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Cultural dilemmas in Counselling *pdf
Cultural dilemmas in Counselling *pdf
Cultural dilemmas in counseling
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As a strong therapeutic relationship is being cultivated with a client and their family, a therapist is able to create a conceptualization case study to help them. Although each therapist has their own preference of conceptualizations, this case study will focus on the client’s demographics, reason for referral, developmental stage, mental health history, diversity and risk factors, role of the therapist, goals/interventions, and ethical concerns. Client’s Demographics Elias is a five year old Mexican American male child, who resides with his mother and baby brother. His mother is married and is currently separated from Elias’s stepfather. At this point, it is undetermined the employment status of Elia’s mother including the socioeconomic status …show more content…
In order to develop a therapeutic alliance with Elias and his mother, their Hispanic/Latino culture needs to be understood. Not only does understanding their ethnic background have value, but it is crucial to understand how the culture (machismo, submission, collectivism) plays a role in their family structure as well. Another way to cultivate therapeutic alliance is to be aware of one’s own bias about the clients and the situation. As for Elias’s case, it is easy to blame the mother for negligence for the care of Elias’s physical and mental health care. Therefore, to keep Elias welfare a priority, it is highly important to cultivate an open, non-judging and empathic environment to gain the trust of Elias’s mother (responsible party for Elias), so treatment for Elias and the family could continue and works towards the best interests of their …show more content…
For it is just as important for the counselor to be able to relate the child’s culture, developmental level and perspective. Working with Elias and his mother may be challenging at first, due to my own bias; however, by using interpersonal skills (patience, empathy, warmth, listening, reflecting, and etc.) and creativity with Elias, there is hope for the communication lines to be open and trust to be restored in a social
With the growing population of minorities in the United States, it is reasonable to believe that at some point in a counselor or therapist career, there will be a session with a Latino/Hispanic client. From a cultural competence perspective, it is imperative that a counselor understands the Latino/Hispanic culture and their worldviews. Counseling Latinos offer to be discussed in the paper is the case of an Alberto and Angela a Mexican American couple married for 27 years. Alberto has recently lost his job. (
Case conceptualization and treatment planning is used by therapist to assist in determining a client’s diagnosis, goals, and treatment plan that is most effective in determining the issues surrounding the clients diagnosis. It is crucial that the client’s treatment plan is specific to the individual, is relational and appropriate to the needs of the client.
The Latino culture is a collectivistic culture that puts group interests over individual interests. When counseling Latinos, one needs to keep in mind the importance of family in their culture. Family members need to be a part of the counseling process. At times, group counseling with the whole family could help, along with involving family in the treatment process. With the potential language barrier a counselor could also ask an interpreter to mediate with the client during sessions to make sure there is an understanding between the client and the
As Kirst-Ashman and Hull Jr (2012, pp. 453-454) reminds us, “the family is central to Hispanic culture and is hierarchical in structure. That is the father is the primary authority figure (Devore & Schlesinger, 1996). Furthermore, scholars inform us that many Hispanic fathers appear somewhat aloof from the family, especially the children as it is the father’s role to pursue instrumental roles such as earning a living. Often, this results in the father being less likely to express emotional support (Kirst-Ashman & Hull Jr., p. 454). Understanding these concepts of the Hernandez family culture as well as asking questions about their family members depicted on the genogram can aid me to become more informed. This can be a very positive step in the right direction in building a relationship of mutual respect and trust as in our respective roles as client and social work professional enhancing our ability to work together to determine the best intervention
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate information concerning the client and the client's presenting concerns to establish an effective treatment strategy. Using a combination of assessment techniques increases the likelihood of positive interventions and promotes successful treatment (Erford, 2010, p.271). A case conceptualization reflects how the professional counselor understands the nature of the presenting problems and includes a diagnostic formulation. Case conceptualization organizes assessment data into meaningful outline, applying research, and theory to make sense of client’s current problem.
Social problems include difficulties with family relationships, isolation, interpersonal conflicts, and pressures of social roles. The Latino culture tends to place a higher premium on the well-being of the family unit over that of any one family member, a concept termed familialism (Smith & Montilla, 2006). In general, familialism emphasizes interdependence and connectedness in the family, and often extends familial ties beyond the nuclear family (Falicov, 1998). Given these values, Latinos often describe depression in terms of social withdrawal and isolation (Letamendi, et al., 2013). Social roles also play an important role in mental health, traditional gender roles in particular are strongly enforced and can be a source of distress. In Latino culture, men and women are expected to fulfill the roles outlined in the traditions of Machismo and Marianismo respectively. Machismo indicates that the man is supposed to be strong and authoritative, while Marianismo designates the woman as the heart of the family both morally and emotionally (Dreby, 2006). Although there is little research on causal factors, adherence to these traditional gender roles can pose a psychological burden and has been found to be strong predictor of depression (Nuñez, et al., 2015). The centrality of social problems in the conceptualization of depression for Latinos may be reflective of the collectivistic values that are characteristic of the group. Although these values have the potential to contribute to depression, they also have the potential to serve as protective factors and promote mental health (Holleran & Waller, 2003). Therefore, it is imperative that the counselor carefully consider cultural values, both in terms of potential benefits and drawbacks, to provide appropriate counseling to the Latino
The Sanchez family are riddled with a unique set of problems for a social worker to intervene and provide assistance. Being a family that immigrated to the United States, they are managing many problems within the family that is ranging from disability, substance abuse, and immigration. This paper is a case analysis of each particular family member in the Sanchez family. Each family member will be analyzed and issues will be prioritized. Also, an intervention or a clinical resolution will be introduced to the best of the writer’s knowledge. Lastly, this writer will reflect on herself to determine her level of empathy and sympathy towards each family in the Sanchez family. Each family member is presenting individual problems and indicators that there is an underlying issue that needs intervention.
Experiential Family Therapy is a therapy that encourages patients to address subconscious issues through actions, and role playing. It is a treatment that is used for a group of people in order to determine the source of problem in the family (Gurman and Kniskern, 2014). Experiential Family Therapy has its strengths and weaknesses. One of the strengths of this therapy is that, it focuses on the present and patients are able to express their emotions on what is happening to them presently. The client will have time to share everything about his/her life experiences one on one without any fears. As a result, it helps the client in the healing process because, he/she is able to express their feelings freely and come out of the problem. Therefore, in this type of therapy, the clients are deeply involved in solving their issues. It helps clients to scrutinize their individual connections and to initiate a self-discovery through therapy, on how their relationships influence their current behaviors (Gurman and Kniskern, 2014). By examining their personal relationships through experiential family therapy, family members are able to
Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by building a mutual relationship based on trust, understanding, and respect for the client.
For this reason, some of the brief therapies, such as strategic family therapy or solution-focused therapy, that focus on rapid change without much attention to understanding, might be more appropriate. However, I believe these brief therapies do not give clients enough time to really parse out their problem. I am wary of counseling that limits clients’ ability to tell their stories fully, which seems like just one more way of silencing people, oppressing them, and keeping them in line. In working with my clients I want to collectively understand how problem-saturated stories developed, the cultural, familial, or biological factors that might be involved, and the availability of choices. I believe that narrative therapy is the most flexible approach in this respect because although not brief, it is efficient and seems to be effective long-term, although more research is needed, which is challenging because of the subjective nature of this approach (Madigan, 2011). In my therapy practice, I want to leave clients feeling hopeful and liberated by helping them to see the problem as separate from their identities and as only one story to choose from several, and by acknowledging the contextual factors contributing to the
Of the psychotherapy theories, we have studied this quarter; I am inclined to like Interpersonal Therapy (IPT), it is one of the most efficient forms of psychotherapy for depression. It is also an adaptation for a broad range of disorders in various populations. It 's qualification for use in divergent treatment approach and it service is ubiquitous is cultural disparate. In IPT, the therapist focuses on the recovery from the current depressive episode by clarifying the relationship between onset of the client 's current depressive symptoms and interpersonal problems in fostering a relationship through communication and interacting allowing the client to be at ease. Treatment is time limited that encourages the client to regain normalcy of
According to Allison L. Kramer (2016) in her “Why we can’t be friends” article, researches have observed numerous relationships between psychotherapists and their present and/ or previous clients. Boundary issues have been studied in the world of ethics and dual-role relationships with current clients are ordinary for some practitioners in their daily practice. Meaning it isn’t rare to run into dual relationships in counseling. These relationships aren’t always negative nor avoidable states Kramer. The example she used for dual-role relationships being advantageous and unavoidable was a school guidance counselor having multiple roles in the school. The counselor could also be “a coach of a sports team, thus filling both a counselor and
Goldenberg, H. & Goldenberg, I. (2013). Family therapy: An overview (8th ed.). Belmont CA: Thomson Brooks/Cole.
My theoretical approach to family therapy is very integrative as I believe families cannot be described nor treated from a single-school approach. I view humans through a humanistic and existential lens but am more technically structural and solution-based. With this integrative approach, I believe I will be the most effective in helping families grow and reach their goals.
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to