How much emphasis would you place on factors such as what is stopping her from making the call?

This case involves Melinda, a 25-year-old Latina who says shewants to have an abortion. She has been married for three years,already has two children, and says: We had to get married because Iwas pregnant. We did’nt have money then. The second kid was notplanned either. But now we really can’t afford another child. Herhusband is a policeman going to law school at night. She works as ahousekeeper and plans to return to school once her husband finisheshis studies and it is her turn. He should graduate in another year,at which time she is scheduled to enroll in classes at thecommunity college. Having another baby at this time would seriouslyhamper those arrangements in addition to imposing the previouslymentioned financial burden. But the client reports: Can’t go tocall the clinic, and I just can’t seem to talk. I hang up theminute they answer. I just can’t seem to make the appointment forthe abortion, let alone have one. I was never much of a Catholic,and I always thought you should be able to get an abortion if youwanted one. What’s wrong with me? And what am I going to do? Idon’t exactly have a lot of time.
With the information given here, what do you see as the majorvalue issues that need to be explored?
How much emphasis would you place on factors such as what isstopping her from making the call?
On her ambivalence betweenwanting to have the abortion and not wanting it?
If she asked you for your advice, what do you think you wouldtell her?
If you gave her this advice, what might your advice tellyou about yourself?
How would your views on abortion influence the interventions youmade with Melinda?
How would you deal with this situation if you had alreadyestablished a therapeutic relationship over many months withMelinda?