Counseling has a history of perpetuating bias through diagnosis and assessment. In this Application Assignment, you apply cultural competence to a counseling assessment.
For this Application Assignment, review the case study The Case of Mrs. Hudson and the description of culturally relevant assessment in the course text Addressing Cultural Complexities in Practice. Consider the case study in terms of a culturally competent diagnosis. Think about the issues involved in culturally competent assessment and their impact on counseling.
With the case study in mind, in a 2- to 3-page paper:
- Develop a culturally relevant assessment of symptoms of the client in the case study. Focus on the concerns specific to Mrs. Hudsons culture.
- Summarize the major issues in conducting a culturally competent assessment and explain how they might affect the process and progress of counseling.
Week 9 Application: Case Study
Case of Mrs. Hudson
Mrs. Hudson is a 37-year-old Haitian American woman who lives with her husband of 10 years and two children, ages 8 (son) and 2 (daughter). She has come to therapy to discuss recent problems she has been having when leaving the house. She describes a pattern of behavior that began four months ago while shopping with her children. She was shopping for clothes for her daughter when she began to experience the following symptoms: heart racing, shortness of breath, sweating palm, and tightness in the chest. She worried that she might be having a heart attack and notified the store clerk who called the paramedics. The symptoms abated once the paramedics arrived and she was told to check with her primary care doctor. Mrs. Hudson described two subsequent incidents with similar symptomsone at her sons school during a parent-teacher conference, and one at the office. She noted that she has begun spending much more of her time at home, has called in sick from work, and arranged for her husband to do the necessary shopping for the house. She has missed church for the past month and has not visited her family in the past two months. This has placed a strain on her marriage and she has exhausted her sick leave. If she doesnt return to work soon she will lose her job. She has not experienced any symptoms in the past month.
In terms of history, Mrs. Hudson was born in