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Ethical considerations when counseling
Ethical considerations when counseling
Essay on patients confidentiality
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Question 1: Key issues: • Breach of Ethics/Boundary Crossing: Michael would be crossing the boundaries if he were to see Julia in a social situation. • Awkwardness: Michael will need to consider if further treatment would be compromised because awkwardness may stop Julia from sharing certain information. • Treat with compassion and respect: Is Michael able to move forward and treat Jenny with compassion and respect? • Supervision: Do any further consultations require supervision? • Jenny’s reaction to Michael’s rejection: If the therapeutic relationship is uncomfortable, Michael should refer Jenny on to someone else, as this could impair judgement, treatment and diagnosis. • Right to withdraw relationship: Is Michael aware of his right to withdraw the therapeutic relationship if his moral, personal or religious beliefs prevent treatment. The article titled “The Role of Boundaries in counselling” (AIPTC 2010) reviews the movement of boundaries in a therapeutic relationship. The article argues whether it is beneficial to the relationship between a practitioner and a client to move boundaries. It identifies the need to keep boundaries and relationships on a professional level and to take into account any ramifications of any boundary movements whilst also distinguishing the line between actions of friend and of a practitioner. The example used shows a practitioner visiting a client in hospital as a figure of support, not a token of friendship, which was quickly addressed in the clients next session. This example shows movement of a boundary that was beneficial to the client’s wellbeing and shows a commitment to the client’s treatment from the practitioner (AIPTC 2010) The second article (Zur 2004, pp. 27-32) discusses if crossing ... ... middle of paper ... ...ld also consider whether contact outside the office would be of any benefit to treatment, if not then he should consider whether they can continue their professional relationship and if he can provide Julia treatment without any judgements that could impair his ability to be unbiased. However, Julia’s feelings should also be taken into account, will she still be comfortable to move forward and remain being open and honest during consultations without feelings of awkwardness that may impair any information she will give to Michael. For the benefit of their professional relationship Michael should address his concerns quickly and to the point using compassion and respect to avoid any embarrassment to Julia. If the relationship and further treatment has been compromised then Michael should refer Julia on to other health practitioners with appropriate qualifications.
Sexual relationships with previous client, resident, patient, consumers are considered dual relationships and are addressed in Statement 6 (above). He might be falling for a client which may lead to a sexual relationship. For obvious reasons it will not be in the best interest of client in helping with their problems. Judgment, reasoning, and responsibility to his client is compromised.
She is walking through life as there is nothing wrong with anything ever, life is one big funny moment as she tells Pearl, “Quote”. Jenny never seemed to really deal with the fact that her second husband Sam left, she started taking it out on Becky, her daughter. Which is a lot like how Pearl abused Jenny as a child after Beck left. Jenny only knew how to take out her anger the way Pearl showed her. After though, she started going to the extreme of being oblivious to pain and suffering so she doesn’t have to deal with the feeling of sadness again. For Jenny, its one extreme to the next, as before her family it was with her looks. She was hardly eating thanks to Pearl’s comments about her weight and appearance. Just like Pearl, Jenny is also blind to family issues, choosing to believe she has a perfect American family instead of seeing how many problems they have. She is even blind to Slevin’s separation issues with his mother, he’s stealing random things that remind him of his her. Pearl and Jenny are the most similar in the family, with the way they have chosen to live their lives, which is why Jenny may be the most damaged and oblivious out of the Tull
Stickley, T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
The article “Managing boundaries under pressure: A qualitative study of therapists’ experiences of sexual attraction in therapy” states that throughout a lifetime of practice, many therapists don’t cross boundaries and the relationship is strictly professional. That leads to the questions about what strategies they use to help them during difficult situations where boundaries could be crosses. (Martin, Godfrey, Meekums, & Madill
Boundaries are established to protect the patient, the nurse, and the co-worker from over or under involvement in each other’s lives. Therapeutic care belongs in the middle of a continuum, deviation to either side skews the interpersonal boundaries established for “effectiveness and patient safety” (National Council of State Boards of Nursing, 2011). These boundaries are not just established for the benefit of the patient and the nurse, but for all of those in the workplace. Interpersonal boundaries should be respected by all employees. These boundaries include information regarding our personal lives, patient information not pertinent to those involved in their care, or allowing relationships to alter into forms that are inappropriate. What is important to remember about interpersonal boundaries, is that these boundaries are not just established for the benefit of the nurse-patient relationship, but for all employees of a business. Outside of a business, boundaries are established throughout different types of relationships. Maintaining boundaries keeps all people involved in everyday and workplace life safe and professional. This can be a confusing topic, trying to decide what is okay to disclose and what is not okay to disclose. The nurse a...
This was an act of kindness beyond anything I have seen. If you or me were in Ken’s situation, we would need someone to be there for us. Ken thought of himself last, and let his girlfriend leave him. The conflicting view of Ken’s battle to end his unhappiness is that of the doctors.
I find that Roger's theory to be interesting and seemingly affective. It makes sense that a change in a clients negative relationship patterns would allow freedom for the client to express themselves emotionally. According to Strupp (1971), “The client, therefore, is not a patient who is sick and who is in need o... ... middle of paper ... ...
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.
Stickley,T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
She has an emotional disorder that makes her choose the wrong people. She chooses to be with someone who doesn’t love her, and who will abuse her. She was abused as a child, and the audience can see that this created a downward spiral throughout her life. There are multiple times where she wishes to commit suicide, and allows herself to be brutalized by boyfriends. While there is no diagnosis I believe that she suffers from depression. While Forrest is choosing the right path, Jenny is choosing the wrong one.
could not withstand Michael’s living conditions, so she took him in because she wants to help
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.
Jenny was a really affable cheerleader at school; she had talked to Hannah before and was seen as a good person through her eyes, up until the “accident”. She had been to a party which affected her a lot and left her feeling completely helpless and she did not have the will to move; “I wanted to leave, but where would I go? I couldn’t go home. Not yet … Then a hand touched my shoulder. A gentle squeeze. It was Jenny Kurtz (240).” She was like an angel, rescuing her from a situation of distress; “Was it so obvious? Did I look that terrible? I looped my arm in hers and she helped me up. Which felt good, letting someone help me
In this part of the assignment, I will be reviewing the strengths and weaknesses that were shown when I was using counselling skills on my client. I believe that there were more strengths when I was showing counselling skills compared to the weaknesses that there were.
Each situation discussed in this paper provides opportunities for a counselor to explore how a dual relationship would impact the therapeutic relationship with clients and the overall well being of clients. Each ethical dilemma should be handled individually and with the support of a counselor’s supervisor while also taking into account laws or guidelines set forth by employers as decisions are made. As a new counselor I look forward to this decision making process and the personal growth I will experience and the clients I will benefit as a result of my ethical actions.