Mental-Health Clinic

LINDA: In crisis over her pregnancy:

Assume that you are a counselor in a community mental-health clinic, that you have a Gestalt orientation, and that the counselor at the local high school tells you about Linda, a 15-year-old client he has seen several times. He feels that she needs further counseling, but he is limited by a school policy that does not permit personal counseling of any duration. He would like for you to see her for at least three months, as she is facing some difficult decisions. Here is what you learn about her from the counselor.

Some Background Data:

Linda comes from a close-knit family, and in general she feels that she can seek her parents out when she has problems. But now she says that she just cannot turn to them in this time of crisis. Even though she and her boyfriend had been engaging in sexual intercourse for a year without using birth-control measures, she was convinced that she would not get pregnant. When she did learn that she was pregnant, she expected that her 16-year-old boyfriend would agree to get married. He did not agree, and he even questioned whether he was the father. She felt deeply hurt and angry over this.

On the advice of a girlfriend, she considered an abortion for a time. But she decided against it because she felt she could not deal with the guilt of terminating a life within her. The possibility of putting her child up for adoption was suggested to her. But she felt this to be totally unacceptable, because she was sure she could not live knowing that she had created a life and then “abandoned” the child. She considered having her baby and becoming a single parent. Yet when the counselor pointed out all the realities involved in this choice, she could see that this option would not work –unless she told her parents and lived with them, which she was sure she could not do. Her pregnancy is moving toward the advanced stages, and her panic is mounting.

Questions to answer:

Linda agrees to work with you for several months and you will be using Gestalt procedures with her.

1. What do you imagine would be your initial reactions and responses to the counselor’s account? What might your first words be to Linda after you were introduced to her? What do you think you would most want to say to her?

2. What are your values as they relate to the above matters, and what role do you see your values playing in the approach you will take with Linda? Might you be inclined to share your values, so that she knows where you stand? Might you be inclined to push your values and thus steer counseling in a particular direction?

3. At some point you might work with Linda’s feelings of anger and hurt toward her boyfriend. What Gestalt techniques can you think of to help her explore these feelings? What techniques could you use to work with her feelings of guilt over not having lived up to her parents’ high expectations? What other Gestalt approaches might you use (with what expected outcomes) to explore with Linda her other feelings associated with being pregnant

4. As you proceed with Linda, what importance will you place on her nonverbal communication? Can you think of examples of how Linda’s body messages might contradict her words?

5. What are the limitations, if any, of staying within a Gestalt framework in this case? Do you feel that you could say and do what you would like within this theory?

6. What are some advantages of using a Gestalt perspective in this case?
Please use below:
Reference: Corey, G. (2016). Theory and Practice of Counseling and Psychotherapy (10th ed.). Boston, MA: Cengage Learning.

For more information on Mental-Health Clinic read this: https://en.wikipedia.org/wiki/Psychiatric_hospital

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