Edward is a slightly overweight, 45 year old Latino-American male. His wife, Sarah, is a thin, 27 year old Asian-American female. The couple has recently married. Edward has 2 children from a former marriage, a 22 year old son and 18 year old daughter. Both children are away at college and both their mother and Edward have been active in their lives.
Both Edward and Sarah were raised in culturally traditional homes. The problem the couple presents with is that Sarah wants her own children and Edward does not. Edward says he’s had his family and is ready for grandchildren in a few more years. Sarah has always wanted a family of her own and says that Edward knew this when they married. Edward says, “well, I changed my mind”. Sarah begins to cry and says, “perhaps this marriage was a mistake”. You notice Edward controlling his anger.
Sarah was born in Taiwan, but her family immigrated to the United States when Sarah was 2 years old. She had an older brother that was killed in a drug related crime in the United States when Sarah was only 10 years old. She is the only surviving sibling. Sarah’s parents have never been the same since the death of her brother. She feels that grandchildren would bring great joy to her mother and father. She tells you that her world would shatter if she is not able to have children of her own.
Edward was raised by his mother and maternal grandmother. His father was an alcoholic who “came and went when it was convenient for him”. He has 2 older brothers and 3 younger sisters, all married with children. Edward tells you that he loves Sarah and thought about having more children but decided against it. He hopes that she can accept his family as her own. He says her parents rely too much on Sarah for their happiness and that it is time that Sarah lives her own life.
In working with this couple, you discover that Sarah has a history of self-abuse. You notice superficial cuts on her arm, which she claims were caused by Edward. You also notice that Sarah has gotten thinner since the onset of treatment. Sarah tells you that Edward has quite the temper but he hides that from you. Edward denies this and says Sarah is “one of those cutters you read about”. He does not think Sarah is suicidal. He tells you, “her whole family is drama over her brother’s death. Her moods are all over the place. The brother died over 15 years ago. Its time to get over it”. Sarah starts to cry and tells you that, “Edward is so cold and heartless. His beer is his best friend. He’s never there for me. No wonder his children don’t ever call him.”
Please respond to the following questions demonstrating your competence in the domain requested. Use resources to support your discussions, citing your resources in APA format. Culture must be integrated into your discussions. Legal and ethical issues must be included when relevant.
Your responses must be ½ – 1 page per question plus a title and reference page
- The situation presented suggests that Edward has an issue with anger and alcohol. According to the criteria of domestic partner abuse, what do you see going on with this couple? If a therapist felt that abuse is occurring in this home, what is their legal and ethical obligation?
- If Edward calls the therapist and tells them that Sarah is threatening suicide, how would the therapist manage this phone call? What is the therapist’s legal and ethical obligation?
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