COUN 5225 Wk 10 Limitations

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Capella University *

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5225

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Communications

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Feb 20, 2024

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Week 10 Discussion: Identifying Personal Limitations Considering the information learned and gained throughout this course, detail at least three future considerations that pertain to human sexuality and/or new movements such as Positive Sexuality. Next, identify three areas in which you can recognize personal limitations or biases as a clinical mental health counselor, and develop a plan of action for professional development that will help you challenge your biases and better respond to counseling interactions involving sexualit y. Be sure to address when you will seek supervision or refer clients as appropriate A future consideration for the future is sex education. I believe we talked about this in the beginning of the quarter. I remember speaking of how it was in school and what I think it should consist of. Sex education should definitely change. I feel if this happens, sex becomes more positive and not such a forbidden topic. As for personal biases, I know in the beginning of the quarter I was extremely uncomfortable with many of the topics. For at least three weeks, I had to keep rerouting my brain to, how would I handle this as a mental health counselor. I don’t particularly have an opinion on the topic of actual sex, as I have always avoided it as a whole. I know I need to educate myself more to be prepared as a counselor. I believe this is why sex education should be more advanced. It was basic when I was in school. The kids were immature and disgusting. There wasn't proper education on it and became a topic that was never truly discussed. For the future as a counselor, if I have to take additional classes, more reading materials, whatever it has to be, but educate myself beyond this course. I was hoping this class was more about the LGBTQAI+ lifestyle and terminology but it was not. With that being said, I have a personal goal to attend some meetings in my area to educate myself more. I have already taken the time to learn the resources available. I would seek supervision if I was absolutely stumped and did not know how to approach a subject. Having adequate supervision would help with receiving feedback and recommendations about culture and other strategies in the field to become more culturally sensitive. Three Barriers Barriers that may prevent these goals are individual levels of being comfortable and finding the appropriate samples, having the proper funding or connections, and ethical considerations. As a counselor, if I wanted to advocate, increase awareness and
contribute to harm reduction, I would have to gather information and find candidates. Finding ones who would want to participate could be challenging. Whether it is a survey or clients randomly selected or selected by history. As a counselor it is important to obtain consent but also to inform the client what the information would be used for in regard to the goals. Advocating could become costly, but there is the ability to be able to collaborate with surrounding agencies such as local outpatient drug rehabs, mental health facilities, other counseling centers, even local schools. When collaborating with other agencies, it is important to adhere to their policies as well. As a counselor, I would collaborate with the town officials and known agencies and propose grants on the goal of research in regard to sex. There are always ethical considerations to consider: A.2.c-Cultural Sensitivity- Counselors communicate information in ways that are developmentally and culturally appropriate, using clear and understandable language (ACA, 2014). This is important to remember when it comes to different cultures, but as well as those under the age of 18. While one may be participating in research, they may not fully understand. A.2.d- Inability to Consent-Counselors recognize the need to balance the ethical rights of clients to make choices, their capacity to give consent and assent services and obtain the proper consent and be familiar with parental and family rights and responsibilities. I think this is important. Over the course of the years, I have met a few women ages 19 to 25 who are of age, who have endured sexual abuse and trauma, but they needed a parent to consent to treatment. I personally could see some of these clients wanting to participate in a study to contribute and would need consent from their legal guardian. A.2.a.-Informed consent- Clients have the right to enter and remain in treatment and be given adequate information about the process. This is important no matter what age, treatment, participation, study the client is in. The client should always be informed of the purpose, the research, the goals and the outcome.
B.1.c-Confidentiality- A counselor protects the confidential information of the client and does not disclose without consent. This is important to remember and to reassure the client their personal stories will not be told. The statistics, the ideas, the goals, contribution to education, advocate and research will be applied. A.4.a Avoiding Harm-Counselors avoid harming their clients, training and research participants and to minimize or to remedy unavoidable or unanticipated harm. In addition to Section G of the ACA Code of Ethics: G.1.a. Conducting research- Counselors conduction, plan, design and report research in a manner that is consistent with pertinent ethical principles, federal and state laws, host institutional regulations and scientific standards of governing research (ACA, 2014). G.3.c. Client Participation- A counselor makes it clear in the informed consent process that clients are free to choose whether to participate in activities. A counselor takes the appropriate precautions to protect clients from adverse consequences in declining or withdrawing from participation. G.2.a. Informed Consent- 1.. accurately explains the purpose and procedures to be followed. 2. identifies any procedures that are experimental or relatively untried. 3. describes any attendant discomforts, risks, and potential power differentials between researchers and participants. 4. describes any benefits or changes in individuals or organizations that might reasonably be expected. 5. discloses appropriate alternative procedures that would be advantageous for
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Participants. 6. offers to answer any inquiries concerning the procedures. 7. describes any limitations on confidentiality. 8. describes the format and potential target audiences for the dissemination of research findings; and 9. instructs participants that they are free to withdraw their consent and discontinue participation in the project at any time, without penalty (ACA, 2014). Vania, Great discussion this week! While reading your first paragraph, I had a counselor many moons ago after a severe trauma that eventually led to being diagnosed with PTSD. The counselor I had was absolutely awful and she made the counseling sessions about her and her ex husband. I often thought, how is she in this field? I recently learned after all these years in the field she is doing great from some mutual clients. I would hope that she seeked supervision or was able to manage her own biases and personal values. I like how you pointed out that counselors may feel compelled to be honest with their clients and disclosed their feeling of inadequacy, inexperience and youthfulness. As a technician, I have been trained to say that is not my expertise as I am not a counselor, so as I grow further in the field, that this is not my go-to. Icannot agree with you anymore that attaining mastery in cultural sensitivity is crucial. Do you have any areas that you think you need more education in? I know I do. Especially in the LGBTQ area. I am still learning terminology and such. I have educated myself on support groups in the area and truly pay attention when I do meet a person from the LGBTQ community. I have not participated in events but I follow the events and their lives. Robbie, Great job this week! I found it hard to choose just three questions and I didn’t. There is so much to ask to gain more knowledge about this client. I do appreciate that aggression towards animals does target some diagnosis. I even more so appreciate the decision trees for guidance. However, reading this case, I initially thought of my oldest son. I got him when he was 15 months old and for that first year he struggled. Eventually diagnosed with ADHD, ODD and RAD. You stated a
lack of structure or parental supervision as well as inconsistent discipline is a risk factor. Granted my son had these symptoms upon me coming into his life, it has been a lot of work to steer him in the right way. Giving him structure was my number one goal, and I altered my life and got one hour of sleep a day to give him structure and supervision. Now at age 7.5, he only exhibits behaviors at home. He is doing great in school and the teachers constantly tell me it is a reflection of my work with him. As well as my family praising me for all my hard work. I couldn't imagine not doing so. He would be like the client in this scenario and much worse. I also chose ODD. I found this time to be the most appropriate with the information given. I also chose the same Z codes but two additional ones. (Z63.8) High Expressed Emotion Level Within the Family- this could apply depending on the involvement of the mother (Z60.4) Social Exclusion or Rejection- Although Jeremy appears to be kicking other students, After further evaluation, it is possible he could also be targeted and reacts the way he does because of others. If not then (Z60.9) Other Problems Related to Social Environment- as he struggles with his social environment in school