The Work Of The Maintenance Stage

Her primary complaint was her frequent doubts, without reasoning, concerning the commitment of her current partner. She harbors a constant feeling of distrust while her partner is away at work and becomes suspicious if her partner has gone a few hours without contact. Phoenix is a moderate drinker and she proclaims this helps to suppress the obsessive thoughts. She has resulted to drinking for this chronic feeling for the past couple of years. Phoenix and her partner have been in numerous altercations because of these internal issues which exist and have not been laid to rest.

Tim’s first personality trait is confused, which is a person vs self conflict. Tim was often confused throughout the novel about many things. One of the things he is confused about is how he isn't sure about what side to be on,

This clinician would recommend that Jared get enrolled into an outpatient program for his depression and his alcoholism. Jared just completed an inpatient treatment facility and he needs more stabilization to build upon his sobriety. This clinician would also recommend that Jared attend Alcoholics Anonymous (AA) meetings to reinforce the outpatient treatment. The AA meetings will reinforce the church activity that Jared is already attending, as AA is a spiritual program and welcomes everyone regardless of their sexual orientation, religions or lack of religions, or their ethnicity.

The eldest daughter of Celia and Hector Sanchez, Emilia Sanchez, is twenty-eight years old. As an addict Emilia has to face fighting ways to remain sober, fight for custody of her son and handle the lack of support she has from her family. Emily is facing many encounters as she battles with addiction issues and struggles to remain sober. In order to address the client’s addiction issue, a social worker has to assess the client’s needs, be able to come up with intervention and treatment techniques, as well as evaluate the effectiveness of the treatment.

The 12-step program gives the impression that it has the capability of helping clients through alcohol abuse in its systematic, recovery-focused, and empathetic approach. AA’s 12 steps, from having “admitted we were powerless over alcohol…” to “having a spiritual awakening as a result of these steps” helps guide a person from alcoholism to sobriety (Alcoholics Anonymous [AA], 2001, pp. 59-60). The steps are easy-to-follow ‘checkpoints’ in the steps to sobriety, and because they are verbalized at every meeting, they reinforce a recovery mindset from alcoholism. This recovery approach emphasized in AA minimizes any particular focus on past struggles and magnifies progress, and as a member described, the group’s positivity and numerous success stories encouraged them to continue being sober (Personal communication, November 15,

After a reckless night and waking up in an unknown apartment, she finally came face to face with her problem that's been flourishing and spiraling out of control for years. Having a roommate who didn't understand her concerns of “what could have happened” she reaches out to an addiction counselor.“ On one of the alcohol- screening web sites…I find the emails of an addiction counselor and decide to write to him. I don't want his advice per se… I just want him to classify me (321)” After reaching out for help she came into a conclusion about her problem, but this wasn't going to stop her from drinking until she befriends a special person. In the mist of it all, she decides to stop drinking and states “I decided to quit drinking for good before the hangover hits…I know that as long as I keep drinking, I will drive back everyone who is good- natured. Only people who are drunk and damaged as I am will stay (330)”. Some don't quite, but some do. It's a real struggle, but sometime you have to overcome the biggest addictions you

“When I look back on my childhood I wonder how I survived at all…the poverty; the shiftless loquacious alcoholic father [and] the pious defeated mother moaning by the fire” (McCourt 1). This is how Frank McCourt introduces his memoir, Angela’s Ashes. He tells the story of his growing up in a poverty stricken world, brought on to them by the alcoholism of his father. Being the recollections of a person’s memoires it is sometimes difficult to believe in all the poverty, abuse and family which Franck claims existed and were caused by alcoholism. Alcoholism is the root of all problems in the book as it leads to poverty, abuse and family tensions. By comparing Frank’s testimony of how alcohol ruined his childhood to other real world scenarios it will be possible to determine if Frank’s case is the norm for alcohol taking this kind of effect or is his story just an extreme case of alcohol abuse.

The point at which the client’s symptoms were most extreme was towards the end of her alcoholism, which was in her early thirties. She used humor, felt incomplete and fragile, oversensitive to other’s reactions of her, felt the need to hide from people whether it was through work or through drinking, and was aware of her drinking problem. She also presented with anxiety, excessive exercising and healthy eating, and denial of drinking in excess.

He does this because in the end of the story all the hard work he has done and ethics he had learned had paid off. Tim encountered internal conflict when he

Mark Willenburg, director of treatment and recovery research at the National Institute on Alcohol Abuse and Alcoholism stated, “People with mild to moderate alcohol disorders can be treated with medications or behavioral therapy with a primary care doctor, but many people can do this on their own without having a professional. This idea is teaching people how to reevaluate their drinking”(Roan 2). By saying this Dr. WIllenburg has changed the opinions of many speculators in the nation, but what he has failed to do throughout his investigations is to take a people who exceed the mark for moderate drinking into question. Alcoholism is defined a chronic disorder marked by excessive and usually compulsive drinking of alcohol leading to psychological and physical dependence or addiction (“Addiction” 1). The definition of alcoholism alone is enough to show that it is a serious problem, and it should be treated as such.

Finally, chapter eleven discusses how the alcoholic, fully accepting his recovery, will not seek to drink again. The alcoholic will change the people, places, and things that have made them an alcoholic as much as possible and will live a life of sobriety and become a living success for others. The chapter reiterates Doctor Bob and Bill’s first visit together and their eventual creation of Alcoholics Anonymous. Lastly, the chapter continues

Client was invited to introduce herself to the other members of the group, and she did so with genuine enthusiasm. She had just been released the day prior from BCP, after completing her mandatory 5-day sentence and adamantly declared that she will not be doing anything that would jeopardize her freedom again. Also, she explained how her mother, father, and daughter are supportive of her recovery, including that her mom would make her leave if she “slipped.” She was fast and thorough with the assignment in which she elaborated on her three top relapse signs which included working too much, thinking about the past, and avoiding talking about her problems in recovery for which she had solutions for: “slow myself down”, “call somebody to talk to” (in recovery), and talk to people at AA meetings respectively. Client was warned about over excursion and seemingly was open to the feedback

The client, Maria received a score of nineteen on her Alcohol Screening Questionnaire (AUDIT). Maria’s score can be interpreted as being in zone three which is considered harmful. The appropriate action for the aforementioned zone is a brief intervention or referral to specialized treatment. The intervention process is a procedure that is used to highlight how problematic alcohol use can be in one’s life. After the client and social worker’s realization of the frequency and seriousness of the patient’s alcohol use, it is advantageous to formulate a plan to lessen alcohol usage. Motivational Interviewing is a method that can be used in counseling sessions which encourages the client to become a motivated participator of change by identifying, exploring, and resolving he or she’s ambivalence towards their damaging behavior [PowerPoint Slides]. MI is collaborative and client-centered thus the patient can contribute to their planned change process. The process of MI involves appealing to, concentrating on, evoking, and lastly, planning with the patient. Subsequent steps of MI are reflection, summarization, and exploring inconsistencies [PowerPoint Slides]. Shifting gears,

In this paper, I will compare my real world experiences at local Alcohol Anonymous’ (AA) meetings, which I attended while enrolled in this course with that in the movie, Thanks for Sharing. Both are based on the lives and experiences of recovering addicts of either substance abuse or sexual activity. This paper will cover the stories and lives of the characters involved. Stuart Blumberg directed the movie in 2012. All movie character references in this paper are taken directly from the actual movie.

Maintenance Management is an orderly and systematic approach to planning, organizing, monitoring and evaluating maintenance activities and their costs. A good maintenance management system coupled with knowledgeable and capable maintenance staff can prevent breakdown problems and environmental damage; yield longer asset life with fewer breakdowns; and result in lower operating costs and a higher quality of instruments. The term ‘maintenance’ means to keep the equipment in operational condition or repair it to its operational mode. Main objective of the maintenance is to have increased availability of production systems, with increased safety and optimized cost. Maintenance management involves managing the functions of maintenance. Maintaining equipment in the field has been a challenging task since the beginning of industrial revolution. Since then, a significant of progress has been made to maintain equipment effectively in the field.