question archive CASE STUDY 5-LIONEL Lionel is participating in an alcohol program to try to reduce his drinking
CASE STUDY 5-LIONEL Lionel is participating in an alcohol program to try to reduce his drinking
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CASE STUDY 5-LIONEL
Lionel is participating in an alcohol program to try to reduce his drinking. He has a history of domestic violence against his wife, Julieanne - always after he has been drinking. He loves Julieanne - but when he drinks he gets violent. Julieanne has decided to give him one more chance - and he has agreed to participate in the program. All is going well and Lionel has not had a drink in two months. But one day his mate, Ollie, comes to town and they go out for a drink for old time's sake. One drink leads to two, which leads to many more and Lionel and Ollie go back to Lionel's house after midnight very drunk. Julieanne is not happy - after all his hard work, Lionel is drunk again. It is all Ollie's fault in Julieanne's mind. She says something about it to Ollie, which Lionel hears. He loses his temper. He calls Julieanne names and starts pushing her about. Despite Ollie trying to stop him, Lionel hits Julieanne across the head and she falls backwards, banging her head against the door jamb. An ambulance takes Julieanne to hospital. She has head injuries. The next day Lionel is remorseful. He attends his program and tells the coordinator what happened. He feels ashamed. The program coordinator is very disappointed with Lionel. He was going so well but he has just gone straight back to his old ways - and now Julieanne is in hospital. His coordinator wants to shout at Lionel and refuse to have him in the program. He looks terrible, and is dirty and unwashed from last night. He smells of alcohol. She feels very sorry for Julieanne - she deserves better than this. She should just leave him, he will never change! Lionel can see the disapproval in his coordinator's face. "Oh, come on!' he says. 'My best friend was in town. I just went out for a drink with him."
1. How do Lionel's values and those of his program coordinator differ?
2. What should the program coordinator do to make sure she works non judgmentally with her clients?
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Answer:
1) How do Lionel's values and those of his program coordinator differ?
Lionel feels that he was only catching up with his friend and did not mean to hurt anyone.
His program coordinator feels that Lionel will not change despite the chance at the program since he is not taking responsibility.
2) What should the program coordinator do to make sure she works non judgmentally with her clients?
- Seek supervision from her supervisor.
- Seek to resolve her personal issues to avoid counter-transference.
- Discern That Lionel is her patient and her duty is to him.
- Consider referring the patient if she cannot resolve her personal issue without projecting them to Lionel who needs help and support.
