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Most of the time in families as the one that Jay come from, they separate making it harder for them to come together as a family in order to fix the issue. Research does show that children of alcohol injuring individuals report a higher occurrence of emotional and school-connected difficulties.

Legal History of Jay: The parents of Jay began taking a great concern about their son right after he had an accident in the car which was two weeks after his 16th birthday. After that things went downhill for him because he got his driver's license taking away from him at that time and the later on were given a DUI charge. Jay thinks that his parents are making a big deal out of nothing and it is apparent that he is not taking this seriously at all. He makes the point that there should not be a whole lot of fuss because most of his friends are in the same boat as he is which is being without license and having a DUI charge. Jay is going through what a lot of abuser goes through and that is being in denial. According to Drews (2005) many of his patients experience a shift of blame and also a shift of responsibility for their actions. It is clear that Jay is not reading his parent right at all because he is totally not getting what they are trying to tell him about his situation. He really believes that his parents are just overreacting about the whole thing.

Health History of Jay W: On May 2, 1991, Don and Beth W. gave birth to Jay W. According to the parents, it was a pregnancy and birth that was normal without any type of complications. Jay W. managed to get everyone of his age-related markers early and was labeled as a forward-thinking baby which means for his age, he was pretty advanced. Even though at this time he does not appear to be suffering from any kind of health disorder, alcohol abuse down the road could possibly cause some major issues.

Spiritual History of Jay W.: After Jay came to the university his stress level rose to another whole new different level. New issues entered his life and it was very overwhelming for him. Jay does not have any type of spiritual back ground that ha has noted. The same thing can be said about the parents. Jay faith at one time resided inside of a beer bottle because that is what he thought could help him. His spiritual remedy was grabbing a can of beer and hoping that it would wash away all of his sorrows.

DIAGNOSTIC IMPRESSION: It appears that Jay W. has an alcohol problem that is on a very serious level because he does not want to admit that he even has a problem. Jay bounces back and forth and uses the alcohol because of social purpose and to drown away all of his problems to reduce the tension in his life. While epidemiological and clinical studies support the Tension Reduction Hypothesis, experimental studies fail to show that increased tension leads to increased drinking which is the case of Jay (Wernet, 2010). If people drink alcohol to reduce tension, we would expect that alcohol drinking would increase during tension-arousing situations. (Gilron & Downie, 2007). However, Jay appears to hide his problem and does not take it seriously.

RECOMMENDATIONS: According to Chen & Zhang (2012) since Jay is in desperate denial, he would need a treatment program that specializes in this area. When evaluating one of the many types of alcohol treatment programs for Jay, the parents have to take in consideration that his needs are different from everyone else. Basically, the longer and more extreme the alcohol use, the longer and more intense the treatment Jay will possibly need. It is apparent that he gets the help he needs right away. Regardless whatever the program's length in weeks or months, support and long-term follow-up for Jay will be something crucial for his recovery.

References:

Chen, Y., Song, G., Yang, F., Zhang, S., Zhang, Y., & Liu, Z. (2012). Risk assessment and hierarchical risk management of enterprises in chemical industrial parks based on catastrophe theory. International Journal of Environmental Research and Public Health, 9(12), 4386-402.

Drewes, J., Hemming, J., Ladenburger, S.J., Schauer, J., & Sonzogni, W. (2005). An assessment of endocrine disrupting activity changes during wastewater treatment through the use of bioassays and chemical measurements. Water Environment Research, 77(1), 12-23.

Gilron, G., Archbold, J., Goldacker, S., & Downie, J. (2007). Issues related to chemical analysis, data reporting, and use: Implications for human health risk assessment of PCBs and PBDEs in fish tissue. Human and Ecological Risk Assessment, 13(4), 773-791.

Hill, R.A., & Sendashonga, C. (2003). General principles for risk assessment of living modified organisms: Lessons from chemical risk assessment. Environmental Biosafety Research, 2(2), 81-8.

Lewis, a.S., Sax, S.N., Wason, S.C., & Campleman, S.L. (2011). Non-chemical stressors and cumulative risk assessment: An overview of current initiatives and potential air pollutant interactions. International Journal of Environmental Research and Public Health, 8(6), 2020-73.

Swartz, C.H., Rudel, R.A., Kachajian, J.R., & Brody, J.G. (2003). Historical reconstruction of wastewater and land use impacts to groundwater used for public drinking water: Exposure assessment using chemical data and GIS. Journal of Exposure Analysis and Environmental Epidemiology, 13(5), 403-16.

Wernet, G., Conradt, S., Isenring, H.P., Jimenez-Gonzalez, C., & Hungerbuhler, K. (2010). Life cycle assessment…[continue]

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