Question

Kia is a 20 year old female whose parents are first generation immigrants from Japan. She has been seeing you because she has a substance use disorder related to her use of amphetamines. One afternoon, her parents arrive unexpectedly at your office to insist that you help them convince their daughter to return to Japan where her fiance is waiting to marry her. This is an arranged marriage and she has not met her fiance.

If Kia decides to return to Japan and marry, what is your responsibility?
A. To try and convince her that as an American, she does not have to go
B. Attempt to find a referral so she can continue her treatment
C. Close her case and wish her a happy life.

Answer 1

The professional's responsibility is to support Kia's autonomy, respect her cultural context, and prioritize her needs by finding a referral for continuous treatment in her new environment if she chooses to return to Japan.

Step-by-step explanation:

In the scenario where Kia is considering returning to Japan for an arranged marriage, as a professional, your responsibility is not to impose cultural norms but rather to support Kia's autonomy while considering her well-being. Given that she has a substance use disorder, your primary responsibility would be B. Attempt to find a referral so she can continue her treatment. It's important to respect her cultural context while ensuring that her health and recovery remain a priority regardless of her decision about the marriage. If returning to Japan is her choice, the focus should be on providing her with resources that can support her continued recovery in her new environment.