As a job counselor, you often screen clients before referring them to potential
employers. One employer has never hired a minority person based on your referral.
Why might you continue to refer minority candidates to this employer?
a. You are a positive thinker who likes to believe the best of everyone, even
employers.
b. Some of your clients are desperate enough to try anything.
c. You realize that to refuse to refer minority candidates is a violation of civil
rights legislation.
d. You believe that all it takes is one good minority hire to change this
employer’s hiring practices.
Answer: c
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How does life course theory address growth and change?
a. It describes broader societal themes which shape the growth and development of people. b. It views human growth and development as having predictable, linear stages. c. It addresses the impact of oppression, discrimination, and genocide. d. It argues that humans need to experience community-based change and growth.
Answer the following statement(s) true (T) or false (F)
We plan evaluation early in the planned change process.
Is there a clearly identifiable environmental or interpersonal stressor or stressors that immediately preceded Indira’s symptoms? If so, what is it (or are they)?
DSM Diagnosis 309.0 Adjustment Disorder with Depressed Mood 318.2 Intellectual Disability, Profound 278.00 Obesity 345.40 Epilepsy, grand mal 369.9 Visual loss Rationale An Adjustment Disorder with Depressed Mood was assigned as the primary diagnosis. An identifiable stressor occurred in this case four months ago, as Indira moved into a group home where staff changes made caregiving unstable after being cared for by her mother her entire life. Indira gradually developed depressive symptoms. These impaired her functioning in that she became withdrawn from activities and people and stopped eating. While major depression could be considered as a diagnosis, it appears that Indira is reacting to environmental changes that have created a severe disruption in her previously adaptive life routines. If her symptoms of depression persist for several more months in spite of stabilization in her housing situation and schedule, she may be diagnosed with a mood disorder. Profound Intellectual Disability was also diagnosed. Indira has an IQ of about 15; coupled with that low IQ, she is unable to complete any activities of daily living by herself. Hence, she seems to have a profound level of intellectual disability. Risk and Resilience Assessment Indira can be considered at-risk for symptoms of depression due to the fact that she is a female and had significant chronic physical disorders with which she must cope. She also has the social risk influence of unstable caregiving at her group home. The same risk influences can influence her recovery from her symptoms, although she has additional protective mechanisms working in her favor. Indira has no prior episodes of depression, was assessed early, and has no comorbid mental disorders. Indira’s strengths include her ability to attach to other people, to show affection, and to engage in structured activities. She also has a caring and supportive family. Her mother’s failing health is another risk influence on the course of Indira’s adjustment quality, given her strong reliance on her family. Treatment Of the empirically validated interventions for depression, Indira is most suitable for behavioral interventions, due to the intellectual disability that limits her capacity to engage with others on an abstract, cognitive level. The main goal involves Indira having more stability in her living environment. The group home manager, even though he still struggles with few permanent and too many relief staff, can be encouraged to assign one permanent staff to Indira’s apartment. In this way, the permanent staff will be able to pass her knowledge of the residents to the relief staff. Because of this arrangement, all residents of that apartment may enjoy more stability after several chaotic weeks. Permanent staff can be were trained to recognize the needs of the residents of the apartments to which they are assigned. In addition, an activity plan for each week can be established to ensure that residents have proper stimulation in the evening, such as dancing, gym, arts and crafts, and so on. With these changes in place, Indira may begin to enjoy a regular routine, and she can become familiar with the permanent staff assigned to her apartment. Indira can become more social again and her unhappiness may diminish. Indira’s mother will also be encouraged to take Indira out for an activity on a regular but manageable basis. This shared activity may help Indira feel less abandoned and lonely. It will reinforce the fact that her mother is still in her life, loving and caring for her. Critical Perspective This case indicates how environmental events can contribute to the development of mood symptoms, and this is captured in the fact that an adjustment disorder was diagnosed. In Indira’s case, she functioned well with her mother as her primary caregiver, but switching to a group home and one in which there was unstable caregiving, proved to affect her functioning in an extremely negative way. This case shows the significance of environmental supports for people with intellectual disability.
According to the authors, a potential problem when non-gays counsel gay clients is:
a. helping them achieve a gay identity b. assuming all can manage their relationship problems c. unacknowledged homophobic countertransference d. alienation from colleagues