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Case Conceptualization: James
It should be noted that the third case conceptualization reveals a number of important facts about James’s situation and sheds more light on the familial issues between the boy, his sisters, and the parents. The case provides insight into the underlying causes of James’s educational problems and the drug abuse of his parents. Thus, the newly revealed facts substantiate the previously made assumption of abuse-mediated ADHD in James.
Facts About James
The first case conceptualization showcased that James has ADHD, which affects his education. His sisters were transferred to a foster family, whereas the boy is under the physical custody of his uncle, Patrick. The second case conceptualization revealed that James’s mother and uncle experienced severe child abuse themselves. The third one indicates that there is an issue of parental drug abuse, such as cocaine and marijuana. Both parents consume drugs on a regular basis with little interest in their children. Although James’s father used to abuse him and his sisters physically, the case illustrates that their mother used to abuse them verbally and emotionally, especially under the effect of the drugs.
Hunches and Hypothesis
The case makes it evident that the assumption from the first case conceptualization about James’s ADHD and educational issues is the result of parental abuse. The boy was exhibiting coping self-efficacy, where it is stated that “individual differences in coping self-efficacy fully mediated the association between child abuse and ADHD symptoms” (Singer et al., 2016, p. 695). In other words, parental neglect and abuse resulted in James’s disinterest in his education because his attempts were left unrecognized by his parents. Therefore, he decided to stop taking his school seriously, which resulted in the diagnosis of ADHD.
A new piece of information is the fact that both parents are drug abusers. A study of different family types focusing on parental drug, alcohol, and drug abuse shows that the presence of at least one parent with no such problem is critical for the well-being of children (Jaaskelainen et al., 2016). However, James and his sister fall under the fifth family type, where both parents are drug abusers, which makes their situation more severe (Jaaskelainen et al., 2016). In other words, it is safe to state that the case needs to be addressed with uttermost care and a high degree of intervention because the situation is unique in its context. It is stated that “although abusive or neglectful parenting styles undoubtedly are strongly influenced by social factors (i.e., “nurture”), there might be underlying biological components to perpetuating behavioral patterns (i.e., “nature”)” (Van Wert et al., 2019, p. 1). In other words, there is a risk of intergenerational abuse, which can result in James becoming an abuser as well.
Next Steps
The next steps need to address the client’s ADHD issue and the latter’s impact on his education. The question is about designing proper interventions to reduce the damaging influence of his parental abuse on his educational outcomes. In addition, James needs proper counseling on his future directions in order to mitigate the intergenerational abuse risk. The arrangement of a meeting between the boy and his sisters needs to be conducted.
Learning Issues
The topic of ADHD is highly relevant for the given case conceptualization because a piece of new information was revealed about parental drug abuse and neglect. The latter two factors can mediate the development of the problem. Therefore, more information is required in order to address the given interaction between abuse and ADHD. In addition, research needs to be conducted about effective measures which can be taken to minimize the risk of intergenerational abuse.
References
Jaaskelainen, M., Holmila, M., Notkola, I. L., & Raitasalo, K. (2016). A typology of families with parental alcohol or drug abuse.Addiction Research & Theory, 24(4), 288–299. Web.
Singer, M. J., Humphreys, K. L., & Lee, S. S. (2016). Coping self-efficacy mediates the association between child abuse and ADHD in adulthood.Journal of Attention Disorders, 20(8), 695–703. Web.
Van Wert, M., Anreiter, I., Fallon, B. A., & Sokolowski, M. B. (2019). Intergenerational transmission of child abuse and neglect: A transdisciplinary analysis. Gender and the Genome, 3(1), 1-21. Web.
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