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Family Togetherness

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Submitted By karen2m
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In most cases, According to Bowen's Family Theory, anxiety comes from issues with balancing family togetherness and individual automy. As a counselor, from what I have read about anxiety in family counseling, my first reaction would involve taking the same strategy as the counselor .In this situation, with no additional background information, I would start by encouraging independence and exercises that will help with differentiation of self. Because of the limited information in this case, I can’t dismiss that this is the fifth session and there is no progress made, therefore I would refer the client to another counselor. As a Christian counselor our goal is to help clients using biblical principles in a case in which we are assisting clients with anxiety issues, we would provide the scriptures for the client as help. The AACC code of ethics also explains that when working with clients with different values, we should never impose the way of Christ (AACC1-550). In this case, the daughter is expressing that the therapy has not helped because the counselor do not understand their culture. It is the fifth session, therefore at this point; the counselor should not continue to recommend interventions. The client is expressing that she is unhappy with treatment. I feel as though now is the time the counselor should give the client options for referral. The AACC (1.571) states that when a client is no longer benefiting from counseling the counseling services are to be terminated by referring the client appropriately. The AAMFT states, “Marriage and family therapists continue therapeutic relationships only so long as it is reasonably clear that clients are benefiting from the relationship (AAMFT, 1.9).”
It is an advantage of the counselor to have experience in counseling many clients with anxiety struggles. Prior to treating the clients in this case, perhaps the counselor could have studied this particular culture while preparing for the case. It is important as counselors to be culturally sensitive. For example to instruct the client to be more independent from her family is not being culturally sensitive. In many Asian families, interdependence is expected in the family and each family member will subordinate their needs to benefit the family and society collectively.
By continuing to insist on allocating interventions, it is unethical. The client is not benefiting from the therapy, she expresses that the counselor is not culturally sensitive or competent with counseling her culture. Although the counselor has worked with many other clients struggling with anxiety, every client is different. The APA code of ethics implements this code that best guides a counselor in this situation. “Where differences of age, gender, race, ethnicity, national origin, religion, sexual orientation, disability, language, or socioeconomic status significantly affect psychologists’ work concerning particular individuals or groups, psychologists obtain the training, experience, consultation, or supervision necessary to ensure the competence of their services, or they make appropriate referrals(APA,1.08)”

American Counseling Association. (2005). Retrieved from American Counseling Association: Code of Ethics: http://www.counseling.org/resources/codeofethics
American Association for Marriage and Family Therapy. (2012, July 1). AAMFT.org. Retrieved from Code of ethics: http://aamft.org
American Association of Christian Counselors . (n.d.). aacc.net. Retrieved from AACC Code of Ethics: http://www.aacc.net
American Psychological Association. (2010, June 1). Code of Ethics. Ethical Principles of Psychologists and Code of Conduct.
Goldenberg, H. G. (2013). Family Therapy; An overview. Belmont: Brooks/Cole.

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