Discussion Board
Consider the case of Harvey:
You have just started working as a counselor for a new counseling organization called Comfort Within. The therapeutic approaches adopted by this organization are cognitive and behavioral therapy (CBT) and mindfulness. You are well-practiced in both therapeutic approaches and are excited to start this new job.
On your second day at work, you meet your new client. Harvey is a 32-year old man whose presenting concerns are social. Harvey explains that he has no friends and finds it difficult to relate to others of his own age. He goes on to share being confused by people in general. After discussing his previous social experiences, the client decides that his main goal will be creating a circle of friends. His second goal is to find a romantic partner. Harvey tells you that he feels he is more suited romantically to someone around 16-17 years old. He says that he finds young girls highly attractive and thinks they would have more in common with him than someone his own age. As you explore this issue further, Harvey describes going to the local mall, where he sometimes offers to buy ice cream and candy for the girls who hang out there or take them to the movies. He isn’t sure how old they are, but your sense is that they may be middle school-aged girls. He denies any inappropriate touching or sexually explicit talk. You find that he is somewhat evasive about the extent of his sexual experiences, and he does not seem to have had any romantic relationships.
Harvey lives with his father (his mother is deceased) and works at a local car dealership, where he is a mechanic. He says that he and his father speak very little and mostly watch television together in the evenings. His father has told Harvey he needs to get out more and get a girlfriend. Harvey is asking for help reducing his anxiety around meeting others and learning better social skills, so he does that. He does not feel that his interest in younger girls is inappropriate.
Although as far as you can tell, Harvey has not engaged in any illegal behaviors, you are worried that he might. You are wondering if you should notify someone, but that would violate Harvey’s right to confidentiality.
Take a position in your post.
Pro: You violate Harvey’s confidentiality and notify someone (who would you notify?) Why?
Con: You do not violate Harvey’s confidentiality. Why not? What would you do instead?
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