Ethical Decision Utilizing Keith-Spiegel and Koocher 's, eight-step model to evaluate the ethical dilemma posed in example one (Nagy, 2011). Taking into consideration the previous relationship, between client and therapist is paramount to the evaluation of a possible conflict. Upon toughly evaluating their previous relationship, examining any possibility of a negative impact on their professional relationship. They have not been in each other’s lives since high school, they have grown apart and do not have any reason that this therapist cannot successfully treat this patient. It is professionally ethical for the therapists treat this client. The therapist will be expected to adhere to the APA code of ethics, which, include the five principles imperative to psychology standards and ethics (APA, 2002). These principles include beneficence and nonmaleficence, fidelity and responsibility, integrity, justice, respect for people’s rights …show more content…
Competence and assessment of testing should be considered questionable from the information presented. Rural settings and mental health providers often encounter issues pertaining to competency, as generalized therapy is a broad but limited scope of practice, specialized therapies are likely to be unavailable in a rural area, leaving therapists in a quandary. APA ethics, code 2 competence (subset 2.01 boundaries and competences), require psychology professionals practice within the boundaries of their education and training, competency based care is vital to maintaining APA code 3.04, to avoid harm at all costs (APA, 2002). To treat a client without formal specialized training could cause irreparable damage, in addition to the possibility of losing their license. PTSD therapies are specialized and require intensive education to properly treat a
Sim, J (1997). Ethical Decision Making in Therapy Practice. Oxford: Reed Educational and Professional Publishing Ltd. p.16.
It is important as a professional health care provider to have guidelines, regulations, and ethical standards to obey when providing care to the public. The ACA is to improve the quality of professional counselors in the community with education, knowledge, and guidelines by providing an ACA Code of Ethics standard when delivering treatment toward a clientele (American Counseling Association, 2015). One particular part of the ACA mission that is essential, is the ACA Code of Ethics. The purpose of the ACA Code of Ethics is a guide to ensure counselors in training and professional counselors understand the ethical obligations toward clients, possible grievances for conduct unbecoming, and professional responsibilities, which supports the ACA
We have one resident in the long-term facility who has stage four cancer of spinal cord and he has been suffering from intense pain. Every time when I enter his room, he cries and implore to the god that he can minimize his suffering. He has prescription of hydromorphone 8 mg every 4 hourly PRN , oxycodone 5 mg every 6 hourly and 50 mcg of fentanyl path change every 3rd day. After giving all scheduled and PRN medicine his pain level remains same as before. When I see that patients I feel like to give highest dose of medicine as well as alternative pain management therapy so that he can have some comfort but ethically I have no right to do that. He is hospice but he has no comfort at all. Following are the nine steps of Uustal ethical decision making model.
This case study is an interpretation of a problem or situation that has occurred within a LPC’s (License Professional Counselor) care. As information is gathered, the depiction to this specific problem in this case study may also include additional information that may deem so to be necessary, in order to place possible solutions or actions that could have or will arise from the situation. This document will consist of a step by step analysis of the factors which impact the case, mostly in the order of what appears to be the most ethically sound decision. This document involves Stephanie’s (therapist) treatment of Martha Rose (client). The therapist, Stephanie, has been given a case through referral from an unknown source; Stephanie is working with this new case in SC (South Carolina).
Moreover, both codes strive to promote the wellness, autonomy, and right to justice for individuals utilizing services. A further similarity between the two codes includes standards on sexual and/or romantic relationships with former clients, such as a counselor is prohibited from engaging in a sexual and/or romantic relationship with a former client for a minimum of 5 years after the last known professional encounter (ACA Code of Ethics, 2014, p. 5; AMHCA Code of Ethics, 2010, p. 4). Although engaging in a sexual and/or romantic relationshup with a former client may seem unlikely, this distinction and timeframe might be valuable to some individuals throughout their career. Furthermore, both ethical codes agree that when a counselor counsels multiple clients, such as individuals in a relationship, the counselor must clearly deliniate the roles within the theraputic dynamic and adjust and/or terminate the dynamic if the roles become unclear at any point (ACA Code of Ethics, 2014, p. 6; AMHCA Code of Ethics, 2010, p. 5). This is important to note due to the fact that the issue of multiple relationships in a therapeutic setting occurs frequently. In respect to termination, both ethical codes state that a counselor does not abandon or neglect a client, but rather make appropriate refferals as needed (ACA Code of
In the mental health profession of counseling, therapy, psychology, psychiatric and social services ethical dilemmas are faced primarily on a daily basis. Being that mental health professionals are working with clients who are often fragile and vulnerable, they must develop an intense awareness of ethical issues. On the other hand, mental health professionals would never intentionally harm their clients, students or colleagues and others whom they work with. Unfortunately, good intentions are not enough to ensure that wrong doings will not occur and mental health professionals have no choice but to make ethically determined decisions. Depending upon the experience and expertise of the professional determines the outcome of the ethical circumstance. For example, if you were practicing mental health professional and had a friend who’s a licensed psychologist, who is invited to attend the wedding of a patient that she has been seeing in court-ordered therapy for a year; what advice would you give your friend?
As stated by Collins (2007), the privacy and openness to discuss intimate issues can stimulate vulnerability with the client. Another ethical issue with this theory can be a growing dependence with the counselor. An additional ethical issue with this therapy is for the client to know his or her vulnerability regarding emotional or sexual needs when it comes to counseling a client (Corey, 2007). An additional ethical issue for the Individual Psychology therapy is that there may be some confusion as times to what is to happen in the counseling
Linde, L.E., Erford, B.T., & Cheung, A. (2010). Ethical and Legal Issues in Counseling. In B.T. Erford (Ed.), Orientations to the Counseling Profession: Advocacy, ethics, and essential professional foundations (pp.55-92). New Jersey: Pearson.
Strengths of the Ethical Decisions Making Model are Kitchener 's Critical Evaluation Model (1984), which involves understanding how ethical decision-making approaches play an important role in the ethical landscape of counseling. It involved the notions of loyalty, faithfulness, and honoring commitments (Kitchener, 1984). It’s best to form trust within the client/counselor relationship and implement faith in the growth of their therapeutic relationship. Kitchener (1984) proposes four goals to strength the model of increasing ethical sensitivity, improving ethical reasoning, developing ethical responsibility and tolerating ambiguity (Kitchener,
Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be happening in a counseling setting and serves to inform the client to their rights, responsibilities, and what to expect. Most importantly, the informed consent is in place for the client’s benefit. It also is important to understand that culture and environment play a role in the treatment of a client and how theories can positively or negatively impact this treatment. Therapists need to understand how to work within the context of a theory while being able to understand the individual in their own environment. Although theories are put into place to serve as a framework, there are also alternative ways to approach counseling, one example being evidence-based practice. Such an approach is very specific, which presents a series of solutions for counseling as a whole, but also brings forth many problems. Every approach or theory introduces ethical concerns that need to be taken into consideration by the entire counseling community and how each can positively and negatively affect clients and the pr...
Ethics in the counselling and psychotherapy protects the client and the therapist involved in the therapeutic relationship and the therapeutic process as a whole; with the concepts that act as a guide for the therapists in provision of good practice and care for the client. The framework is built on values of counselling and psychotherapy; principles of trustworthiness, autonomy, fidelity, justice, beneficence, non-maleficence and self-respect, and provides standards of good practice and care for the practitioner (BACP, 2010). Ethical framework contributes to the development of the therapeutic relationship and process by assisting therapist’s decisions, and guides their behaviour and proceedings within their legal rights and duties. The ethical frame is structured on the boundaries of the therapeutic relationship and the therapists should be aware of their categories and be responsible for their forms. Monitoring and being aware of what goes on in and out of the room physically, emotionally and psychologically is primarily the duty of the therapist.
Code of ethics act as a promise to protect and support the safety of individuals in society, supports as a leading light it help the supporters of an occupation, resolve ethical problems and act as a protector the community. A code of ethics discloses and conserves the current viewpoint professionals on in what way to make ethical decisions. It stresses importance on obligation to moral values and vital beliefs. Application of a code of ethics helps us to guarantee that members of the profession will be accountable for their actions. It helps us to learn about the responsibility we have for ourselves, our colleagues and to the social structure of the profession. It is essential that the present and future psychologist should be aware of the formal ethical codes of practices in psychology. The American Psychological Association (APA) developed this formal Ethics Code which demonstrates the approaches to the psychologist about logical, educational, and clinical behaviors to be followed while working as a licensed person. By applying the ethical code a psychologist can identify ethical issues, interrelate with others professionally. This can inhibit and solve ethical dilemmas, and he /she will be able achieve their professional protagonists and responsibilities.
This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.
In this case, the psychologist is presented with several ethical issues which could cause harm to the client. The first ethical issue that arose in this case is the potential for a role conflict. The psychologist and Mr. Hartwig had contact prior to the development of a therapeutic relationship when the psychologist bought a car from Mr. Hartwig. It may not be enough that the brief, informal relationship ended. The psychologist must assess the dimensions of the previous relationship from the viewpoint of the client as well as his/her own personal feelings (Koocher & Keith-Spiegel, 2008). For example, the client could feel that he gave the psychologist a good deal and that the psychologist was indebted to him. This could leave the psychologist vulnerable to being manipulated by the client. Or, what if the car broke down? This could leave the psychologist feeling cheated and resulted in hostile feelings toward the client. The psychologist has an ethical responsibility to examine both relationships for role incompatibility prior to forming a therapeutic relationship. The psychologist seemed to be aware that there was the potential role conflict resulting from their initial meeting, and he acted ethically by attempting to refer Mr. Hartwig to a Psychology Registry.
Everyone in this world has experienced an ethical dilemma in different situations and this may arise between one or more individuals. Ethical dilemma is a situation where people have to make complex decisions and are influenced based on personal interest, social environment or norms, and religious beliefs (“Strategic Leadership”, n.d.). The leaders and managers in the company should set guidelines to ensure employees are aware and have a better chance to solve and make ethical decisions. Employees are also responsible in understanding their ethical obligations in order to maintain a positive work environment. The purpose of this case study is to identify the dilemma and analyze different decisions to find ways on how a person should act