This instance involves Melinda. a 25-year-old Latina who says she wants to hold an abortion. She has been married for three old ages. already has two kids. and says: “We had to acquire married because I was pregnant. We didn’t have money so. The 2nd child was non planned either. But now we truly can’t afford another kid. ” Her hubby is a police officer traveling to jurisprudence school at dark. She works as a housekeeper and programs to return to school one time her hubby finishes his surveies and it is “her bend. ” He should graduate in another twelvemonth. at which clip she is scheduled to inscribe in categories at the community college.
Having another babe at this clip would earnestly halter those agreements in add-on to enforcing the antecedently mentioned fiscal load. But the client studies: `I go to name the clinic. and I merely can’t seem to speak. I hang up the minute they answer. I merely can’t seem to do the assignment for the abortion. allow entirely hold one. I was ne’er much of a Catholic. and I ever thought you should be able to acquire an abortion if you wanted one. What is incorrect with me? And what am I traveling to make? I don’t precisely have a batch of clip. ” Questions:
1 ) With the information given here. what do you see as the major value issues that need to be explored? Sing the narrative of the topic. it is apparent that the common issue sing Melinda’s state of affairs is her premises and frights sing towards the hereafter influences and effects of their 3rd construct. These future frights are chiefly directed towards two facets viz. the extra load that the 3rd kid will enforce on their fiscal jobs and the possibility of it impeding their programs of which she expressed much involvement with.
On this facet. the treatment should chiefly see the possibilities on this scenario including both the pros and cons of the determination. Indeed. the elements that should be considered on the treatment are the influences of their treatment towards their programs and present status of which being objectiveness every bit towards the positive and negative effects. In this treatment. the moral values involved in the effects should be explored viz. the function of their parental duty to both their current household and their 3rd kid.
As portion of being nonsubjective to the issue. the topic must critically see and measure their state of affairs and develop a determination on turn toing their quandary. In add-on. the moral values and positions of the topic should besides be considered in the treatment. as this is relevant in warranting and concluding out her determination. Claire. Miriam ( 1995 ) . The Abortion Dilemma: Personal Positions on a Public Issue. Insight Books. New York. hypertext transfer protocol: //www. questia. com/library/book/the-abortion-dilemma-personal-views-on-a-public-issue-by-miriam-claire.
jsp. 2 ) How much accent would you put on factors such as what is halting her from doing the call? On her ambivalency between desiring to hold the abortion and non desiring it? In this treatment. seting much accent and concern towards the ground of the topic. ambivalent behaviour towards behaviour is of import. On the human-centered position. this feature of the topic is so positive as she is dwindling towards the ethical nature of abortion therefore. ensuing to her indecision towards this action.
Puting accent on this will probably bring out subconscious logical thinkings and position towards the action of which she can non set in verbal facet. However. apparent with her ambivalent behaviour. it is obvious that these grounds and human-centered values are impeding her action doing them a important portion of her personality. Through discoursing these grounds and important factors. the writer of this paper can probably help the topic in realizing and understanding these factors and her personality likewise.
It is possible that the topic is much concern of the future effects of their state of affairs and their fiscal jobs therefore. she is unable to attest her personal sentiment on the affair. Through uncovering and spread outing these factors. it is possible to act upon the topic on retreating from the affair of abortion or do her to the full understand her positions on prosecuting the said affair. In add-on to this topic. it is besides possible that the hormonal alterations happening innately within a adult female during gestation are similarly impacting her determination on the affair.
In this treatment. the possibility of her already doing personal connexion between her unborn kid should besides be considered. Elaborating on this affair. might do her to the full cognizant and understand what she is traveling through and why she is ambivalent towards the said action. Discoursing farther on this affair might bring out whether post-abortive emotions are the possible grounds to her ambivalent behaviour wherein the topic is already sing typical emotions of guilt. depression. anxiousness upset and others.
Indeed. elaborating on the affair will help in understanding the personality and thoughts of the topic towards the affair both her witting and subconscious sentiments. which is important in developing her determination towards the said action. Epigee ( 2008 ) . Women’s Health. HeartStone Communications. hypertext transfer protocol: //www. epigee. org/pregnancy/psychological. hypertext markup language Elliott Institute ( 2007 ) . A List of Major Psychological Sequelae of Abortion. AfterAboprtion. Org. hypertext transfer protocol: //www. afterabortion. info/psychol. html 3 ) If she asked you for your advice. what do you believe you would state her? If you gave her this advice. what might your advice Tell you about yourself?
As a professional person. this therapist’s personal positions on the affair of abortion should non be included on this treatment. This rule should be followed so as non to further dissuade or confusion the patient in her procedure of understanding her state of affairs and determination. As such. this therapy attack must be patient-centered in turn toing the job attesting the healer as a medium of aid for the patient. In this attack. the writer of this paper is inclined to follow the ethical determination guideline proposed by Gerald Corey to. `Brainstorm assorted possible classs of action.
Continue discoursing options with other professionals. Include the client in this procedure of sing options for action. ` ( p. 40 ) . In this attack. the treatment will concentrate on some of import elements viz. the determination of the twosome ( both the patient and her hubby ) . her ambivalent behaviour towards the action. the effects of her determination. its consequence and influence on their household and matrimonial relationship. and most significantly. the personal sentiment of the topic including her inert subconscious positions.
In steering this attack. this healer must strongly be open-minded and nonsubjective in analysing the issue and steering the involved patient. Corey. Gerald ( 2005 ) . Basic Issues in Counseling Practice. Theory and Practice of Counseling & A ; Psychotherapy. Ed. Lisa Gebo. Brooks Cole. Belmont CA. pp. 40. 4 ) How would your positions on abortion influence the intercessions you made with Melinda? On the professional and ethical position. the therapist’s sentiment towards abortion should non step in with the determination of the patient.
On this instance. the positions of the writer of this paper should non act upon the topic as the affair peculiarly involves her and non the former. Second. on the professional side. curative appraisal should help the patient in understanding herself and her determination therefore. the treatment on this affair should continue in conformity to this rule. As portion of the occupation. this healer would chiefly continue through two attacks foremost through steering the patient in understanding her state of affairs and the possibilities of her determination and second. through her the options in her determination.
The latter will affect explicating to the topic her possible options including the statistics on abortion. the medical side of the issue. the options she could take on this action viz. the abortion pills ( Mifepristone and Misoprostol ) . other aid she can besides see. and the option of acceptance if she decided on go oning her gestation. Feminist Women’s Health Center ( 2008 ) . Medical Abortion with Mifepristone and Misoprostol. World Wide Web. fwhc. org/abortion/medical-ab. htm – abortion pill Abortion Clinic LLC ( 2007 ) . Abortion Clinic Online. World Wide Web. gynpages. com/ACOL/choice. hypertext markup language – abortion
AdoptHelp. Inc ( 2007 ) . AdoptHelp. hypertext transfer protocol: //www. adopthelp. com/index. html-adoption Johnston. Robert ( 2008 ) . United States abortion rates. 1960-2005. Abortion Statistics. hypertext transfer protocol: //www. johnstonsarchive. net/policy/abortion/graphusabrate. html- statistic chart on abortion 5 ) How would you cover with this state of affairs if you had already established a curative relationship over many months with Melinda? Approaching the analysis of the state of affairs with a old background of a curative relationship with the patient will so be different from the antecedently stated sentiments and attacks.
Indeed. holding this old curative relationship. the healer can utilize those records of old history in the analysis of the patient’s state of affairs and psychological status. Based from which. the healer can place and understand the jobs and the ambivalent factors of the topic. which are important to her present quandary. Consulting besides the history from the curative relationship. the healer can develop a likely effectual logical thinking and suggestion to her job based on her old reactions and sentiments as her state of affairs is someway related to her old status peculiarly the fiscal load.
However. confer withing the records from old curative audiences will besides hold its ain restrictions peculiarly because much of the concern of the involved topic is towards the hereafter on which she is scared to what might happened and how that will impact their programs. Indeed. the old curative relationship with the topic can merely likely outline a program and chances based on her old experiences and state of affairs viz. before holding her first and the 2nd kid.
Yet. it must be noted that her state of affairs with the 3rd is significantly different with her past experiences therefore. this attack must be focused on the topic. her reaction. and the likely consequence of its consequence unto her. Parks. Jennifer A. ( 1998 ) . A Contextualized Approach to Patient Autonomy Within the Curative Relationship. Springer Netherlands. hypertext transfer protocol: //www. springerlink. com/content/nv1486j747560432/ . March 28. 2008. 6 ) What values would show challenges in working with this client? What values would show challenges in working with this client?
One of this peculiar issue. one important factor that poses challenges in this attack is religion wherein its influences on the moral and belief of the patient will somehow adversely impact the determination of the topic towards the topic of abortion. In this position. it is so unethical therefore. the adhering to this rule will restrict the contemplation of the patient. In the chase of giving her indifferent and open-minded attack towards her analysis. it is of import to rock her analysis off from this facet and steer her into confronting the world of their state of affairs.
This can be done through reminding the patient of her state of affairs and the present status and their current duty with their household. However. on this facet. this attack will likewise be debatable for the healers similarly as detering off from the spiritual facet is so difficult. Yet. on concentrating on steering objectively the patient on her quandary. this attack is so needed. Another debatable factor on this state of affairs is the personal objectivity of the healer wherein personal sentiment might likewise hinder and influence the attack towards the issue.
As such. bring in sentiment from other co-workers in the same field can relieve this hindering factor. Indeed. in the attack of prosecuting a balance and nonsubjective advice. other sentiments must besides be solicited to guarantee that all intricate elements are pondered and included in the treatment. This job will besides affect the personal position of the patient in which. based from her narrative study. has already started developing maternal connexion with her kid. This emotional and moral fond regard will likewise perplex the treatment.
Included in this challenge are the personal ethical motives and sociological facet related to the construct of abortion. which are related to this quandary. In add-on. another possible challenge in this treatment are the possible effects on the patient peculiarly on her personality and emotional province including the elements of guilt. depression. and the toll on her personal positions. On the material side. the fiscal sustainability of their household and their duties must besides be considered wherein whatever determination she makes will significantly impact the world of these concerns.
Indeed. the wake of the event will include long-run alterations and bearing this factors on the present treatment is so important. The American Journal of Psychiatry ( 2001 ) . Abortion: Facts and Feelings. University of Iowa Press. hypertext transfer protocol: //ajp. psychiatryonline. org/cgi/content/full/158/6/985-a. March 25. 2008. Fisher. B. & A ; Castle. MA & A ; Garrity. JM ( 1998 ) . A cognitive attack to patient-centered abortion attention. Washington. DC. hypertext transfer protocol: //www. popline. org/docs/1393/161730. hypertext markup language
