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counseling psychology comprehensive examination




Question;CASE VIGNETTE: Utilize this scenario as the basis for your;responses to the;prompts;(listed following the vignette).;Antonia is a single, 42 years-old Puerto Rican-American;female. She has her high school diploma and has worked as a real-estate;agent for the past 8 years. She informs you that she was recently fired;due to, ?Disorderly conduct with fellow employees?, and is seeking therapy as a;requirement by her former employer in order for them to reconsider her for;rehire. When asked why she was fired from work she indicates that she;thinks they did not like her because she was so successful and the office;director became sexually interested in her which made the other employees;jealous. She also admits to having difficulty controlling her anger and;?loosing control? when confronted.;Despite earning a good income, Antonia informs you that she;is indebt for about thirty thousand dollars on her credit cards. She;lives by herself and is concerned that soon she will no longer be able to pay;her rent and ?have nowhere to go.? She reports having difficulty sleeping;and informs you that she goes through phases when she feels ?really down? but;that currently she?s feeling ?really good.? She has attended therapy a;couple times in the past for a few sessions each time but she stated that, ?It;has never worked because they didn?t know what they were doing and just wanted;to talk about my past.?;Antonia reported she has been arrested on two occasions for;public intoxication and disturbing the peace. She has a long history of;tumultuous dating relationships with men and women but has never been;married. She identifies herself as bisexual. She states that she;has a need for closeness and admits to unsafe and high risk sexual behaviors;with both men and women.;She reported having few friends and primarily getting along;with males. She is estranged from her family consisting of two older;brothers and two parents. They all live locally but she indicated that;she has no desire to contact them or reconnect. She describes her mother;as ?a very depressed woman who was always drinking and depressed.? She;described her father as a ?dirty and evil man? who sexually abused her between;the ages of 5 and 12 and was physically abusive towards her mother. When;she tried to tell her mother about the sexual abuse, her mother became angry;with her and blamed her, accusing her of trying to seduce her father by wearing;inappropriate clothing around the house. She states that she never felt;understood by her parents because they were from Puerto Rico and could not;relate to her. When asked about her cultural identification she states;that she is ?American? and didn?t want anything to do with the ?machista?;Puerto Rican culture.;She stated that her parents were strict Catholics but she;denied having any religious affiliation or interests. She denied having;any medical concerns at this time.;Directions;Please compose a well-written and organized essay in;response to each of the following questions. When writing your response;please;1) Use the most current APA (6th edition) Style;with 1-inch margin, double-spaced, 12 pt font, with a reference list at the;end.;2) Write clearly and concisely.;3) Cite appropriate and especially current literature;(empirical and/or theoretical).;4) Avoid all sexist idioms and allusions.;5) Remember to demonstrate your multicultural competence where;appropriate.;PROFESSIONAL PRACTICE;1. Assessment: What;assessment would you conduct to enhance your understanding of the client?s;problems and how would they direct your diagnostic formation? In;addition, what formal assessment procedures (conducted either by you or by;someone you would refer to) would enhance your understanding of the problems;and direct your treatment planning? Why?;2. Diagnosis: Develop a;differential diagnosis. What are your diagnostic considerations?;Indicate why you are considering these possible diagnoses by providing specific;evidence from the vignette. Be sure to include relevant information from;the vignette to support your answer and give a 5-axis diagnosis (including use;of V codes) at the end of this question. What additional information do;you need for each of the possible diagnoses in order to confirm your diagnoses;and rule out the others?;3. Theory ? Theoretical Conceptualization;a. Using the;diagnosis you developed above, provide ONE theoretically grounded case;conceptualization for the client, based on the theory you choose for your;treatment approach. In other words, offer at least one theoretical;explanation of what has caused the symptoms displayed by your client (why does;your client have these symptoms?).;b. Develop a therapeutic treatment plan for the client based;upon your theoretical conceptualization above. Please make sure you;identify the name of the theory your treatment plan is based on, using;appropriate headings. Provide the empirical evidence with appropriate;citations to support your choice of theory and the treatment plan that you are;recommending for use with this client. Be sure to discuss the;effectiveness and limitations in working with this particular client (including;effectiveness/limitations in working with this particular client?s background;using the above theories and treatment plans).;INTERPERSONAL EFFECTIVENESS ? SELF-AWARENESS;4. What might be some of the transference and counter;transference issues between you and the client? What are your areas of growth;(what do you need to work on) that will be addressed while working with this;client?;ETHICS;Using an ethical decision making model, answer the;following;5. What are the ethical and legal dilemmas this vignette;introduced? What would be your immediate steps and why? Please be;specific and make sure that you describe your process of ethical decision;making and the solutions/consequences this process might lead to.;DIVERSITY;6. Given the client?s ethnicity and background, what factors;or cultural considerations would you take into account in rendering diagnoses;case conceptualization, and treatment planning? What other cultural;factors may be salient for this client?;7. What are the relevant multicultural theories and/or models;that you would use in working with this client? Discuss how you would;incorporate them in your work.


Paper#59806 | Written in 18-Jul-2015

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