Semester 2, 2015 Student surname │ number: Mennell │ 50918818 TABLE OF CONTENTS PAGE ASSIGNMENT RUBRIC 1 1 SECTION 1: BACKGROUND 2 2 SECTION 2: GUIDANCE FOR MARY 5 2.1 Concepts 5 2.2 Phenomenon of child trauma, and the effects of trauma on Mary’s life 6 2.2.1 Phenomenon of child trauma 6 2.2.2 Effects of trauma on Mary’s life 7 2.3 Parental involvement and parental counselling 8 2.4 An individual and learning intervention program for Mary 9 2.4.1 Important guidelines to take into account 9 2.4.2 Reference to the problems in terms of Mary’s subjects 9 2.4.3 Reporting the abuse, involving support services, and involving Mary’s mother 9 SOURCES CONSULTED 11 ASSIGNMENT RUBRIC According to Best, Lang, Lodge and Watkins (1995:63), one of the most important roles of an educator in a school is to assist learners pastorally. (See your study guide, p. 2) Read the following scenario: “I felt like nothing made sense… .” I am Mary. When I was 11 years old, my mum’s new boyfriend moved in with us. I thought it would be good for mum cos she had a drinking problem and was depressed, and I thought it would make her feel better having him there. At first he was ok and bought me presents, but then mostly he ignored me. Then after a few months he started doing things that made me nervous, like when I was ...

Words: 4970 - Pages: 20