Problem:
The cultural formulation framework, as outlined by Sperry & Sperry (2020), consists of four key elements: (1) the individual's cultural identity, (2) cultural explanations of the client's illness or presenting problem, (3) cultural factors related to the psychosocial environment and functioning, and (4) the cultural elements of the client-clinician relationship. Including this information is essential for accurate case conceptualization, as it allows clinicians to understand not only the client's unique worldview but also how cultural norms, values, and experiences influence symptom expression, coping strategies, and treatment engagement. Without this framework, counselors risk imposing their own cultural assumptions, which may distort the client's narrative and hinder rapport.
When considering Gloria's case, cultural considerations include the gender roles and expectations of women during the 1960s, particularly regarding divorce, dating, and parenting. Gloria's internal conflict around wanting acceptance from men while also desiring authenticity reflects not only personal struggles but also societal pressures placed on women at the time (Bozarth & Moon, 2008). Recognizing these cultural dynamics is critical to avoid pathologizing her struggles as purely intrapsychic when they are also influenced by broader social contexts. Need Assignment Help?