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Ethical issues and decision making in counseling cram
Ethics and boundaries in counseling
Ethical issues and decision making in counseling cram
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Introduction Boundaries are extremely important in a counseling session. Setting boundaries and limits in therapy sessions represents an ethical decision that is set by each counselor, when entering a therapeutic relationship. In this presentation, I will discuss pertinent boundary issues that the staff has encountered, since working at this agency. Finally, I will describe how these boundaries are addressed and resolved at this site. Significant Boundary Issues at this Practicum Site According to G. Corey, M. Corey, & Callanan, (2007) boundary crossings are a departure from regular accepted practices that could benefit the client. A boundary violation is a serious ethical breach that could potentially harm the client (Corey, et el., 2007). Without boundaries, limits or certain rules, the therapeutic professional relationship would not be able to be defined as such. At this practicum site, the program is a command-based program which means that if the client/soldier is a no-show, or late for an appointment, the counselor must call the soldier’s 1st Sergeant or Commander. If the soldier was positive for substances from a urinalysis, the counselor had to report this as a “fact” in treatment, thus the soldier could be deemed a “Rehabilitation Failure” from the program at which point the command would begin separation procedures of the soldier from the Army. In the past, the staff has encountered clients asking special favors from the counselors in reference to not reporting late appointments, no-shows or a positive drug or alcohol test to his or her command. Many of these soldiers were married and had children. This was a strict violation of the rules of the Army Substance Abuse Program (ASAP). The counselor has such a large... ... middle of paper ... ...separated from the Army, it is imperative in this organization that counselors follow strict boundaries regarding members of the Armed Forces. It is okay to advocate for the soldier, when we believe this is appropriate, especially when we know the soldier has made some great gains in their treatment. References 4Therapy.com Network (n.d.). Boundary issues. Retrieved April 22, 2011 from http://www.4therapy.com/professional/research/lawandethics/item.php?uniqueid=4609&categoryid=267& Corey, G., Corey, M.S., & Callanan, P. (2007). Issues and Ethics in the Helping Professions. (7th ed.). Belmont, CA: Brooks/Cole Walker, R. & Clark, J. (1999). Heading Off Boundary Problems: Clinical Supervision as Risk Management. Psychiatric Services, 50 (11), 1435-1439. Retrieved April 22, 2011 from http://www.ps.psychiatryonline.org/cgi/reprint/50/11/1435
Antwone serves as a Petty Officer in the United States Navy. He is single and heterosexual, with no children. Antwone was referred to the U.S. Navy Pacific Fleet Medical Center for psychiatric evaluation, after pleading guilty to assault on a superior, non-commissioned officer. As a result of his physical aggression, he was demoted from ships serviceman Petty Officer, third class, to ships serviceman Seaman. Antwone has a history of physical aggression and poor impulse control. Antwone was referred for three sessions of psychiatry service for assessment of physical aggression, anger management, and supportive treatment. At the end of treatment, a recommendation by Dr. Davenport will be submitted to Antwone’s commanding officer, for the purpose of determining reinstatement to active duty. Antwone sees no need for evaluation and states that the cause of physical assault was a result of racial remarks by the victim. Antwone’s attitude towards fighting is stated in his words, “It’s the only way some people learn.”
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).
The lower enlisted soldiers find it easier to talk with someone that is working beside them and can relate to them on their level. The soldiers are able to open up knowing that they can relate and that what is shared will stay confidential unless it is a danger to themselves or others. This allows room for the chaplain assistant to come in to encourage and give them any resources they may need (Army Training Support Center, 2016). Chaplain assistants are well informed on how to handle a distressed solider. In lesson 9 it discussed about how to have a positive response in two different ways pertaining to a solider that is distressed. The first response is called a verbal response. A verbal response is a person that validates and supports the other person’s statement. The second response is called a non-verbal response. A non-verbal response is the body language/expressions that are communicated to others without the use of words ("Lesson 9: Respond to a Distressed Individual", 2016).
Chemical dependency counseling involves direct interactions with the clients and as such standards need to be set which will promote safe and accountable counseling. Chemical dependency counseling has a set code of ethics, guidelines and regulations that seek to safeguard the interests of everybody involved. Laws and ethics ensure that everyone acts in a way that does not cause harm to others. Laws and ethics also help to give the profession its credibility. The Licensed Professional Counselors Association of Georgia (2014) gives provisions on the conduct of counselors as stipulated by the law. Chapter 135-7-01 provides the various responsibilities of counselors to their clients. Every counselor has a responsibility to their clients. It is their primary duty to promote the welfare of their clients and meet the client’s best interests.
American Counseling Association (2005). ACA Code of Ethics. Alexandria, VA: Author. - See more at: http://www.counseling.org/knowledge-center/ethics#sthash.13ImD8Lb.dpuf
Still, major concern with boundary crossing in treatment is the potential, differential between therapists, and clients and how therapists may use or abuse the power. Therapist are hired for their professional expertise, which consequently gives them an expert- based power over their clients (Zur, 2007, p. 47). Husted could have asked herself should I cross this boundary (i.e., is it ethical to keep a “secret” of into a relationship with a client) or what are the opportunities plus advantages of carrying out rather not carrying out the sexual performance (risk of either accepting or rejecting of the client).
The physician will question the patient about any stressors she may be contending with at home or work prior to her entering the hospital. The physician will order lab tests and speak with the patient to understand the psychological factors; a referral will be made for making a final diagnosis. After the physician reviews both lab tests and the psychological factors, a referral will be made for the patient to see a clinician. The referral will focus on obtaining support and stabilization. The clinical assessment will gather information using written forms as a first step, including releases to speak with family members. The second step would be to invite the family along with the client in an effort to obtain a better understanding of existing medical conditions along with any past mental disorders. Abuse as a child or abuse as an adult will be determined. The clinician will evaluate if the client is portraying any signs due to alcoholism or a drug addictions. An example of one question her clin...
...ationship with involuntary clients necessitates the development of a ‘mindful holding environment’ in order to promote client well-being. The identification, acknowledgement, and use of the resistance that arises in a mandated therapeutic relationship to engage the client in treatment participation is essential for helping him/her work on the problems affecting their ability to realize goals, as well as, liberate themselves from oppression. Similarly Teitelbaum stated (1991), “ The best we can do as analysts is to try particular interventions that follow from different formulations, assess their impact and be flexible to shift our technique in face of the continual changing dynamics presented by the patient” (p. 128). In the same vein, meeting clients where they are ensures readiness for treatment approaches set forth and solidifies the therapeutic relationship.
The officer takes public’s view that may be especially true if they shares the persons with mental disorder are extremely violent. If the probationer’s receives a low risk score based on general risk factors, an officer who believes that such disorder as mental or physical strongly predicts violence may override that score and assign a high risk rating to that probationers. First, the probation officer may recommend that the probationers be assigned to a higher observation caseload. As noted above, high levels of supervision lead to a higher possibility of infractions being discovered. This may set up the probationers to fail from the beginning of supervision. Number two; another officer may make references regarding specific condition of probation. Officers who view mental health tr...
In the video, Whose Records, the client demonstrated frustration with her current counselor and made a request for her medical records in order to transfer to another counselor. During the conversation, the counselor remained calm and respectful to the client regardless of the clients’ disrespectful approach. I do not agree with the challenge approach made by the counselor regarding the client seeing a different counselor every three to four weeks. That seemed to increase the level of tension on behalf of the client. I feel a better approach would have been to allow the client to express her concerns regarding her current treatment. After which, the counselor could explain the process of obtaining her medical records along with requesting the client to sign the appropriate release of information to acquire her records.
Licensed mental health counselors have many ethical and legal issues dealing with interacting with clients in a way that leaves them in a better place. It is crucial that counselors act within the b...
Values, Morals, and Beliefs are components that play a role in an individual’s self-identity. The establishment of these components shape human nature, behavior, and the development of an individual’s purpose. The basis of these fundamentals has contributed to my desire to become a counselor. This paper will discuss my views of human nature, factors of behavior changes, goals of therapy, the roles of a therapist, and the counseling approaches that I chose to incorporate in a practice.
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.
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.
When individuals go into the military they have a complete physical checkup to get cleared to join a branch of service they have selected. Individuals go into the military without having any disabilities or a mental illness, but this can change while they serve during combat. Before signing up, he or she knows the risks such as putting their life on the front line before going into the military. While a solider is in combat, he or she is faced with many types of situations that can cause trauma, physical disability or a mental disability. When veterans come home from serving in combat some of the situations veterans faced causes many to become homeless due to mental illnesses such as posttraumatic stress disorder (PSTD),