A couple are getting married (Sally and Mark). They decide to see a social worker to work on relationship and communication problems that are of concern to Sally and not so much of a concern to Mark. The couple has multiple sessions, the social work concludes that Mark has an alcohol problem that he has not addressed. The social worker should FIRST

1.  See Mark individually and confront him about the problem and offer a referral for alcohol tx
2.  See Sally and implement an alliance to address Mark’s alcoholism 
3.  Don’t confront the alcoholism because it’s not what the couple initially came in for.
4.  During a couple’s session, have a collaborative conversation with the couple regarding Tony’s alcoholism when it is appropriate to do so during the session 

A behavior or symptom that is ego dystonic is one which the client experiences as 

1. Comfortable and useful
2. Uncomfortable and burdensome
3. One that can be easily denied 
4. One that can be easily changed  

A social worker using a systems approach is working with a couple with two young children who have decided to divorce. All agree that reconciliation is off the table nor a goal for tx. The focal point of the family meetings is to work through the divorce process, making a plan for the future and reach an agreement on shared parenting responsibilities and roles. After several sessions, the couple remain angry toward one another however share concern regarding their two children. However, they have not made any progress. The social worker should 

1)      Suggest that the parents meet w/o the children during the sessions due to them being time sensitive

2)      Send the case to another social worker who may have more experience dealing with this type of dynamic and clinical situation

3)      Try to get the parents to focus on the children’s well-being; come to an agreement on issues that the parents are most concerned about and pause other issues until the couple is ready to work through them

4)      Come to the conclusion that not all families can be helped to resolve divorce situations amicably

Kayla and Shawn have been married for over 20 years. Shawn consistently comes home drunk and falls asleep in the living room after work, missing dinner and doesn’t participate in his family’s daily life. Kayla tells the children that he is tired after working so hard and that it is better for him to rest as he needs all his strength for his demanding job. Kayla is using the defense mechanisms of 

1. Denial and Projection
2. Denial and Rationalization
3. Idealization and Rationalization 
4. Sublimation and Undoing