Confronting Bias and Prejudice

write a detailed description of your uncensored personal observation of the patient depicted. Include any personal thoughts and feelings you have about the client or the scenario that may be related to personal biases. Describe at least one theoretical orientation you would use to conceptualize your view of the patient’s problem and how it may have developed (e.g., cognitive, behavioral, humanistic, biological, sociocultural, evolutionary, psychoanalytic, integrative, etc.). NOTE: Be clear that you are writing about theoretical orientations and using the theoretical orientations to explain the client’s symptoms and presenting problems. Do not use the theoretical orientations to discuss any therapy or treatment approaches. Your application of the theoretical orientations should answer the question: How did this client develop the symptoms and current presenting problems? For example, “Based on the cognitive perspective, how did this client develop the symptoms and current presenting problem?” “Based on the humanistic perspective, how did this client develop the symptoms and current presenting problem?” Etc.  Next, identify the issues you might focus on in treatment with this patient. Be sure to identify within your post which of the five case studies you have chosen.

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THE CASE
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Frank is a 45-year-old male who identifies as gay. He identified himself as “white” of German,
Italian, and English ancestry. He stated his reason for seeking out psychotherapy “is because my
boyfriend doesn’t want to have sex with me.” When asked about the frequency of his sexual
activity with his boyfriend, he reported that they have sex at least once a week. While this tends
to be the average amount of sex that couples generally have, he repeated, “You don’t understand.
I just want him to have sex with me!” When asked to share his boyfriend’s name, Frank
responded, “Orlando Bloom… you know, the famous movie actor.” When interviewed about
specifics related to his alleged relationship with Mr. Bloom, Frank is vague, avoids eye contact, and
becomes agitated. Frank appeared well-groomed with logical thought but had poor insight into his
problems. He denied symptoms of depression and anxiety.

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