Description
Sexual Cultural Identity
Client Overview
Describe the client in one descriptive sentence.
Presenting Problem
Describe the presenting problem for clinical consideration in one or two sentences.
Cultural Considerations
Issue One. Identify one cultural consideration that you view as critically important to this client.
Provide your rationale for why it is important and support that rationale with scholarly sources.
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Issue Two. Identify a second cultural consideration that you view as critically important to this
client. Provide your rationale for why it is important and support that rationale with scholarly sources.
Case Conceptualization
Explain in one or two rich descriptive paragraphs how you will address these cultural
considerations in your work with the client. Give examples and support your choices with scholarly
sources.
Counselor Identity
Explain how your own cultural identity could have implications for the therapeutic process
including what you identify as a problem, how you assign meaning to the case, or what might trigger you
causing you to interpret things in a particular way or even avoid topics. (Do not simply write there are no
issues. Think critically about your own thoughts, feelings, beliefs and values and articulate at least one
way you could experience bias, over identify with the client, be triggered, etc).
COU 645 Biopsychosocial Assessment
Indicate ?NA? if the question/section is not applicable to the client?s history. DO NOT LEAVE
ANY SECTION/LINE BLANK.
Client Name:
Date:
SECTION I
Introduction/Client Summary:
Presenting Problem: (Include the client?s own words about why the services are needed and
how the primary problem is affecting the client, including behavioral, cognitive, emotional, and
physiological symptoms; analyze the life span of the client for appropriate sexual development.)
Family History: (Include biological family members, describe what it was like growing up in this
family, and include substance-abuse and psychiatric history of family members if appropriate.)
Medical Health/Biological History: (Include illnesses, surgeries, and medications. Note any
current medical problems, physical disabilities, and/or eating disorders. Include development
throughout the life span and include any areas of concern.)
Allergies:
Medications: (Include name of medication, dose, condition it is treating, and its effectiveness?
OTC and prescription.)
_____________________________________ ___________________________________
_____________________________________ ___________________________________
_____________________________________ ___________________________________
Mental Health/Psychiatric History:
Has client ever been treated for a psychiatric illness:
Yes
No
Please explain: (Include if client had been hospitalized, seen by a mental health professional,
what they were seen for, and how long they were seen.)
SECTION II
Psychosocial History and Cultural Identity
Current Life Situation: (Summarize present living arrangements and any current social
supports.)
Sexual Orientation:
Spiritual Beliefs:
Family Influence: (How does the client?s/parent?s cultural identity influence the client?s
perceptions of the problem?)
Educational History: (Note highest level of schooling completed, school performance, peer
relationships, and learning problems.)
Client Strengths:
1.
2.
3.
.
SECTION III
Summative Conceptualization: (This narrative section pulls all of the information together from
the biopsychosocial history, with a clinical opinion about what the primary issues are and what
should be done to address them. Also state potential referrals that are appropriate at this
time.)
Diagnostic Impression: (Identify whether the issue is part of age- and gender-appropriate
development or a sexual disorder, and use the DSM to justify your conclusion.)
Goals (Identify one of each.)
Short-Term Goal:
Long-Term Goal:
Technique/Intervention: (Propose one technique or intervention to support the client in
accomplishing the therapeutic goals.)
Clinician/Counselor Signature: ____________________________________ Date: ___________
COU 645 Biopsychosocial Assessment
Indicate ?NA? if the question/section is not applicable to the client?s history. DO NOT LEAVE
ANY SECTION/LINE BLANK.
Client Name:
Date:
SECTION I
Introduction/Client Summary:
Presenting Problem: (Include the client?s own words about why the services are needed and
how the primary problem is affecting the client, including behavioral, cognitive, emotional, and
physiological symptoms; analyze the life span of the client for appropriate sexual development.)
Family History: (Include biological family members, describe what it was like growing up in this
family, and include substance-abuse and psychiatric history of family members if appropriate.)
Medical Health/Biological History: (Include illnesses, surgeries, and medications. Note any
current medical problems, physical disabilities, and/or eating disorders. Include development
throughout the life span and include any areas of concern.)
Allergies:
Medications: (Include name of medication, dose, condition it is treating, and its effectiveness?
OTC and prescription.)
_____________________________________ ___________________________________
_____________________________________ ___________________________________
_____________________________________ ___________________________________
Mental Health/Psychiatric History:
Has client ever been treated for a psychiatric illness:
Yes
No
Please explain: (Include if client had been hospitalized, seen by a mental health professional,
what they were seen for, and how long they were seen.)
SECTION II
Psychosocial History and Cultural Identity
Current Life Situation: (Summarize present living arrangements and any current social
supports.)
Sexual Orientation:
Spiritual Beliefs:
Family Influence: (How does the client?s/parent?s cultural identity influence the client?s
perceptions of the problem?)
Educational History: (Note highest level of schooling completed, school performance, peer
relationships, and learning problems.)
Client Strengths:
1.
2.
3.
.
SECTION III
Summative Conceptualization: (This narrative section pulls all of the information together from
the biopsychosocial history, with a clinical opinion about what the primary issues are and what
should be done to address them. Also state potential referrals that are appropriate at this
time.)
Diagnostic Impression: (Identify whether the issue is part of age- and gender-appropriate
development or a sexual disorder, and use the DSM to justify your conclusion.)
Goals (Identify one of each.)
Short-Term Goal:
Long-Term Goal:
Technique/Intervention: (Propose one technique or intervention to support the client in
accomplishing the therapeutic goals.)
Clinician/Counselor Signature: ____________________________________ Date: ___________
COU 645 Week Four Short Paper Guidelines and Rubric
Cultural Identity Elements
Overview: In this assignment, you will assess a case for significant cultural identity elements related to sexuality. Give consideration to how the client?s
background, family dynamics, traditions, thoughts, feelings, and values or beliefs help inform perceptions of the problems he or she presents when seeking
counseling. To prepare, review Section II of the Biopsychosocial Assessment document for the final project. This week?s case study will help prepare you to
assess the role of cultural identity in the case study for your final project.
Assess the following case example for significant cultural identity elements related to sexuality:
Destiny is a 14-year-old white adolescent. Both of her parents are deceased and she lives with her paternal grandmother, a 68-year-old conservative Christian
woman who was married to her husband for 50 years before his death. Destiny and her grandmother reside in a rural area in low socioeconomic conditions.
Destiny was referred to counseling by her grandmother who reports being worried about Destiny because she has been withdrawing and spending an excessive
amount of time in her room.
During intake, Destiny shares that she is terrified of ?getting in trouble.? She is not allowed to date but has been secretly seeing a boy from school, and they have
had sex on two occasions. She is terrified of being pregnant and believes that her grandmother will ?disown? her if she finds out.
Prompt: Specifically, the following critical elements must be addressed:
?
?
?
?
Identify two potential cultural considerations for the case, and provide a description of each.
Provide your rationale for why these considerations are important.
Explain how you will address these considerations.
Explain how your own cultural identity and beliefs might influence the way you interpret this situation.
Rubric
Guidelines for Submission: This activity should be 2 to 3 pages in length. Use double spacing, 12-point Times New Roman font, and one-inch margins. All
references must be cited in APA format.
Critical Elements
Cultural
Considerations
Proficient (100%)
Identifies two potential cultural
considerations for the case and provides a
description of each
Needs Improvement (75%)
Identifies two potential cultural
considerations for the case and provides a
description of each but lacks detail or clarity
Not Evident (0%)
Does not identify two potential cultural
considerations for the case and provide a
description of each
Value
23
Rationale
Provides rationale for why these
considerations are important
Provides rationale for why these
considerations are important but lacks detail
or clarity
Does not provide rationale for why these
considerations are important
23
Considerations
Explains how these considerations will be
addressed
Explains how these considerations will be
addressed but lacks detail or clarity
Does not explain how these considerations
will be addressed
23
Cultural Identity
and Beliefs
Explains how own cultural identity and beliefs
might influence the way the situation is
interpreted
Submission has no major errors related to
citations, grammar, spelling, syntax, or
organization
Explains how own cultural identity and beliefs
might influence the way the situation is
interpreted but lacks detail or clarity
Submission has major errors related to
citations, grammar, spelling, syntax, or
organization that negatively impact
readability and articulation of main ideas
Does not explain how own cultural identity
and beliefs might influence the way the
situation is interpreted
Submission has critical errors related to
citations, grammar, spelling, syntax, or
organization that prevent understanding of
ideas
Total
23
Articulation of
Response
8
100%
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