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Christian Counseling Case Study

Christian Counseling The plight of Mr. And Mrs. J is troubling as there are many prominent presenting issues at an initial glance at their case. The most striking issue is the lack of affection these two people have for each other. The recent combining of families in this case is also very stark. While the situation is not dire, this relationship appears headed for doom and trouble if certain steps are not taken to remedy the situation.

The most dominant issue in this case appears to be the professional lives of these individuals. The modern family, as represented in this case, places much emphasis on work and career besides family. 60-hour work weeks for Mr. J. doesn't serve his families best emotional interests. The fact that Mrs. J feels she has to work as well also appears to violate God's laws in some antiquated ways. Overall there is a severe imbalance of family, career and love in this particular relationship.

The results of this behavior present problems for the future if this situation is not corrected. The impact of estrangement within a marriage has profound and deep implications for all involved. The children in this family are becoming more at risk from being in this environment and may present the greatest issues for these clients.

Question 2

Without knowing more about this relationship, it may be difficult to ascertain the root causes of this problematic relationship. The past histories of both Mr. And Mrs. J need to be explored to find some of these root causes. It is important that this couple learns about themselves and through...

J's reasons for working so many hours. It should not be discounted that he may also be having an extra-marital affair. Mr. J or Mrs. J. may also have homosexual tendencies that are preventing their marriage to truly grow and blossom. To learn more about the children would also be beneficial in gaining a better understanding of the problems that this relationship is currently experiencing.
Question 3

The initial diagnosis seems to be a sexual aversion disorder (SAD) suffering on both sides of the relationship. There is no question that these people are avoiding sexual relations with one another, SAD may be a viable explanation in finding out why and how to conventionally treat this disorder.

Brotto (2009) wrote "The DSM-IV-TR text indicates that anxiety, fear, or disgust when confronted with a sexual opportunity are features of SAD. Moreover, the scope of the sexual stimuli producing the aversion can range from a specific aspect of the sexual encounter (e.g.,genital secretions) to any and all sexual stimuli (including kissing, touching, and hugging)." SAD should be considered in this case because of the lack of sex that is occurring in this relationship. Perhaps more information is needed to confirm this, but this is a starting point and diagnosis can change as more information is gathered and incorporated into the situation.

According the DSM IV, diagnostic criteria for 302.79 Sexual Aversion…

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References

Brotto, L. (2009). The DSM Diagnostic Criteria for Sexual Aversion Disorder. Archive of Sexual Behavior. APA 2009. Retrieved from http://www.obgyn.ubc.ca/SexualHealth/documents/Brotto_DSM_Review_on_Sexual_Aversion_Disorder.pdf
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