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return after the first time (Dingfelder, 2005; Meyer & Zane, 2013). Furthermore, when it comes to Mexican culture the male is the head of household and Lupe is active with both roles. When discussing development within Lupe’s life her stress, coping and, life satisfaction is on the decline and she also has losses due to being older. Subjective well-being is linked to happiness and how someone incorporates the three factors mentioned earlier: stress, coping and
CASE STUDY5satisfaction. In most cases, when determining these outcome individuals are asked whether they are happy with their life, which leads back to Erikson’s stages. When studying life satisfaction, researchers found that women had more life satisfaction with their personality and mental health rather than religion, home, or family (Broderick & Blewitt, 2015). When considering Lupe’s environment her resilience is not healthy and her coping and adaption has been negatively decreasing. With proper intervention she could reach her desired resilience and bounce back from the challenges she currently faces. Discussing losses pertains to her getting older and having more demands with family and job. In addition, she is physically older and this hinders her ability to participate in a working environment due to her injury. Lupe correlates with daily hassles, which are “chronic and problematic situations” (p. 539). These situations have a negative impact on daily psychological developments and physical symptoms, which can lead to mental health problems; “…the brain and the immune system operate together in a highly orchestrated dance that maintains homeostasis or balance within the systems of body-mind” (p. 542). Her body’s natural chemicals become unbalanced and issues arise.InterventionsIn order to provide care for Lupe she would have to undergo a full assessment to determine her cultural values, family structure, her role, her spiritual beliefs, education, acculturation conflicts, and language barriers (Sue & Sue, 2016; Castro, Barrera, & Holleran- Steiker, 2014). Since she is Mexican American it is very important to determine if she has assimilated in anyway or has she had difficulty with acculturation within the American culture. Evidenced-based treatment that could highlight Lupe’s developing depression would be cognitive therapy or relational-cultural therapy, which centers around one’s emotional well-being
CASE STUDY6and developing relationships. This therapy can focus on family, professional, intimate, and socialrelationships, which she is trying to obtain. Cognitive therapy would help with any sort of negative thinking patterns that Lupe might be expressing and help retrain her mental state to dealwith external stressors. There are issues that envelop Hispanic cultures, such as discussing their problems, stigma and mental illness, and racism and discrimination. It is also important to be in a