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Role of client in therapy
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Dual relationships are common yet unethical in psychology. The professional plays a huge role on whether the dual relationships gets established between both themselves and the client. Although there have been cases where the client initiates and tries to take the relationship to the next level, it is ultimately the professionals decision to continue such act knowing that it is unethical of them to do so and is essentially hurting the counseling sessions for the client. Pope (1991) states that a dual relationship is when the therapist is in another significantly different relationship with their client. There a various type of “second roles” that could play in perspective with the client, some being, professional, financial or social. An …show more content…
In this matter, we will label all categories into two broad categories, sexual or non-sexual relationship. An example of a multiple role relationship would be if you lived in a small community and you happened to take on a client who is owner of the pet grooming salon you bring your dog to. Not only is he the owner of the pet salon but he is also the priest at your local church. You both eventually decide to become business partners at this grooming salon. This resulting in an ethical conflict to arise. In this case, they are now connected on another level, more than just client and therapist. By not mixing your work life with your social life as well as entering a business with them, you will avoid any ethical issues to …show more content…
In my first example regarding a dual relationship, under the APA Code of Ethics we may be violating the Code of Conduct 2.06: Competence Personal Problems and Conflicts. Since taking your niece as a client, you as the professional know how dangerous this may be to have your work and family/personal issues mix together. The APA states under 2.06 Code of Conduct that psychologists should ultimately refrain from an activity that they know will collide with personal issues. (American Psychological Association, 2017) By avoiding taking on family members as a client you would then avoid ethical violations by the APA. In the lens of the APA Code of Conducts 3.05 conflict of interest outlines that the professional should refrain from entering multiple relationships with the clients since it will ultimately harm their therapy
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
Chemical Dependency counselors have quite a few ethical dilemmas to deal with. Therapists that are in recovery may confront some even more complex dilemmas, opposed to those who are not. There is a high percentage of addiction counselors that are in recovery. In fact, 55% of 36,000 members of the National Association of Alcohol and Drug Addiction Counselors (NAADAC) are recovering alcoholics and 21% are recovering from some other chemical dependency. This brings up two sides to counselors in recovery. "There is something about the personal experience that assists counselors to being especially attentive to the needs of the recovering client." On the other hand, counselors bringing personal experience with them are likely to raise personal/professional boundary violations. Two specific dilemmas that recovering counselors may run into are dual relationships and self-disclosure.
A counselor should always keep their thoughts to themselves and remain open-minded about the situation. The only time a counselor should share their thoughts is if it helps the client with their situation that they are dealing with. “Counselors must practice only within the boundaries of their competence (Standard C.2.a.), and, if they “determine an inability to be of professional assistance to clients” (Standard A.11.b.), they should facilitate a referral to another provider. (Kocet, M. M., & Herlihy, B. J. (2014). Addressing Value-Based Conflicts Within the Counseling Relationship: A Decision-Making Model. Journal Of Counseling & Development, 92(2), 180-186 7p. doi: 10.1002/j.1556-6676.2014.00146.x).” Keeping your thoughts to yourself is
...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.
A situation from my practicum where I may experience an ethical dilemma is if I needed to visit a patient I knew. If a patient was identified as potentially having social work needs and I knew them personally it may be uncomfortable for them to discuss sensitive issues, especially if I wasn’t aware of the issues prior to reading their medical history. The patient may not be as honest with me because they wouldn’t want an acquaintance to know about sensitive subjects they are experiencing. The agency requires a social worker to visit patients that lack support, are low-income, have a history of substance use, or a mental illness. Visiting these patients is consistent with the social worker’s responsibility to clients.
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
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
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 ... ...
According to The American Psychological Association's (APA) Ethical Principles of Psychologists and Code of Conduct, psychologists must comply with the standards of the APA Ethics Code as well as the rules and procedures used to carry them out. Having a lack of understanding of the ethical standards is not an acceptable cause to operate in an unethical manner. Furthermore, even though a specific regimen is not mentioned within the APA guidelines this does not exempt an unjust behavior (American Psychological Association [APA], 2010). The same rules apply to Dr. Betsy Jones, a small-town practicing psychologist unsure as to whether her actions would be considered ethical, so she reaches out to a professional colleague for guidance.
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
According to Syne (2006), a dual relationship occurs when people take on multiple roles in their relationships with other people. While dual relationships exists in many different aspects of our society, dual relationships between a client and counselor bring a host of challenges and opportunities for the client and counselor from an ethical standpoint. Nigro and Uhlemann (2004) explain that because of the challenges presented by dual relationships, many counselors work to avoid and prohibit them. But from an ethical standpoint, such relationships do not always negatively impact clients. As a result, dual relationships tend to be one of the top ethical dilemmas reported by therapists.
I chose two standards from the National Association of Social Worker’s Code of Ethics (2007) that would be most beneficial to uphold while providing services to this family, self-determination and conflicts of interest. The value of self-determination (1.02) explains that the social worker must assist the client in identifying and clarifying their own goals. The Doe family took the first step in reaching out for assistance because they are aware that they have problems that need to be addressed. And most likely, if supported properly, they have an idea of where they would like to end up. As a social worker, I cannot expect to step into a family situation and be the expert of their current issues. I should, however, have the knowledge and expertise to properly support and empower them towards positive change. The value of conflicts of interest (1.06) states that when providing services to two or more people who share a relationship with each other, the social worker must identify which of the individuals are the clients. Once identified, the social worker must explain this to all of the parties and include information on the specific professional obligations that will be maintained with each of the parties. As the social worker, I would identify and work with Jane as the client...
Dr.Lightfoot ethical alternatives for resolving this case are accepting Allison as a client or declining Allison as a client. The best alternative is to decline Allison as a client but refer her to another psychologist because of the possible dual relationship. Utilitarian theory guided me in my decision.
It is necessary to point out that not all dual relationships can be avoided. They live in a small town, and it is possible that this psychologist was the most qualified to help treat job related stress. The psychologist should have then consulted the appropriate APA guideline which states “multiple relationships that would not reasonably be expected to cause impairment or risk exploitation or harm are not unethical” (APA, 2010). Given this ethical guidelin...