Myrna Case Study Essay

The following is a case study of a female client name “Verna Marie”. This section presents a brief patient assessment, including a case history of the client considered in the study. “Verna” is a beautiful thick proportioned Hawaiian who is about five feet ten inches tall. She is a sixty-year-old native Hawaiian who was born and raised on the island of Oahu in the state of Hawaii. She is a very humble and wise lady who has very strong family values. “Verna Marie” classifies herself as heterosexual. She has been happily married to her husband “Zane” for almost forty-two years. They were young and in love and tied the knot at eighteen years old. At the age of twenty, “Verna” had her first baby boy. Later down the road they had conceived three boys and two girls all who are within three years apart. Her six children and twenty-eight grandchildren all live in walking distance to her home.

A therapist will face problems, issues and client troubles everyday. The professional must understand how their client relates to the world around them. These feelings and ideas affect how the client sees the problem and how they respond to their situation. Their actions, in turn, have bearing on individual thoughts, needs, and emotions. The therapist must be aware of the client's history, values, and culture in order to provide effective therapy. This paper will outline and provide information as to the importance of cultural competence and diversity in family therapy.

There is no doubt that the counsellor needs to be aware of the complexity of culture (Pedersen & Ivey, 1993). Culture results from the interaction of a number of variables including ethnographic, demographic, socio-economic, and relational factors. Within a culture, people develop patterns of behaviours based on a number of assumptions they have learned either directly, observationally or vicariously (Mitchell & Krumboltz, 1996). People also develop a cultural identity by

Gwen, is a Caucasian transgendered female between the ages of 31-40 years old. She initially came to counseling to quit smoking. After conquering this goal, and suffering from withdrawals, she still was not happy with herself. As her life took a whirl spin, she also lost her job. She experienced periods of depression from living as a male and often thought about transitioning to the opposite sex. She became a bit confused, and often put it off because she was confused about really made her happy in life. Gwen’s mother notice the unhappiness she was experiencing within herself and offered her support in assisting in transitioning to the opposite sex.

The guidelines provides clear suggestions of what it means to discriminate against a client due to sexual orientation. The guidelines has 4 main focus and it explains in details what psychologists need to

Murray, Pope, and Willis (2017) discuss cultural and contextual factors that can influence clients’ sexualities and using positive sexuality in the counseling setting. There are many different aspects of culture and context the authors address. Cultural influences is an important aspect in counseling, and it is important to keep this in mind in regards to the clients own sexuality, as well. The authors’ discussion of using culturally appropriate interventions, and a counselor’s ability to distinguish when an intervention may be culturally insensitive are great points to keep in mind. The authors also mention an incredibly important point, which is that we should not assume a client’s cultural influences based solely on their background, since there is typically a lot of diversity within cultures.

Evidence-informed practice is a critical part of nursing care. To be able to have evidence-informed practice, nurses need to be able to conduct research to find the most up-to-date and relevant information related to patient- and family centered care. When caring for patients, it is paramount to recognize the importance of family and the role they play in care. When one comes out as transgender, it is something that is not only going to affect the said person, but also their friends and family. Family members are key support systems so when you are caring for one person, you are in turn caring for the family as well. This is known as patient- and family-centered care. As there has been an increase in literature pertaining to family-centered care, the question of interest is “What is the impact on a spouse when a partner is transgendered?” To find the answer to this clinical question, the database Medline was utilized. The keywords LGBTQ, transgender, family-centered, spouse, nurse, sexuality and health care were used and combined with Boolean operators. Through this research, knowledge can be gained on how to properly care for the spouse of a transgendered person. This paper will discuss the key impacts of having a transgender spouse, nursing approaches that we can integrate into our care, and resources available for the non-transgender spouse.

The purpose of this paper is to examine the field of marriage and family counseling beginning with the history and development of the profession and its importance in the field of counseling. This paper will also evaluate five major themes relevant to Marriage and Family Therapy which include: roles of Marriage and Family Therapists; licensure requirements and examinations; methods of supervision; client advocacy; multiculturalism and diversity. The author will discuss significant aspects to the field of Marriage and Family Therapy such as MFT identity, function, and ethics of the profession. This paper will assess biblical values in relation to Marriage and Family Therapists and to the field

Throughout the video Dr. Patterson, displayed and executed various competencies of understanding the way in which her client’s coming-out may impact her client’s overall quality of life as well as the impact on her husband and family. Guideline 10. Psychologists strive to understand the ways in which a person's lesbian, gay, or bisexual orientation may have an impact on his or her family of origin and the relationship with that family of origin (American Psychological Association,

Sexual orientation is something that people hear about daily in the news, media, and daily lives of others, especially when it comes to the field of psychology and the nature versus nurture debate. For being as commonly debated and discussed as it is, there are many questions that come along with it: what is sexual orientation, how do people know their sexual orientation, what causes homosexuality, is it normal, is it possible to change, and can wanting LGBT, lesbian, gay, bisexual, and transgender, youth to change lead to suicide?

In today’s society many disorders may arise. Some of these issues include eating disorders, anxiety, gender-identity disorders, depression, addictions, and many others. However, there is another issue that brings individuals in the counseling setting, and that is the issue of sex and sexuality. Issues stemming from sex and sexuality can arise from same-sex attraction, pornography, infidelity, hormonal issues, and/or negative, inadequate beliefs and perceptions concerning sexuality. Licensed professionals, such as psychologists, psychiatrists, therapists, etc…, are trained and usually prepared for these types of disorders, however, certain types of counselors, licensed or not, are not trained in this area. There are various distorted views on sexuality, and these distorted views are across the board. So it begs the question are Christian counselors equipped to handle these types of disorders and many others. If so, what models do they follow in order to help an individual struggling with these issues? This critique will interview a Christian counselor/Addition specialist concerning her viewpoint on human sexuality and her personal model for decision-making in dealing with individuals who struggle in the area of sexuality and/or in any of the other aforementioned areas.

Given these points, this was a very informative journal article. The authors effectively catered to the appropriate audience and education was provided with the different models. Moreover, the authors proved their hypothesis, discuss the methods in great detail, and provided missing discriminatory analysis. The authors also allowed the reader to see a clear picture into the emotions and discourse experience with Mixed Orientation couples. As a matter of fact, the authors also gave advice on ways for the therapist to explore issues experienced by the couple. The article did not pose any negative assumption for me and it answered all of my questions. Besides, the only question would be a sample from the questionnaire, during the survey in person

In the vignette, it is mentioned that the client Julie, a 34-year-old African American female, is calling about her son 12-year-old son Derik, who seems to be having an adjustment issue relating to her recent marriage to John. Although Julie indicated that she is calling on behalf of her son’s adjustment problem, she spends most of the time talking about her dissatisfaction at work and within her romantic life. When approaching this case through a solution-focused lens, I would stress to her that anyone who is concerned about the problem situation (Derik’s adjustment problem, although it is apparent there are other issues) should attend the sessions. In the initial intake phase, little information is taken, understanding that the client is the expert in what needs to change; as the therapist, my role is to help her access the strengths she already possesses.

The health care for homosexual women is usually fragmented and decontextualized, since it does not address their sexual orientation; hence, they are treated as heterosexuals. Nonetheless, the care for these women must be culturally appropriate to their values and lifestyles, which justifies the use of specific techniques and skills in the interview in such a way as to ensure an adequate anamnesis and transmission of

It is important for health care providers to identify and overcome barriers to discussions with patients related to HIV risk behaviors. Health care providers may find the topic difficutl. Many providers may find it difficult to prioritize discussions related to safer sex practices with patients because of time constraints because routine patient care visits for people living with aides last for approximately 15 to 30 minutes (Mayer et al., 2004). Some providers may feel uncomfortable about discussing HIV risks with patients because they fear the patient may perceive them to be judgmental (Mayer et al., 2004). Other providers may have other issues related to their own sexual orientation. Both heterosexual and homosexual health care providers may feel uncomfortable discussing the topic with patients.