Question
Background: Heng Soon is a senior counsellor and recovery person in a behavioural addiction rehabilitation centre. This centre specialises in working with clients who present
Background: Heng Soon is a senior counsellor and recovery person in a behavioural addiction rehabilitation centre. This centre specialises in working with clients who present with gambling. gaming and sex addictions. Part of Heng Soon's routine job is to run recovery group programmes for the clients. Together with his co-worker Randy, who is also another recovery person turned counsellor, they conduct recovery group for sex addiction clients on a weekly basis. basis. As a recovering person, Heng Soon had a long history of gambling and sex addictions. After he has successfully stayed abstinent; he went on to work in the helping profession. This year is his 20th year of service. Heng Soon is experienced in designing group programmes for recovery. He has led both psychoeducation and support groups for sex and gambling addiction clients. As the agency receives more referrals from psychiatric facilities, many of these referred cases come with co-morbid conditions like depression and anxiety on top of the addiction issues. The The agency feels that the usual way of running a recovery group is not sufficient. There is a need to revamp the group programme to incorporate treatment of mental health issues for future programmes. The usual group type is a counselling group for both gambling and sex addictions. Heng Soon was tasked with revamping the sex addiction group programme so as to include addressing mental health problems as well. Heng Soon is to design a group for the following clients: The programme is expected to commence in three months' time: total of 9 members.
Consist of 3 females and 6 males. Age ranges from 22 to 45 years old.
They are diagnosed with sex addiction of several degrees. Their compulsive sexual behaviour has had an impact on their love lives. Some are on the verge of losing their relationships if they do not overcome the addictive behaviours.
Mid-way down the programme, a male member was sharing about how his high sex drive is affecting his relationship with his wife. As he spoke about the struggles, he began to complain how the unsatisfactory sex life made him look for sexual services elsewhere uncontrollably. He blamed his wife and women in general for not respecting the needs of men like himself. As he ranted on, the other female members in the group began to respond with critical comments, and some even insulted him for driving his wife like a sex slave. The tension was high. However, Heng Soon also knows that this is a good opportunity to open up more honest discussion about compulsive sexual behaviours for this group. Heng Soon understands that he has to intervene soon to prevent it from becoming a meaningless battle of the sexes. Despite the conflicting views among the two camps, the leader is aware that for members to voice their honest opinions about this sensitive issue, it takes a lot of trust and courage to do so.
(Question 1):
Illustrate how the leader can apply the here and now techniques to facilitate a more meaningful discussion on this sensitive topic. In your answer, demonstrate in detail how the here and now techniques are being executed
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