What had Alice observed of the family dynamics?
Alice Singletary, a novice social worker with Magnolia Hospice in Alexandria, Louisiana, met June Plunket, who had terminal cancer, and her daughter, Polly, for an admission interview. June was in quite a bit of pain and trying to cope with dying. Polly blamed Dr. Dubuis and herself for her mother’s approaching death, and was also angry with her brother, who had distanced himself from the family. June and Polly lived in a chaotic and overcrowded household with Polly’s daughter, Jenna, and Jenna’s two young children. While assessing June’s situation, Alice identified a multitude of family problems which had to be balanced with the mission of the hospice. In this situation, Alice was not sure where to begin.
Alice observed behaviors that may indicate a lack of appropriate boundaries between family members. For example, when Alice asked June a question, Polly often responded. Polly also used ìweî and ìusî to describe behaviors, symptoms, and situations related to her mother. Polly also was force feeding her mother, although she said she would stop doing this.
Polly also seemed to be somewhat enmeshed with Jenna. However, Jenna did retreat periodically from her mother to the room assigned to her and her children, thus asserting her need for separate space.
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