Describe the ethical issues related to cultural competence.

Course Case Study

Joe, a thirty-five-year-old, male mental health counselor, received a client referral, thirty-five-year-old Jill, from a community counseling clinic. He began providing counseling services to her. Jill’s complaint was that she was unsatisfied with her current job as a bank teller and was experiencing mild anxiety and depression. Joe had been providing services to Jill for three weeks when she disclosed that she was confused about her sexuality because she experienced sexual attraction toward some women. Joe immediately responded to Jill with wide eyes and a shocked look. He told Jill that he was a traditional Catholic, who felt that this type of feeling was immoral and wrong. He informed her that she should avoid thinking about this and pray for forgiveness. He also told her that he felt uncomfortable talking about the issue any further. Jill continued to talk to Joe about dealing with her family issues.

Joe had recently read about a new technique and immediately became excited about trying it. He explained to her that he had read an article in a magazine about a new technique called rebirthing. The new technique was being used in Europe to help people change their views about their relationships with their family. Joe said, “It is supposed to be really effective in almost wiping out your memory of your family; it is like hypnosis.” “I would really like to try it on you today, what do you think?” Jill declined his offer and continued to talk about her family. Joe thought to himself that even though Jill said no, he was still going to try to hypnotize her as they talked because he thought she could benefit from the technique.

Jill disclosed that she was raised in a traditional Asian American home with many cultural influences and culture-specific rules and behavior. Jill was struggling with balancing her individualism and her cultural heritage. Joe explained to her that because he was living and working in a rural community, mostly consisting of people of East European descent, he could not relate to Jill’s culture and the issues with which she was struggling. He apologized and explained that he was not required to study these cultural issues because of his geographical location.

Jill moved on to talk about her depression. She began talking about feeling lonely and how it contributed to her depression. During a counseling session several months later, she revealed that she was attracted to Joe and would like a closer, intimate relationship with him. Joe, aware that he was also attracted to Jill, talked about his feelings toward her but explained that engaging in a relationship outside the established counseling relationship was unethical. He informed her that because of the mutual feelings of attraction, the counseling relationship would be ineffective and that he would refer her to another counselor for continued services. Jill agreed, and they terminated the counseling relationship. Later, she contacted him to continue counseling and to discuss the referral. Joe agreed to meet her that evening at a restaurant and bring her

the referral information. That night they began an intimate sexual relationship.

Joe never got around to providing the referral for Jill even though he was aware of her ongoing state of depression and anxiety. Joe stopped seeing Jill after a month of intimate sexual encounters. Joe enjoyed the relationship but felt guilty due to the unethical nature of the relationship. Because of his continued concern about Jill’s depression, Joe considered going to his current clinical supervisor to discuss the case but decided against it. This was because he and his supervisor were good friends and he suspected his supervisor would be hurt by knowing the real reason he had been cancelling get-togethers. Joe decided to call Jill’s boss at the bank to check on her and see how she was doing. He called her boss and explained that he had been counseling her for anxiety and depression and wanted to check if she was feeling fine. Her boss informed Joe that Jill had quit her job and was in the county hospital undergoing treatment for severe depression. Joe quickly hung up and decided not to call or visit the bank again. After

thinking it over, Joe decided that general counseling might not be for him. He decided to begin marriage and family therapy. He ordered some business cards and advertised in the yellow pages. He thought, “After all, I am a mental health counselor, and it can’t be hard to counsel a couple. You don’t need anything special. I already have one degree, and that’s enough!”

Discuss the ethical issues presented by these dual relationships. 300 words

I need 600 hundred words Total  :

 

Scenario:

You are a professor at a local college. One of the students in your class is clearly distraught. You notice this and mention that you hope everything is okay. The student tells you that his wife recently left him and he is having difficulty coping with the situation. You talk to him for a few minutes, then leave for your office. At the next class, the student tells you how much he appreciated your concern. He states that he understands that you are a psychologist and asks for your card. The next day, he calls your office for an appointment to see you.

 

Questions:

  • Analyze the dual relationships presented in your scenario. 300 words
  • Discuss the ethical issues presented by these dual relationships. 300 words

Explain what you can conclude about the effectiveness of visualization therapy.

magine you are a researcher who believes that a relaxation technique involving visualization will help people with mild insomnia fall asleep faster. You randomly select a sample of 20 participants from a population of mild insomnia patients and randomly assign 10 to receive visualization therapy. The other 10 participants receive no treatment.

You then measure how long (in minutes) it takes participants to fall asleep. Your data are below. The numbers represent the number of minutes each participant took to fall asleep.

No Treatment (X1)
Treatment (X2)
22
19
18
17
27
24
20
21
23
27
26
21
27
23
22
18
24
19
22
22

Assignment:

To complete this Assignment, submit by Day 7 a response to each of the following:

  • Explain whether you chose to use an independent-samples t test or a matched-samples t test. Provide a rationale for your choice.
  • Identify the independent and dependent variables.
  • Knowing you believe the treatment will reduce the amount of time to fall asleep, state the null and alternate hypotheses in words (not formulas).
  • Explain whether you would use a one-tailed or two-tailed test and why.
  • Explain whether you have homogeneity of variance, and explain how you know. Explain why it is important to know if you have homogeneity of variance.
  • Identify the obtained t value for this data set using SPSS.
  • Identify the degrees of freedom and explain how you determined it.
  • Identify the p value.
  • Explain whether you should retain or reject the null hypothesis and why.
  • Explain what you can conclude about the effectiveness of visualization therapy.
  • Submit three documents for grading: your text (Word) document with your answers and explanations to the application questions, your SPSS Data file, and your SPSS Output file.
  • Provide an APA reference list.

What are some potential sources of stress for Sarah?

Assignment 1: Discussion Question

David and Sarah are married and have two young children. Both David and Sarah have full-time jobs. David is an accountant, and Sarah is a lawyer.

Sarah is working on a tough case at work and often comes home from work in a bad mood. She takes out her frustration on David and the children by yelling and losing patience with them. David concludes that Sarah’s on-the-job stress is affecting her behavior at home.

  • What are some potential sources of stress for Sarah?
  • Which model of work-family conflict do you think best explains what Sarah is experiencing — the spillover model, the compensation model, or the segmentation model?
  • If you were an employer, what types of work-life supports would you offer?
  • Discuss the advantages, risks, and considerations of each work-life support. Provide a summary of coping skills and techniques Sarah may utilize to combat stress and strain.