CASE SCENARIOS
Case 1: Leo White The White family is an African American family that lives in the urban center of a midsize northeastern city. John and Melinda White are the parents of three children: Leo, 13; Kate, 11; and Tabatha, 9. The family lives in a small two-bedroom apartment. The apartment is located in a community that has many single- family houses that have been converted into two, three, or more apartments. The landlords often attend to only the most egregious of needed repairs, leaving many of the houses in disrepair. The neighbors know and look after one another on the Whites’ street. However, neighboring streets have recently been subjected to gun violence. This violence has been of great concern to the White family and their neighbors. John and Melinda White both have jobs in the service industry. John is a cook at a fast-food restaurant, and Melinda is a certified nursing assistant, providing home care for elderly clients. The Whites do not own a car and rely on the bus system in their city. As a result, John and Melinda must be up and out of the house by 5:00 AM to get to their jobs on time. They have put Leo in charge of making sure he and his siblings get up, eat, and get out the door to get to school by 7:30 AM. Leo takes his responsibilities seriously, getting up at 5:30 to make sure he is ready in enough time to help his younger sisters get up and ready for school and to ensure their safety on the way to school. Leo comes home right after school to make sure he is home with his sisters and to get dinner started, as his parents are unable to get home until 7:00 PM. Leo helps his sisters with their homework and often doesn’t start his homework until much later, causing him to stay up past 12:00 AM on many school nights. Leo has recently been falling asleep in class and has not been performing well on tests. John and Melinda have been called by the school about Leo’s sleeping in class and poor test scores. They are very upset with Leo’s recent performance on tests and have tried to talk to him about his recent poor performance. However, whenever his parents approach him, Leo says he has it under control and that he will take care of it and then goes to his room. The school scheduled a meeting during the school day with John and Melinda, but they were unable to attend it because of their work schedules, and the school did not offer an alternative. The school assumed that the Whites were not invested in Leo’s education. The school counselor, Ms. Fields, is a White woman from a middle-class background. She has met with Leo. Ms. Fields tried to talk to Leo, but he would barely speak to her and kept shrugging his shoulders, looking at the floor when she tried to elicit reasons for his sleeping and poor test performance. The school counselor has seen kids like Leo before and assumes that school is not a priority at home for Leo; judging from his parents’ absence from the meeting, she feels her opinion is correct. She meets with Leo a few more times, but he refuses to answer questions about what he is doing with his time and who he is spending time with. She tells Leo to schedule a session with Case 2: James Choi James Choi is a 25-year-old Korean American, a new college graduate who recently accepted a job as a fundraiser at the Humane Society. He was adopted when he was eight months old into a middle-class White family. He seeks therapy because he feels that he is not achieving as much as he would like with his career. James is feeling anxious and has some symptoms of depression. His family physician has prescribed an antidepressant and encourages James to participate in psychotherapy. He is seeing Denise, a clinical psychologist who works in a large mental and behavioral health counseling practice. Denise is a 30-year-old White woman. She is a recent graduate who learned a bit about Asian American culture in her graduate coursework. On James’s first visit, Denise asks him what brings him to counseling. James explains that he is disappointed in himself for not achieving more in his career. He explains that
her when he is ready to be a bit more forthcoming. Leo never reschedules, and his performance continues to be poor for the rest of the year, resulting in him having to repeat math. Questions 1. How does the school’s approach to resolving Leo’s school problems reflect culturally embedded beliefs? 2. How might Ms. Fields’s culturally embedded beliefs have affected her interactions with Leo? 3. What should Ms. Fields have taken into account to practice with cultural humility? 4. If you were the counselor, what would you do? Why? Discussion The school and the counselor seem to be making assumptions about the reasons for Leo’s poor performance. As an end result, Leo was left without help that might have prevented him from failing math. The Whites might benefit from the school’s engaging in a dialogue with them regarding their availability to meet; the school could offer to meet at the Whites’ home and could inquire about the overall situation at home. The counselor neglected to engage Leo as an equal partner in the counseling process, leaving it to him to speak up, and located the problem squarely within him. Had Ms. Fields considered the possible institutional and societal structures that might be preventing Leo from doing his homework, she might have been more successful in advocating for him on a variety of levels. Although it is unlikely Ms. Fields could have changed the Whites’ work schedules, she might have advocated for the school administrators or, perhaps, the teachers in the school to change some of their practices, allowing Leo the opportunity to succeed given the circumstances of his family life that are rooted in societal inequities. A counselor practicing within a culturally humble and social justice orientation would not locate the problem within the individual but would look to the environmental factors that contribute to the actions and reactions of the individual (Sue & Sue, 2021). In the case of Leo White, he is not performing well in school. The school counselor locates the problem within Leo and his family and is thus unable to help Leo as he continues to struggle in school. Social justice counseling would suggest that Leo and his family might be victims of a school environment and a larger sociocultural environment that is racist and classist. The White, middle-class school counselor has failed to understand Leo’s experience as both a Black student and a student with few financial resources. If she had looked at these mezzo and macro issues, the focus of her assessment and intervention would have shifted, as she would have been inclined to explore the economic and residential realities of the White family (Sue & Sue, 2021). The assessment of the Whites’ economic reality would require the counselor to focus on the larger systems contributing to Leo’s school difficulties and thus to look for solutions to Leo’s school difficulties on the systems level (Sue & Sue, 2021). he has been feeling anxious and depressed and identifies the antidepressant that he is taking. Denise nods in understanding and remembers that Asian American families often have high academic standards and family members have a difficult time seeking therapy, as they are concerned about losing face. As a result, Denise compliments James for being brave enough to seek therapy. James seems confused by Denise’s response but manages to say thank you. James then proceeds to tell Denise that his parents encouraged him to seek therapy, as they thought that he was showing signs of depression. Denise is surprised that an Asian family would encourage their son to seek counseling but knows that she may have been stereotyping based on his ethnicity. Denise continues with the questions, as she does want to know more about his feelings regarding not achieving as much as he would like in his career as well as his symptoms
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Book Code: PYFL4024
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