Counseling a Client Who Has Different Personal Values and Social Worldview Perspectives
Client Information
James is a 38-year-old African American cisgender heterosexual male. He is divorced. James is best described by the intracategorical multiplicity of demographic identity. He is a religious man who subscribes to the traditional African faith, which he says is hard to come by. He is a first-generation immigrant, having immigrated to the U.S. ten years ago. He is a graduate software engineer working for a firm in Silicon Valley. He is well-off and can meet most of his daily needs, but he lives in a rental apartment. James has a significant history of alcohol abuse and cigarette smoking. He had been suspended from work on two separate occasions for presenting to work drunk and in a poor mental state. He was raised by a two-parent heterosexual couple, both of whom are still alive. There is no history of substance abuse in James’ nuclear family. Hire our assignment writing services in case your assignment is devastating you. We offer assignment help with high professionalism.
Presenting Concerns and Goals
James was referred to the clinic for the management of major depressive disorder with substance abuse disorder. He has been presenting symptoms of hopelessness, a persistent low mood, diminished interest, feelings of worthlessness, fatigue, and loss of concentration for over a year now. He has also had suicidal ideation and attempts twice in the past six months. These manifestations are consistent with those of major depressive disorder described in the DSM (Christensen et al., 2020). Suicidal tendencies manifested by the client are particularly problematic as they present a threat to the self. Dendup et al. (2020) report that suicidal tendencies present some urgency to mental health care due to the potential harm they have on clients with mental health illnesses. During the assessment, his neighbor and friend who accompanied him to the clinic noted that these manifestations began after he divorced his wife and that he has been avoiding counseling because he believes that his predicaments result from a curse from his late grandfather. The treatment goal for this client is to lessen depressive episodes using pharmacological and non-pharmacological interventions and to help the patient quit substance abuse.
Client and Helper Values
The client is spiritual and believes in curses. From his neighbor’s account, he links his suffering to a curse from his grandfather. The self-fulfilling prophesy effect of curse beliefs may not only undermine an individual’s confidence in their future success but also elicit the perception of unavoidable misfortunes (Ghrear et al., 2021). The helper’s values are not aligned with the client’s. The helper is an existentialist, believing in the scientific explanation of the disease. The helper refutes the client’s claim that his suffering results from an inevitable misfortune and advocates for sound management to lessen the client’s suffering. An ethical concern that may be apparent in this case is informed consent. The client may fail to give informed consent to facilitate his management.
Social Justice Competencies
Several inequities are apparent in contemporary society. Gaps in healthcare still exist, with many caregivers having less appreciation of differences in religious worldviews and their influences on health (Ferreira et al., 2022). The client in the case has encountered this inequity in his pursuit of wellness. Social inequities may impede the client’s health-seeking behavior. Educating the client on differences in religious beliefs and differences in worldviews may enhance his healthcare-seeking behavior.
Modeling Cultural Humility
Helper: Hello, James. I will be your helper today.
James: Thank you.
Helper: I will be working with you to help you recover quickly.
James: Thanks once again.
Helper: So several interventions are effective in lessening depressive episodes and manifestations.
James: Well, I am listening.
Helper: To start, we can initiate cognitive behavioral therapy (CBT), a therapeutic modality that will help you modify your thoughts, behavior, and mood.
James: Okay. What if CBT does not help?
Helper: We may also consider antidepressant medications when CBT fails or use a combination of both to help lessen the severity of your symptoms.
Understanding the client’s view and recognizing their beliefs and values is key when handling clients with different worldviews. Words like “thank you,” “I understand,” and “I appreciate” demonstrate respect for clients. Racial biases could negatively impact interactions with clients. To prevent these biases, the counselor can make considerate decisions, avoid assumptions about the client, and learn more about the individual or the group. Notably, cultural humility fosters a better understanding of different cultures and clients’ worldviews; thus, it is necessary for healthcare. Interacting with cross-cultural clients helps widen the counselor’s worldview and culture and is thus important in healthcare.
References
Christensen, M. C., Wong, C. M., & Baune, B. T. (2020). Symptoms of major depressive disorder and their impact on psychosocial functioning in the different phases of the disease: Do the perspectives of patients and healthcare providers differ? Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00280
Dendup, T., Zhao, Y., Dorji, T., & Phuntsho, S. (2020). Risk factors associated with suicidal ideation and suicide attempts in Bhutan: An analysis of the 2014 Bhutan steps survey data. PLOS ONE, 15(1). https://doi.org/10.1371/journal.pone.0225888
Ferreira, I. A., Gisselquist, R. M., & Tarp, F. (2022). On the impact of inequality on Growth, human development, and governance. International Studies Review, 24(1). https://doi.org/10.1093/isr/viab058
Ghrear, S., Baimel, A., Haddock, T., & Birch, S. A. (2021). Are the classic false belief tasks cursed? Young children are just as likely as older children to pass a false belief task when they are not required to overcome the curse of knowledge. PLOS ONE, 16(2). https://doi.org/10.1371/journal.pone.0
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Question 
Prior to beginning work on this discussion forum, read the following resources:
Chapter 3 and Chapter 4 in your textbook
Loosening Categorical Thinking: Extending the Terrain of Theory and Research on Demographic Identities in OrganizationsDownload Loosening Categorical Thinking: Extending the Terrain of Theory and Research on Demographic Identities in Organizations
Counseling a Client Who Has Different Personal Values and Social Worldview Perspectives
The Impact of Unconscious Bias in Healthcare: How to Recognize and Mitigate ItDownload The Impact of Unconscious Bias in Healthcare: How to Recognize and Mitigate It
The 5 Rs of Cultural Humility: A Conceptual Model for Health Care LeadersDownload The 5 Rs of Cultural Humility: A Conceptual Model for Health Care Leaders
Then, complete the following activities in MindTap to prepare for your discussion post:
Read Chapter 3 Case Study: You Decide- Knowing Your Values and respond to the questions.
Read Chapter 4, Case Study: You Decide- Understanding Diversity and respond to the questions.
For this discussion, you will take the role of helping professional counselors for clients who have personal values and social worldview perspectives different from your own. Begin by providing a description of a fictitious client. Next, include a one-paragraph description of the client’s presenting problem.
Minimally, include the following information included below. You are welcome to include additional information about the client. Utilize the headings and subheadings provided below.
Client Information
Name
Age
Sex
Gender identity
Sexual orientation
Relationship status (if applicable for the client’s age)
Ethnicity
For this aspect, refer to the article, Loosening Categorical Thinking: Extending the Terrain of Theory and Research on Demographic Identities in Organizations Download Loosening Categorical Thinking: Extending the Terrain of Theory and Research on Demographic Identities in Organizations. Assume your client’s identity is one of the “nonnormative” identities discussed in the article. Specify which description best applies to your client and why. Indicate whether different descriptions apply to different family members and if some family members have “normative” demographic identities while others have “nonnormative” identities.
Acategorical
Intracategorical multiplicity
Intracategorical mobility
Intracategorical uncertainty
Religion/spirituality
Immigrant status (1st generation, 2nd generation, etc.)
Ability/disability
Socioeconomic status
Education
Employment (if relevant)
Substance use/abuse history
Family of origin characteristics (raised by a two-parent heterosexual couple, two-parent gay couple, single parent [specify gender and sexual identity], rural, urban, suburban, affluent, low income, etc.)
Family of origin concerns (substance use/abuse, physical abuse, sexual abuse, neglect, parent or other family member with mental illness, etc.)
Presenting Concerns and Goals (One Paragraph)
Reason for referral, including at least one mental health-related diagnosis using accurate diagnostic terminology from the DSM-5Links to an external site.-TR. To access the DSM-5-TR,
Go to the UAGC Library home page.
Click “Find Articles and More.”
Click “Databases by Subject.”
Click “Psychology.”
Scroll down the page and click “DSM-5 Library.”
From the DSM-5 Library drop-down menu, select, “DSM-5-TRTM.”
Specific symptoms of concern in terms of problematic thoughts, feelings, and behaviors.
Additional information you deem relevant to their case (client was brought in by a parent/legal guardian, client is self-referred, client is court-referred, client was coerced to attend counseling by a spouse or partner threatening to leave, client has been in and out of treatment for 10 years, etc.).
At least two treatment or intervention goals for the client.
Client and Helper Values (One Paragraph)
Identify key values of the client and your own values as a helper. If you are not comfortable with self-disclosure around this topic, you may create a set of values for a fictitious helper. Specify where values of the client and helper differ.
Summarize ethical concerns that could arise if the helper with the values you identified imposed their values onto the client you described.
Social Justice Competencies (One Paragraph)
Identify any inherent inequities in social systems that your client has encountered.
Discuss how any of the following may (or may not) have impacted your client: oppression, discrimination, privilege, power relations, and social inequities.
Identify at least one action you can take to help your client or their family navigate a specific system effectively or an action you can take to effect positive change in a system the client needs to access to improve their condition.
Modeling Cultural Humility
Referring back to the intervention goals you identified, write a dialogue of at least ten sentences between the helping professional and client. The content in the dialogue should demonstrate the helping professional discussing aspects of an intervention plan in a manner modeling cultural humility. Minimally, include language to show how you would acknowledge the client’s concerns and present your treatment or intervention recommendations. In addition to the written dialogue, you may upload an optional video of yourself demonstrating this dialogue with a fictitious client.
Following the dialogue, answer each of the following questions:
Reflection: What can I learn from a client like this who represents different values and perspectives from my own?
Respect: What specifically would I say or do to demonstrate respect for this client?
Regard: What biases could negatively impact my interactions with this client and what can I do to prevent these biases from interfering with the client’s progress?
Relevance: How is cultural humility relevant in my interactions with this client?
Resiliency: How might interacting with this client impact my personal resiliency?
Required Responses: Due by Day 7
Review several of your classmates’ posts by Day 7 (Monday), and respond to at least two of your peers in posts of at least 200 words each. Peer responses should be scholarly, insightful, and well-written. Discuss topics relevant to the week’s assignments. Also, consider the following in your responses:
Identify any relevant connections between your understanding of the course material and that of your peer.
Ask relevant questions about the information shared by your peer.
If appropriate, respectfully offer suggestions for improvement or share examples of other perspectives they might consider related to their post. (Only share information that is appropriate to share in a public academic/professional forum.)
Link ideas you share with your colleague to Scholarly, Peer-Reviewed, and Other Credible SourcesLinks to an external site. By including APA-formatted citations and references. Minimally, utilize at least one of the assigned readings from this week in your reply to your classmate. Review the University of Arizona Global Campus Writing Center’s resources, APA: Formatting Your References ListLinks to an external site. And APA: Citing Within Your PaperLinks to an external site. For guidance.