Impact of Counselor Worldview on Assessment and Diagnosis Although it is the counselor’s ethical duty according to Standard “A.4.b. Personal Values” to be vigilant in refraining from imposing “their own values, attitudes, beliefs and behaviors” within the helping relationship (American Counseling Association, 2014, p. 5), much of the counseling literature highlights the influence of counselor worldview on the processes of assessment and diagnosis. Sue and Sue (2016) further describe the assessment and diagnosis process of a client as a “two-way street” in which both the counselor and the client have influence (p. 431). If the counselor is allowing their own worldview, to include values, beliefs, and attitudes, to impact assessment and diagnosis …show more content…
With assumptions based solely on culture, the counselor is at risk for committing “diagnostic overshadowing”, where the counselor only focuses on aspects related to culture, thus diminishing the counselor’s ability to fully understanding the client and their presenting issues, especially concerning aspects of the client’s life outside of culture (Sue & Sue, 2016, p. 433). This inability of the counselor to fully understand the client can lead to a damaged therapeutic alliance if the client believes they are not fully understood by the counselor, diminished accuracy in assessment and diagnosis, and potentially erroneous treatment developed on inaccurate assessment and diagnosis. While it is the ethical duty of the counselor, in accordance with Standard “E.5.b. Cultural Sensitivity”, to be aware of how one’s culture might impact the “manner in which client’s problems are defined and experienced” (American Counseling Association, 2014, p. 11), it is integral for the counselor to look beyond issues solely attributed to culture to fully understand the client and their “unique identity and context” as well as to maintain a positive and effective therapeutic alliance (Hays. 2016,
“Cultural competence is the ability to engage in actions or create conditions that maximize the optimal development of client and client systems” (Sue & Sue, 2013, p. 49). Multicultural competence includes a counselor to be aware of his or her biases, knowledge of the culture they are evaluating, and skills to evaluate a client with various backgrounds (Sue & Sue, 2013). Client assessment involves gathering information pertaining to the client’s condition. Making a culturally responsive diagnosis involves using the DSM-IV-TR axis (Hays, 2008). Following the axis backwards is ideal to discovering the client’s diagnosis, understanding the client’s ADDRESSING outline will help to come to a closer resolution for a diagnosis.
Counselors today face the task of how to appropriately counsel multicultural clients. Being sensitive to cultural variables can be conceptualized as holding a cultural lens to human behavior and making allowances for the possibility of cultural influence. However, to avoid stereotyping, it is important that the clinician recognize the existence of within-group differences as well as the influence of the client’s own personal culture and values (Furman, Negi, Iwamoto, Shukraft, & Gragg, 2009). One’s background is not always black or white and a counselor needs to be able to discern and adjust one’s treatment plan according to their client.
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
A counselor should always keep their thoughts to themselves and remain open-minded about the situation. The only time a counselor should share their thoughts is if it helps the client with their situation that they are dealing with. “Counselors must practice only within the boundaries of their competence (Standard C.2.a.), and, if they “determine an inability to be of professional assistance to clients” (Standard A.11.b.), they should facilitate a referral to another provider. (Kocet, M. M., & Herlihy, B. J. (2014). Addressing Value-Based Conflicts Within the Counseling Relationship: A Decision-Making Model. Journal Of Counseling & Development, 92(2), 180-186 7p. doi: 10.1002/j.1556-6676.2014.00146.x).” Keeping your thoughts to yourself is
Remember, self-reflection is vital to becoming a culturally-competent counselor. The counselor should consistently re-examine their worldview and personal beliefs about diverse individuals and other cultures. The idea is for the counselor to explore their own prejudices, emotions, and preconceived notions of those that differ from themselves. Remaining curious and willing to learn about culturally distinct groups is a practical way of working effectively with varied clients in counseling and understanding what barriers and prejudices are typical in their
Culture has a huge influence on how people view and deal with psychological disorders. Being able to successfully treat someone for a mental illness has largely to do with what they view as normal in their own culture. In Western cultures we think that going to a counselor to talk about our emotions or our individual problems and/or getting some type of drug to help with our mental illness is the best way to overcome and treat it, but in other cultures that may not be the case. In particular Western and Asian cultures vary in the way they deal with psychological disorders. In this paper I am going to discuss how Asian cultures and Western cultures are similar and different in the way they view psychological disorders, the treatments and likelihood of getting treatment, culture bound disorders, and how to overcome the differences in the cultures for optimal treatments.
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which includes the client’s attitudes, feelings, and emotions of the counseling session. We will next examine the propensity of the client to reveal or not reveal information to the counselor, and how transference, and counter-transference can have an effect on the counselor-client relationship.
In the world of politics, it is not uncommon for politicians to break significant campaign promises. In 2015, one of Justin Trudeau’s campaign promises included reforming Canada’s election system in time for the 2019 federal election (Justin Trudeau abandons campaign promise to reform voting system, 2017, para. 3). The Trudeau government has decided to dismiss the implementation of a new electoral system within Canada, and in doing so has broken a key promise (para. 1). This paper will examine the Trudeau government’s decision to abandon their promise to reform Canada’s election system. The focus will be on the reasons why the Trudeau government abandoned electoral reform and the reactions stimulated by this decision.
Kim, B. S. K., Ng, G. S., & Ahn, A. J. (2005). Effects of client expectation for counseling success, client-counselor worldview match, and client adherence to asian and european american cultural values on counseling process with asian americans. Journal of Counseling Psychology, 52, 67-76.
The assertion has appeared repeatedly in the literature that it is unethical for counselors to provide clinical services to clients who are culturally different from themselves if the counselors are not competent to work effectively with these clients (e.g., Corey, Corey, & Callanan, 2003; Herlihy & Watson, 2003; Lee, 2002; Pedersen, Draguns, Lonner, & Trimble, 2002; Remley & Herlihy, 2005; Vontress, 2002). Historically, however, counselors have been slow to recognize a connection between multicultural competence and ethical behavior. Multiculturalism and ethical standards both emerged during the 1960s as separate strands of development within the counseling profession. Multicultural counseling evolved from a growing awareness that discrepancies between counselor and client were resulting in ineffective service delivery and early termination of treatment for ethnic minority clients (Atkinson, Morton, & Sue, 1998” (p.99). Prior to this form of counseling, counseling was most effective for Caucasians. However, as time pasted and theories for minorities improved the code of ethics began to improve as
There are different perspectives, however, which put stress on various aspects of culture and try to identify its boundaries and its substitutes. Some regard culture as separate entity from demographic factors, some point out acculturation as one of the obstacles, which makes culture difficult to identify, some show how an intimate and meaningful relationship between a counsellor and a culturally different client to be established. In this essay I will be discussing what the different concepts of understanding of culture in Counselling are, by examining different authors and perspectives and evaluating their strengths and weaknesses.
Values, Morals, and Beliefs are components that play a role in an individual’s self-identity. The establishment of these components shape human nature, behavior, and the development of an individual’s purpose. The basis of these fundamentals has contributed to my desire to become a counselor. This paper will discuss my views of human nature, factors of behavior changes, goals of therapy, the roles of a therapist, and the counseling approaches that I chose to incorporate in a practice.
Theoretical Perspective: This semester in procedures of counseling class we discussed a lot of different types of counseling theories. We also did a lot of practicing with each theory with our partners. I found that person-centered therapy best fits my personal attitudes and style of counseling. I think this would be a good style of counseling for me because I can see myself better helping people as a whole than trying to fix an actual problem.
Counselors need to be aware that they are able to work with particular issues and certain cultural groups. This is because conscious and unconscious meanings and assumptions, such as strongly held religious or political beliefs, will be communicated to the client. “It is desirable up to a point to know about a particulars clients background and therefore not to ask questions about it” due to the clients may be frustrated and impatient with this use of their time. (Bayne, Jinks, Collard, Horton, 2008). This is where cross-cultural training, supervision and personal development are
Firstly, beliefs and attitudes infer the counselor’s ability to move beyond cultural unawareness for safeguarding that their personal biases, values or problems will not affect their ability to work with culturally diverse clients (Corey, 2013). In the same way, culturally skilled counselors are cognizant of the fact that “cultural self-awareness and sensitivity to one’s own cultural heritage” plays an integral role in the helping process (Corey, 2013, p.