Marsha is 16 years old and lives with her two sisters (Jan &Cindy), her mother (Carol), her step-father (Mike), and her threestep-brothers (Greg, Peter & Bobby) in Southern California. Hernose was broken when she went to the back to door to tell herbrothers that dinner was ready. An errant throw resulted in hergetting hit in the face with a football. She was taken to thehospital where she was treated and a bandage was placed on hernose. She was told that she would be just as beautiful as beforeonce her nose healed, yet when the bandage was removed Marshascreamed in horror. To everyone else her nose looked fine, butMarsha saw it as disfigured and disgusting. “I’ll never get thepart of Juliet in the school play now!” she sobbed, “and there’s noway that Davey Jones will ever consider singing at our school danceonce he sees my ugly nose!” Marsha stopped going out, except to goto the store to get beauty cream for her nose. She wouldn’t even goto school. Her parents didn’t know what to do. They asked the otherkids in the family to tell Marsha how beautiful she is, hoping thatthe encouragement would help her.

           “It’s always ‘Marsha Marsha Marsha’!” thought Jan, “everyone treatsher like she’s so beautiful and so wonderful, and they treat melike dirt!” Jan decided the best way to get people to treat herlike they treated Marsha was to become beautiful, which to Janmeant she had to lose weight. Though she felt her parents were verycontrolling, she believed she could at least control whether or notshe ate. By the time they noticed Jan wasn’t eating, she had lost aconsiderable amount of weight.    

           “It doesn’t feel right, Mrs. Brady,” said Alice, the family’shouse-keeper, “with Marsha and Jan being so troubled, I don’t thinkI can enjoy going to The Meat Chopper’s Ball with Sam.” Sam is thelocal butcher who has been dating Alice for many years. The phonerings and Carol picks up the receiver. “Alice – it’s Sam,” she saysas she hands the phone to her. Carol watches as Alice becomes moreand more upset as she talks with Sam. “It looks like I don’t haveto worry about the ball after all,” said Alice as she hung up thephone, “Sam just broke up with me.” Carol tries to console Aliceand suggests that maybe she should take a walk. Alice agrees andputs on her jacket and leaves. Alice never returns. Mike and Carolcontact the police and wide-spread manhunt finds nothing. Alice hadjust disappeared.

           So now things have gone from bad to worse for Carol. On top ofeverything else, she now finds herself as a stay-at-home mom whoactually has to do housework! She is able to manage for a week orso, but then the work just seems to be piling up.   Oneday when Mike gets home late, she yells, “What took you so long?!?I could use some help around here!” “Honey,” replies Mike, “youknow I always get my hair permed on Wednesday night.”  “You’re leaving me to do this while you get your hair done?!?”cries Carol as she collapses onto the sofa. “Carol, what’s wrong?Why are you so stressed?” asks Mike. “Why am I so stressed? Do youknow how much work it is to take care of this family? The cooking!The cleaning! The laundry! And on top of that, Marsha thinks she’sugly and Jan won’t eat!” Mike then decides that all of the family’sproblems could be solved if they went on vacation. The next day hemakes arrangements for them to go to Hawaii.

           Once they get to Hawaii, Mike suggests they go to the beach. Janrefuses to put on a swimsuit because she believes she is sodisgustingly fat. Marsha says, “I could go naked and no one wouldnotice – they’d all be staring at my hideously ugly nose!” So theydecided to go for a walk and look for something fun todo.   As they turned the corner they see a sign forPirate Pauline’s boat tour of the island, and they all decide thata tour would be nice. When they get to Pirate Pauline’s, they seeAlice dressed like a sailor and smoking a cigarette. “Alice!! It’syou!!” they yell and they run hug her. “Back off!!” screams Alice,“me name is Pirate Pauline and I sails the salty sea! Argh!” “Well,um, Pauline,” says Carol, “You look just like our old house-keeper,Alice.” “House-keeper! Shiver me timbers!” exclaims Alice, “would ahouse-keeper have this?” Alice rolls up her sleeve to reveal atattoo of the skull and crossbones with the phrase, “Momma Didn’tLove Me” tattooed underneath. Little Cindy begins to cry, “OhAlice, we miss you! Don’t you remember us?” Alice pauses, looksreflectively toward the sky and rubs her chin. She then bends overto look Cindy in the eye as she removes a knife from her pocket.“If yous call me Alice once again I’ll cut out yer spleen!” shethreatens. The whole bunch screams as they run back to the hotel.Once they have caught their breath Mike says, “Maybe we should havegone to the Grand Canyon!”   

1. Can Marsha be diagnosed with a disorder? (Explain whyor why not) If yes, which disorder? (Be sure to justify yourdiagnosis)
2. Can Jan be diagnosed with a disorder? (Explain why orwhy not) If yes, which disorder? (Be sure to justify yourdiagnosis)
3. Can Carol be diagnosed with a disorder? (Explain why orwhy not) If yes, which disorder? (Be sure to justify yourdiagnosis)
4. Can Alice be diagnosed with a disorder? (Explain why orwhy not) If yes, which disorder? (Be sure to justify yourdiagnosis)