Identify the case study you chose and describe the ethical issue(s) present in it. Explain how you would address each of these issues.

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Please no plagiarism and make sure you are able to access all resource on your own before you bid. I need this completed by 11/8/17 at 6pm.

 

Application: Addressing Ethical Issues

Counselors often face difficult decisions in their work that may have ethical ramifications. Ethical dilemmas span all areas of the counseling practice from record keeping and fee setting to confidentiality, privacy, and cultural considerations. For this Assignment you concentrate on cultural considerations that may pose challenges to ethical practice. (Culture is broadly defined here as the behaviors, traditions, and/or beliefs of any subgroup.) Select one of the two case studies below to use for this assignment. After analyzing the case study, consider how you might address the issues present using the codes of ethics put forth by either the American Counseling Association (ACA) or the International Association of Marriage and Family Counselors (IAMFC).

Review the case studies below before completing the assignment.

Case Study #1

Nitin and Priya Pathak came to your office for counseling, along with their 16-year-old son Sujay. Nitin and Priya are first generation Indian-American immigrants, while their son was born and raised in the United States. They were reluctant to engage in counseling, but are doing so at the request of Sujay. In Sujay’s view, his parents are being overly controlling regarding his upcoming choice of college, which is causing increasingly frequent clashes between him and his parents. Sujay wants to attend art school, while his parents want him to attend engineering school. They state that a career in science, religion, law, or medicine is the appropriate path for a person of his caste. Sujay claims that while he wants to please his parents, he feels they are stifling his passion and imposing cultural norms that, to him, are a part of their “world” and not his. You have little knowledge of Indian culture or the caste system and are unsure whether the issue at hand is a matter of controlling parents dealing with a life transition issue or a serious conflict involving social and cultural influences.

Case Study #2

Nicole and Julia explain to you that their relationship has felt strained lately and that they fear they are heading for a breakup. The couple explain to you that they have been in a long-term, non-monogamous relationship, but that lately, Nicole has expressed desire to change this practice. Julia feels that Nicole is “changing the rules halfway through the game” and that her sexual relationships with others are of no consequence to how she feels about Nicole. Their current relationship practice conflicts with your own personal opinion about the role of monogamy in relationships, and thus you feel conflicted about how to handle the situation.

The assignment (2–3 pages)

  • Identify the case study you chose and describe the ethical issue(s) present in it.
  • Explain how you would address each of these issues.
  • Justify your response using the appropriate ACA/IAMFC codes of ethics.

Support your Application Assignment with specific references to all resources used in its preparation. You are asked to provide a reference list for all resources, including those in the Learning Resources for this course.

Readings

  • Course Text: Gurman, A. S., Lebow, J. L., & Snyder, D.  (2015). Clinical handbook of couple therapy (5th ed.). New York, NY: Guilford Press.
    • Chapter 19, “Couple Therapy and Intercultural Relationships”
    • Chapter 18, “Gay, Lesbian, and Bisexual Issues in Couple Therapy”
  • Article: American Counseling Association (ACA). (2014). ACA Code of Ethics. Retrieved fromhttp://www.counseling.org/docs/ethics/2014-aca-code-of-ethics.pdf?sfvrsn=4
  • Website: American Mental Health Counselors Association. (n.d.). Transformation in action. Retrieved from http://www.amhca.org/
  • Article: Hernández, P., Rickard, J., & Giambruno, P. (2008). Transformative family therapy with a lesbian couple: A case study. Journal of Feminist Family Therapy, 20(4), 281–298.
    Retrieved from the Walden Library databases.
  • Article: Hendricks, B.E., Bradley, L. J., Southern, S., Oliver, M., & Birdsall, B. (2011). Ethical code for the International Association of Marriage and Family Counselors. The Family Journal, 19(2), 217-224.
    Retrieved from the Walden Library databases.
  • Article: Seto, A., & Woodford, M. S. (2007). Helping a Japanese immigrant family cope with acculturation issues: A case study. The Family Journal, 15(2), 167–173.
    Retrieved from the Walden Library databases.
  • Website: American Mental Health Counselors Association. (n.d.). Transformation in action. Retrieved from http://www.amhca.org/
  • Website: American Counseling Association. (n.d.). American Counseling Association. Your passion. Your profession. Our purpose. Retrieved from http://www.counseling.org/
  • Website: International Association of Marriage and Family Counselors. (n.d.). Excellence in couples and family counseling. Retrieved from http://www.iamfconline.org/

Provide an explanation of why counselors refer clients to a psychiatrist for a psych eval (what is and what is not in our scope of practice).

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I need this completed TODAY by 10pm.

Please no plagiarism and make sure you are able to access all resources on your own before you bid. Main reference comes from Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). You need to have scholarly support for any claim of fact or recommendation regarding treatment. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Remember to use scholarly research from peer-reviewed articles that are current. Sources such as Wikipedia, Ask.com, PsychCentral, and similar sites are never acceptable. Please remember that resources used must be from peer-reviewed resources such as academic journals. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Please follow the instructions to get full credit for the discussion.

Discussion – Week 4

Bipolar Disorders

This abstract from Nature Reviews Disease Primers (Vieta et al., 2018) offers a succinct way to think about bipolar disorders:

Bipolar disorders are chronic and recurrent disorders that affect >1% of the global population. Bipolar disorders are leading causes of disability in young people as they can lead to cognitive and functional impairment and increased mortality, particularly from suicide and cardiovascular disease. Psychiatric and nonpsychiatric medical comorbidities are common in patients and might also contribute to increased mortality. Bipolar disorders are some of the most heritable psychiatric disorders, although a model with gene-environment interactions are believed to best explain the etiology. Early and accurate diagnosis is difficult in clinical practice as the onset of bipolar disorder is commonly characterized by nonspecific symptoms, mood lability, or a depressive episode, which can be similar in presentation to unipolar depression. Moreover, patients and their families do not always understand the significance of their symptoms, especially with hypomanic or manic symptoms. As specific biomarkers for bipolar disorders are not yet available, the careful clinical assessment remains the cornerstone of diagnosis. The detection of hypomanic symptoms and longitudinal clinical assessment is crucial to differentiate bipolar disorder from other conditions. Optimal early treatment of patients with evidence-based medication (typically mood stabilizers and antipsychotics) and psychosocial strategies is necessary.

Reference: Vieta, E., Berk, M., Schulze, T. G., Carvalho, A. F., Suppes, T., Calabrese, J. R., … Grande, I. (2018). Bipolar disorders [Abstract]. Nature Reviews Disease Primers, 4. Retrieved from https://www.nature.com/articles/nrdp20188

To prepare for the Discussion:

  • Review Chapter 6 of the textbook.
  • Review the media pieces listed in the Learning      Resources.
  • Review the expectations in the Discussion Rubric.

Consider the following scenario:

Betty came to her second session with you describing what appear to be manic and depressive episodes. You have valid questions and concerns and want to get a formal psych eval.

How would you explain to Betty that you have concerns about her symptoms and want to refer her to see a psychiatrist for evaluation? Write out a mini script showing what you, the counselor, might say to Betty.

By Day 3

Respond to the following prompts using a mini script.

  • Provide an explanation of why counselors refer clients to a psychiatrist for a psych eval (what is and what is not in our scope of practice).
  • Explain what collaborative behavioral healthcare is.
  • Include a description of two circumstances when a counselor would refer a client for a psych evaluation.
  • Describe two circumstances when a counselor would use the Release of Information (ROI) signed by a client.
  • Include an empathetic reflection to Betty.

Be sure to support your postings and responses with specific references to the Learning Resources.

Required Resources

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson.

· Chapter 6, “Treatment of Bipolar Disorder”

Required Media

TED. (2017, February). Helen M. Farrell: What is bipolar disorder? [Video file]. Retrieved from https://www.ted.com/talks/helen_m_farrell_what_is_bipolar_disorder

Note: The approximate length of this media piece is 6 minutes.

TED. (2011, May). Joshua Walters: On being just crazy enough. [Video file]. Retrieved from https://www.ted.com/talks/joshua_walters_on_being_just_crazy_enough

Note: The approximate length of this media piece is 6 minutes.

Optional Resources

Brain and Behavior Research Foundation. (n.d.). Bipolar Disorder. Retrieved June 11, 2019 from https://www.bbrfoundation.org/research/bipolar-disorder

Depression and Bipolar Support Allliance. (n.d.). Retrieved June 11, 2019 from https://www.dbsalliance.org/

International Bipolar Foundation (n.d.). Healthy living with bipolar disorder book. Retrieved June 11, 2019 from http://ibpf.org/webform/healthy-living-bipolar-disorder-book

Psychopharmacology Institute (2019). Bipolar disorder treatment guidelines: A 2019 update. Retrieved on June 13, 2019 from https://psychopharmacologyinstitute.com/guidelines/bipolar-disorder-guidelines/

Describe either a divorce or a challenging time during your childhood. What aspects of the experience increased your stress?

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1.You are an educator trying to promote a positive self concept and self-esteem in elementary school children. How does self-esteem change during this period and what factors contribute to the change? What influences self-esteem? What are the consequences of extremely high self –esteem? Low? Should parents promote children’s self-esteem by telling them they’re “smart” or “wonderful”? Are children harmed if they do not feel good about everything they do? Why or why not?

 

2.What do you think about competitive academic activities like spelling bees? Consider the following questions; How are children affected by these events?  Do these events encourage a mastery orientation or a learned-helplessness approach, or both? Could these activities be restructured to encourage cooperation rather than competition among children?

 

3.Friendships change in middle childhood and peer acceptance – the child’s relative likeability-becomes important because it is an assessment of the child’s worthiness as a social partner. Look in your textbook for the categories of popular, rejected and neglected children and answer the following questions. As a school aged child, did you have classmates that you would classify as popular-aggressive? What were they like and why do you think your peers admired them? What kind of changes in parent-child relationships might be necessary to help a rejected child? Classify yourself during this developmental period and support your classification with behavioral facts. Did your classification change as you got older? Why or why not?

 

4.Review ecological systems theory in Chapter 1 (pp20-21). Review the research on divorce and the consequences of divorce. How does each level of the environment contribute to children’s outcomes following a divorce? How do community –based services help both children and their families adjust to divorce? Describe either a divorce or a challenging time during your childhood. What aspects of the experience increased your stress? What resources helped you cope with the adversity?

 

 

5.Claire told her 6 year old never to talk to strangers. Why will this warning not protect her daughter from sexual abuse? Describe the adjustment problems of victims of child abuse . How can the consequences of sexual abuse carry over to the next generation?

· Explain how, if at all, reading the opposing article changed your views on the topic presented in the original article. · Explain the importance of applying critical thinking to the reading of psychological research and professional literature.

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Search for and read competing views, as well as perspectives with which you find yourself readily agreeing. Be sure to base your final understanding on an accurate study of both sides of an argument, as well as on recognition of your own personal biases.

For this assignment, review the article provided, “Sadder and Less Accurate? False Memory for Negative Material in Depression.” (ATTACHED)

Then, use Internet resources to find and select one professional journal article that presents an opposing view on this topic.

The assignment: (3–4 pages)

· Explain how the professional journal article you selected defends its opposing view from the original article.

· For each article, explain any biases, slants in opinions, and any other errors in logic that are present. Be specific and provide examples from the literature.

· Explain how, if at all, reading the opposing article changed your views on the topic presented in the original article.

· Explain the importance of applying critical thinking to the reading of psychological research and professional literature.

Joormann, J., Teachman, B. A., & Gotlib, I. H. (2009). Sadder and less accurate? False memory for negative material in depression. Journal of Abnormal Psychology, 118(2), 412–417. https://doi-org.ezp.waldenulibrary.org/10.1037/a0015621

Gemeinschaftsgefuhl – otherwise known as social interest and community feeling – is a particularly important concept in Adlerian therapy. Please share a specific example of how this has applied to your own life, and discuss your examples with your classmates.

How might this be relevant when applied to counseling culturally diverse clients in a community mental health setting?

Part 2

Week 3 Existential therapy

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Choose two of the 6 propositions outlined in Chapter 6 related to the human conditions according to existential therapy and how you would apply these two to counseling an elderly client in her early 70s who has just moved into a retirement community after having recently lost her husband of 50 years.