Ethical issues as well as culture and diversity. This assignment will be based on the Case Study provided below. Your responses must be supported and substantiated by the information discussed by the text authors. All assignments MUST be typed, double-spaced, in APA style, and must be written at graduate level English. You must include any relevant legal, ethical, and cultural considerations in your responses.
Culture and Diversity are covered throughout the course text, and is the focus of Chapter 17.
Please refer to the ACA and AAMFT Code of Ethics and the information in the text on legal and ethical issues.
ACA Code of Ethics
AAMFT Code of Ethics
Your total assignment must be 4-6 pages plus a title and reference page
Daniel is a 38 year-old, successful attorney. He owns his own home, is single, socially active, eats well and exercises regularly. At age 19, Daniel came out to his Irish Catholic family as being gay, though his parents are said to have known before he told them, and accept him for who he is.
Daniel’s partner gave him an ultimatum to seek counseling as a contingency for the relationship to continue. He presents with a substance related history of poly substance use. Though resistant to respond to your questions Daniel admits to a history of alcohol intoxication, daily marijuana use, and admits to experimenting with other drugs. He described a pattern that revolved around weekend partying. On Friday and Saturday evenings, and occasionally during the week, he would go out to dinner with friends and then to a club or a private party. He tended to drink a “few” cocktails and about “4-5 glasses of wine” during the evening. Without the alcohol, Daniel could easily say “no” to other substances at these gatherings, but once he started drinking, “if someone has coke, I use.” He goes on to describe this leads him to do anything he has to, to score more cocaine.
He claims to drink alcohol and use cocaine 3-4 times a week, as well as a “cocktail” of other substances available. He does admit that his substance use is impairing his ability to show up to work and prepare for court and other obligations associated with his work. He believes that if he would just put his mind to it and commit, that he could cut down on his substance use, even though his attempts of been unsuccessful for the past 6 months.
Since Daniel has started using cocaine regularly, he has lost weight, has trouble sleeping, is moody and impulsive in his decisions. He admits to sleeping with random men without protection. While is law practice continues to succeed, his own effectiveness has decreased. He no longer exercises, declines social invitations, isolates, and is beginning to wonder if life is worth living. While he loves his partner, he does not want his partner to find out about his indiscretion with other men. While not overtly suicidal, he wonders if using drugs is his “ticket out”.
1. How might you use motivational interviewing with Daniel to strengthen the therapeutic relationship and instill a sense of hope?
2. How might the following evidence-based models be integrated into your treatment of Daniel:
a. Functional Analysis
c. Community Reinforcement
3. How would you rule out a co-morbid disorder for Daniel?
4. What ethical issues as well as issues of culture and diversity might you need to consider?
5. Is group treatment a viable option for Daniel? Why or why not?
6. What are your thoughts about referral for medication at this point?