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Dual relationships with clients strengths and weaknesses of the counselor
Nursing professional boundaries
Nursing professional boundaries
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Summary
This presentation teaches us about the problematic issues that may occur as a result of dual relationships with clients in current treatment, or those that have recently received services from the practicing professionals. Anytime the counselor, or client assumes the role of sharing responsibilities outside of counseling services, a dual relationship has formed. The presentation provides examples demonstrating the dangers that may occur as a result of bartering with a client, developing personal relationships outside of counseling, and the challenges that may occur as a result of a business relationship being developed.
The narrative teaches us that boundary crossing should only be used to aid the client. As with anything there are limits, and boundary crossing can become a violation. The presenters’ discussed how the misuse of authority in any capacity can result in harm to the client. These acts are
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Section A.5 entitled Prohibited Non-Counseling Roles and Relationships states, that any relationship that is not beneficial to the client shall be avoided at all cost. The guideline indicates that the counselor is only permitted to interact/ and or establish outside relationships after receiving a client’s consent, deeming that this/these relationships are needed, and appropriate in the therapeutic process.
Sections A.5 letters a, b, and c indicate that at no time during treatment are romantic relationships appropriate. However, if at any time a counselor/client decides to engage in a personal relationship, the relationship should not be established prior to termination. In addition to termination guidelines when considering the development of a relationship, there should be a five year waiting span between the client and counselor.
ACA
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
ACA Section C on professional responsibility informs counselors that their mission should be to promote changes in their clients’ lives, to in all improve their quality of life. However, through each process a counselor should not harm a client more than they were in the beginning. AAMFT does not speak on the duty of not harming the clients specifically. The AAMFT code of ethics Standard I Responsibility to clients does include sections on sexual intimacy with current or former clients, abuse of therapeutic relationships, and how it is prohibited, similarly to ACA section A.5.a. – A.5.c. AAMFT (2015 1.9) states that Marriage and family therapist continue therapeutic relationships only so long as it is reasonably clear that clients are benefiting from the relationship. The process of counseling involves intervening, reaching goals, or making changes, if a counselor is no longer fostering a positive and healthy relationship with the client then the relationship should be ended. f the counselor is no longer motivating their client or there is a lack initiative a counselor may refer their client to another appropriate therapeutic service. Comparably ACA and AAMFT both have an obligation to not abandon or neglect their clients. AAMFT 1.11 and ACA (2015 A.12) both states that counselors assist in making appropriate arrangements for the continuation of treatment for those
Outpatient rehab centers are on the rise because it is what most people with drug and alcohol problems are attending. The one problem with outpatient facilities is that they create the likelihood of dual relationships. A dual relationship is a situation where a counselor (usually in recovery) and client have more than one type of relationship. A good example of this is the counselor -- client relationship and the relationship they might possess in A.A. The difficult part for the drug therapist is knowing which hat to wear and
ACA Policies and Resolutions. (2004, October). Corrections Today, 66(6). Retrieved April 12, 2005, from EBSCOhost Web site: http://web9.epnet.com/citation.asp?tb
As a psychologist in a mental health profession, you should avoid conflicts of interest when providing any professional services to a client. Engaging in any activity with a client that makes the boundary between a provider and a client somewhat un...
The field of clinical mental health is one of great reward, but also one of grave responsibility. It is the duty of the counselor to provide the client with a safe environment and an open mind, in order to foster a healthy therapeutic relationship. The majority of mental health counselors would never intentionally harm their clients; however; good intentions are not enough to ensure that wrong will not occur. The ethical expectations and boundaries are regulated by both laws and professional codes. When discussing ethics, one must realize there are two categories, mandatory and aspirational. (Corey, Corey & Callanan, 2007)
The Affordable Care Act (ACA) is a federal that was signed into law by President Barack Obama on March 23, 2010 to systematically improve, reform, and structure the healthcare system. The ACA’s ultimate goal is to promote the health outcomes of an individual by reducing costs. Previously known as the Patient Protection and Affordable Care Act, the ACA was established in order to increase the superiority, accessibility, and affordability of health insurance. President Obama has indicated the ACA is fully paid for and by staying under the original $900 billion dollar budget; it will be able to provide around 94% of Americans with coverage. In addition, the ACA has implemented that implemented that insurance companies can no longer deny c...
...f dual relationship there was also a possibility of the client becoming dependant on the therapist which could be seen as unethical by the BACP (2010).
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.
Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by building a mutual relationship based on trust, understanding, and respect for the client.
Ruddy, N. B., Borresen, D. A., & Gunn Jr., W. B. (2008). Colocating with medical professionals: A new model of integrated care. In The collaborative psychotherapist: Creating reciprocal relationships with medical professionals (pp.115–133). Washington, DC: American Psychological Association.
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which includes the client’s attitudes, feelings, and emotions of the counseling session. We will next examine the propensity of the client to reveal or not reveal information to the counselor, and how transference, and counter-transference can have an effect on the counselor-client relationship.
According to Allison L. Kramer (2016) in her “Why we can’t be friends” article, researches have observed numerous relationships between psychotherapists and their present and/ or previous clients. Boundary issues have been studied in the world of ethics and dual-role relationships with current clients are ordinary for some practitioners in their daily practice. Meaning it isn’t rare to run into dual relationships in counseling. These relationships aren’t always negative nor avoidable states Kramer. The example she used for dual-role relationships being advantageous and unavoidable was a school guidance counselor having multiple roles in the school. The counselor could also be “a coach of a sports team, thus filling both a counselor and
Current research implies that an empathetic clinician-client relationship and interrelated ecosystems play the majority role in the success of therapy (Kilpatrick & Holland, 2009). The clinician’s ability to be present and actively perceive what the client is experiencing is of utmost importance in creating a therapeutic alliance. It is imperative that the clinician gains positive regard towards the client and their environment displaying honest acceptance towards the client no matter what issues are presented in session. This closely relates to a sincere presentation of genuineness that instills a feeling of honesty within the client and clinician (Kilpatrick & Holland, 2009). An experienced clinician builds upon the therapeutic
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...