Posted: July 17th, 2022

Week 6 Discussion Response to Classmates

I NEED THIS DONE TODAY!!!!
Please no plagiarism and make sure you are able to access all resources on your own before you bid. Main references come from Murray, C., Pope, A., & Willis, B. (2017) and/or American Psychological Association (2014). You need to have scholarly support for any claim of fact or recommendation regarding treatment. Please respond to all 3 of my classmates with references separately. You need to have scholarly support for any claim of fact or recommendation like peer-reviewed, professional scholarly journals. I need this completed by 04/04/2020 at 6pm.
Expectation:
Responses to peers. Note that this is measured by both the quantity and quality of your posts. Does your post contribute to continuing the discussion? Are your ideas supported with citations from the learning resources and other scholarly sources? Note, that although it is often helpful and important to provide one or two sentence responses thanking somebody or supporting them or commiserating with them, those types of responses do not always further the discussion as much as they check in with the author. Such responses are appropriate and encouraged; however, they should be considered supplemental to more substantive responses, not sufficient by themselves.
Read a your colleagues’ postings. Respond to your colleagues’ postings.
Respond in one or more of the following ways:
· Ask a probing question.
· Share an insight gained from having read your colleague’s posting.
· Offer and support an opinion.
· Validate an idea with your own experience.
· Make a suggestion.
· Expand on your colleague’s posting.
1. Classmate (C. Pie)
Reading the synopsis of Josiah’s first session, I have a few questions regarding his risky behaviors with alcohol as well as with sex. First, is he having sex while intoxicated or have his sexual encounters been during periods of sobriety? Second, while binge drinking is made common by media and groups of people, it is still not a commonly accepted behavior in our culture… He may have found a niche drinking group of people. Therefore, what does Josiah deem as “binge drinking” if not his behavior with alcohol? Does he understand the impairments in judgement when drinking can inhibit rational decision-making, therefore increasing the likelihood of risky behaviors in sexual encounters? What forms of “sex” is he having? Is it penetrative intercourse, oral, etc? I ask this because forms of sex that are not penetrative carry no concern for unwanted pregnancies, but still are risky in terms of getting STIs. 
 
 
In conversation with him, I would ask questions, guiding him to conclude that sexual acts involving more than one person, do just that… Involve more than one person. That means the choices he makes in the shared sexual experiences do not affect him alone. They also affect his sexual partner or partners at the time. He needs to understand that the means in which he engages in sex can be considered reckless and thoughtless in terms of the other person/people involved. It sounds as though he has not given much thought, if any, to the reproductive needs of his partners. For the sake of our learning resources, let’s say his sexual partners are at least mostly females… In the article “A Good Abortion Experience: A Qualitative Exploration of Women’s Needs and Preferences in Clinical Care (Altshuler, Ojanen-Goldsmith, Blumenthal, & Freedman, 2017), the statement is made and reinforced that women value being affirmed in moral decision-making and should have equal say in how they are treated and cared for. Josiah would do well to recognize that sexual experiences with others are to do more than just fulfill a specific self desire. In order to help him arrive at reasonable conclusions, I would use Motivational Interviewing (Eisenmann, 2018). Josiah may be in the precontemplation phase of a sexual addiction, given that he is mandated to counseling and, at this time, sees no issue with his sexual behavior nor a reason to change it. Through Motivational Interviewing, I would ask him open-ended questions and use much reflection of meaning to help him conclude that his behaviors could put him, as well as others, in harm’s way (Eisenmann, 2018). However, we needn’t stop there at concluding his risky behaviors are indeed risky. After that conclusion is made, a new one needs to be formed. Josiah will have to come to his own conclusion that he needs to change. I might ask a question such as “What did your partner say before/during/after your sexual encounter this weekend? How did that make you feel? What can you do to ensure your partner’s safety or emotional wellbeing during these encounters?” I could even go so far as to ask “What are your thoughts, or what is your current knowledge of, STIs?” In terms of Josiah disliking the way condoms feel, there are many different forms of condoms and contraceptives to try, all with different textures and ways of implementing them, so it would be worth it for him to try various brands.
References:
Altshuler, A. L., Ojanen-Goldsmith, A., Blumenthal, P. D., & Freedman, L. R. (2017, September 8). A good abortion experience: A qualitative exploration of women’s needs and preferences in clinical care. Retrieved April 2, 2020, from https://www.sciencedirect.com/science/article/pii/S0277953617305440?via=ihub
Eisenmann, Amber (2018). Motivational Interviewing: A Best Practice for Sexual+Reproductive Health. Essential Access Health. Retrieved from http://publichealth.lacounty.gov/dhsp/Presentations/2018STDConference/Workshop_F_Motivational_Interviewing.pdf on 02 April, 2020
2. Classmate (A. Lac)
Discussion – Week 6 Helping Clients Make Informed Decisions
As a counselor in training with every class taken, we are learning that we have an obligation to respect our client’s dignity, avoid factors that can potentially bring harm to our clients and promote the well-being and quality of life for our clients. Not only should counselors be mindful of their won attitudes, behaviors, beliefs, and values, but they should also avoid opposing those concepts on their client (Edwards & Seck, 2018).
Healthy Informed Decisions
As a counselor, the best way to help Josiah in the case study is to introduce him to sex education with the psychoeducation approach. Although according to our readings the psychoeducation approach is not the only way to promote abstinence, it still can beneficial to a client and help them make healthy informed decisions (Hoggart, 2015).
Example
When the counselor asked Josiah about his relationships and sexual behaviors, he stated that he has not had a steady partner since high school, saying, “People here just aren’t into long-term relationships.”
He admitted that he typically “hooks up” with at least one or two partners each weekend, and when asked what he meant by that, he said, “Sex.”
The counselor asked if he uses any contraception in these sexual encounters, and he said, No.
The counselor then tells Josiah that they can see by his facial expressions and the tone that he is not very concerned about the risk that comes with not using contraception.
Josiah proceed to tell the counselor look I don’t like how they feel, so I won’t have sex if the other person would make me use one.”
The counselor proceeds to tell Josiah “Did you know that practicing safe sex not only protects against sexually transmitted infections (STIs) but also unplanned pregnancies”?
Josiah looking surprise tells the counselor he has never thought about potentially getting an STI or getting someone pregnant. At this moment the counselor proceeds to ask Josiah if he would like more information on the topic (sample nursing essay examples by the best nursing assignment writing service). Josiah nods his head, yes and the counselor proceeds to give Josiah some reading material.
Effectiveness
I find this method to be effective because although Josiah is engaging in some risky behaviors the last thing, I want to do is frighten him. I think to give Josiah some reading material on the topic (sample nursing essay examples by the best nursing assignment writing service) can help guide him in making a healthy informed decision on his own without me opposing my own personal beliefs.
Summary
In summary, I plan on continuing to respect diversity, for what it is and for what it means. I also plan on continuing to pursue education and training on topic (sample nursing essay examples by the best nursing assignment writing service)s and issues that I am not knowledgeable about. It is important for counselors to become aware of topic (sample nursing essay examples by the best nursing assignment writing service)s that may conflict with my client’s counseling process and goals (Edwards & Seck, 2018).
References
Edwards, A., & Seck, M. M. (2018). Ethnicity, Values, and Value Conflicts of African American
and White Social Service Professionals. Journal of Social Work Values & Ethics, 15(2),
37–47. Retrieved from the Walden Library databases.
Hoggart, L. (2015). Abortion Counselling in Britain: Understanding the Controversy. Sociology
Compass, 9(5), 365–378. Retrieved from the Walden Library databases.
3. Classmate (C. Als)
Case Study
My client is a 20-year-old college student by the name of Josiah who frequently drinks six to eight beers and any other alcoholic beverages every Thursday through Saturday. He states this his how he and his peers relax from a stressful school week. Josiah also admitted that he a bit of a promiscuous lifestyle when it deals with the opposite sex. He said he wasn’t into having a steady relationship and that he and his friends normally just have hooks ups with one or two girls a week to have sex. He also stated he doesn’t wear condoms and will not have sex with a person if he had to wear one because he didn’t like the way it feels.
Informed Sexual Decisions
As a counselor during my intake, I would gather as much information as I could about Josiah’s sex and sexuality to obtain the initial psychosocial assessment in order to comfortably address and build rapport with the client during the first session. By obtaining this information it will explain the client’s sexual functioning which will include his sexual thoughts, feelings, behaviors, that constitute his overall sexual satisfaction and intimate relationships. I would do this in a way to make the client feel comfortable by addressing any questions or concerns about his sexuality that would be related to our counseling objectives (Murray, Pope, & Willis, 2017).
Dialogue:
Counselor: When encountering your sexual experiences do you ever worry about catching an STI and or HIV/AIDS?
Client: no
Counselor: Have you ever thought about what you would do if either or occurred?
Client: no because it’s not important at the time.
Counselor: When was the last time you had a general checkup?
Client: I have not had one in a while
Counselor: Do you think knowing the consequences of your sexual choices can cause these potential risks of catching STI or HIV/AID in the future you would think about making better sexual decisions?
Client: possibly
Counselor: What would you consider as you move forward to make better sexual decisions?
Client? Absolutely
Strategy Conversation
This strategy conversation I would have with Josiah was to focus on his recent sexual experiences and current sexual health behaviors. I would discuss the risks of having unprotected sex and would try to implicate his behaviors could affect his future relationships especially when he decides to want a monogamous relationship with someone. I would inform him of how many people contract unwanted STI’s along with the possibilities of contracting HIV/AIDS and how many people are diagnosed a day with this disease (Murray, Pope, & Willis, 2017). This would allow Josiah to identify that his reckless sexual decisions could have some long-term consequences with the intention he would start making better choices.
Reference
Murray, C., Pope, A., & Willis, B. (2017). Sexuality counseling: Theory, research, and practice. Thousand Oaks, CA: Sage

Required Resources
Readings
· Article: American Counseling Association (ACA). (2014). ACA Code of Ethics. Retrieved from http://www.counseling.org/docs/ethics/2014-aca-code-of-ethics.pdf?sfvrsn=4
· Article: Altshuler, A. L., Ojanen-Goldsmith, A., Blumenthal, P. D., & Freedman, L. R. (2017). A good abortion experience: A qualitative exploration of women’s needs and preferences in clinical care. Social Science & Medicine, 191, 109–116. Retrieved from the Walden Library databases.
· Article: Coast, E., Norris, A. H., Moore, A. M., & Freeman, E. (2018). Review article: Trajectories of women’s abortion-related care: A conceptual framework. Social Science & Medicine, 200, 199–210. Retrieved from the Walden Library databases.
· Article: Edwards, A., & Seck, M. M. (2018). Ethnicity, Values, and Value Conflicts of African American and White Social Service Professionals. Journal of Social Work Values & Ethics, 15(2), 37–47. Retrieved from the Walden Library databases.
· Article: Hoggart, L. (2015). Abortion Counselling in Britain: Understanding the Controversy. Sociology Compass, 9(5), 365–378. Retrieved from the Walden Library databases.

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