Arthur is a 32-year-old African-American man who is married with two children and works as a nursing instructor at a community college. After becoming involved in an intimate relationship with Mark, an openly gay man, he seeks counseling from Horst. Mark also works at the community college, and their coworkers have gossiped about their relationship among themselves, though no one has said anything to either of them directly. Arthur believes that he has reached a point in his life when heterosexual marriage is no longer an option for him. He has a number of issues, including coming out to his wife and children and redefining himself as a gay man. He believes his wife suspects the truth and will eventually accept him for who he is, but he is afraid of losing the close relationship he has with his children.

1. What are the issues that Horst must address when counseling Arthur?

2. What information will Horst require in this situation to be a culturally competent counselor?

3. What skills will Horst require in this situation to be a culturally competent counselor?