What are the relevant facts in Robbie’s case “What is actually happening here”

Robbie, a 19-year-old white male and first-year college
student, suffered a significant brain injury 6 months ago as a result of
a car accident. Robbie had been partying at a friend’s house and left
about 1:00 a. m. Driving home, he missed a curve in the road and rolled
his car. Robbie’s parents knew that their son drank “occasionally,” but
they never thought he had a “problem.” They had purchased a car for him
and warned him of the dangers of drinking and driving.

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Prior to the accident, Robbie had been a gregarious young man.
In high school he had been a good student, popular, and played on the
football team. Robbie loved skiing, skin diving, and riding dirt bikes.
Robbie’s rehabilitation has been arduous. His parents are still in
disbelief. Robbie’s father is a prominent corporate attorney, and Robbie
had always expressed a desire to follow the same career path. Robbie’s
mother divided her time between caring for her husband and son and her
volunteer work on behalf of abused and neglected children in the
community. Since his injury, Robbie’s mother has spent most of her time
caring for him and participating in his rehabilitation. His father is
spending longer hours at work and misses the time he spent hunting,
fishing, and playing golf with his son. Though supportive at first, his
friends are calling less and less and rarely come around.

Both parents were stunned to learn that Robbie and some of his
friends got drunk nearly every weekend. This information surfaced during
a family counseling session conducted by a social worker on the
rehabilitation team who had recently attended a seminar on screening and
brief intervention for alcohol and other drug problems. Robbie’s
parents had a hard time believing it was true, but after questioning
Robbie’s friends, they learned that this was indeed the situation.

The brain damage Robert sustained has affected his impulse
control and decreased his short-term memory and ability to concentrate.
Robbie’s emotional affect is labile. At times he laughs out loud; the
next moment he may be crying. He has limited insight into his own
behavior and how he has changed, so it is difficult for him to
understand why his friends and family react to him differently now. Very
few things sustain Robbie’s attention; even watching TV is not
pleasurable. The muscle weakness on his right side limits his ability to
participate in many of the athletic activities he enjoyed previously.

Robbie is on an emotional roller coaster. At one level he knows
that his plans for the future have to change. At another level, he
cannot accept these limitations. He wants things to be the way they
were. His condition makes it impossible for him to return to a
successful college experience. He resents his parents’ constant
supervision, and feels that they are “treating him like a baby.” He says
no girl will want to date him with this kind of interference. Most of
his friends are back at college, so he has begun to hang out with a
younger group and drink again. Robbie is frustrated with the difficulty
he has in remembering, expressing himself, and concentrating. He is
restless and agitated sometimes, both as a result of his frustration and
the organic aspect of his injuries. Robbie’s parents can afford high
quality treatment, but Robbie does not always comply with the treatment
regimen.

1. What are the relevant facts in Robbie’s case (e.g., “What is actually happening here”)?

2. Identify the problems and issues that are arising in
Robbie’s case (e.g., “What has gone wrong in this situation?” and “What
needs to be addressed in order to improve the situation?”)

3. Identify the positive and strengths aspects of the situation
(e.g., “What has gone right so far?” and “What positive elements exist
in this situation?”)