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Sidebar 2.4 Case Study: The Importance of Considering Power Dynamics

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Imagine you are working as a substance abuse counselor in an outpatient setting. You receive a referral for Jamie, an African American nonbinary individual referred to you by the criminal justice system. The court ordered Jamie to attend counseling as a condition of probation. Jamie has an arrest history related to substance use and has recently received a felony possession charge. Jamie’s primary goals for counseling are to maintain abstinence from drugs and to get a job.

What are some of the social and institutional power situations that Jamie faced and will continue to face as (a) an ethnic minority, (b) a nonbinary individual, and (c) a convicted felon? How do you see the role of power playing in your relationship with Jamie? How will you use your power to support a productive outcome to Jamie’s counseling?

Counseling and Psychotherapy

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