Chapter 3
When you find yourself struggling with an ethical dilemma over value differences, the best course to follow is to
seek consultation
What is the function of a counselor in cases pertaining to end-of-life decisions?
To maximize client self-determination
A comparison of Western and Eastern systems shows some striking differences in value orientations. Individuals coming from a Western culture tend to place prime value on
the uniqueness of the individual, self-assertion, and the strengthening of the ego
__________ refers to individual differences in a number of variables that place clients at risk for discrimination.
Diversity
Every time Dan arrives at his therapist’s office for a session, it seems his therapist is running late because the previous client seems to need extra time at the end of his sessions. Dan is livid and complains quite loudly that he is angry and wants to know why she is always running late for her appointments. You can assume that
his anger could be a justifiable reaction.
Working with lesbian, gay, and bisexual (LGB) individuals often presents a challenge to helpers who hold _____ values.
traditional
What is the guideline for helpers when dealing with end-of-life issues?
Avoid including clients’ significant others in the counseling process to ensure that the client’s decision is not influenced by them
Clients with an Eastern orientation are likely to place a high value on
family bonds and cultural traditions that emphasize appropriate roles and status
__________ recognizes the complexity of cultures and values the diversity of beliefs and values
Cultural pluralism
Michael is seeking counseling because he is lonely and is looking for ways to meet people. You suggest various places to meet others, yet each suggestion is met with a “Yes, but” response. Frustrated, you sense that you are working harder than Michael to generate solutions. You should
renegotiate with the client what he wants.
Rita, a private practitioner, often meets with couples who are dealing with the fallout of extramarital affairs. As an ethical practitioner, Rita should
extramarital affairs. As an ethical practitioner, Rita should
be careful not to impose her values on her clients intentionally or unintentionally
Stacey and Jim have been struggling as a couple ever since Stacey was promoted at work and given a substantial salary increase. They come to therapy with the goal of deciding whether to remain a couple or break up. As their couple therapist, it would be best if you
assist them in exploring and evaluating cultural messages they received about gender-role expectations
Yang, a Southeast Asian student, has come to the college counseling center to explore career options. As the counselor presents career options, Yang makes little eye contact and does not actively respond to the many alternatives placed before him. It is safe to assume that Yang
may not be using direct eye contact because in his culture it is considered disrespectful
Openly discussing race and ethnicity to actively include a multicultural element in counseling and to strengthen the therapeutic alliance and promote better therapeutic outcomes is referred to as
broaching behavior.
John seeks your help because his wife has threatened to leave him if he doesn’t improve his communication. He tells you that he is a loner and that his wife knew that when she married him. John claims that their marriage is fine and is there only to appease his wife. An INEFFECTIVE way to deal with John would be to
challenge his attitude, in order to break down his defenses and look at the part he is playing in the breakdown of the relationship.
Couple therapists should appreciate the fact that gender-role stereotypes
serve a purpose and are not easily modified
What is an exception to an unhealthy possible outcome when therapists impose their own values onto clients?
Teaching clients to examine values when the therapist shares their own values appropriately
Historically, much of the language used to refer to “the disability experience,” as portrayed in the print and electronic media, has communicated a(n) _____ attitude toward persons with disabilities.
condescending
The __________ exhibits the characteristics common to cultural tunnel vision.
culturally encapsulated counselor
_____ refers to a variety of behaviors that is sometimes associated with difficult clients, but which needs to be understood and explored in the helping relationship.
Resistance
The assumption of a family therapist that remaining married would be the best choice for a female client in an unsatisfying marriage is an example of
bias
What is the main purpose of the competencies set forth by the Association for Lesbian, Gay, Bisexual and Transgender Issues in Counseling (ALGBTIC)?
What is the main purpose of the competencies set forth by the Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling (ALGBTIC)?
People with disabilities generally report __________ as major impediments in living with a disability.
psychosocial issues more than physical barriers
__________ involves assuming that the behavior of an individual will reflect or be typical of that of most members of his or her cultural group.
Stereotyping
Helpers may approach resistive behaviors with
interest and respect
Michael is hesitant to seek counseling for his work-related problems because he believes that he should find the inner strength to resolve his issues due to his strong religious values. If he decides to see a counselor, it will be important for the counselor to
view his religious values as a potential resource in promoting his well-being
Joe, age 13, has been acting out since his mother moved her boyfriend into the house a few months ago. Marge is angry with his reaction since she has been divorced for five years and thinks that she has a right to a life of her own. Joe has indicated that he feels misplaced by her boyfriend and wants to live with his father. Marge and Joe came to the counseling center to deal with her frustration and guilt regarding the situation. It would be best to start with which of the following?
Act as a mediator, giving each of them a chance to share their thoughts, and seeking empathy from both sides so a decision can be made for the benefit of all concerned
From a(n) _____ perspective, the goal of helping is to promote the empowerment of people who are marginalized and oppressed in our society.
social justice
A sign that countertransference may be occurring is when the counselor recognizes that he or she
feels intense anger toward a person that the counselor hardly knows.
What should a helper do when he or she recognizes a pattern of frequent referrals?
Examine reasons for doing so
Choose the particular case in which counselors cannot be charged with negligence for their clients considering abortion.
They exercise reasonable care
Justin and Nadia have been in couples counseling for over a year, yet never seem to carry out the homework assignments they are given. The counselor should
allow the clients to determine if they would like to complete homework or not
__________ is when a helper has limited cultural experiences and, in some cases, they see it as their role to transmit their values to their clients.
Cultural tunnel vision
Simply having feelings toward a client means
may be an indicator that the helper is feeling deep empathy and compassion for the client.
__________ is a humanistic, client-centered, directive counseling approach in which the therapeutic relationship is central to understanding the change process.
Motivational interviewing