Michael is 28 years old and he is addicted to heroin. He has withdrawal symptoms, stomach cramps, muscle spasms, a runny nose, chills, dilated pupils, elevated blood pressure and heart rate and, and he is running a slight temperature. He has no other major medical problems and only reports mild anxiety symptoms. Initially, he is polite and charming and just wants a referral to a new doctor who will give him some “meds” as his prior physician will not give him any more. When I recommend an evaluation first, Michael becomes angry and threatening. He says”you are
leaving him no options except to rob someone. He also tells me he wants to quit using drugs and he just needs a few pills to get him through the night.
Science has different characteristics such as objectivity, verifiability, ethical neutrality, systematic exploration, reliability, precision, accuracy, abstractness, and predictability. It is revolving constantly since experts discover new theories. Science is about research by a method of testing, taking data and the results can be positive or negative.
And Applied behavioral science examines and test problem or behaviors which impact people via prevention and intervention. Clients received counseling after a specialist observe his behaviors.
This case displays the maladaptive Behavior because of the four D’s concepts. My client is obsessed with the drug and he would do anything to get the drug. The addictive drug is not accepted in his culture, unlike in South Asia. “Statistical rarity also overlaps with historical changes and differences in cultural norms. In much of South Asia, for instance, it is common for people to chew highly addictive betel nut. Because it contains an addictive drug, it would be considered an abnormal behavior in most Western cultures. However, it is an accepted part of the landscape in wide parts of India, Indonesia, and elsewhere.” He also shows anxiety and felt distressed which is a requirement to get professional help. It could be subjective if he took the doctor’s opinion but he did not. He showed dysfunction when he denied his health.” Part of the answer to whether or not distress interferes with everyday functioning is related to the level of dysfunction. Individuals who show dysfunction might neglect self-care functions (such as bathing) or be unable to socialize or work properly. ” He got mad and threatening which is the danger part. He said he will go and rob someone which show he is a danger to society. It became a legal problem when it is not a good moral and he was not in the right state of mind. “Individually and socially, it is concerning when people are a danger to themselves or others.”
6) As a counselor I need to remember the client’s welfare, my first responsibility is to respect and look out for the best for my client. I need to record and documents all sessions. I need to put a counseling plan together with my client. Informed consent or the right of the client has to stay in the treatment, if the client is not fully aware then I need consent from his family. I can not have any sexual or romantic relationship with the client. I must keep boundaries and professional relationship with the client. “Counselors act to avoid harming their
clients, trainees, and research participants
and to minimize or to remedy the unavoidable or unanticipated harm.” ACA code of ethics, (2014)
The intervention, in this case, would be behavioral therapy. It was tested on animals before, for example, they took a cow and if the cow tries to leave the area, it would receive an electric shock and it would stop. It is call conditioning when a good behavior is a reward. Counterconditioning has helped people lose weight, quit smoking, improve social skills, and change other unwanted behaviors. Skinner, 1938; Skinner, 1957; Skinner & Ferster, (1957). The client taking heroin is a dysfunctional behavior, he needs to unlearn it and replace it with more adaptive behavior. Michael can join a gym and workout every day every day to build his muscle, he would look good and feel good. He can repeat the process over and over and be addictive to looking great and compete to show his great physic. He can associate his physic with great feelings of happiness. Heroin is replaced with smoothies, nutrition bars, fruits and great protein such as steaks, chicken, and fish. A behavioral therapist can help the client to replace the urge to do heroin with weight liftings.
2014 ACA Code of Ethics. Retrieved from: https://www.counseling.org/resources/aca-code-of-ethics.pdf.
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