Dylan (age 45, Caucasian) is a heroin addict who has been in and out of rehab facilities and prison since he was 17; he has a 1 year old daughter with a women he dated for a few months, but he is not allowed contact due to his unreliable behavior and constant drug use. He dropped out of high school when he was 17, after the first failed attempt at in-patient treatment. Dylan engages in other drug use – prescription pills, marijuana, and cocaine – but prefers heroin and other opioid-based drugs. Dylan has a twin brother, Daniel (age 45, Caucasian) who is a happily married father of three and owns his own graphic design firm. The parents, Harriet and William (ages 70 and 72, Caucasian) both report being invested and supportive of both of their sons’ interests (i.e. football, photography) during childhood and adolescence as Harriet was a stay-at-home mother and William emphasized family by working a lot from home during the boys’ childhood. They grew-up in a middle class suburb with the Neighborhood Watch and regular neighborhood gatherings. Harriet reports that Dylan struggled with change and seemed anxious with any new situation, whereas Daniel was very adaptable and rolled with any situation.

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