Assignment 2: Case Study: Cultural Competence

For this assignment, you will refer to the section “Course Case Study.”
Reread the case study, looking specifically at issues related to
cultural competence. Examine the ACA’s and APA’s ethical guidelines
related to the issue of cultural competence and respond to the
following:

  • Describe the ethical issues related to cultural competence.
  • Examine the influence of
    your own personal values as related to the diversity issues presented in
    this case. Reflect on how you felt as you read the case study, how your
    values came into play, and how you would handle your values in a
    situation such as this.
  • Make recommendations based on your readings and the APA or ACA ethics codes.
  • Be sure to apply specific ethical principles.

Save the paper as AU_PSY430_M2_A2_LastName_FirstInitial.doc and submit it to the M2 Assignment 2 Dropbox by Wednesday, July 5, 2017. Your response should be at least 2 pages long.

Assignment 2 Grading Criteria

Maximum Points

Described the ethical issues related to cultural competence.

20

Explained how one’s own personal values relate to diversity in the case study.

20

Made recommendations based on readings and the ethics codes.

20

Applied specific ethical principles.

20

Wrote

in a clear, concise, and organized manner; demonstrated ethical

scholarship in accurate representation and attribution of sources; and

displayed accurate spelling, grammar, and punctuation.

20

Total:

100

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 bankteller 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 continuedto talk to Joe about dealing with her family issue Joe had recently read about a new technique and immediately became excited about trying it. He explain to her that he had read an article in a magazine about a new technique called rebirthing. The new techniquewas 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 ofdepression 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 continuedconcern 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 bossand explained that he had been counseling her for anxiety and depression and wanted to check if she wasfeeling 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 marriageand family therapy. He ordered some business cardsand 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!?

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