21 Sep Multicultural Considerations in the Assessment of Addictive Behaviors
COUN 6204A Week 3
Discussion: Multicultural Considerations in the Assessment of Addictive Behaviors
Counselors assess many aspects of an individual, including behavior, cognition, personality, intelligence, and achievement. In addition, counselors must be prepared to assess clients from diverse backgrounds. Culture can influence how and why addictions develop; how addictions are perceived by a client’s colleagues, family, and friends; and how addictions are addressed by counselors. Counselors need to understand and appreciate individual differences among their clients in order to assess them appropriately.
For this Discussion, view the media titled Multicultural and Contextual Considerations Case Study:Marisol and the Learning Resources. Consider the multicultural considerations that might influence the assessment of her addictive behaviors and how you might integrate these considerations into the assessment process. Then, search the Walden Library for a current article to support your response.
A brief description of the multicultural consideration that you think might have the most influence on the assessment of Marisol’s addictive behaviors and explain why. Explain how counselors might integrate the multicultural consideration into the assessment of addictive behaviors. Support your response using the Learning Resources.
PLEASE SEE BELOW!
“Multicultural and Contextual Considerations Case Study: Marisol”
NARRATOR: Professional counselors consider all facets of a client’s personal
background and history to provide informed ethical care. As such, individuals
belonging to special or minority populations require additional consideration on
the part of the counselor to ensure appropriate care is given. In the case that
you’re about to view, Marisol, the client, presents with special ethnographic
As the client is introduced, consider possible areas in which the client requires a
treatment approach that incorporates culturally sensitive considerations. Think of
ways to align specific addiction and mental health concerns with cultural
considerations. How should this client be assessed? What alternative
approaches should the counselor employ to address multicultural barriers?
Marisol is a 25-year-old Latina living in a traditional home on the south side of
San Antonio, Texas. Marisol has lived in the United States for most of her life and
has extended family in Mexico and in San Antonio. She is the middle child of six.
Her family and friends are pressuring her to get married. Her grandmother,
mother, and married friends consistently bring up the subject of marriage. Marisol
worries about her ability to be a good wife and mother and sees her siblings
struggle to lead a good life as much as she does.
Marisol is fluent bilingual. However, English is Marisol’s second language.
Although she wanted to succeed in her studies, Marisol struggled as a student
and did not finish high school.
She was always nervous in school. She began working to contribute to the family
income and could never find the time to complete a GED. She worries that she
will never be able to get a good job because of her lack of education.
Marisol is being treated for comorbid cocaine abuse and benzodiazepine
dependence and is having difficulty discussing her mental health issues with her
Caucasian male psychiatrist. Marisol has been seeing her psychiatrist, Dr. Dan,
for treatment of her addictions. Dr. Dan is a Caucasian master’s level counselor
who has received specialized training in addictions counseling.
During the past two counseling sessions, Marisol appeared reluctant to engage
in communicating with her psychiatrist as evidenced by her limited verbalizations.
She responded only to questions that were asked and provided little additional
information beyond yes and no responses. Her responses have sometimes
appeared to be insincere or evasive.
©2012 Laureate Education, Inc. 1
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