Marie and Tony are about to be married. They see a social worker to resolve relationship and communication problems that concern Marie more than Tony. After several sessions, the social worker comes to the conclusion that Tony has an unacknowledged alcohol problem. After coming to this understanding, the social worker should
A. meet with Tony privately, confront him with the problem and offer him a referral for treatment.
B. meet with Mary privately and form an alliance to address Tony's drinking.
C. say nothing about the alcohol problem since this was not the reason they came into treatment.
D. encourage discussion of Tony's alcohol problem at the first appropriate moment during a joint counseling session.
D. encourage discussion of Tony's alcohol problem at the first appropriate moment during a joint counseling session.
This is a treatment question that frequently arises. Though the agreement between the clinician and the couple is to work on communication issues, one partner's alcoholism is a serious impediment to the marital relationship that is likely to grow worse over time. The clinician should permit the issue to come to the surface and then seek to motivate the client to seek help.
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