<p> Prelim Case</p><p>Joe, an 18-year-old African American, male, comes into your office, confused and angry. When you ask him how you can help him, he stares at you silently for a moment, then states that he really doesn’t know what he’s going to do with a “head shrink,” but his preacher suggested that he come to see you. His grandmother gave him a ride to your office and is sitting in the waiting room. He presents dressed in jeans, sandals, and a t- shirt with a picture of a big “X” on it, even though it is fairly cold outside. He says he sometimes feels “messed up,” and repeats this phrase throughout the session, sometimes pausing right after he says it as if to emphasize it. He tells you he could pay you “whatever you need to make a good living.” He makes some of his living “selling stuff,” but he doesn’t say what. When pressed on this issue, he seems avoidant. He does tell you that he has thought about getting “legit” work but is not sure if he can. He states that he worked as UPS drive for a while but he was fired due to repeated absences. When you asked why he frequently didn’t show up to work, he stated that he had to “go to church and talk to God.”</p><p>Joe says that he has two families. He speaks of them interchangeably and calls them both “the tribe.” One family is his grandmother, mother and two sisters. His mother works as a clerk, but Joe doesn’t know where. His older sister is 20 and she is attending college Howard University. Joe sees her occasionally. His younger sister is 15 and is a straight A student in high school. She also plans on going to college. Joe doesn’t know his father, who, Joe has been told, is “a no-good bum.” He has also been told that he looks just like his dad. He tells you his sisters are beautiful like his mom, who is very light-skinned and can sometimes “pass.” His other family is his friends. Joe says he likes his friends and does whatever they do or tell him to do.</p><p>Joe says he likes drugs because they help him talk to and be God. He says that church is very important and drugs are “his church.” He says because of his drug use, his family kicked him out of the house and their relationship is strained. He stopped going to school in the sixth grade, but he sometimes hangs around the high school visiting his friends. He tells you that he, as well as the rest of his friends, have had difficulties with the police. Joe says he is proud of being “who he is,” but doesn’t think he will last long on this planet with things changing so much. At the end of the session, he tells you he would like to sit and watch you work with other patients and seems rather confused when you tell him that everybody has their own private time.</p><p>MMPI-2 CLINICAL SCALES: F = 71; 1 = 60; 2 = 67; 3 = 42; 4 = 75; 5 = 55; 6 –72; 7 = 60; 8 – 69; 9 = 55; 0 = 53</p><p>1. What factors about yourself and the client would you consider in deciding whether or not to treat this case? (Ethics/Professional Issues) 2. Give three differential diagnostic considerations for Joe. (Diagnosis/Assessment) 3. What two assessment instruments, would you consider administering to Joe? What are the benefits and limitations of providing these instruments to this client? (Assessment/Ethics) 4. What would you do if you thought Joe was under the influence of drugs in one of your sessions with him? (Ethics) 5. What cultural issues are important for you to understand about Joe? How would these cultural issues impact the therapeutic relationship? What would you do if you were not experienced in working with African American clients? (Ethics/Multicultural) 6. What personal records (i.e., stereotypes, biases, prejudices, value differences) would you need to be aware as you work with this client? How would you go about doing this? (Multicultural/Ethics) 7. What career-related concerns need to be addressed with Joe? How would you go about doing this? (Career) 8. Describe the theory that you would use in conceptualizing this case. What is your theory’s limitation in conceptualizing this client? (Theory) 9. Outline the steps you would take to determine the most effective type of treatment intervention(s) you would use with this client. What are the limitations of the treatment intervention(s) with this client? Describe how you would measure the outcome of your treatment intervention(s). (Theory/Intervention)</p>