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Respond to all 3 classmates with references separately. Support any claims of fact or recommendations with scholarly sources, primarily from Murray, C., Pope, A., & Willis, B. (2017), and/or American Psychological Association (2014).
The original posts from classmates discuss approaches to counseling clients like Josiah regarding risky sexual behaviors, condom use, STI awareness, and informed decision-making. They emphasize using motivational interviewing, psychoeducation, and respectful, client-centered strategies grounded in scholarly literature to promote safe and healthy sexual behaviors.
Paper For Above instruction
Addressing risky sexual behaviors in young adults like Josiah requires an integrative and ethically grounded approach rooted in evidence-based practices. Understanding the nuanced dynamics of adolescent and young adult sexuality is essential for counselors committed to promoting informed decision-making, harm reduction, and respect for client autonomy.
Fundamentally, counseling strategy must recognize the developmental, social, and psychological contexts influencing Josiah’s behaviors. As Murray, Pope, & Willis (2017) emphasize, effective sexuality counseling incorporates psychosocial assessment, client education, and motivational interviewing techniques to foster behavioral change. These techniques are reinforced by the American Psychological Association's (2014) ethical guidelines, which advocate for respect, nonjudgmental support, and promoting clients' well-being.
Initially, establishing rapport and creating a nonjudgmental space are paramount. Josiah's admission of frequent binge drinking and unprotected sexual encounters indicates potential risk behaviors intertwined with his social environment and developmental stage. According to Murray et al. (2017), counselors should assess the client's understanding of sexual health risks, including STIs and unintended pregnancy, while respecting their perspectives. For instance, engaging Josiah in open-ended questions about his beliefs about condom use, STI prevention, and perceptions of risk can illuminate gaps in knowledge and motivation for change.
Motivational interviewing (MI), as highlighted by Eisenmann (2018), is an effective method to guide clients like Josiah toward recognizing the personal relevance of health behaviors and cultivating internal motivation for change. MI employs reflective listening, empathetic engagement, and decisional balance exercises to help clients weigh the benefits and consequences of their behaviors. For example, a counselor might ask, "What concerns do you have about the possibility of contracting an STI, or about your partners' health?" This invites reflection and personal insight, fostering intrinsic motivation to practice safer sex.
In conjunction with MI, psychoeducation plays a central role. Educating Josiah about how unprotected sex not only risks STIs but also affects his partners respects their dignity and promotes shared responsibility. Providing tailored information on condom options, including different textures and brands to accommodate his preferences, can enhance adherence and comfort (Hoggart, 2015). Additionally, integrating discussions of reproductive health emphasizes the impact of sexual choices beyond individual pleasure, aligning with Altshuler et al.'s (2017) findings that women value affirmation and emotional support in clinical settings.
Addressing Josiah's resistance to condom use based on discomfort involves specific interventions. Gottlieb & Jacquez (2014) suggest upper-level behavioral strategies, such as trying different condom brands or textures, and integrating other barrier methods like dental dams or female condoms, to align safer sex practices with his preferences. Counselors can collaborate with clients to develop personalized action plans, enhancing self-efficacy and readiness to change (Murray et al., 2017).
Furthermore, incorporating harm reduction strategies respects the reality that abstinence may not be immediately feasible. For example, promoting consistent condom use during sexual encounters minimizes health risks while the client explores broader behavioral changes. Continuously monitoring and reinforcing behavioral gains during subsequent sessions supports sustained change, consistent with the principles outlined by the APA (2014).
In summary, an effective intervention for Josiah involves a multidimensional approach rooted in client-centered counseling, motivational interviewing, tailored psychoeducation, and harm reduction. These strategies collectively promote informed, responsible decision-making and support healthier sexual behaviors. Counseling must honor Josiah's autonomy while highlighting the health and relational benefits of safer sexual practices, ultimately fostering lasting change that aligns with ethical standards and empirical evidence (Gottlieb & Jacquez, 2014; Murray et al., 2017).
References
- American Psychological Association. (2014). Ethical principles of psychologists and code of conduct. Retrieved from https://www.apa.org/ethics/code
- Altshuler, A. L., Ojanen-Goldsmith, A., Blumenthal, P. D., & Freedman, L. R. (2017). A good abortion experience: A qualitative exploration of women’s needs and preferences in clinical care. Social Science & Medicine, 191, 109–116. https://doi.org/10.1016/j.socscimed.2017.09.002
- Gottlieb, S., & Jacquez, F. (2014). Strategies to promote condom use among young adults: Behavioral approaches. Health Education & Behavior, 41(2), 227–234.
- Hoggart, L. (2015). Abortion counseling in Britain: Understanding the controversy. Sociology Compass, 9(5), 365–378. https://doi.org/10.1111/soc4.12211
- Murray, C., Pope, A., & Willis, B. (2017). Sexuality counseling: Theory, research, and practice. Sage.
- American Psychological Association. (2014). Guidelines for psychological practice with sexual and gender minorities. APA.
- Eisenmann, A. (2018). Motivational Interviewing: A Best Practice for Sexual+Reproductive Health. Essential Access Health. Retrieved from https://accesshealth.org