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Case Study of George

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Case Study of George
Nekisha Riley
Kaplan University

HN450: Legal and Ethical Issues in Human Services
Professor Diane Berry
Decemeber 27, 2013

After reading the case study of George, it appears that George is depressed. George is also grieving his wife’s death, which he had been married to for 50 years. When reading the case study, it talked about how George’s father had committed suicide when he was younger. So as a counselor, you have to take into consideration that George may have never had a chance to talk to anyone about this personal issue. In this paper, I will discuss ethical concerns, goals, treatment plan, and support systems for George. When working with George, my ethical concern would be confidentiality. Michael, his son, is the one who has brought George to the counseling session. Confidentiality is the ethical duty of fulfilling the promise that the client’s information received during therapy is not disclosed without permission (Corey, Corey, & Callanan, 2011). When discussing the breach of confidentiality, you have to make sure you cover all grounds. I would think that Michael would want to know things about the counseling session, but as a counselor you have to keep in mind that permission needs to be granted from George. Breaching confidentiality can harm the counseling relationship and potentially the client (Corey, Corey, & Callanan, 2011). With George not talking that much in the first session, we want to start building his trust and develop a rapport. In this situation, I feel there is no room for error with George when it comes to him expressing his feelings. Obtaining an informed consent from George would be necessary in order to discuss the significant finding during the therapy sessions. When looking into George’s case study I would use the Existential therapy. Existential therapy involves bringing the client to a place of acceptance of the way things are (Diamond, 2011). It explains that we all experience some form of isolation, meaninglessness, and death at some point in our life. It explains that depression is one of the common ways we express our experiences (Mulhauser, n.d.). Therapy issues can include but not limited to relationships, ethnic, conflict, and failure. The psychological aspect refers to the way we relate ourselves to our personal identity. When using existential therapy there are methods that are recommended to be used. These methods include cultivating a naïve attitude, face limitations, exploring a personal world view, enquiring into meaning (Diamon, 2011). When having a naïve attitude it will allow the George to define his own values in life. George should be allowed to face existentialism head on when facing his limitations. During the session George should be guided by the therapist to discover his own interpretations of the world. When talking about enquiring into meaning, the therapist should listen to George carefully and guide him in an attempt to assign meaning to experience. When discussing goals with George I would sure focus on him living in the present and not focusing on the past. It is important that George start to get out more and interact with his family. It may be important to refer George to a nutritionist to get back on track with his eating habits. Regardless of the approach, existentialists share the same focus, which include but not limited to, helping clients live a full and enrich life given their personal beliefs. Existential therapist helps clients uncover their own beliefs, separating these convictions from what has been imposed on them by society or their culture (Mulhauser, n.d.).
During the therapy session the therapist could also have George to keep a journal. This journal could consist of answers to multiple questions that were asked by the therapist. This could help George discover meaningful insights. These methods could allow George to open up and begin to express himself. The therapist could also include George in the planning process by inviting him to identify his feelings and prioritizing his goals and future plans. I think the most important thing for George right now is to get him passionate about life again. George could really use some distraction from feeling depressed and abandoned.
In the case of George his son Michael seems to have his own concerns. This could be a way to bring in the family for support. It seems that he may have had a great relationship with his son and grandchildren before losing his wife. There is nothing like having the support of your family when going through a crisis. While George feels like he is alone the family could make the difference. This could be a good chance for George to express his feeling to everyone and this could allow the family to help George stay on the right track. As a therapist you know that family will always have their concerns, but you have to keep in mind that an informed consent will have to be in place. Regardless if it is family or not getting the permission from the client is important. You have to protect yourself along with your clients. Remember you are there to help the client not harm them.

References
Corey, Corey, Callanan. (2011). Issues and Ethics in the Helping Professions.
Mulhauser, G. (n.d.). An Introduction to Existential Counselling. Retrieved from, http://counsellingresource.com/lib/therapy/types/existential/
Diamond, S. (2011). What is Existential Psychotherapy? Retrieved from, http://www.psychologytoday.com/blog/evil-deeds/201101/what-is-existential-psychotherapy

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