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Confidentiality of mental health professionals
Confidentiality of mental health professionals
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Application of Ethical Codes
The philosophies of the two organizations, American Counseling Association (ACA) and American Psychological Association (APA) are based on ethical codes that can protect and promotes the wellbeing of patients and protects psychotherapists from professional self-interests. Professional standards written by ACA and APA will hold psychotherapists accountable including, persons of influence, like the ethics committees, state licensing boards, civil and criminal courts (Pope and Vasquez, 1991). Conflicts of interest can impair and hinder effectiveness of performance with psychotherapists, including, over stepping boundaries and exploitation of therapeutic relationships (APA, 2017). APA (2017) states that exploitation
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will include: employees, patients, research participants and students furthermore, psychotherapists may not have multiple relationships, financial arrangements, bartering, sexual relationship or any intimacies with patients or relatives of patients, any former sexual partners or sexual intimacies with former patients. APA and ACA are two of the association that psychotherapists can turn to for help with facing an ethical dilemma. History of APA and ACA The American Psychological Association (APA) (2017) was created and first published during the post-World War II.
The reorganization of the APA was effective in 1945 with deliberations of the National Research Council (NRC) The American Association for Applied Psychology (AAAP) was a major force in representing the national psychology in created ethical codes (APA, Division Officer Handbook, 2017). The committee, with the guidance of NRC and APA-AAAP developed and created the Ethical Principles of Psychologist and the Code of conduct (APA, 2017). This document was created because there was a need for psychologists to have a documentation when there were taking more public and professional role (APA, Division Officers Handbook, 2017). The committee wrote the Ethics Code, which included an introduction, preamble and five inspiring principles that were enforceable by standards of ten documented guide for ethical decisions regarding research, education and treatment (APA, Division Officers Handbook, 2017). The Ethics Code was to provide psychologists a guide for different situations and themes and help them make ethical …show more content…
decision. The American Counseling Association (ACA,) was founded in 1952, but was called the American Personnel and guidance Association (APGA) until its named changed in 1992 to reflect the purpose and a common bond (ACA Milestone, 2017). The ACA (2017) was created by several organization coming together to provide a lager voice and guidance in the profession. The organization included the national Association of Guidance and Counselor Trainers (NAGT), National Vocational Guidance Association (NVGA), American college Personnel Association and the Student Personnel Association for Teacher Education (SPATE) (ACA Milestone, 2017). The ACA (2017) is a not-for-profit organization which helps psychotherapist professional with education, growth and enhancement in different practice settings. APA Ethical Principles Ethical principles of psychologists and the Code of Conduct were created by the American Psychological Association’s (APA’s). The APA Ethics Code includes general principles with ethical standards to provide general rules for situations that may arise for psychotherapist regarding patient’s welfare and security (Pope and Vasquez, 1991). The Code of Ethics is a tool that can be used in different situations to provide members with compliance and ethical standards throughout their careers. Psychotherapist are to maintain the rules of ethics and keep the course of action, however, Ethics Codes are not enforceable rules by the law. APA specifies different principles to promote competence, integrity, respect, concern and social responsibility (Pope and Vasquez, 1991). Competence, also known as bendficence and nonmaleficence suggest that psychologists or psychotherapists have high standards of competence that they must strive for and be able to recognize their limitations. The APA (2017) suggest that psychotherapist will also avoid any harm to those they work with, including misuse of influence. Integrity is another standard in the APA (2017) which includes being honest and accurate within the psychotherapist teaching and in their treatment. APA (2017) also suggest that misleading patients or making promises that cannot be kept is a form of dishonesty and can be ethically justified along with jeopardizing the treatment relationship. Respect is another standard in the APA (2017) which is for respecting the rights and dignity of patients, as well as the patient’s confidentiality, privacy, self-determinations and autonomy. Concern is for other’s welfare that psychologists are professionally responsible and who they interact with. The social responsibility is an obligation to be aware of the professional scientific ethics and responsibilities within the community and society. In other words, psychotherapists should be willing to make an effort with donating their skills and time to benefit the community. Psychotherapists are obligated to their profession to conduct themselves in a professional manner and uphold the ethical codes (APA Ethical Principles of Psychologists and Code of Conduct, 2017). Confidentiality Ethical issues that are important in a role as a leader who is providing clinical supervision should fully understand confidentiality and protect client’s rights. APA ethical standard number 4: (2017) Privacy and confidentiality proclaims that psychologists have an obligation to respect the privacy of clients and to take precautions to protect confidential information including self and any stored records. Danzinger and Welfel (2001) suggest there are limits of confidentiality which are relevant, foreseeable uses of information generated in daily activities. Some relationship may be contraindicated or not feasible to provide future services or consultation to provide better care (Danzinger, and Welfel, 2001). In one of the scenarios, that welfel (2005) provided discussed an ethical issue of confidentiality. In the case study there was a school counselor, who was well know and trusted by students, parents and teacher met with old friend from college for lunch to swap work stories in orders to work out frustrations and successes. One incident the school counselor was sharing a story, careful not to identify or disclose any information about the clients, and she was overheard by a person setting next to their table. This person was upset and expresses his disgusted toward her and mumbled about not trusting a marriage counselor with personal information or they would end up gossiping too (Welfel, 2005). Welfel (2005) suggest the counselor compromised the principles and values of their vocation and positioned by putting their personal needs in front of the wellbeing and dignity of the client. Psychotherapists are required to have a careful sense of balance with disclosure and it is their ethical obligation to protect the client’s confidentiality. In this scenario and others the public puts their trust in psychologists and counselors and expect higher standards. The public is to be able to trust them with confidentiality and it is essential for all providers to be clear on whether they will be releasing any information (Danzinger, and Welfel, 2001). The Ethics code states that only information that may be disclosed from psychotherapists is the minimum that is deem necessary to provide other services, or consultations, obtain payment for the service and they have a duty to protect the client and keep other from harming (Danzinger, and Welfel, 2001). Competent The other ethical issues that are important in a role as a leader who is providing clinical supervision should fully understand their competences. APA (2017) ethical standard number 2.01 Boundaries and Competence proclaim psychologist is only allowed to provide services based on their own training, experience, education and consultation of study. Kitchener (1984) gives three cases on ethical issues and one is on competent while a psychology student in their first year of school. The first year student decides to cheat on his final paper and the professor believes the student is under a lot of pressure to succeed. The professor has faith that the student has the capability to succeed with the academics and is faced with rather to expose him or not due to the student facing expulsion from the program (Kitchener, 1984). The professor also understand the responsibility to the public when the student is already showing signs of dishonesty, and lack of competences in his studies in times of stress. Kitchener (1984) explains the dilemma exists because the professor needs to make an ethical decision that is conflicting and incompatible course of action between potential harming patients in the future or harming the student in the here and now. Ethical decision are not always black or white there are grey areas like in the case. Kitchener (1984) proposes if the decision is based on morals and when justification fails there could be reasoning to evaluate decision making process that may be compromised. Kitchener (1984) suggest with the APA it is the psychologists responsibility to promote positive growth and principle of beneficence to fine the balance and not cause any harm but it is the moral dilemmas people seem to struggle with when making ethical decisions. American Counseling Association (ACA) and American Psychological Association (APA) are based on ethical codes that can protect and promotes the wellbeing of patients and protects psychotherapists from professional self-interests.
APA specifies different principles to promote competence, integrity, respect, concern and social responsibility (Pope and Vasquez, 1991). The Ethics code to practice is known by psychotherapists which clearly states that there is an obligation to uphold and maintain their competency. Psychotherapists are required to have a careful sense of balance with disclosure and it is their ethical obligation to protect the client’s confidentiality. There are times where difficulties arise and standards are not clear when practice can emerge in other areas and how one competencies is related to another (Gonsalvez, 2014). The Code of Ethics is a tool that can be used in the ACA and APA to provide members with compliance and ethical standards in the duration of their careers. APA ethical standard number 4: (2017) Privacy and confidentiality proclaims that psychologists have an obligation to respect the privacy of clients and to take precautions to protect confidential information including self and any stored records. Ethical decision are not always black or white there are grey areas like in the case. Kitchener (1984) acclaims if the decision is based on morals and when justification fails there could be reasoning to evaluate decision making process that may be
compromised. Kitchener (1984) suggest psychologists are responsibility to promote positive growth and principle that will fine the balance and not cause any harm.
It is important as a professional health care provider to have guidelines, regulations, and ethical standards to obey when providing care to the public. The ACA is to improve the quality of professional counselors in the community with education, knowledge, and guidelines by providing an ACA Code of Ethics standard when delivering treatment toward a clientele (American Counseling Association, 2015). One particular part of the ACA mission that is essential, is the ACA Code of Ethics. The purpose of the ACA Code of Ethics is a guide to ensure counselors in training and professional counselors understand the ethical obligations toward clients, possible grievances for conduct unbecoming, and professional responsibilities, which supports the ACA
American Counseling Association (2005). ACA Code of Ethics. Alexandria, VA: Author. - See more at: http://www.counseling.org/knowledge-center/ethics#sthash.13ImD8Lb.dpuf
The ACA Code of Ethics and the AACC Code of Ethics are both written for those involved in the field of counseling and helping others and are written with a central focus on the well being and protection of clients. The major difference leading to most other distinctions in these two codes is centered on the guiding principals and goals of each organization. The ACA code is written from a secular perspective with emphasis on human development and embracing diverse cultures, ideas, beliefs, and lifestyles while the AACC (2004) code is written from a biblical perspective with its primary goals being “to bring honor to Jesus Christ and his church, promote excellence in Christian Counseling, and bring unity to Christian counselors” (pg. 3). The AACC code is written with respect to much more specific beliefs and thus, in many areas, provides more specific ...
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
The ACA code of ethics “reflects the counseling profession’s understanding of changes in the role of the professional or changes in the society counselors serve” (Ponton & Duba, 2009, p. 119). The ACA code of ethics discusses many things counselors need to keep in mind when counseling an individual or a group. Some topics addressed are informed consent, confidentiality, and group work (ACA code of ethics, 2006, pp. 236-238). All three of these topics are all issues counselors will encounter in counseling a group or an individual.
Having a positive approach helps psychologists clarify what they value, contemplate how they must behave, and decide what institutes suitable professional demeanor. The significance of positive ethics supports psychologists and allows them to reach their utmost ethical principles instead of violating the rules. The American Psychological Association are the top procedures to monitor to help stay within the ethical guidelines which has recently had revisions in the year two thousand two. There are a number of ethical codes to consider as a forensic psychologist cannot have the unawareness of particular psychological information, absence of specific preparation in forensic, presumptuous the lawyer will offer the expert with the essential legal ethical and professional evidence, assuming diverse jurisdictions are comparable in laws, how the laws are applied and failure to recognize the sole matters related with privacy and privileged communications for the work in the forensic
The Code of Ethics is an important part of a Social Workers career, by giving them basic guidelines, principles, standards, and values/morals for which they should follow. By following these guidelines a Social Worker can keep their work at a professional level and learn to keep work out of a personal level. This Code of Ethics has been set forth by the National Association of Social Workers, and is mandated in the field of practice (NASW, 2008).
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.
In the case study of Gwen, there is one major problem presented. That problem is whether it is ethical for a supervisor to counsel his supervisee. I think that Gwen is going through the grieving process after learning about her mother’s condition and is in a vulnerable spot. She feels like she cannot continue her work with hospice patients because of personal feelings. Ken thinks that Gwen is a great therapist and does not want to see her give up. He also feels like he would be the most effective person to give Gwen counseling, because of their trusting relationship. I think that this would be a bad idea and could cross professional boundaries. The Ethical Guidelines for Counseling Supervisors strongly suggest against a supervisor entering in a psychotherapeutic relationship with supervisees. It is important to limit the possibilities of a dual relationship. Dual relationships can easily become unethical and present problems or possible harm to the client, which in this case is the supervisee. They can also create dependency or have unfavorable symbolic meanings. I also do not think it was a good idea that the counseling happened in the supervision sessions. This time should be spent on improving knowledge and helping clients. Spending most of the supervisor sessions working on personal problems could potentially harm the progress and well-being of the supervisee’s clients. My reaction to Ken blending the roles of supervisor and counselor is that it was not a good, professional, decision. He has entered a dual relationship with Gwen that could potentially cause harm to her or create a conflict of interest. Since Ken is Gwen’s supervisor, he has more power over the relationship than Gwen does. This power can easily be abused by Ken...
The primary weakness of the APA is that it only applies to professional conduct and not private life. According to Pipes, Holstein, and Aguirre (2005), "APA codes apply within their role as psychologists...they may, with impunity from the Code, demean individuals of a particular gender or a particular religion with whom they interact only on a personal basis" (p. 326). While the APA has enforceable standards, the preamble and general principles are aspirational and seek to create individuals whose professional character will successfully integrate into their personal lives. For example, Jenny 's consultation with Rhonda went from a professional consultation to a gossip session on other issues within organization; when they failed "to guard against personal, financial, social, organizational or political factors" (APA, 2010) that might influence their ability to objectively resolve the present ethical dilemma. While the APA provide ethical principles and a professional code of conduct provide a foundation for resolving ethical dilemmas, it is not exhaustive and individuals should seek and use other models to help them resolve their ethical dilemmas, such as the eight-step decision
Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be happening in a counseling setting and serves to inform the client to their rights, responsibilities, and what to expect. Most importantly, the informed consent is in place for the client’s benefit. It also is important to understand that culture and environment play a role in the treatment of a client and how theories can positively or negatively impact this treatment. Therapists need to understand how to work within the context of a theory while being able to understand the individual in their own environment. Although theories are put into place to serve as a framework, there are also alternative ways to approach counseling, one example being evidence-based practice. Such an approach is very specific, which presents a series of solutions for counseling as a whole, but also brings forth many problems. Every approach or theory introduces ethical concerns that need to be taken into consideration by the entire counseling community and how each can positively and negatively affect clients and the pr...
There five general principles of APA Ethical Principles; First principle is (a): Beneficence and Nonmaleficence, where a psychologist job is to protect those whom they serve and work with. A psychologist is responsible to protect the welfare and rights and safeguard those who they serve. They also protect other affected persons as well as the welfare of animal subjects to research. It is important that psychologists know that deception in a research can affect the public negatively, and this could be surface via social media and other organization in a negative way. These are issues that psychologist should be aware of as this could affect their own mental health and their ability to help the public.
Koocher, G. P., & Keith-Spiegel, P. (2008). Ethics in psychology and the mental health professions: Standards and cases (3rd ed.). New York: Oxford University Press
In reality this process if far more complicated. As Kimmel (1991) points out, despite the existing set of ethical standards there are individual differences in ethical decision-making among psychologists that result from cultural and personal characteristics, interests, and values. Differences in sex, age, training, experience, as well as differences in the area and type of employment influence ethical evaluations made by individual psychologists. While these biosocial and professional factors can be recognized and the role that they play in dealing with ethical dilemmas can be acknowledged, there is not only
American Psychiatric Association. (2010). Ethical principles of psychologists and code of conduct. American Psychological Association (APA), Retrieved from http://www.apa.org/ethics/code/index.aspx