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Problem
Joe is a 60 year old who has been married for 40 years to his wife in which he has 2 children ages 19 and 22. Joe has been a "social" drinker over his life but in the past 5 years his drinking has escalated since he lost his father to cancer. Joe has been drinking approximately 10 beers a day to the point where once he returns home from work he will "sit on the couch until it is time to go to bed" while drinking. His wife has tried "everything" such as pouring out beer, yelling, ultimatum, and refusing to to be intimate with Joe. His children have also tried to talk to Joe but are afraid because he will become angry when they try to share their concerns. Joe has agreed to come to counseling because his wife has contacted a lawyer who is drawing up divorce papers. The family is scheduled to come in to your office for the first session because they are a very close group and if it is "Joe's problem it is all of our problems" from what his wife stated.
Question A. In thinking about the concepts that we have discussed and reading for this unit, what approach to family therapy might best conceptualize Joe's situation? Provide details to support your ideas.
Question B. What therapeutic factors might be useful in the treatment of this family and why?
Question C. Where might Joe and his family be conceptualized in thinking about the stages of change concepts we have discussed previously and why might this impact family therapy?
Question D. How might issues of dual diagnosis be handled if applicable in this case?
Question E. What referrals might be necessary to help the family be successful?
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