Case Study: Perez Family

Case Study: Perez Family
Luis, 41, and Maria, 40, Perez have immigrated to the US from Argentina with their seven children. Rolando is 19, the eldest and only son in the family. Lupe, 17, Anna, 15, Roselina 13, Gracelia,
10, Yesenia, 8, Gariella, 6 and Maritza, 3, have looked forward to the move to the U.S.
Luis’ elderly parents, Ramon, 81, and Carmen, 79, have also come with the family, leaving behind most of their belongings and two dogs that Carmen raised since they were four-week-old puppies.
The family was successful in Argentina but decided to immigrate because Luis felt there would be more opportunities for his children. The family was able to purchase a small piece of land in a
rural community in the western part of the U. S. with the intention of producing grapes to market to a winery.
Luis and the children are quite fluent in English although Spanish is the first language used in the home. Maria knows some English but lacks confidence in her ability to speak the language. Ramon
and Carmen do not know English at all, have no interest in learning the language, and are committed to keeping tradition alive within the family.
Luis is the youngest son of Ramon and Carmen and was brought up in a strict Catholic home, educated by nuns through 12th grade. Luis has always been in good health and is unusually physically
strong. Luis married his childhood sweetheart, Maria, at age 20.
Maria has known Luis her entire life and married Luis at age 19, straight from a convent all-girls’ school. Any time they spent together prior to their marriage was chaperoned by a great aunt.
Maria’s parents died in an accident when she was young. Maria is an only child and once married, Luis’ family is now her only family. The marriage is very traditional in roles.
Carmen and Maria had always started their day with mass but can no longer attend church because the closest church is now over 15 miles away and neither of the women know how to drive.
Rolando is the first born and only son of Luis and Maria and the hope of their family name. Luis has plans for Rolando to go into this new family business and looks forward to the many
grandchildren that Rolando will give to the family. Rolando has great respect for his parents, family and tradition and always wants to please everyone. Rolando wants to attend college and is
struggling with his identity.
Lupe is very outgoing and has already adjusted to this community. Lupe has already made a lot of friends in her new school situation and is looking forward to going away to college to be away from
the rigidness she perceives in her family.
Anna is very shy. She has not been able to make friends and every day is a struggle to attend school. Anna spends her time with her mother or grandmother. If she is not with them, she retreats to
her room. Anna’s schoolwork is suffering and she is withdrawing more and more from everyone. Anna wants to be anywhere else but right here and feels tired and empty. Anna has started to wear loose
clothing and long sleeves even on warm days.
Roselina is much like Lupe in making friends immediately. She is an honor student and very athletic. She has found a new pastime going to the mall with her friends. Roselina has been late for
dinner and not always remembering to do her chores around the house. Roselina is not the least bit interested in “family stories” as she puts it. Roselina was close to Anna but now would rather be
with her new friends.
Gracelia has been working very hard in school, making some new friends and is quiet and an avid reader.
Yesenia and Gariella are excited with their new house and new school; they love their teachers and have been begging for a puppy.
Maritza is always by her mother’s side. When they moved to the States, Maritza had been out of diapers for quite awhile but now seems to be experiencing quite a few accidents as well as regressing
in her use of vocabulary words.
Luis has begun to feel unusually fatigued and has had some moments of feeling unsteady when he is working in the vineyard. He has had some moments of numbness and blurred vision but attributes them
to the long hours.
Ramon has been working with Luis. One afternoon, Ramon complains of a headache from “too much sun,” collapses and dies en route to the hospital.
Carmen has known no other life than the sixty years they had been married. Ramon had made all the major family decisions, took care of finances. During their years of marriage, they had to bury
two infant sons and lost an adult son to cancer. Luis is their only surviving child. Carmen had always derived her comfort from her priest. Church now for Carmen is just a place to attend mass
since it is a rural community, the priest changes weekly. Carmen finds herself very angry with the entire situation and feels totally alone.
Luis tries to plan a funeral for his father but his mother does not want to make decisions. Luis’ stress level is high and continues to feel “off balance.” Luis is feeling financial stress and
pushing Rolando to postpone going to college to be more help in the fields. Luis continues to drive the point home that Rolando must carry on the family name and take his place within the family
business. As Luis is encouraging Rolando to be more involved, he feels guilty about placing this on Rolando because education was the very reason they had immigrated to this country.

Rolando wants to please his father and continues to work in the vineyard but wants to go to college. Rolando is starting to show signs of depression because Rolando is finally willing to admit to
himself that he is gay but does not want his parents to know. He feels tremendous guilt for he knows the shame he will bring the family. Fear and shame is a constant in Rolando’s life now and each
day he feels more and more hopeless.
Carmen has stopped helping with the children and is no longer interested in doing family activities or even going to church on Sunday. Maria is feeling the strain of not having help and has no
energy. Maria feels that she is starting menopause and these are simply the symptoms.
The younger children continue to enjoy their time with each other and their new friends. Graciela has liked school, especially math. The teacher has been calling on Graciela regularly to read out
loud in class. Graciela has been complaining of stomachaches each morning and asking her mother to allow her to stay home.
Maria eventually learns that she is pregnant and is fearful to let Luis know because of the strain he has been under. Normally, she would go to Carmen for advice but Carmen continues to move
further and further away from the family.
Luis continues to work long hours in the vineyard, meeting with local winemakers and marketing his product. There have been some extra financial burdens since the death of his father, such as some
medical bills.
Luis falls one day, having total numbness in his lower back and legs. For this reason, he was brought to the hospital for tests. The family feels it is the strain of what he has been under but the
MRI reveals that Luis has multiple sclerosis that seems to be progressing rather rapidly. Luis is admitted to the hospital with plans to have him participate in rehabilitation.
Rolando is starting to feel an enormous burden because his mother has told him that he is now the “man of the family” and needs to fill his father’s role while he is ill. Rolando’s grandmother
tells him the pride that both his now deceased grandfather and father have in his ability to run the vineyard.
Rolando works each day and goes straight to his room. He has mostly stopped eating and communicates very little. Carmen is now praying openly for the family and cries all of the time but continues
to isolate herself from her family and church.
Maria is now overwhelmed with a new baby on the way and with a husband who is ill with a progressive disease. Maria does not understand what has happened to her life.

Read the Perez Family Case Study and review what has happened to the family system since Ramon died. After reading the case study, answer the questions that follow. Your entry will be evaluated for
clarity, integration of information from the text and scholarly literature, and for evidence of proofreading.
-0.5 for every 3rd grammatical error.

Make a list of all of the major transitions and trajectories experienced by the following family members: Carmen (2 points), Luis (2 points) and Ramon (2 points).
b.Apply Kübler-Ross AND Westberg Models of the Grieving Process to Carmen’s situation . (4 points @ 2 points for each model). Page 706


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