Part 1:Please read the following vignette about a fictional character, and answer the questions that follow

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Part 1:Please read the following vignette about a fictional character, and answer the questions that follow. (300 words)

Every June for 5 years, Carlos Hernandos, now 59, and his three sons came to Kenosha, Wisconsin, to pick cabbages. They returned to Laredo, Texas each October. During these summers, Mr. Hernandos missed his wife. When he was hired for a year-round factory job in Kenosha, the family moved.

Mr. Hernandos began drinking during his adolescent years. Like many of his compadres and relatives, he believed that after a hard day's work in the sun, alcohol was a just reward. Eventually, he was up to a six-pack daily; then he added tequila, and then pot. When he was drunk, he slept in the backyard on a cot so as not to disturb the family.

In 2014, Mr. Hernandos was arrested for driving while intoxicated. He was then hospitalized for detox. In the hospital, he was told that he had cirrhosis of the liver. Alcohol counseling had been ordered by the court, but he refused inpatient treatment because he had to support his family. The counseling fared no better. Mark, his counselor, was a white man who struck him as phony and uninterested.

Mr. Hernandos did not consider himself an alcoholic; nor did he see drinking as a disease connected to his ill health. He felt that the only thing wrong with his drinking was that it had caused an arrest and a fine. He was ashamed of getting caught. He hated the AA meetings where he had to say he would always be an "alcoholic" and must quit drinking altogether. He wouldn't go along with that. He prided himself on being a smart person, so he agreed with his counselor to fulfill the court's requirements and get it over with. He promised himself secretly that next time he would find a non-drinking, designated driver or walk home and not get into such a mess again. After the required sessions, Mark closed the case.

What is Mr. Hernandos's diagnosis? How did you come to this conclusion?

What do you see may be some cultural (ethnicity/race, gender, age, etc.) implications of Mr. Hernandos that should be considered in the clinician's case conceptualization of him?