A counselor in solo private practice is attempting to form a group on anger and conflict management in interpersonal relationships. The group is based on a model for assisting "normal" persons in learning strategies to manage conflicts in ways that avoid escalation by using listening and negotiation skills. The counselor's screening procedure consists of a 20 minute interview during which he describes the purposes of the group, the duration and schedule of meetings, and the fee for each session. Seven persons apply for membership in the group, and all are accepted. During the first meeting of this group, it becomes clear that one of the members, a 40 year-old man, is having difficulty coping with the discussion; he appears highly anxious, is having difficulty following the discussion, and often make comments that are tangential and sometimes incoherent. The leader is concerned about this man, but is unsure what to do about him at the end of this meeting. Ethical Issues in this scenario: Ethical Standards/Best Practices relevant to this scenario: Conclusions about counselor's behavior Suggested alternative behaviors or actions: Scenario 4