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As stated by the Random House Dictionary of the English Language (1966), alcoholism is defined as “ a diseased condition due to the excessive use of alcoholic beverages” (http://allpsych.com/journal/alcoholism.html) As stated by Silverstein in his book “Alcoholism” (1990) gives three criteria that the American Psychiatric Association listed for physicians to diagnose this disease (p.30):
1. physiological problems, such as hand tremors and blackouts 2. Psychological problems, such as an obsessive desire to drink 3. Behavioral problems that disrupt social or work life. Alcoholism is also known as a family disease. Alcoholics may have young, teenage, or grown-up children; they have wives or husbands; they have brothers or sisters; they have parents or other relatives. An alcoholic can totally disrupt family life and cause harmful effects that can last a lifetime. As stated by the U. S. Department of Health and Human Services and SAMHSA’s (Substance Abuse & Mental Health Services Administration) National Clearinghouse for Alcohol and Drug Information, seventy six million American adults have been exposed to alcoholism in the family. Alcoholism is responsible for more family problems than any other single cause. According to Silverstein (1990), one of every four families has problems with alcohol.
The Client Lindsay Lohan was born on July 2, 1986, in New York City. She was a child actress and model before her breakout performance in the Tina Fey scripted film “Mean Girls.” She also released the pop album, “Speak,” in 2004 which went platinum. (http://www.biography.com/people/lindsay-lohan). Since becoming a celebrity Lohan has had problems with drug and alcohol abuse that have been well-documented in the tabloids. Actress, singer. Born Lindsay Dee Lohan on July 2, 1986, in New York City. Lohan’s father, Michael Lohan, ran his family’s pasta business and worked as an investment banker.
Her mother, Donata “Dina” Sullivan, was a Wall Street analyst. Lohan grew up in the wealthy Long Island suburbs of Cold Spring Harbor and Merrick. Stints as a child model and commercial actress brought Lohan into the spotlight at the age of three. The star of more than 60 television spots and 100 print ads for clients like Toys ‘R Us and Duncan Hines helped Lohan land the film role of twin sisters in Disney’s 1998 remake of The Parent Trap. In the film, the sisters—one raised in England and the other in the U.S.—try to reunite their long-divorced parents, played by Dennis Quaid and Natasha Richardson. The movie performed well at the box office, making more than $92 million globally. (http://www.biography.com/people/lindsay-lohan)
Analysis of the Clients The theory that I would use to work with Ms. Lindsay Lohan is Cognitive Behavioral Theory. I chose this to try to help Ms. Lohan achieve some cognitive and behavior changes. I feel this theory will help Lindsay look at her behavior and will help her make better choices in her life. The interventions that I would use are some role-play, modeling, risk-taking exercises and relapse prevention. Capuzzi, D., & Gross, D. R. (Ed.). (2011). The course of treatment for Lindsay would be some individual therapy for 6 months meeting once a week. I will review her progress in 6 months and will add some family therapy to help Lindsay deal with the issues she has with her parents.
Presenting Problems: Lindsay Lohan is a 26 year old white female that has had several run ends with the law with being drunk and high. She has had numerous arrests for DUI, drugs and wreckless behavior. Her parents have been married and divorced from each other several times. She had to be an adult and help her mother take care of her siblings. She was in the limelight all the time and has no privacy.
Lindsay Lohan has not had what we might think of as a normal life. She was a child star, modeling by age three, staring in movies by age 11. She was living in a world where typical structures such as school, activities and friendships were hard to obtain. Lindsay was already at a disadvantage. That alone could greatly affect someone’s view of the world and how they function in it. But she had other demons to deal with, namely her parents contentious divorce and custody battle over Lindsay and her siblings. Lindsay’s father has some legal problems and she had some issues with her mother.
Physical Appearance, Mood, and Demeanor: Lindsay appears to have lost a lot of weight. Her face appears to be sunken in. She tends to be in another world. She appears to have an I don’t care attitude. She feels she doesn’t have to follow the rules. She has been seen on TV appearances to be drunk and high.
Demographics, Family Background, and Developmental History: She has been acting her was 10 years old. She had to help raise her siblings and has a dysfunctional family. Her mother has drinking problems and her dad had problems with the law when he worked on Wall Street and a gambling problem. Lindsay also has some problems with her mother where they constantly argue and fight.
Current Living and Work Environment: She lives in Venus California. She is an actress and singer but she has had trouble getting jobs due to her being in the media negatively. She has had a lot of legal trouble. She is supposed to be rehab but she is fighting that stating that she needs Adderall for her ADHD.
Conclusion Lindsay Lohan has been in the media as a young child and had to live up to a certain lifestyle. Once her career started going she started doing the wrong things such as drinking to deal with her issues with her family. She had to be an adult instead of a child by raising her siblings. Alcoholism and drugs can ruin a family relationship especially when these are substituted to deal with family problems instead of communicating with each other. Lindsay had to grow up early and did not get a chance to be a child because of the issues her parents had. Lindsay has done a lot of things to get negative attention from others and wants to be accepted and loved by others.