Culture and Ethics

Topics: Child abuse, Physical abuse, Psychiatry Pages: 6 (1709 words) Published: June 17, 2013
RUNNING HEAD: NOT A BAD GIRL

Not A Bad Girl: A Case study
by

Presented in Partial Fulfillment
Of the Requirements of COUN5240 – Counseling Children
[Dr. Kathy Blaydes]
[December 2009]

|Address:. | | | | | |Clarksville, TN, 37042 | | |Phone: | | |E-mail: | | |Instructor: Dr. Kathy Blaydes | | |Mentor: | |

Cultural Considerations
The client is a Black female and is being raised in a less than perfect urban environment. Some issues that must be considered are her ethnicity, social status, and cultural reference group and how these factors come to bear upon the pathology of her disorder . There is also the potential of filtering specific criteria based if the clinician’s personal view is that the client is more prone to have certain antisocial traits than a different race or culture. .

There are well-documented studies of the effects of low-income on the health and mental status of adults as well as children (Abernathy, Webster, & Vermeulen, 2002). The effects of poverty leave emotional scars on children that may continue to cause pain and disorder well into adult hood . Young African American females are more likely to come from a low socioeconomic background and be stricken by various social forces such as racism, poverty, and discrimination.

Because Elizabeth is likely suffering self-esteem issues in regard to her situation this counselor will attempt to us REBT to affect her situation. Irrational beliefs are birthed from genetic contributions as well as environmental makeup. These beliefs are maintained through constant rehearsal of negative thoughts without re-evaluation (Capuzzi & Gross, 2003). I will attempt to address Elizabeth’s feelings of being bad or less worthy and also the irrational demands that she may be putting on herself.

Elizabeth is more likely to do well if she can be taught unconditional self-acceptance. REBT contends that either high or low self-esteem can reflect occurrence of a dysfunctional self-rating process. Ellis taught that individuals will be happier if they abandon the self-rating process altogether and learn to have unconditional self-acceptance, accepting themselves completely whether they behave competently or correctly, and whether or not people love or accept them . Using REBT Elizabeth can be taught to ignore her irrational feelings about her socioeconomic status, race, and family life.

The United States bases it’s mental health practices largely on Western European values which ignore the existence and effects of institutional racism (Gamst, Dana, Der-Karabetian, & Kramer, 2004). This raises the need for counselors to receive multicutural training specifically on how sociocultural factors influence the therapeutic relationship and process. Neville, Spanierman, and Doan (2006), defined racial color blindness as, “…the denial, distortion, and/or minimazation of race and racism.” The harsh reality in the mental health service profession is that many diagnnoses are ethnically and culurally biased. Black American children are more prone to be diagnosed more severely than other races when they are not ethincally matched with their counselor (Gamst, Dana, Der-Karabetian, & Kramer, 2004) .

Counselors have an ethical duty to be multiculturally sensitive...

References: Abernathy, T., Webster, G., & Vermeulen, M. (2002). Relationship between poverty and health among adolescents. Adolescence , 37 (145), 56-59.
Capuzzi, D., & Gross, D. (2003). Theories of Psychotherapy. Boston: Pearson.
Donohue, B., Romero, V., & Hill, H. (2006). Treatment of co-occuring child maltreatment and substance abuse. Aggression and Violent Behavior, 11 , 626-640.
Gamst, G., Dana, R., Der-Karabetian, A., & Kramer, T. (2004). Ethnic Match and Treatment Outcomes for Child and Adolescent Mental Health Center Clients. Journal of Counseling and Development , 82 (4), 457-466.
Grella, C. E., Hser, Y.-I., & Huang, Y.-C. (2006). Mothers in substance abuse treatement: Differenences in characteristics based on involvement with child welfare services. Child Abuse & Neglect, 30 , 55-73.
Hackett, R., & Hackett, L. (1999). Child psychiatry across cultures. International Review of Psychiatry , 11 (1), 225-235.
Herlihy, B., & Corey, G. (2006). ACA Ethical Standards Casebook (6th ed.). Alexandria, VA: American Counseling Association.
Neville, H., Spanierman, L., & Doan, B. (2006). Exploring the Association Between Color-Blind Racial Ideology and Multicultural Counseling Competencies . Cultural Diversity and Ethnic Minority Psychology , 12 (2), 275-290.
Thompson, C., & Henderson, D. (2007). Counseling Children. Belmont, CA: Thomson Brooks/Cole.
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