Historical Deceptive Paper: What Ever Happened To Little Albert

See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/273339645

Psychology’s Lost Boy: Will the Real Little Albert Please Stand Up?

Article  in  Teaching of Psychology · January 2014

DOI: 10.1177/0098628314562668

CITATIONS

4 READS

1,369

1 author:

Richard Griggs

University of Florida

121 PUBLICATIONS   2,392 CITATIONS

SEE PROFILE

All content following this page was uploaded by Richard Griggs on 20 July 2017.

The user has requested enhancement of the downloaded file.

 

https://www.researchgate.net/publication/273339645_Psychology%27s_Lost_Boy_Will_the_Real_Little_Albert_Please_Stand_Up?enrichId=rgreq-440de3d87ca4ddb19d83701a280d3db3-XXX&enrichSource=Y292ZXJQYWdlOzI3MzMzOTY0NTtBUzo1MTgyOTExODU5NzkzOTJAMTUwMDU4MTY1NjI5Nw%3D%3D&el=1_x_2&_esc=publicationCoverPdf
https://www.researchgate.net/publication/273339645_Psychology%27s_Lost_Boy_Will_the_Real_Little_Albert_Please_Stand_Up?enrichId=rgreq-440de3d87ca4ddb19d83701a280d3db3-XXX&enrichSource=Y292ZXJQYWdlOzI3MzMzOTY0NTtBUzo1MTgyOTExODU5NzkzOTJAMTUwMDU4MTY1NjI5Nw%3D%3D&el=1_x_3&_esc=publicationCoverPdf
https://www.researchgate.net/?enrichId=rgreq-440de3d87ca4ddb19d83701a280d3db3-XXX&enrichSource=Y292ZXJQYWdlOzI3MzMzOTY0NTtBUzo1MTgyOTExODU5NzkzOTJAMTUwMDU4MTY1NjI5Nw%3D%3D&el=1_x_1&_esc=publicationCoverPdf
https://www.researchgate.net/profile/Richard_Griggs?enrichId=rgreq-440de3d87ca4ddb19d83701a280d3db3-XXX&enrichSource=Y292ZXJQYWdlOzI3MzMzOTY0NTtBUzo1MTgyOTExODU5NzkzOTJAMTUwMDU4MTY1NjI5Nw%3D%3D&el=1_x_4&_esc=publicationCoverPdf
https://www.researchgate.net/profile/Richard_Griggs?enrichId=rgreq-440de3d87ca4ddb19d83701a280d3db3-XXX&enrichSource=Y292ZXJQYWdlOzI3MzMzOTY0NTtBUzo1MTgyOTExODU5NzkzOTJAMTUwMDU4MTY1NjI5Nw%3D%3D&el=1_x_5&_esc=publicationCoverPdf
https://www.researchgate.net/institution/University_of_Florida2?enrichId=rgreq-440de3d87ca4ddb19d83701a280d3db3-XXX&enrichSource=Y292ZXJQYWdlOzI3MzMzOTY0NTtBUzo1MTgyOTExODU5NzkzOTJAMTUwMDU4MTY1NjI5Nw%3D%3D&el=1_x_6&_esc=publicationCoverPdf
https://www.researchgate.net/profile/Richard_Griggs?enrichId=rgreq-440de3d87ca4ddb19d83701a280d3db3-XXX&enrichSource=Y292ZXJQYWdlOzI3MzMzOTY0NTtBUzo1MTgyOTExODU5NzkzOTJAMTUwMDU4MTY1NjI5Nw%3D%3D&el=1_x_7&_esc=publicationCoverPdf
https://www.researchgate.net/profile/Richard_Griggs?enrichId=rgreq-440de3d87ca4ddb19d83701a280d3db3-XXX&enrichSource=Y292ZXJQYWdlOzI3MzMzOTY0NTtBUzo1MTgyOTExODU5NzkzOTJAMTUwMDU4MTY1NjI5Nw%3D%3D&el=1_x_10&_esc=publicationCoverPdf

 

Topical Article

Psychology’s Lost Boy: Will the Real Little Albert Please Stand Up?

Richard A. Griggs1

Abstract This article is concerned with the recent debate about the identity of psychology’s lost boy—Little Albert, the infant subject in Watson and Rayner’s classic experiment on fear conditioning. For decades, psychologists and psychology students have been intrigued by the mystery of Albert’s fate. Now two evidentiary-based solutions to this mystery have been proposed. Given the present absence of cov- erage in introductory textbooks, the purpose of this article is to provide a cornerstone resource for teachers to use as an advance organizer to the literature on this debate. Synopses of the search and resulting evidence for each candidate are provided. A summative comparison of the evidence indicates that Albert Barger is likely Little Albert and that Douglas Merritte is not.

Keywords Little Albert, introductory psychology, history of psychology

According to Jarrett (2008), psychology’s foundation as con- veyed in its introductory textbooks is arguably not built of the- ory but with the rock of classic experiments, such as the Stanford Prison Experiment and Milgram’s obedience experi- ments (see also Smyth, 2001a, 2001b). This article is concerned with one of these classic experiments, Watson and Rayner’s (1920) Little Albert experiment. More specifically, it is con- cerned with the recent controversy about the true identity of the infant subject of that study—Little Albert, ‘‘psychology’s lost boy’’ (Beck, Levinson, & Irons, 2009). For decades, psycholo- gists and psychology students have been intrigued by the mys- tery of Albert’s identity, his fate, and whether there were lasting effects of his fear-conditioning experiences.

Until recently, there were no evidentiary-based answers to questions about Albert’s fate but rather only facetious ones, such as ‘‘Albert is probably a successful furrier’’ (Murray, 1973, p. 5). This search for answers was made even more dif- ficult because Watson, late in his life, burned all of his research notes and papers, which may have included information about Little Albert (Buckley, 1989). Now, however, there are two competing evidentiary-based answers as to Albert’s iden- tity—Douglas Merritte (Beck & Irons, 2011; Beck et al., 2009; Beck, Levinson, & Irons, 2010; Fridlund, Beck, Goldie, & Irons, 2012a, 2012b) and Albert Barger (Digdon, Powell, & Harris, 2014; Digdon, Powell, & Smithson, 2014; Powell, Dig- don, Harris, & Smithson, 2014). Because the supporting publi- cations for each proposed Albert are so new, a discussion of this identity debate is not available in current introductory text- books. In fact, given the recency of the relevant publications, Griggs (2014) found that less than 40% of the current introduc- tory textbooks in his text sample even mentioned the first pro- posed candidate, and only one text mentioned the possibility

that Albert was neurologically impaired at the time of the experiment. In addition, given the 3-year revision cycle for introductory textbooks (Griggs, 2006), it will be a few years before the current set of introductory textbooks are able to update their coverage of the Little Albert identity debate.

It is the purpose of this article to provide an up-to-date dis- cussion of the debate to be used as a cornerstone resource by psychology teachers (and textbook authors) for their classroom presentations on (or textbook coverage of) the Little Albert identity saga.1 My synopses of the searches that identified the two candidates only provide the highlights of each search. For the full details, the cited references should be consulted. Hence, this article should be used as an advance organizer for reading the articles relevant to this debate. The two Albert candidates will be discussed separately, but some comparison of the evi- dence for the two candidates will be provided in the discussion of the second candidate, Albert Barger. I will discuss Douglas Merritte first because the articles advancing his candidacy were published first.

Before discussing either candidate, I need to preface these discussions with some general background material important to solving this almost 100-year-old cold case. It concerns the foundation from which the search for Albert began. Watson and Rayner’s (1920) published account of the Little Albert experi- ment, a movie that Watson made of his research with infants

1 Department of Psychology, University of Florida, Gainesville, FL, USA

Corresponding Author: Richard A. Griggs, 4515 Breakwater Row West, Jacksonville, FL 32225, USA. Email: rgriggs@ufl.edu

Teaching of Psychology 2015, Vol. 42(1) 14-18 ª The Author(s) 2014 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0098628314562668 top.sagepub.com

by guest on January 14, 2015top.sagepub.comDownloaded from

 

http://www.sagepub.com/journalsPermissions.nav
http://top.sagepub.com
http://top.sagepub.com/

 

which included some footage of the Little Albert experiment (Watson, 1923), and the personal information that Watson pro- vided about Albert in other accounts of the experiment (e.g., Watson & Watson, 1921) comprised the foundation for the search. However, it is important to note that there were inconsis- tencies in Watson’s various accounts of the experiment, further complicating the search for Albert (Harris, 1979; Samelson, 1980). It is also important to note that Albert was referred to as ‘‘Albert B.’’ in the experiment. Whether this was a pseudo- nym or Albert’s actual name was not known. In addition, the fact that Albert’s mother was a wet nurse at the Harriet Lane Home for Invalid Children, a pediatric facility at Johns Hopkins, where the experiment was conducted, is critical to the search. Albert and his mother lived at the Harriet Lane Home at the time of the experiment. The Phipps Clinic where Watson and Rayner con- ducted their research was located next to the Harriet Lane Home (Fridlund et al., 2012a). This then is the starting point for Hall Beck and his fellow researchers in their search for the identity of Albert that culminated with their proposal that Douglas Mer- ritte was Little Albert.

Douglas Merritte

Goaded by student questions about the fate of Little Albert, Hall Beck became determined to try to find answers (Beck et al., 2009). A search of the Johns Hopkins archives led to the discovery of a series of memos exchanged between Watson and the school’s president. These memos allowed Beck to determine that the first part of the experiment was likely done in late November or early December in 1919. Using the age of Albert at the time of this part of the experiment (given in Watson & Rayner, 1920), Beck deter- mined that Albert was born between March 2 and March 16 in 1919. The next step was to try to identify Albert’s mother.

A check of the Johns Hopkins census of 1920 by Sharman Levinson, one of Beck’s coinvestigators, revealed that three women were listed as ‘‘foster mothers’’—Pearl Barger, Ethel Carter, and Arvilla Merritte—and it seemed plausible that the title of foster mother would encompass being a wet nurse. Beck and his research team then spent hundreds of hours checking various types of records, such as birth, death, and marriage records, to determine whether any of these three women had given birth to a boy in March 1919 (Beck et al., 2009). Ethel Carter was eliminated because she was an African American and Albert appears to have been Caucasian. Pearl Barger (who was of particular interest because the B. in Albert B. could very plausibly have stood for Barger) was eliminated because no evidence that she had a child was found. However, it was dis- covered that Arvilla Merritte had given birth to a boy on March 9, 1919, and that both mother and son had lived together on the Johns Hopkins campus. Next, a genealogical search revealed that two of Arvilla’s grandchildren were currently living in Maryland. Gary Irons, one of the grandchildren, confirmed that his grandmother had worked at the Harriet Lane Home and had given birth to a son named Douglas Merritte. Thus, Arvilla would probably still have been lactating and able to serve as a wet nurse at the time of the Little Albert experiment.

A problematic aspect of these findings concerned the name that Watson and Rayner assigned to their infant subject, Albert B. The American Psychological Association did not have an ethics code at the time of the Little Albert experiment so there was no need for confidentiality and the use of pseudonyms for experimental subjects. Watson and Rayner named their infant subject Albert B. and not Douglas M. However, a conversation with Charles Brewer, an expert on John Watson, provided Beck and his colleagues with at least a tenable explanation of why the infant in the study might have been named Albert B. According to Brewer, it could have been an instance of Wat- son’s playful use of names. Watson’s mother and maternal grandmother were very religious, and Watson was named John Broadus in honor of a prominent Baptist minister, John Albert Broadus (Beck et al., 2009). Hence, Watson possibly may have playfully derived Albert B. from John Albert Broadus.

The next phase of the search began with a fortuitous discovery of an old trunk with contents from Arvilla Merritte’s life (Beck et al., 2009). Among the contents was a portrait of Douglas when an infant. A comparison of a photograph of this portrait and some enlarged stills that Beck made of Little Albert from Watson’s movie of the experiment followed. This comparison of images did not reveal anything substantive, making it clear that a more thor- ough, expert biometric analysis was warranted. A subsequent bio- metric analysis, however, only led to the conclusion that the photograph and stills could be of the same person. Although the visual and biometric comparisons ruled out a definitive identifica- tion of Albert, Beck et al. (2009) argued that these photographic data in conjunction with their other findings of 10 attributes shared by Little Albert and Douglas Merritte, such as living with his mother at the Harriet Lane Home at the time of the experiment and that Douglas was the same age as Albert when the initial base- line data were collected, strongly supported their hypothesis that Douglas was Albert.

If Douglas Merritte were Little Albert, then what would that tell us about Albert’s fate? Sadly, Douglas Merritte died from hydrocephalus in 1925 at the age of 6. How he acquired it could not be determined by Beck et al. (2009), but they speculated that he had contracted meningitis. Fridlund, Beck, Goldie, and Irons (2012a) later reported that Douglas’s nephew was not sure if Douglas was ever able to walk during his short, illness-laden life and that it is unclear as to whether he ever spoke.

Fridlund et al. (2012a) also argued that a closer examination of the clips from Watson’s (1923) film in which Little Albert appeared and the subsequent review of some newly obtained medical records of Douglas Merritte revealed that Albert was neurologically impaired at the time of the experiment.2

Fridlund et al.’s detailed analyses of Albert’s behavior in the film clips suggested to them that Albert had substantial beha- vioral and neurological deficits. A subsequent examination of Douglas Merritte’s medical records was consistent with this hypothesis in that they showed that Douglas suffered from con- genital hydrocephalus. The records also indicated that Albert’s experimental sessions occurred during periods when Douglas’s medical condition was relatively stable. Fridlund et al. further argued that there were ample sources of information available

Griggs 15

by guest on January 14, 2015top.sagepub.comDownloaded from

 

http://top.sagepub.com/

 

to Watson that would have almost certainly made him aware of Douglas’s medical condition. Thus, if Douglas Merritte were Albert, then these new findings by Fridlund et al. not only con- tradict Watson and Rayner’s assertion that Little Albert was ‘‘normal’’ and ‘‘healthy’’ but also lead to the conclusion that Watson and Rayner would have almost certainly had to know about Little Albert’s medical condition, raising even more seri- ous ethical questions about the already ethically questionable Little Albert experiment.

Albert Barger

Soon after the publication of Beck et al. (2009), some other researchers outlined difficulties with the Douglas Merritte hypothesis and argued that the Little Albert identity case was far from closed and thus warranted further investigation (Powell, 2010, 2011; Reese, 2010; but see Beck et al.’s rejoin- der, 2010). For example, Powell (2011) pointed out a difficulty with Beck et al.’s estimated timeline for when the initial base- line session likely took place. The congruence of the reported age of Albert and Douglas Merritte’s age at the time of the baseline session was a critical component of Beck et al.’s case. Powell found evidence that the baseline session could have been delayed well beyond the time proposed by Beck et al., making Douglas older than Albert at that time. Another point of contention involved a comment by Watson (1925) that Albert was later adopted, but Douglas Merritte had remained with his mother and had not been adopted.

Given such difficulties with the Douglas Merritte candidacy and concerns about the weak evidence for Fridlund et al.’s (2012a) claim that Little Albert had neurological impairments and the profound ethical implications of this claim, Russell Powell, Nancy Digdon, and Ben Harris decided to conduct their own search for an alternative candidate for Little Albert. To aid in the search, they enlisted the help of a professional genealo- gist, Christopher Smithson. They began their search by further investigating Pearl Barger, the foster mother for whom Beck et al. (2009) found no evidence of a baby while she resided at the hospital. Their first break came when they found a genealogical document on the Internet on the history of the Martinek family in Baltimore (Powell, Digdon, Harris, & Smithson, 2014). It revealed that Charles Martinek married Pearl Barger in 1921, that they had three children, one of whom was named Albert, and that Charles preferred to use the name Martin, which led to the discovery that Pearl Barger and Charles Martin had a baby in 1919, 2 years before their mar- riage. A search of U.S. census records revealed that Charles Martin was living in Baltimore in 1940 with three children, the oldest being William A., who was the same age as the unnamed son born to the Martins in 1919. Then a search of more birth and death certificates and the medical archives at Johns Hopkins, which included the medical records of William A. Barger and Douglas Merritte, led to more discoveries. Signifi- cantly, William A.’s name was recorded in his medical file as Albert Barger, thereby matching Little Albert’s name in the experiment—Albert B. This agrees with his niece’s report that

although his given name was William Albert, he was typically called Albert throughout his life (Digdon et al., 2014).

Powell et al. (2014) also found that Albert Barger, like Dou- glas Merritte, was the correct age (8 months 26 days) to have been Little Albert at the time of the initial baseline session. In addition, Albert Barger was discharged from the hospital at the age of 12 months 21 days, Little Albert’s age when the final experimental session took place and when his mother removed him from the hospital. Douglas Merritte’s medical file, however, indicated that he was discharged at 12 months 15 days of age, about a week earlier than Albert Barger and younger than Little Albert when he left the hospital. Of most significance, Powell and his colleagues further learned that Albert Barger’s weight at the time of the initial baseline session was very close to that reported for Little Albert by Watson and Rayner (1920), 21 pounds 15 ounces versus 21 pounds, respectively. Douglas Mer- ritte, however, only weighed 14 pounds 14 ounces at this time. Douglas’s extremely low body weight also conflicts with Wat- son and Rayner’s description of Little Albert as a healthy and well-developed child.

Fridlund et al.’s (2012a) analysis of the clips with Little Albert from Watson’s film led them to believe that Albert had numerous behavioral and social deficits that were consistent with neurological impairment resulting from hydrocephalus. In contrast, Digdon, Powell, and Harris’s (2014) analysis of these clips suggested otherwise. For example, Fridlund et al. claimed that Little Albert showed no signs of social referen- cing, the tendency of infants to look toward caretakers when confronted with novelty. However, according to Digdon et al., there do appear to be some instances of what appears to be mutual gaze between Albert and Watson. In addition, Powell et al. (2014) contend that the selective nature of the film clips may account for Fridlund et al.’s observation that Albert seemed focused only on what was in front of him, with little awareness of the people around him. As they pointed out, the clips in Watson’s film were selected to show Albert’s reactions to the stimuli presented to him rather than to the people near him, so off-task behaviors were likely not included in the film. Dig- don et al. further pointed out that these 34 brief clips, averaging only 9 s (SD ¼ 6 s) in length, cannot be considered a represen- tative sample of Albert’s behavior and that it is certainly ques- tionable that anyone could validly diagnose neurological impairment from such a limited sample of behavior.3 Thus, in their opinion, any appraisal of behavioral or neurological deficits from these film clips of Little Albert would, ‘‘at best, be highly speculative.’’4 For more detail on Powell and his coinvestiga- tors’ analysis of these film clips and why the clips comprise an inadequate measure of Albert’s neurological status, see Dig- don, Powell, and Harris (2014) and Powell et al. (2014).

If Albert Barger were Little Albert, what could be said about Albert’s fate? Albert Barger lived a long life, dying in 2007 at the age of 87.5 Did he grow up to have a fear of furry animals and objects? Powell et al. (2014) were surprised when they first learned from Barger’s niece that her uncle had an aversion (but not a particularly strong one) to dogs and animals in general. The aversion, however, appears to have been more of a dislike

16 Teaching of Psychology 42(1)

by guest on January 14, 2015top.sagepub.comDownloaded from

 

http://top.sagepub.com/

 

of animals than a phobia, but that his aversion was at least par- tially due to his conditioning experiences cannot be entirely ruled out. In addition, according to Powell et al, Albert’s con- ditioning experiences did not appear to have had any adverse effects on his personality. Sadly, Albert Barger died before anyone could tell him that it was highly likely that he was the famous Little Albert in the psychological literature. As far as his niece knows, her uncle was unaware of the experiment and did not even know that his mother was once a wet nurse. Hence, we will never know what his reaction would have been when learning about the strong possibility that he was Little Albert. However, when asked what her uncle would have thought about all of this, his niece said that ‘‘he would have been thrilled’’ (Bartlett, 2014, p. B10).

Epilogue

As pointed out by Powell et al. (2014), applying Occam’s razor to this situation would indicate that Albert Barger is far more likely to have been Little Albert. The evidence for Albert Barger’s candidacy is more parsimonious than that for Douglas Merritte. Albert Barger matches Little Albert on all of the key attributes, so fewer assumptions are needed.

” His name matches the Albert B. name assigned to the infant in Watson and Rayner’s study.

” His body weight at the time of the initial baseline phase of the experiment matches Little Albert’s reported body weight and his chubby appearance in Watson’s film clips of the experiment.

” His age on the day he left the hospital was the same as Little Albert’s age on that day.

” His general state of health as an infant matches that described by Watson and Rayner (1920).

Douglas Merritte does not match Little Albert on any of these key attributes and thus was likely not Little Albert. However, according to Bartlett (2014), Beck, Fridlund, and Goldie, all Merritte proponents, still believe Douglas Merritte was Little Albert.6 In addition, as pointed out by Powell et al. (2014), although the evidence that Albert Barger was Little Albert is very strong, it is not entirely conclusive. For example, contrary to Watson’s statement that Little Albert was adopted shortly after he left by an out-of-town family (Watson, 1925), it appears that Albert Barger was not adopted. It is possible though that he was informally adopted for a short time after leaving the hospital and then later reunited with his mother, perhaps after her and Charles Martin married. In addition, it is possible that Watson (1925) was wrong, and the Little Albert purported adoption was just a myth because there is no corroborative evidence of such an adoption (Beck et al., 2010). Regardless, even though the Little Albert saga has always had characters and plot, it has never had a credible conclusion. Perhaps now it does.

Finally, if Albert Barger were Little Albert, then Watson was not guilty of the unethical, fraudulent behavior of know- ingly using a neurologically impaired infant in his research.

This is very important because the story alleging such behavior has already become widespread on the Internet (e.g., DeAnge- lis, 2012). Hence, many psychology students have likely been exposed to this story, which has now been shown to be very unlikely. Given that there are already inaccuracy problems with the coverage of the Little Albert experiment in introductory psychology textbooks (see Griggs, 2014), getting the Little Albert identity saga correctly described in our classrooms and textbooks becomes of critical importance.

As a beginning point in doing so, I recommend that psychol- ogy teachers and textbook authors use this article as a guide for a careful examination of the articles cited here in preparing their coverage of the search for Little Albert. This should help to insure its accuracy. The obvious downside of inaccuracies in the coverage of the Little Albert story is that students will be misled into accepting the story as fact, and sadly, it seems that students seldom question the stories that they are told (Burton, 2011). Thus, it is important to the psychological teaching com- munity to identify inaccuracies in our lectures and textbooks, so that they can be corrected and we as teachers and textbook authors do not continue to ‘‘give away’’ false information about our discipline. Hopefully, this article will help in achieving this goal, at least with respect to the Little Albert saga.

Declaration of Conflicting Interests

The author declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding

The author received no financial support for the research, authorship, and/or publication of this article.

Notes

1. An article by Tom Bartlett in the Chronicle of Higher Education

(2014) covers content similar to that in this article but in a less for-

mal style without references. I highly recommend that introductory

psychology teachers and textbook authors read Bartlett’s article

because it will serve as an excellent resource for their lecture and

textbook coverage of the Little Albert story. The online version at

http://chronicle.com/article/The-Search-for-Psychologys/146747

includes video footage of the Little Albert experiment and several

historical photos related to the search for Little Albert.

2. The assessments of Little Albert’s behavior in the film by Fridlund,

a clinical psychologist, and Goldie, a pediatric neurologist, were

made before the discovery of Douglas Merritte’s medical records,

but the evaluation by Waterman, a specialist in childhood psycho-

pathology, was made after the discovery of Merritte’s medical

records (H. P. Beck, personal communication, August 12, 2014).

All three assessments were made independently, and Goldie’s

assessment was blind to Fridlund’s assessment just as Waterman’s

assessment was blind to Fridlund and Goldie’s prior assessments

and tentative hypotheses (Fridlund et al., 2012b).

3. Although Digdon, Powell, and Harris (2014) and Powell et al.

(2014) described the film clips of Little Albert edited from Wat-

son’s (1923) film as 5 min in length and divided into three seg-

ments, Fridlund et al. (2012a) described the clips that they

Griggs 17

by guest on January 14, 2015top.sagepub.comDownloaded from

 

http://top.sagepub.com/

 

analyzed as 4 min in length and divided into four segments. The

reason for these differences is presently unknown.

4. Fridlund et al. (2012a, pp. 21–22) claimed that signs of Albert’s neu-

rological impairment may have eluded other viewers of Watson’s

film because they were expecting to see the healthy, normal baby that

Watson described repeatedly in his writings. But, as pointed out by

Nancy Digdon, these expectancy effects on perception would also

apply to the observations of viewers who believe that Albert is

neurologically impaired (N. Digdon, personal communication, July

8, 2014). If viewers were led to think that Albert was neurologically

impaired, then they would likely see signs of such impairment. To

illustrate the power of such ‘‘expectancy effects,’’ Nancy suggests the

following classroom demonstration, which involves showing the Lit-

tle Albert film in class (free clips of this film are readily available on

the Internet). Before presenting the film, give students a brief handout

to prime one third of the class to expect Albert to be impaired, another

third to expect Albert to be exceptionally well developed, and the final

third with no prime. After the film, have students evaluate Albert’s

developmental status. Differences in students’ appraisals of Albert

should prompt a more general class discussion about the subjectivity

of observations and why scientific approaches require strict controls

to ensure that observations are reliable and valid.

5. Albert Barger’s niece still has some photographs of him. One of

these photographs is included in Bartlett (2014). To the best of my

knowledge, it is the only photograph of Albert Barger as an adult that

has been disseminated to the general public. This photo is available

at http://chronicle.com/article/The-Search-for-Psychologys/146747.

6. Beck, Fridlund, and Goldie’s continued belief that Douglas Merritte

was Little Albert may be an example of what McRaney (2013) terms

the ‘‘backfire effect’’—when a deep conviction is challenged by con-

tradictory evidence, your belief gets stronger. Just as confirmation

bias shields you when you seek information, the backfire effect

defends you when contradictory information seeks you. Either way,

you stick to your beliefs and do not question them.

References

Bartlett, T. (2014, June 6). The search for psychology’s lost boy.

Chronicle of Higher Education, 60, B6–B10.

Beck, H. P., & Irons, G. (2011, May). Finding Little Albert. The

Psychologist, 24, 392–395.

Beck, H. P., Levinson, S., & Irons, G. (2009). Finding Little Albert: A

journey to John B. Watson’s infant laboratory. American Psychol-

ogist, 64, 605–614.

Beck, H. P., Levinson, S., & Irons, G. (2010). The evidence supports

Douglas Merritte as Little Albert. American Psychologist, 65,

300–301.

Buckley, K. W. (1989). Mechanical man: John Broadus Watson and

the beginnings of behaviorism. New York, NY: Guilford Press.

Burton, G. (2011). The tenacity of historical misinformation: Titch-

ener did not invent the Titchener illusion. History of Psychology,

4, 228–244.

DeAngelis, T. (2012, March). Was ‘Little Albert’ ill during the famed

conditioning study? Monitor on Psychology, 43, 12.

Digdon, N., Powell, R. A., & Harris, B. (2014). Little Albert’s alleged

neurological impairment: Watson, Rayner and historical revision.

History of Psychology, 17, 13–324.

Digdon, N., Powell, R. A., & Smithson, C. (2014). Watson’s alleged

Little Albert scandal: Historical breakthrough or new Watson

myth? Revista de Historia de la Psicologı́a, 35, 47–60.

Fridlund, A. J., Beck, H. P., Goldie, W. D., & Irons, G. (2012a). Little

Albert: A neurologically impaired child. History of Psychology,

15, 302–327.

Fridlund, A. J., Beck, H. P., Goldie, W. D., & Irons, G. (2012b). Little

Albert—Answering the criticism. The Psychologist, 25, 258.

Griggs, R. A. (2006). Selecting an introductory textbook: They are not

‘‘all the same.’’ In D. S. Dunn & S. L. Chew (Eds.), Best practices

for teaching introduction to psychology (pp. 11–23). Mahwah, NJ:

Lawrence Erlbaum.

Griggs, R. A. (2014). The continuing saga of Little Albert in introduc-

tory psychology textbooks. Teaching of Psychology, 41, 309–317.

Harris, B. (1979). Whatever happened to Little Albert? American Psy-

chologist, 34, 151–160.

Jarrett, C. (2008). Foundations of sand? The Psychologist, 21, 756–759.

McRaney, D. (2013). You are now less dumb: How to conquer mob

mentality, how to buy happiness, and all the other ways to outsmart

yourself. New York, NY: Gotham Books.

Murray, F. (1973). In search of Albert. Professional Psychology, 4, 5–6.

Powell, R. A. (2010). Little Albert still missing. American Psycholo-

gist, 65, 299–300.

Powell, R. A. (2011). Little Albert, lost or found: Further difficulties

with the Douglas Merritte hypothesis. History of Psychology, 14,

106–107.

Powell, R. A., Digdon, N., Harris, B., & Smithson, C. (2014). Correct-

ing the record on Watson, Rayner and Little Albert: Albert Barger

as ‘‘psychology’s lost boy.’’American Psychologist, 69, 600–611.

Reese, H. W. (2010). Regarding Little Albert. American Psychologist,

65, 300–301.

Samelson, F. (1980). J. B. Watson’s Little Albert, Cyril Burt’s twins, and

the need for a critical science. American Psychologist, 35, 619–625.

Smyth, M. M. (2001a). Certainty and uncertainty sciences: Marking

the boundaries of psychology in introductory textbooks. Social

Studies of Sciences, 31, 389–416.

Smyth, M. M. (2001b). Fact making in psychology: The voice of the

introductory textbook. Theory & Psychology, 11, 609–636.

Watson, J. B. (Writer/Director). (1923). Experimental investigation of

babies [Motion picture]. (Distributed by C. H. Stoelting Co., Chi-

cago, IL).

Watson, J. B. (1925). Behaviorism. New York, NY: Norton.

Watson, J. B., & Rayner, R. (1920). Conditioned emotional reactions.

Journal of Experimental Psychology, 3, 1–14. (Reprinted in 2000

in American Psychologist, 55, 313–317).

Watson, J. B., & Watson, R. R. (1921). Studies in infant psychology.

Scientific Monthly, 13, 493–515.

Author Biography

Richard A. Griggs is Professor Emeritus in the Department of Psy- chology at the University of Florida. He is the author of over 150 pub- lications, including Psychology: A Concise Introduction, now in its fourth edition, and 45 articles in Teaching of Psychology.

18 Teaching of Psychology 42(1)

by guest on January 14, 2015top.sagepub.comDownloaded from

View publication statsView publication stats

 

http://top.sagepub.com/
https://www.researchgate.net/publication/273339645

Self-Esteem And Impression Management

In 750-1,000 words, provide a minimum of four personal examples to illustrate impression management, social tuning, social comparisons, mindsets, intrinsic/extrinsic motivation, or causal theories.
One example provided must address face to face versus written communication styles. Are there measures that can be taken when communicating nonverbally to improve self-presentation, impression management, attributional inferences, and cognitive biases?
Each example provided should be based upon how your personal views were shaped by parents, teachers, friends, community, culture, etc. Each example should be supported by relevant research.
Use two to three scholarly sources to support your thinking, your textbook can be used as one of the resources.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

What interested you about the role of a practitioner-scholar within the field of psychology.

  1. What interested you about the role of a practitioner-scholar within the field of psychology.
  2. Write a paragraph summarizing your vision of your career as a practitioner-scholar in psychology.
    • -Be sure to include information from the Articulating Your Purpose activity. (Attached file) 
    • Consider how the scholar-practitioner learning model can guide your professional development, encouraging you to investigate and critically evaluate relevant theory and research to determine effective best practices that you will use on the job. ( Attached File)
  3. How does your role as a practitioner-scholar impact your time management action plan? 
  4. Based on your results on the time management action plan, what adjustments do you think you will need to make to succeed in your studies?
  5. How does University Policy 4.02.02: Learner Code of Conduct apply to your ethics as a practitioner-scholar?(Attached file)
  • Articulating your purpose.

     

    Purpose Title
    I want to help children and stakeholders with Developmental disabilities.
    Purpose Statement
    I want to work with Autistic children and other individuals that have developmental disabilities in ABA. These children will have to learn to live alone and function in different environments as time progresses. To do this, I will enhance my knowledge of applied behavior analysis in order to maximize client’s outcomes in all environments.

     

     

     

     

     

     

     

     

     

    POLICY STATEMENT

    Learners are expected to conduct themselves in a manner guided by respect, collegiality, honesty, and ethical behavior as part of their academic development. Learner conduct that infringes on the quality of such an educational experience is not acceptable. This policy describes the types of conduct that are deemed prohibited and unacceptable. (Separate university policies address academic honesty and discrimination, harassment, and assault. For further details, see university policies 3.01.01 Academic Integrity and Honesty and 4.02.04 Discrimination, Harassment, and Assault.) This policy also serves as a tool to combat impersonation, identity theft, text mining, and/or creation of fictitious identities in an effort to secure access to federal funds.

    Prohibited learner conduct includes but is not limited to the following: complicity, dishonesty, disruptive conduct, disrespect, document forgery, illegal activity, impersonation, text mining, and theft, as described in the definitions section of this policy.

    Scholar-Practitioner Model

    The scholar-practitioner learning model will guide your professional development, encouraging you to investigate and critically evaluate relevant theory and research to determine effective best practices that you will use on the job. It will help you establish a lifelong commitment to continually building relevant knowledge and skill in your areas of interest and specialization in psychology.

Assignment: Application Of Systems Theory To A Case Study

Selected Case :  Tiffani Bradley

 

  • 1- Focus on the identified client within your chosen case.
  • 2- Analyze the case using a systems approach, taking into consideration both family and community systems.
  • 3- Complete and submit the “Dissecting a Theory and Its Application to a Case Study” worksheet based on your analysis.

In this course, you will be asked to select one case study and to use it throughout the entire course. By doing this, you will have the opportunity to see how theories guide your view of a client and the client’s presenting problem. Although the case may be the same, each time you use a different theory, your perspective of the problem changes, which then changes how you go about asking the assessment questions and how you intervene.

The first theoretical approach you will use to apply to a case study is systems theory. In other words, your theoretical orientation—your lens—will be systems theory as you analyze a social work case study.

Different theories can be used to take a systems approach. For example, Bertalanffy’s General Systems Theory considers how a system is made of smaller subsystems that influence each other and seek homeostasis, whereas Brofennerbrenner’s Ecological Systems Theory focuses on how an individual’s experience is influenced by different system levels (micro, meso, exo, macro, and chrono). Systems theory is commonly used to understand the interrelationships of the systems (e.g., family, community, organizations, society) of the client. If you are working with families, communities, and organizations, it is also beneficial to use systems theory to get a holistic picture of all the interrelated parts of the system.

To prepare: Select and focus on one of four case studies listed in the Learning Resources. You will use this same case study throughout the course.

Theory Into Practice: Four Social Work Case Studies

 

 

In this course, you select one of the following four case studies and use it throughout the entire course. By doing this, you will have the opportunity to see how different theories guide your view of a client and that client’s presenting problem. Each time you return to the same case, you use a different theory, and your perspective of the problem changes—which then changes how you ask assessment questions and how you intervene.

 

These case studies are based on the video- and web-based case studies you encounter in the MSW program.

 

 

 

 

Table of Contents

 

Tiffani Bradley ………………………………………………………………………………………………….. 2

 

Paula Cortez ……………………………………………………………………………………………………. 9

 

Jake Levey …………………………………………………………………………………………………….. 10

 

Helen Petrakis ………………………………………………………………………………………………… 13

 

 

 

Tiffani Bradley

 

Identifying Data: Tiffani Bradley is a 16-year-old Caucasian female. She was raised in a Christian family in Philadelphia, PA. She is of German descent. Tiffani’s family consists of her father, Robert, 38 years old; her mother, Shondra, 33 years old, and her sister, Diana, 13 years old. Tiffani currently resides in a group home, Teens First, a brand new, court-mandated teen counseling program for adolescent victims of sexual exploitation and human trafficking. Tiffani has been provided room and board in the residential treatment facility for the past 3 months. Tiffani describes herself as heterosexual.

 

Presenting Problem: Tiffani has a history of running away. She has been arrested on three occasions for prostitution in the last 2 years. Tiffani has recently been court ordered to reside in a group home with counseling. She has a continued desire to be reunited with her pimp, Donald. After 3 months at Teens First, Tiffani said that she had a strong desire to see her sister and her mother. She had not seen either of them in over 2 years and missed them very much. Tiffani is confused about the path to follow. She is not sure if she wants to return to her family and sibling or go back to Donald.

 

Family Dynamics: Tiffani indicates that her family worked well together until 8 years ago. She reports that around the age of 8, she remembered being awakened by music and laughter in the early hours of the morning. When she went downstairs to investigate, she saw her parents and her Uncle Nate passing a pipe back and forth between them. She remembered asking them what they were doing and her mother saying, “adult things” and putting her back in bed. Tiffani remembers this happening on several occasions. Tiffani also recalls significant changes in the home’s appearance. The home, which was never fancy, was always neat and tidy. During this time, however, dust would gather around the house, dishes would pile up in the sink, dirt would remain on the floor, and clothes would go for long periods of time without being washed. Tiffani began cleaning her own clothes and making meals for herself and her sister. Often there was not enough food to feed everyone, and Tiffani and her sister would go to bed hungry. Tiffani believed she was responsible for helping her mom so that her mom did not get so overwhelmed. She thought that if she took care of the home and her sister, maybe that would help mom return to the person she was before.

 

Sometimes Tiffani and her sister would come downstairs in the morning to find empty beer cans and liquor bottles on the kitchen table along with a crack pipe. Her parents would be in the bedroom, and Tiffani and her sister would leave the house and go to school by themselves. The music and noise downstairs continued for the next 6 years, which escalated to screams and shouting and sounds of people fighting.

Tiffani remembers her mom one morning yelling at her dad to “get up and go to work.” Tiffani and Diana saw their dad come out of the bedroom and slap their mom so hard she was knocked down. Dad then went back into the bedroom. Tiffani remembers thinking that her mom was not doing what she was supposed to do in the house, which is what probably angered her dad.

 

Shondra and Robert have been separated for a little over a year and have started dating other people. Diana currently resides with her mother and Anthony, 31 years old, who is her mother’s new boyfriend.

 

Educational History: Tiffani attends school at the group home, taking general education classes for her general education development (GED) credential. Diana attends Town Middle School and is in the 8th grade.

 

Employment History: Tiffani reports that her father was employed as a welding apprentice and was waiting for the opportunity to join the union. Eight years ago, he was laid off due to financial constraints at the company. He would pick up odd jobs for the next 8 years but never had steady work after that. Her mother works as a home health aide. Her work is part-time, and she has been unable to secure full-time work.

 

Social History: Over the past 2 years, Tiffani has had limited contact with her family members and has not been attending school. Tiffani did contact her sister Diana a few times over the 2-year period and stated that she missed her very much. Tiffani views Donald as her “husband” (although they were never married) and her only friend. Previously, Donald sold Tiffani to a pimp, “John T.” Tiffani reports that she was very upset Donald did this and that she wants to be reunited with him, missing him very much. Tiffani indicates that she knows she can be a better “wife” to him. She has tried to make contact with him by sending messages through other people, as John T. did not allow her access to a phone. It appears that over the last 2 years, Tiffani has had neither outside support nor interactions with anyone beyond Donald, John T., and some other young women who were prostituting.

 

Mental Health History: On many occasions Tiffani recalls that when her mother was not around, Uncle Nate would ask her to sit on his lap. Her father would sometimes ask her to show them the dance that she had learned at school. When she danced, her father and Nate would laugh and offer her pocket change. Sometimes, their friend Jimmy joined them. One night, Tiffani was awakened by her uncle Nate and his friend Jimmy. Her parents were apparently out, and they were the only adults in the home. They asked her if she wanted to come downstairs and show them the new dances she learned at school. Once downstairs Nate and Jimmy put some music on and started to dance. They asked Tiffani to start dancing with them, which she did. While they were dancing, Jimmy spilled some beer on her. Nate said she had to go to the bathroom to clean up. Nate, Jimmy, and Tiffani all went to the bathroom. Nate asked Tiffani to take her clothes off and get in the bath. Tiffani hesitated to do this, but Nate insisted it was OK since he and Jimmy were family. Tiffani eventually relented and began to wash up. Nate would tell her that she missed a spot and would scrub the area with his hands. Incidents like this continued to occur with increasing levels of molestation each time.

 

The last time it happened, when Tiffani was 14, she pretended to be willing to dance for them, but when she got downstairs, she ran out the front door of the house. Tiffani vividly remembers the fear she felt the nights Nate and Jimmy touched her, and she was convinced they would have raped her if she stayed in the house.

 

About halfway down the block, a car stopped. The man introduced himself as Donald, and he indicated that he would take care of her and keep her safe when these things happened. He then offered to be her boyfriend and took Tiffani to his apartment. Donald insisted Tiffani drink beer. When Tiffani was drunk, Donald began kissing her, and they had sex. Tiffani was also afraid that if she did not have sex, Donald would not let her stay— she had nowhere else to go. For the next 3 days, Donald brought her food and beer and had sex with her several more times. Donald told Tiffani that she was not allowed to do anything without his permission. This included watching TV, going to the bathroom, taking a shower, and eating and drinking. A few weeks later, Donald bought Tiffani a dress, explaining to her that she was going to “find a date” and get men to pay her to have sex. When Tiffani said she did not want to do that, Donald hit her several times. Donald explained that if she didn’t do it, he would get her sister Diana and make her do it instead. Out of fear for her sister, Tiffani relented and did what Donald told her to do. She thought at this point her only purpose in life was to be a sex object, listen, and obey—and then she would be able to keep the relationships and love she so desired.

 

Legal History: Tiffani has been arrested three times for prostitution. Right before the most recent charge, a new state policy was enacted to protect youth 16 years and younger from prosecution and jail time for prostitution. The Safe Harbor for Exploited Children Act allows the state to define Tiffani as a sexually exploited youth, and therefore the state will not imprison her for prostitution. She was mandated to services at the Teens First agency, unlike her prior arrests when she had been sent to detention.

 

Alcohol and Drug Use History: Tiffani’s parents were social drinkers until about 8 years ago. At that time Uncle Nate introduced them to crack cocaine. Tiffani reports using alcohol when Donald wanted her to since she wanted to please him, and she thought this was the way she would be a good “wife.” She denies any other drug use.

 

Medical History: During intake, it was noted that Tiffani had multiple bruises and burn marks on her legs and arms. She reported that Donald had slapped her when he felt she did not behave and that John T. burned her with cigarettes. She had realized that she did some things that would make them mad, and she tried her hardest to keep them pleased even though she did not want to be with John T. Tiffani has been treated for several sexually transmitted infections (STIs) at local clinics and is currently on an antibiotic for a kidney infection. Although she was given condoms by Donald and John T. for her “dates,” there were several “Johns” who refused to use them.

 

Strengths: Tiffani is resilient in learning how to survive the negative relationships she has been involved with. She has as sense of protection for her sister and will sacrifice herself to keep her sister safe.

 

Robert Bradley: father, 38 years old

Shondra Bradley: mother, 33 years old

Nate Bradley: uncle, 36 years old

Tiffani Bradley: daughter, 16 years old

Diana Bradley: daughter, 13 years old

Donald: Tiffani’s self-described husband and her former pimp

Anthony: Shondra’s live-in partner, 31 years old

John T.: Tiffani’s most recent pimp

 

Paula Cortez

 

Identifying Data: Paula Cortez is a 43-year-old Catholic Hispanic female residing in New

York City, NY. Paula was born in Colombia. When she was 17 years old, Paula left Colombia and moved to New York where she met David, who later became her husband. Paula and David have one son, Miguel, 20 years old. They divorced after 5 years of marriage. Paula has a five-year-old daughter, Maria, from a different relationship.

 

Presenting Problem: Paula has multiple medical issues, and there is concern about whether she will be able to continue to care for her youngest child, Maria. Paula has been overwhelmed, especially since she again stopped taking her medication. Paula is also concerned about the wellness of Maria.

 

Family Dynamics: Paula comes from a moderately well-to-do family. Paula reports suffering physical and emotional abuse at the hands of both her parents, eventually fleeing to New York to get away from the abuse. Paula comes from an authoritarian family where her role was to be “seen and not heard.” Paula states that she did not feel valued by any of her family members and reports never receiving the attention she needed. As a teenager, she realized she felt “not good enough” in her family system, which led to her leaving for New York and looking for “someone to love me.” Her parents still reside in Colombia with Paula’s two siblings.

 

Paula met David when she sought to purchase drugs. They married when Paula was 18 years old. The couple divorced after 5 years of marriage. Paula raised Miguel, mostly by herself, until he was 8 years old, at which time she was forced to relinquish custody due to her medical condition. Paula maintains a relationship with her son, Miguel, and her ex-husband, David. Miguel takes part in caring for his half-sister, Maria.

 

Paula does believe her job as a mother is to take care of Maria but is finding that more and more challenging with her physical illnesses.

 

Employment History: Paula worked for a clothing designer, but she realized that her true passion was painting. She has a collection of more than 100 drawings and paintings, many of which track the course of her personal and emotional journey. Paula held a fulltime job for a number of years before her health prevented her from working. She is now unemployed and receives Supplemental Security Disability Insurance (SSD) and Medicaid. Miguel does his best to help his mom but only works part time at a local supermarket delivering groceries.

 

Paula currently uses federal and state services. Paula successfully applied for WIC, the federal Supplemental Nutrition Program for Women, Infants, and Children. Given Paula’s low income, health, and Medicaid status, Paula is able to receive in-home childcare assistance through New York’s public assistance program.

 

Social History: Paula is bilingual, fluent in both Spanish and English. Although Paula identifies as Catholic, she does not consider religion to be a big part of her life. Paula lives with her daughter in an apartment in Queens, NY. Paula is socially isolated as she has limited contact with her family in Colombia and lacks a peer network of any kind in her neighborhood.

 

Five (5) years ago Paula met a man (Jesus) at a flower shop. They spoke several times. He would visit her at her apartment to have sex. Since they had an active sex life, Paula thought he was a “stand-up guy” and really liked him. She believed he would take care of her. Soon everything changed. Paula began to suspect that he was using drugs, because he had started to become controlling and demanding. He showed up at her apartment at all times of the night demanding to be let in. He called her relentlessly, and when she did not pick up the phone, he left her mean and threatening messages. Paula was fearful for her safety and thought her past behavior with drugs and sex brought on bad relationships with men and that she did not deserve better. After a couple of months, Paula realized she was pregnant. Jesus stated he did not want anything to do with the “kid” and stopped coming over, but he continued to contact and threaten Paula by phone. Paula has no contact with Jesus at this point in time due to a restraining order.

 

Mental Health History: Paula was diagnosed with bipolar disorder. She experiences periods of mania lasting for a couple of weeks then goes into a depressive state for months when not properly medicated. Paula has a tendency toward paranoia. Paula has a history of not complying with her psychiatric medication treatment because she does not like the way it makes her feel. She often discontinues it without telling her psychiatrist. Paula has had multiple psychiatric hospitalizations but has remained out of the hospital for the past 5 years. Paula accepts her bipolar diagnosis but demonstrates limited insight into the relationship between her symptoms and her medication.

 

Paula reports that when she was pregnant, she was fearful for her safety due to the baby’s father’s anger about the pregnancy. Jesus’ relentless phone calls and voicemails rattled Paula. She believed she had nowhere to turn. At that time, she became scared, slept poorly, and her paranoia increased significantly. After completing a suicide assessment 5 years ago, it was noted that Paula was decompensating quickly and was at risk of harming herself and/or her baby. Paula was involuntarily admitted to the psychiatric unit of the hospital. Paula remained on the unit for 2 weeks.

 

Educational History: Paula completed high school in Colombia. Paula had hoped to attend the Fashion Institute of Technology (FIT) in New York City, but getting divorced, then raising Miguel on her own interfered with her plans. Miguel attends college full time in New York City.

 

Medical History: Paula was diagnosed as HIV positive 15 years ago. Paula acquired AIDS three years later when she was diagnosed with a severe brain infection and a Tcell count of less than 200. Paula’s brain infection left her completely paralyzed on the right side. She lost function in her right arm and hand as well as the ability to walk. After

a long stay in an acute care hospital in New York City, Paula was transferred to a skilled nursing facility (SNF) where she thought she would die. After being in the skilled nursing facility for more than a year, Paula regained the ability to walk, although she does so with a severe limp. She also regained some function in her right arm. Her right hand (her dominant hand) remains semi-paralyzed and limp. Over the course of several years, Paula taught herself to paint with her left hand and was able to return to her beloved art.

 

Paula began treatment for her HIV/AIDS with highly active antiretroviral therapy (HAART). Since she ran away from the family home, married and divorced a drug user, then was in an abusive relationship, Paula thought she deserved what she got in life. She responded well to HAART and her HIV/AIDS was well controlled. In addition to her HIV/AIDS disease, Paula is diagnosed with Hepatitis C (Hep C). While this condition was controlled, it has reached a point where Paula’s doctor is recommending she begin a new treatment. Paula also has significant circulatory problems, which cause her severe pain in her lower extremities. She uses prescribed narcotic pain medication to control her symptoms. Paula’s circulatory problems have also led to chronic ulcers on her feet that will not heal. Treatment for her foot ulcers demands frequent visits to a wound care clinic. Paula’s pain paired with the foot ulcers make it difficult for her to ambulate and leave her home. Paula has a tendency not to comply with her medical treatment. She often disregards instructions from her doctors and resorts to holistic treatments like treating her ulcers with chamomile tea. When she stops her treatment, she deteriorates quickly.

 

Maria was born HIV negative and received the appropriate HAART treatment after birth. She spent a week in the neonatal intensive care unit as she had to detox from the effects of the pain medication Paula took throughout her pregnancy.

 

Legal History: Previously, Paula used the AIDS Law Project, a not-for-profit organization that helps individuals with HIV address legal issues, such as those related to the child’s father . At that time, Paula filed a police report in response to Jesus’ escalating threats and successfully got a restraining order. Once the order was served, the phone calls and visits stopped, and Paula regained a temporary sense of control over her life.

 

Paula completed the appropriate permanency planning paperwork with the assistance of the organization The Family Center. She named Miguel as her daughter’s guardian should something happen to her.

 

Alcohol and Drug Use History: Paula became an intravenous drug user (IVDU), using cocaine and heroin, at age 17. David was one of Paula’s “drug buddies” and suppliers. Paula continued to use drugs in the United States for several years; however, she stopped when she got pregnant with Miguel. David continued to use drugs, which led to the failure of their marriage.

 

Strengths: Paula has shown her resilience over the years. She has artistic skills and has found a way to utilize them. Paula has the foresight to seek social services to help her and her children survive. Paula has no legal involvement. She has the ability to bounce back from her many physical and health challenges to continue to care for her child and maintain her household.

 

David Cortez: father, 46 years old

Paula Cortez: mother, 43 years old

Miguel Cortez: son, 20 years old

Jesus (unknown): Maria’s father, 44 years old

Maria Cortez: daughter, 5 years old

 

 

 

 

Jake Levy

 

Identifying Data: Jake Levy is a 31-year-old, married, Jewish Caucasian male. Jake’s wife, Sheri, is 28 years old. They have two sons, Myles (10) and Levi (8). The family resides in a two-bedroom condominium in a middle-class neighborhood in Rockville, MD. They have been married for 10 years.

 

Presenting Problem: Jake, an Iraq War veteran, came to the Veterans Affairs Health Care Center (VA) for services because his wife has threatened to leave him if he does not get help. She is particularly concerned about his drinking and lack of involvement in their sons’ lives. She told him his drinking has gotten out of control and is making him mean and distant. Jake reports that he and his wife have been fighting a lot and that he drinks to take the edge off and to help him sleep. Jake expresses fear of losing his job and his family if he does not get help. Jake identifies as the primary provider for his family and believes that this is his responsibility as a husband and father. Jake realizes he may be putting that in jeopardy because of his drinking. He says he has never seen Sheri so angry before, and he saw she was at her limit with him and his behaviors.

 

Family Dynamics: Jake was born in Alabama to a Caucasian, Eurocentric family system. He reports his time growing up to have been within a “normal” family system. However, he states that he was never emotionally close to either parent and viewed himself as fairly independent from a young age. His dad had previously been in the military and was raised with the understanding that his duty is to support his country. His family displayed traditional roles, with his dad supporting the family after he was discharged from military service. Jake was raised to believe that real men do not show weakness and must be the head of the household.

 

Jake’s parents are deceased, and he has a sister who lives outside London. He and his sister are not very close but do talk twice a year. Sheri is an only child, and although her mother lives in the area, she offers little support. Her mother never approved of Sheri marrying Jake and thinks Sheri needs to deal with their problems on her own. Jake reports that he has not been engaged with his sons at all since his return from Iraq, and he keeps to himself when he is at home.