Rosa Lee Substance Abuse Essay

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Spiritual History of: Rosa has had encounters in the church which bring shame, but she is aware of a higher power and attends church irregularly. She also displays an attachment to her rosary she clings to in times of need, and prays for strength and help. DIAGNOSTIC IMPRESSION: 1. Substance abuse addiction: this is the first thing we must consider when we consider treatment for Rosa Lee. Her substance abuse and addiction will need to be under control before we can make progress in any other area. There are many ways to address substance abuse and addiction we will discuss these later in treatment. 2. Rosa Lee has a Behavioral Addiction in the form of stealing, which she engaged in, out of anger and eventually stealing became a means of survival (Clinton & Scalise, 2013, p. 220). …show more content…

Rosa has demonstrated co-dependency and toxic relationships. Within Rosa’s family we can see the intergenerational transfer of patterns (Doweiko, 2015, p. 329), and the weakening of the family structure. All of which has been a product of substance abuse and addiction. 4. Addiction to enabling-Rosa has willingly places herself as the Messiah/ or chief enabler and acted in a way that has made it possible for her children to continue chemical use while protecting her own use with the same methods (Doweiko, 2015, p. 319). Both parties are co-dependent as well as dependent on each other. This has affected the self esteem of both parties, Rosa and family, because neither has been able to express their emotional pain because of emotional constrictions (Doweiko, 2015, p. 323). 5. Because of the substance abuse and addictions along with motivation for stealing we will need to view her depression because of poverty in an impoverished culture in the error of extreme racism and also from substance use.

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