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Clinician to client relationship
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I choose to complete my second reflection paper on chapter three: Boundary Crossing in Clinical Practice.
The author starts the chapter first by mentioning seeing professionals having sexual encounters with their clients. She found it hard to understand how a professional could participate in such acts. As the author began to look at boundary she began to see she was also guilty not as heinous as some of her fellow colleagues by participating in sexual acts but unintentionally crossing certain boundaries that she was unaware to her. An example can be crossing her legs in front of a client, having contact after hours, seeing a patient for longer periods or after hours. A Boundary is defined as a line that marks the limit of an area. Boundary
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Boundary violations is when a boundary is crossed, not well thought out and may have negative and long term consequences. An example can be a therapist sharing their religious beliefs with a client who also have the same beliefs versus a therapist sharing their religious beliefs with an atheist.
The author also mentions overtime most professionals who engage in sexual relations with patients or colleagues started out as a small boundary and ended in full sexual relationship. This is an example slippery slope. Slippery slope which is describe as crossing a small boundary with no negative consequences but can make it easier for a therapist to engage in boundary violations. Serval authors argue that this method could also be positive if applied on a profession positive matter following all agency policies.
Patients’ have boundaries as well as the professionals. They also have rule and regulation to abide by. Examples may be is to be respectful to other clients and staff. Just as you teach your clients how you want to be treated, you should also provide the same respect you are asking them to give you. All relationships are based on give and take, so by clear communication and compromise, patients and clients can build healthy and reciprocal
Throughout the second half of this semester, dual relationships have been emphasized as one of the most frequently encountered ethical dilemmas faced by behavior analysts in the field today. According to the class lectures, assigned text, and other articles that we have read, this is due to the fact that we interact with our clients and those caring for them in their natural settings. As a result, those we provide services to, and interact with, are in the places in which they feel the most comfortable, their homes or regular classrooms. This is in stark contrast to a formal office setting, which projects an atmosphere with both expected standards of acceptable behavior, and clear boundaries between client and the service provider. In an effort
According to Provision 1, “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others
Especially, in small communities where it is more common for psychologists to interact with clients and/or patients on a regular basis, such as social events, personal engagements, restaurants, grocery stores, shopping centers, and/or church outside of the workplace (Knapp, Handelsman, Gottlieb, & VandeCreek,, 2013; Pipes, Holstein, & Aguirre, 2005; & Schank, Helbok, Haldeman, & Gallardo, 2010), where the line between professional conduct, personal values, biases, and beliefs blur. It is at these times the aspirational principles of the APA, such as beneficence and nonmaleficence, fidelity and responsibility, integrity, justice, and respect for people 's rights and dignity can provide guidance and remind psychologists of the necessity of upholding professional codes of conduct regardless of situation (APA, 2010; Fisher, 2013). Discriminatory remarks and prejudicial views on an individual 's gender, sexual orientation, language barrier, or political views can harm current clients and patients as well as prevent potential clients and patients for seeking services and/or treatment from psychologists in the future harming the profession. Additionally, as psychologists the need to understand an individual 's multicultural identities as an essential part in providing services and treatment and failure to recognize and understand these similarities and
Contrary to the IMED seven steps’ model, Making Decisions Involving Boundaries model has nine steps. The nine steps are helpful to counselors to decide when crossing boundaries are going to be helpful or harmful. The first step is to consider possible outcomes of crossing boundaries, will it be the best or worst possible outcome. The second step is to consider research and publications about the topic, if needed, the counselor should consult with colleagues. Third, regard the knowledge of colleagues, it will help to stay focus on boundary crossing regarding ethic codes, legislation, case law, and other resources. Fourth, identify a colleague for honest feedback on boundary crossing questions. Fifth, pay attention to uneasy feelings, doubts,
Respect “I believe letting the client know that even if you don’t have the particular difference of race, physical, or mental health issues that as a counselor you are willing to work with them for the best possible outcome.” (B. Schauland, personal communication, November 11, 2015)
This may make them feel more comfortable and less embarrassed. Dignity and respect for patients is important in adult nursing because without it, it dehumanises them, and creates opportunities for abuse and ill treatment to occur. Lack of dignity and respect can also cause emotional problems for patients, as they are already in a vulnerable state. Lack of respect and dignity can: • make them feel unworthy, • make it hard for them to trust health professionals, • Lead to patients feeling depressed. Competence Another principle of patient centred care is competence.
The purpose of this essay is to reflect and critically study an incident in a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The significance of critical analysis and critical incidents will briefly be discussed, followed by the process of reflection using the chosen model. The incident will then be described and analysed and the people involved introduced. The names of the people involved have been changed to protect their privacy and I will examine issues raised in light of the recent literature relating to the incident.
I believe that we should always think of others needs and do no harm to others even if they have harmed you in some way. I treat others the way that I would want them to treat me and I expect that others will treat me the same way. I understand that not everyone feels the same as I do and that I cannot control the way that others decide to treat me. I show compassion for everyone I come in contact with and I treat every patient the same way despite the fact that they may be unruly or even try to hurt me. I have accepted the fact that there are some people out there who will try to hurt me despite the fact that all I want to do is help them. I feel that everyone in the health care profession should feel the same way as I do and try to keep themselves from losing their mercy that they show towards others. After being in the health care field for so long, many people stop caring for others and become detached from the patients. I agree that we cannot take every case personally but we still need to retain our humanity and continue to show compassion to fellow
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
Nurses must have a professional relationship with all types of people. The nurse must be a professional with their coworkers, superiors, and patients. The most important relationship is with the patient; if a professional relationship does not exist with them, the nurse as well as the organization will get a bad reputation. This in turn will ruin our professional relationship with our coworkers and superiors and will eventually cost that person a
Karis Meyer Ethics Essay Karis Meyer Northcentral University Karis Meyer Ethics Essay The following reflection is based on the scenario in which I find a client attractive and repeatedly have intimate thoughts about him. While I have been successful at pushing those thoughts away, one day the client discloses to me that he thinks about me a lot outside of sessions and wonders if the two of us may be able to start seeing each other socially. There are multiple ethical aspects within the American Association for Marriage and Family
Sexual relationships between counselors and clients should never ben permitted due to the power associated with the counselor’s role with clients. While ethical guidelines vary between different counseling associations as to whether it is acceptable for counselors to have sexual relationships with clients after the professional relationship has ended, in many cases these relationships continue to be prohibited. This standard is held because some believe that the powe...
I think it is important that I clarify my own values to ensure that my care is client-centered. Self- reflection during care is also fundamental as it makes me aware of my actions and whether they are establishing a therapeutic relationship or doing the opposite.. Finally, I need to learn to be more empathetic towards my patient’s situations by being interactive, gaining insight and avoid being focused on the task and more on being with the situation. Some things that I will preserve are attentively listening, demonstrating attending behaviours and maintaining my patient’s dignity by ensuring privacy and
I find myself putting too much energy into each individual I meet and sometimes I have their problems affect my day life. To be able to overcome these boundary issues, I will establish clear boundaries with my client. Then after theses boundaries are established, I will make sure that after work I focus on needs that I have instead of my clients. These two strategies will allow me to keep my professional boundaries without offending my clients. My professional boundaries will be able to happen between my clients and myself if I am able to have my clients understand what they are and if I take care of
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.