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Why is Mr. C considered a passive client in therapy?

  1. He has recent trauma

  2. He does not initiate contact

  3. He avoids discussing emotions

  4. He is highly critical of support

The correct answer is: He does not initiate contact

The designation of Mr. C as a passive client in therapy is primarily based on his tendency not to initiate contact. This behavior suggests a lack of engagement or proactivity in the therapeutic process. Passive clients often rely heavily on the therapist to guide the discussions and activities rather than asserting their own needs or concerns. This can limit the effectiveness of therapy, as active participation is typically crucial for progress. While the other options may contribute to aspects of Mr. C's behavior, they do not fundamentally define passivity in the same way. Having recent trauma can understandably affect a client's openness but doesn't inherently indicate passivity. Similarly, avoiding discussions about emotions may reflect discomfort or fear rather than passivity in the context of initiating contact. Being highly critical of support can be a sign of engagement, albeit in a negative manner, rather than a lack of initiative. Thus, the key factor in identifying Mr. C as a passive client is his failure to initiate contact, which hinders the therapeutic process.