Case Scenario for Masters Level Students
James is a community counseling student who is interning with the College Counseling Center at the local university. James is a 25 year-old Caucasian male, who attended a private high school in the suburbs. He admits that one of his challenges is that he has not experienced much diversity in his relationships. He recently began working with Lisa, a 21 year-old Latina female who presented with symptoms associated with depression including decreased motivation, loss of appetite and overall dissatisfaction. James has met with Lisa three times, with the first two times being focused on her recent break-up with her boyfriend and the resulting academic difficulties. She was very concerned that her career dream of becoming a lawyer may be in jeopardy.
In their previous session, Lisa casually mentioned that she began to experience depressive symptoms as a child when her mother's partner began to physically abuse her at the age of 5½ years. Lisa told her mother about the abuse, but she did not intervene. Shortly after the physical abuse began, the man began to also sexually abuse her. Once again, Lisa reported this to her mother and also to a teacher at her school, but nothing was ever done. Lisa reported that when she was 7, she placed an unknown prescription medication of her mother's into this man's alcoholic drink. Later that same day, the man experienced a stroke and was rushed to the hospital where he later died. Lisa also reported learning that her mother's partner's stroke and subsequent death were related to the combination of prescription medication and alcohol. The client has never told anyone other than James that she had placed medication in this man's drink.
What are the ethical/legal implications associated with working with this client? What should the counselor-in-training do?