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    Ethical Issues: Case Studies

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    Mary comes to a community mental health center with her support system such as her husband, her children and spouses, grandchildren, and cousins. The receptionist called Mary's name and she begins to frown and she points out her slip is showing. I can't figure out what to say, and she requested that her family members comes into the counseling room with her. The receptionist observed that Mary is properly groomed in spite of her concerns of her dressing. Before the counselor begins to interview Mary, her daughter said that she worries excessively and the worry has been part of her life and has lasted for six to eight months. Mary's husband explained that he stays awake all night because the wife cannot sleep or remain asleep when she tries to sleep.

    During an interview, counselor observed that Mary's eyes was downward, she's soft spoken, rarely smiles, taps her foot, and wants to leave her chair. The counselor concluded that the major points that sticks out in Mary's case is being too tired, lack of concentration in completing daily activities, unable to sleep, worrying about husband's love toward her, inability to fulfill household chores, and financial strain. The counselor commented that Mary's problems are tied to different stressors. The community mental health center examined Mary and performed a compressive test that included labs and physical examination. However, nothing was found that contributed to fatigue and inability to sleep. Only the presence of anxiety was confirmed.

    Explain each of the possible ethical dilemmas, referencing specific ethical codes from either AAMFT, etc.

    Explain a potential resolution for each of the dilemmas you selected.

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    Mary's Case

    The case of Mary is interesting because it appears as though she was assessed in a manner that is expected and typical. She went to a community health center to ask for help where she is exhibiting, even upon initial visitation/encounter deep-seated anxieties. She was conscious about her looks, about proper grooming and presented and appears to worry about everything that can cause her problems and issues. Despite the presence of possible other conditions, the specialists in place can only confirm anxiety. What ethical issues are implied? In this case, the particular field is clinical psychology and the ethical issues as presented in the case in my opinion could fall on the notion of integrity as well as rights and dignity. While it does not appear to be untoward (how she was treated), it seems to me that Mary was raised in a culture that is not mainstream and she comes from values and views much more aligned to her immigrant parents (hence, the obsessive need to conform, to be presented well, to appear okay and even successful). No doubt this falls under the anxiety umbrella but also there is a cross-cultural concern here at play. It is the responsibility of the specialist to look at all angles, which means considering the implications of cross-cultural concerns that create that dilemma in Mary.

    What should be the solution? A community center can only provide limited care and if the ...

    Solution Summary

    The solution provides information, assistance and advise in tackling the task (see above) of studying and providing a case analysis of Mary (see above) as well as that of Betty (details provided in the solution) in terms of ethical issues that might be implicated in the case in reference to the codes of AAMFT, including possible resolutions. Resources are listed for further exploration of the topic.