Clinical Practice SWES Practice Exam

What approach should a social worker avoid when dealing with a client who has paranoid ideation?

1. Selected interpretations

2. Confrontation

3. Corrective relationship

4. Ventilation

The correct answer is: Confrontation

The reason for avoiding confrontation when dealing with a client who has paranoid ideation lies in the nature of how these individuals perceive reality and respond to external stimuli. Confrontation can exacerbate the paranoia, as it may be perceived as an attack or validation of their fears. Clients with paranoid ideation often have a heightened sensitivity to perceived threats, and challenging their beliefs directly can lead to increased distrust and withdrawal, making it difficult to establish a therapeutic alliance. In contrast, other approaches like selected interpretations or ventilation involve engaging with the client's experiences in a manner that can help them feel understood and safe. A corrective relationship emphasizes the importance of a supportive, reliable relationship, which is crucial for clients who may feel isolated or suspicious. By prioritizing approaches that foster trust and validation, a social worker can create a more therapeutic environment conducive to progress.