on what we can do to improve his living arrangement, getting him acquainted with some coping skills, balance his work and school schedule and improve his relationship with his family.
I think group therapy would be good for Jose to offer relief, support and to build communication with other persons who might be having similar challenges as himself. It may also help to improve his social relationships.
Law and Ethics
As Jose therapist I would have a duty to do informed consent effectively. Informed consent covers a wide array of information that should be properly discussed with clients. According to Fisher & Oransky (2008 p.580) the Ethics Code requires therapist to inform patients of the nature and aspect of therapy that would reasonably
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7) if I think that it may be warranted. While there is no evidence at the moment that Jose is currently a danger to himself or others I feel that it is important to include it because depression is often a source of suicide/violence against others.
Treatment Plan As possibly Jose’s therapist, I don’t think that I know all there is to know about his culture, but I am aware of some important aspect. Because of this I feel that it would be wise to be willing to self-disclose minor personal information so that I can give Jose some assurance that I am aware of the cultural, gender, race and religious differences, but I am open to learn from him and I am willing to work with him and try to understand his point of view. I know that there are discriminations and stereotypes against Latinos, but being aware of my own possibly biases and values as Corey (2016) postulates will not impede but help the therapeutic process. However, if he feels that we cannot work together then I would try to refer him to someone who is of his cultural background.
I would first try to ensure rapport as this will help to build the therapeutic relationship. It is important to build a relationship than to solve a problem as stated by Krenawi & Graham (2000). Once the relationship is there it will be easier to try and solve the issues. . As Jose therapist I have a duty to do informed consent effectively. Informed consent covers a wide array of information that
The decision between the Therapist and Latino client is a remarkable example of the importance of being sensitize and culturally competent. The therapist appeared to have inadvertently added to the client’s stress which potentially negatively affect the worker-client relationship as well as the intervention process. My initial response to the dialog was that of confusion. Although I tried to empathize with the counselor’s method of getting the young lady to take responsibility for her actions. I totally disagreed with his lack of insensitivity to the client’s indirect message. The young lady was trying to convey her feelings about her experiences as a Latino woman. He did not take inconsideration that although humans often have similar stories.
There are a few exceptions to our confidentiality agreement that you need to be aware of. By law therapists are held to a strict contract to report information about
The culturally skilled counselor attempting a cross-cultural approach would be cognizant of his/her own tendencies toward personal bias and stereotyping of Santana’s appearance and attitude, as well as the very likely possibility of his client being on the receiving end of ridicule and criticism from others negatively stereotyping him as lazy, uneducated, or a “drug runner” just because he is Latino. Effective management and control of personal biases pave the way for open dialogue and the establishment of a clinical trust or professional bond that ideally leads to the discovery of core issues within the client that can subsequently be addressed.
Familismo: The significance of family for Latinos lies in a sense of unity, a sense of belonging in which the needs of the family come before individual needs (Benitez, 2007, pg. 22). The strength of the Latino family relationships lies on tradition, respect, and love. The collectivist nature of Latino families teaches individuals how to connect with others. When providing services to a Latino client it is essential that therapists explore systems of support and family bonds. It is also important to highlight that family conflict does exist in Latino families and emotional cut-offs are present.
In Joe’s circumstances, it is plain to see just why he has become angry, hopeless, and depressed. Clinical psychologists have studied thousands of cases such as Joe’s as the importance of this topic cannot be quantified. Millions of Americans suffer from this abnormality; the differences are outside influences/extenuating
Her religious and family background might be difficult for her to discuss, but I think it will play a big part in helping her understand how all areas of her life effect the way her life is perceived and experienced. The Hispanic culture is typically Catholic and very family oriented, therapist are considered to be outsiders and the church is the first place they go to for help. If she is a practicing catholic, I will ask her if she has reached out to her church for help.
Counselors are required by law to take a proactive approach to ensure informed consent is properly applied in accordance with (IAW) Mental Health Act Colorado Revised Statutes (C.R.S.) §12-43-214 (2); 12-43-222(1)(p) disclosure shall be made to the child. If the client is a child whose parent or legal guardian is consenting to mental health services, disclosure shall be made to the parent or legal
There are a number of cultural issues to consider when counseling a student who is Hispanic. A traditional Hispanic family is a close-knit group. The father is the head of the household and the mother is responsible for the home. He also may act as the final disciplinarian of the children. In Isabella’s case, her father has been deported. Given the uncertainty associated with deportation, the family unit is going through a very stressful time. If the father was the sole provider of the family, the family may enter into discussions about returning to Mexico. This may be one of the main reasons for Isabella’s anxiety.
The Latino culture takes a more monistic approach to the mind-body problem. This may affect the ways in which depression is experienced and expressed. For example, studies have found that Latinos are more likely to express psychological distress in somatic terms such as lack of energy, sleep disturbances, and body aches (Martinez Tyson, Castaneda, Porter, Quiroz, & Carrion, 2011). Additionally, studies find that Latinos are more likely to take a holistic approach to healing as evidenced by the principle of “mente sana en cuerpo sano y alma sana’ (healthy mind in healthy body and healthy soul) which communicates the strong connection between mind, body, and soul (Comas-Diaz, 2006). This suggests that a purely physical approach to therapy may not be well-received by the Latino client, and is supported by studies showing Latino patients feel apprehensive towards being treated with anti-depressants even when they have positive attitudes towards receiving treatment for depression (Cabassa, Lester, & Zayas, 2007). Understanding the client’s perception of the self is important in diagnosing and treating depression. Therefore, an effective therapist must be able to understand and incorporate the client’s worldview throughout the therapeutic process.
I chose this article because I find it interesting and of great help to any nursing and health care professional; I am Hispanic myself and constantly looking for better ways to help my community. I personally see my grandmother struggling whenever she needs to see her physician, as she sometimes does not understand what him and his staff are telling her. On another note nursing is an ever changing career and the Hispanic culture is growing at an enormous rate, becoming culturally competent does not only provide the patient with good care but can make the nurses’ job easier and more rewarding. I do feel that there should be more research on this subject; the best way to learn about a patient’s cultural beliefs is to ask the patient. I think that the population that the author intended to target is health care professionals; however, I know that any immigrant can benefit from reading this article.
After the client signs the inform consent and understands what therapy entails, then the client may start to feel a little at ease. The therapist may need to ask some questions regarding the client’s background, to help the therapist understand the client. Also, the therapist needs to be warm and empathetic in listening to the client. This will help
This a time when him having healthy coping skills would be valuable to his mental health.
This is a narrative of one Mexican American woman’s experiences and her views on the importance of passing down the cultural beliefs of her ancestors. In the section of the country in which I live there is a large population within the community of Mexican American culture. Although I have frequent contact with people of Mexican American heritage either through employment or interaction out in the community, I have a limited understanding of their culture. For this reason, I chose to learn more about the population of people I have frequent contact with and as a professional work with as clients in the field of mental health counseling. The quest of finding someone knowledgeable to discuss the population, their cultural background and some of their necessities, as well as some past experiences, led me towards contacting a church. This took calling two different churches before the person at the second church informed me that I needed to speak with, Mrs. Socorro Garcia head of their Hispanic Ministries. Unfortunately, Mrs. Garcia was on vacation when I called, but I was able to speak with her over the phone the following week, setting up an interview in person at her office a couple days later. This was a relief because I was becoming concerned about locating someone for a personal interview.
As an African-American female who finds it difficult understanding Latino cultures, it is imperative that I strive to gain awareness and knowledge of Latino beliefs values and customs in order to develop culturally appropriate assessments and make use of appropriate intervention strategies and counseling
The informed consent process involves establishing the basic framework between a therapist and their client that serves as an ethical and legal requirement as well as the formation of a basic working partnership between a therapist and their client. The informed consent is essentially an informational exchange between a therapist and a client that outlines the process of therapy. It also allows the client to be informed of their rights in order to make conscientious and thoughtful decisions related to their therapy. An interesting fact about informed consent is that is it can be provided in written and oral form, or a combination of the two (Corey, 2013).