Case History River Case Study

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Case history River is a thirty seven year old bicultural identifying man who strongly aligns with his Latino cultural identity inherited from his mother. River is currently a history teacher at a high school, and aspires to become head of the history department or enter the school administration. River has a wife named Avery and a son named Ethan, who he lives with. Avery was the first to contact a psychologist regarding River’s drinking, expressing concern over a recent escalation in Rivers drinking, resulting in River’s anger and irritability increasing. There have been several occasions where River has broken dishes and punched holes in the wall. Avery went to the psychologist multiple times in order to learn how to convince River to get evaluated for his drinking …show more content…
River’s father was an electrical engineer, and his mother worked part-time at a local library. River’s mother was biracial, with a Latino father and an African-American mother, and his father was Caucasian. River seems to align with Machismo, which is an ideology that promotes expectations of how Hispanic and Latino men are supposed to act, in his case as a father and husband. River recalls his childhood as uneventful. River’s Presenting Problem In high school, River was put in the position of trying to get along with his peers, many of whom would make racist remarks or use racial slurs against his mother, as well as wanting to defend his mother. Around this time, River would start attending parties and taking up drinking. He recalls that drinking was found to be relaxing for him, and helped ease his social anxieties. He also states that he was nervous around women, and would struggle to talk to them, often feeling tongue tied. Throughout high school and college, River was able to maintain a decent GPA, but as River began college his drinking increased. His drinking in college was cited for the same reason as helping him

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