She taught elementary school for 28 years and hasn't worked since retiring 15 years ago. He lost both his parents. He has 2 younger sisters, aged 61 and 59, who are essentially in good health. He underwent an appendectomy at age 28 and a cholecystectomy at age 55, 1 month after his mother's death. He sees his family doctor for control of his asthma and hypertension. The same family doctor has treated the patient for almost 20 years. The doctor states: “He cleverly underlined that the problem was not new, that it had marital and family consequences for her, that she had made several unsuccessful attempts to deal with it in the past and that in his opinion it was time to take a definitive step to resolve the problem. problem… psychotherapy” (PMC). Alcoholics may not want to accept that they need help and that it is affecting their health and/or their family ties. Well evident in the extensive times that comply with his requests or recommendations, sometimes they follow only for a concise period of