CNL-521 Topic 7: Vargas Case Study Since The Last Session ✓ Solved

CNL-521 Topic 7: Vargas Case Study Since the last session, you

CNL-521 Topic 7: Vargas Case Study Since the last session, you received a call from Elizabeth who stated her family was in crisis. She reported that her nephew Geoff, the 15-year-old stepson of Bob’s sister, Katie, had nearly overdosed. She said that the family had noticed some changes with Geoff since his father’s recent death, but attributed the poor mood and slipping grades to the normal effects of grief. Elizabeth said that Geoff had never used drugs, as far as anybody in the family knew, and that the overdose was “a total surprise.” Elizabeth reported that after learning of this, Bob’s mother, Linda, called the school counselor but complained to Katie that “she was not at all helpful,” and told Katie exactly how she should handle it. Katie spoke with the school counselor who told her that she was not allowed to speak with Linda due to matters of confidentiality. Elizabeth informed you that Katie had shared her frustration with the school counselor’s suggestions to help him “get his mind off the sadness,” and believed he needed more help. You learned that Bob’s father, Tim, was trying his best to help, and that Elizabeth felt his intrusion was making matters worse. Among other things, Tim had taken Geoff out of school on a week-long camping trip against Katie’s wishes. Elizabeth said that the involvement of Linda and Tim, despite their good intentions, had begun to cause widespread family strife and asked if you could possibly see the entire family.

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The Vargas case study presents a complex web of family dynamics and crisis management that can be analyzed from various psychological perspectives. At the heart of the case is the family crisis triggered by the overdose of 15-year-old Geoff, which is ostensibly rooted in the recent death of his father. This event has resulted in significant emotional strain within the Vargas family, particularly affecting Elizabeth, Bob, and their children, Frank and Heidi, as they navigate the challenges of supporting not only their own children but also dealing with the repercussions of grief and family intrusion.

To understand the situation, we need to look at the individual's responses to Geoff’s overdose and the subsequent actions taken by various family members. Elizabeth, feeling the weight of the crisis, expresses concern about the mental health of her family, while Bob's reaction, alongside his parents' intervention, complicates their ability to cope effectively with the issues at hand. This incident reflects broader themes of grief, family roles, and the impact of external family dynamics on internal family well-being.

Firstly, coping with grief is a profound challenge that many individuals face when a family member dies. In the case of Geoff, his father's death has catalyzed changes in his behavior—poor mood and declining grades—that were initially perceived as normal reactions to grief but later led to more significant issues, including the overdose. Understanding grief, particularly in adolescents, requires consideration of the psychological impacts and developmental stage. Adolescents often struggle to express emotions verbally, manifesting their grief through behavioral changes rather than through open conversations (Worden, 2009). Therefore, Geoff's behavior may signify deeper issues that need to be addressed through professional assistance.

Family support is critical during such crises, but the Vargas family's situation is made more complicated by the involvement of Bob's parents, Linda and Tim. Although they have noble intentions, their attempts to help appear to exacerbate the situation. They struggle to respect the boundaries necessary for the Vargas family to work through their own recovery process. As highlighted in the telephone conversation with Elizabeth, Linda's insistence on handling the situation by engaging a school counselor without proper communication disrupts what little stability Geoff might have (Perry, 2015). The breach of confidentiality and miscommunication manifest the tension and conflict often found in families dealing with grief.

In this context, family therapy could be an appropriate approach. Engaging the whole family can help to establish healthy communication patterns and clarify the roles of each family member during a crisis. Research indicates that involving extended family can strengthen a nuclear family unit ([Sweeney, 2012](https://doi.org/10.1177/0192513X12459126)). By bringing together all family members, it allows for open dialogue addressing feelings and frustrations, and ultimately supports a collective emotional processing regarding Geoff's situation while respecting individual boundaries.

Moreover, addressing the dynamic differences within the couple's relationship—between Bob and Elizabeth—is also critical. This case illustrates contrasting parental approaches to raising Frank and Heidi. Elizabeth is concerned about Frank's impulsivity, which has raised red flags about his potential ADHD diagnosis, while Bob views these traits as typical boyish behavior (American Psychiatric Association, 2013). Their differing perceptions contribute to marital strife and affect their parenting effectiveness. Therapy can assist in reconciling these differences and fostering a unified parenting strategy.

As Elizabeth expresses her need for Bob to be more involved and supportive, interventions should aim to enhance empathetic parenting techniques. Bob’s stubbornness and dismissive remarks further alienate Elizabeth's concerns, contributing to heightened tensions that can affect their children (Shapiro et al., 2015). Addressing these communications through therapy could not only help improve their marriage but also create a more nurturing environment for their children.

On a broader scale, the Vargas family illustrates the challenges many modern families face in crises, particularly when external family members commence interference. Respecting boundaries while encouraging family members to participate in the healing process is essential. Each member of the Vargas family must learn to navigate their feelings surrounding grief and crisis, and doing so with professional guidance could lead to improved familial understanding and overall emotional health.

In conclusion, the Vargas case study encapsulates the complexity of managing familial crises exacerbated by external influence from relatives. By recognizing grief responses and addressing family dynamics through targeted interventions, families can move towards healing and support while potentially mitigating the strife that arises during such trying times. The expansion of therapy to include all family members and open discussions about roles, feelings, and boundaries may create a supportive environment necessary for healing.

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  • Perry, B. D. (2015). The boy who was raised as a dog: And other stories from a child psychiatrist's notebook. New York: Basic Books.
  • Shapiro, J. P., Fivush, R., & Langenkamp, M. (2015). The effects of family psychotherapy on parenting stress and family functioning in foster families: An exploratory study. Child Welfare, 94(1), 93–117.
  • Sweeney, A. C. (2012). Family therapy outcomes with adults: An exploratory study of changes in functioning. Journal of Family Psychology, 26(5), 718–724.
  • Worden, J. W. (2009). Grief counseling and grief therapy: A handbook for the mental health practitioner (4th ed.). New York: Springer Publishing Company.
  • Wambach, J. (2011). Emotions and grief: The developmental implications for adolescents. Adolescent Psychiatry, 1(3), 233–238.
  • Brown, P. A., & Al-Khalili, S. (2014). Understanding adolescent grief and its impact on families. Journal of Family Therapy, 36(3), 295–315.
  • Silverman, P. R. (2011). Grief in children: A handbook for adults. New York: Guilford Press.
  • McGoldrick, M., & Gerson, R. (2015). Genograms in family assessment. New York: Norton & Company.
  • Walsh, F. (2012). Normal family processes: Growing diversity and complexity (4th ed.). New York: Guilford Press.