How Do You Work with a Perpetrator? Refer back to Case Study 9.2, and now consider that James…

How Do You Work with a Perpetrator?

Refer back to Case Study 9.2, and now consider that James
presents at the mental health center as your next appointment. Although he has
not been charged with a sexual assault, he is disturbed by what he did to
Sherry. After the incident, he was afraid Sherry would report him to the staff
and that he would be asked to leave the rehab center. He knew he did not have
any other place to go and would probably end up homeless if forced to leave. He
asked the rehab center staff to make an appointment for him at the local mental
health center. He reported the
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How Do You Work with a Perpetrator?

Refer back to Case Study 9.2, and now consider that James
presents at the mental health center as your next appointment. Although he has
not been charged with a sexual assault, he is disturbed by what he did to
Sherry. After the incident, he was afraid Sherry would report him to the staff
and that he would be asked to leave the rehab center. He knew he did not have
any other place to go and would probably end up homeless if forced to leave. He
asked the rehab center staff to make an appointment for him at the local mental
health center. He reported the incident to you in detail. Although he can
discuss the details of what he calls “the incident,” he reports feeling as if
he was outside of his body looking down at what was going on. He says he
doesn’t know why he did what he did to Sherry, who is someone he really cares
about. He has tried to call Sherry, but she will not answer the phone. He would
like to apologize to her but he is concerned she will never talk to him again.
He is asking you to help him figure out what to do.

Discussion Questions

1. What additional information would you like to know about
James through your initial interview?

2. What information would be helpful in understanding how
you will work with James?

3. In this case, how would you proceed to work with James?

4. Discuss any ethical issues you need to consider when
working with James.

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