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6.6 Case Studies

Case Study: Clarifying Professional Identity

Sarah, a newly licensed counselor, begins working at a community mental health center. She is assigned a client, Mark, who is in a healthy polyamorous relationship with two partners. Sarah has limited knowledge about polyamory and feels uncomfortable discussing relationship dynamics that deviate from monogamy. She considers referring Mark to another counselor but realizes this may be an opportunity for professional growth.

Discussion Questions

  1. What ethical principles should guide Sarah’s decision-making process in working with Mark, given her discomfort and limited knowledge about polyamory?
  2. What steps can Sarah take to increase her competence and comfort in working with clients in non-monogamous relationships?
  3. How can Sarah ensure that her personal discomfort does not interfere with Mark’s therapeutic experience and goals?
  4. Under what circumstances, if any, would a referral be ethically appropriate in this situation, and how should Sarah approach it?

Case Study: Acknowledging the Impact of Personal Values

David, an experienced counselor, is working with Elena, a successful businesswoman considering leaving her high-paying job to pursue a simpler lifestyle as an organic farmer. David, who values financial security and career advancement, struggles with Elena’s decision. He catches himself subtly steering conversations toward the risks and downsides of Elena’s plan.

Discussion Questions

  1. How can David ensure that his personal values about financial security and career advancement do not influence his counseling approach with Elena?
  2. What steps can David take to identify and address any biases that may be impacting his ability to remain client-centered in this case?
  3. How can David support Elena in exploring her goals and potential challenges while maintaining an open and nonjudgmental stance?

Case Study: Understanding One’s Cultural Self

Aisha, a counselor from a collectivist cultural background, is working with Jake, a client from an individualistic culture. Jake is struggling with his decision to move across the country for a job opportunity, which would mean leaving his aging parents behind. Aisha, whose cultural values prioritize family obligations, internally judges Jake’s decision.

Discussion Questions

  1. How can Aisha navigate her cultural values to provide unbiased and effective support to Jake as he explores his decision?
  2. What steps can Aisha take to increase her understanding of individualistic cultural perspectives and balance these with her collectivist worldview?
  3. How can Aisha help Jake weigh his options and make a decision that aligns with his values and goals, without imposing her own cultural expectations?

 

License

Ethical Practice in Co-Occurring Substance Use Disorder and Mental Health Counseling Copyright © by Tom Hegblom; Zaibunnisa Ahmed; London Fischer; Lauren Roelike; and Ericka Webb. All Rights Reserved.