Telling the Story

Hector is a 35-year-old Hispanic male. Hector was seriously injured   in an auto accident 5 months ago. He spent 4 months in the hospital.   One leg and hip suffered permanent damage. He will probably always   need a cane and walk with a limp. He also has limited mobility in his   right arm and shoulder and cannot lift anything heavy. 
Hector grew up in a family with a construction business. He has been   working in construction since high school. Social work at the rehab   hospital referred Hector to counseling because he is not adjusting   well to his injuries. He is very depressed and angry because he cannot   continue to work in his chosen occupation. Hector says, “What   use am I now? I am the man in the family. I should be strong. I need   to support the family. I don’t want my wife to work. I   don’t know what I am going to do to make a living.” 
Hector still experiences severe pain in his shoulder and his leg. He   spends a lot of time watching TV and drinking. At this point, he is   not looking for work. His family has reached out to him but he avoids   interaction with his siblings and his parents because they remind him   of what he no longer can do. He feels shame when he is around family   members because of his disability. His relationship with his wife is   tense because he is often angry and withdrawn.
You are meeting with Hector for the first time and want to get the story.
As we meet with a new client we develop some hypotheses to   explore, as well as listening to what the client says about himself. 
Write a 750-1,000-word paper addressing the following:

What are some of primary issues that Hector is   addressing?
What are some of Hector’s feelings?
What are Hector’s behaviors and how are these impacting     his adjustment?
How might Hector’s cultural heritage     be impacting his adjustment to his injury?
What are some     beliefs that may be impacting Hector’s adjustment?
How might Hector’s family background be impacting his   adjustment?
What might be some issues that will need to be     addressed in counseling?
What are the stages of change the     counselor will help Hector through? Provide a brief definition     of each stage.
What steps can a counselor take to help     Hector explore his problems?
Consider the following     counselor skills: eye contact, closed and open-ended questions,     paraphrasing and summarizing, reflection, body language, tone,     listening, empathy, genuineness, unconditional positive regard,     interpretation, tracking, reflecting emotion, active presence,     structuring sessions, encouragement, questioning and clarifying,     counselor self-awareness, tolerating intensity, validating,     challenging, multicultural awareness/acceptance, probing and     questioning, posture. Pick one skill and discuss how a counselor     should use this in their sessions with Hector.

Include at three scholarly references in your paper. At least two   resources should identify issues that need to be addressed when you   are working with someone who is being rehabilitated from a serious injury. 
Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

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