This writer did an interview with a supervisor from Consejo Counseling and Referral Services. For confidentiality, the supervisor will be called Olive throughout the paper. Olive has been doing counseling for eleven years. During the interview, Olive shared with this writer an ethical dilemma that she experienced while working at Consejo. The client with which Olive faced the ethical dilemma will be called Popeye. Popeye is a Mexican adult male. Popeye is an illegal immigrant who came to the United States a couple of years ago. While living in the United States, Popeye was physically assaulted in one occasion. During the assault, Popeye had a head injury. This head injury affected Popeye’s ability to retain memories. Popeye had a brain injury …show more content…
Olive’s treatment was not providing beneficence to Popeye. Beneficence is to do good for others and promoting the well-being of clients (Corey et al., 2011, p. 18). Olive was causing harm to Popeye because working with brain injured clients was not her area of expertise. Popeye was not capable of retaining the progress of the …show more content…
In regards of allowing Popeye to authorize the release of information, this writer believes that Popeye could have been allowed to authorize the sharing of confidential information with his lawyer. Sharing confidential information with his lawyer would have helped Popeye to get his U-Visa. Popeye gaining his U-Visa was for the beneficence of Popeye. Beneficence is the moral principle that therapist have to act to help and advocate for their clients’ well-being (Corey et al., 2011, p. 18). Not helping Popeye to get his visa was not beneficial for the client. Based on the ACA ethical code B.2.e. Minimal Disclosure, the therapist could have shared only essential information with the lawyer without needing a release of information form to be signed.
In regards of referring Popeye out, this writer believes that Olive made a good decision. However, Olive should have not ended services with Popeye. Olive could have helped Popeye with her expertise to overcome his trauma. The therapist that works with brain injury might not focus on the trauma, but rather on the injury. Thus, Olive could have built an alliance to coordinate care for Popeye. Coordinating care with the brain injury specialist can be the most beneficial treatment for Popeye because he would
In conclusion, “Left Neglected” truly helps one understand the importance of the brain and the massive effects that injuring it can have. An injury itself is life threatening, a recovery may not even occur. Huge life adjustments may need to be made. The brain is the life force for any living animal, and it is important to realize that further understanding the areas of the brain and how they are interconnected in forming the reality in which every human being can see can only help solve problems for people like Sarah Nickerson. For the time being, the first step we can take is prevention and maybe driving a little slower to work when we are on the freeway.
The therapist Stephanie has had the liberty to have a few sessions with her client, Martha Rose. The client is an elderly Caucasian female, age 70 whom was recently diagnosed with early onset Amyotrophic lateral sclerosis. She is a widow who lives alone and has retired as a Navy nurse. Her source of income is from a neighbor, JoAnn, age 67; whom she helps care for. Martha also has two children, Jennie age 45 and Thomas age 42. Both of her children are currently in the military and are station overseas and have children of their own. Martha Rose has very little contact with her 2 children and 4 grandchildren; only able to see them about once a year. The commonly used form of communication is via email, on average once weekly. The last visit from Martha’s children Jennie and Thomas has been about 20 months ago.
Group counseling is a viable new option emerging in the school setting. It can be effective and cost-effective for the schooling system by addressing a larger number of students and can be used to address a multitude of topics that children often face. One benefit of group counseling in the school setting is that it teaches children important socializing skills with their peers, as students often learn best from each other (Pérusse, 2009). It provides support, assists with emotional and problem-solving skills, and empowers children to be help each other as well as receive help from their peers (Thompson, 2012). The group setting may be perceived as less threatening, it helps bridge the gap in trust for children by providing a safe environment in which children can connect with others, and it allows for interactions that builds on social skills and the development of empathy for others (Thompson, 2012).
In the film Antwone Fisher (2002), we witness the evolving therapeutic relationship of a psychiatrist, Dr. Jerome Davenport, and his client, Antwone Fisher. As a member of the military, Antwone is mandated to report to therapy sessions with Dr. Davenport after an altercation with a fellow serviceman. The relationship between Antwone and Dr. Davenport evolves beyond their mandated sessions and allows for the exploration of personal issues for both individuals. As a result of this, many ethical dilemmas occur that force Dr. Davenport to make decisions both in line with and against various principle ethics.
Peter Daves a Neuroscientist from Feinstein Institute, presents the negotiating opposing view by presenting questions that are needing to be found such as “How many brain traumas do you need to get CTE, is this something everyone will get if they have enough brain traumas”(Ph. D. Daves) these questions bring up the need to find answers on to when or how many tackles it can take to create a brain trauma or CTE. Frontline’s choice to add his questioning created a topic of discussion for the film. It allows the viewer to reflect and think about if it is worth letting their son play in the risk of not knowing the answer to his questions. By having the opposing view question M.D. Ann Mckee’s helps the argument become stronger because it creates the “what if” scenario for the viewer, questioning if it is worth putting their son in danger if all the risk are
Ethics is important for both group and individual counseling, especially group counseling. Both are beneficial; however, group counseling allows a counselor to work with a small-to-medium size group of people who share similar struggles. Members have the ability to learn from one another. Ethics in group counseling is crucial because the counselor or group leader is not only responsible for one person’s personal struggles, but the struggles of multiple people within the group. Counselors and group leaders must emphasize confidentiality in group counseling sessions, unless what a person is sharing is a danger to themselves or others, or against the law. Group counseling has many positives; however, it is important
In the article “Wounds That Time Alone Can’t Heal “by Jane E. Brody, the author addresses the psychological disorders veterans face after returning from war and the ways in which they could be treated from these disorders. The author starts her article by asking a bunch of rhetoric questions directed at the reader in which she answers later in the article by mentioning the fate of veterans returning from war. Afterwards, the author discusses the emotional wounds that veterans experience and time cannot heal. Veterans experience moral injury, which unlike PTSD (Post-Traumatic Stress disorder) is not recognized as a psychiatric disorder but has equal or worse harmful effects. Moral injury makes people more inclined to harm themselves and become
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 social work practice, social workers should abide by and respect the protocol of their particular organization. The first ethical standard I would like to discuss is that a social worker having cultural competence and social (NASW, 1999). A social worker must possess the knowledge of values, customs, tradition and history just to name a few in order to have success with clients that may identify as something other than their own identity. Culture directs impacts human behavior. Within this case study, due to Mrs. Sanchez’s culture, she struggled to assimilate with the American culture and this included her being able to learn the English language. Her culture was very important to her and I respect that. As a social worker, I would have
However, there are some cases that professionals have to rely on the Law. The Law is different from moral principles and Code of Ethics and its focus is on the legal perspective to protect the professional. The Law is defined by Remley and Herlihy (2010) as “general or specific regarding both what is required and what is allowed of individuals who from a governmental entity” (p.4). One major example is the Tarasoff and the Duty to Protect which is a law that was created after the case that happened with a university student, Tatiana Tarasoff and her boyfriend. Tarasoff’s parents sue the psychotherapists alleging that the professionals should have warned the student. Because of this case, the law raised a major concern that the confidentiality that professionals should follow according to the ACA and AMHCA Code of Ethics has to be broken when there is an issue that can affect a third party in the situation. Like the AMHCA refers to confidentiality as “a right granted to all clients of mental health counseling services. From the onset of the counseling relationship, mental health counselors inform clients of these rights inclu...
As Guttmann (2013) observed, it would be reasonable to consider the case as posing an ethical dilemma considering the potential effects that the two alternatives have and this applies in relation to Jordan’s professional behavior. Upon self-examination, Jordan can refuse to continue treating Bruce and request another counsellor to work on Bruce. However, considering Jordan has been the most respected, admired and experienced at the center, such a decision may end up damaging his reputation that has taken him time to develop within the practice. On the other hand, if Jordan were to consider continuing with Bruce’s treatment, this put him at the danger of compromised decision making, which can also damage his reputation within the counselling
The ethical issues that I have observed or encountered was when one of my clients was
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...
Working with clients can present a diverse collection of ethical issues. However when you are a rehabilitation counselor working with clients the ethical issues could be immensely challenging when you are trying your best to assist the client. In this specific can based on a client named Bill there are several ethical issues are prominent throughout, however it is clear that several of ethical issues do conflict with each other. In addition, in knowing that that is several of ethical issues do conflict with each other the way to handle the situation with Bill can be extremely daunting nonetheless it can be handled in a simplistic manner. Furthermore handling this client will from time to time need use life experiences instead of using the CRCC
In this case, the psychologist is presented with several ethical issues which could cause harm to the client. The first ethical issue that arose in this case is the potential for a role conflict. The psychologist and Mr. Hartwig had contact prior to the development of a therapeutic relationship when the psychologist bought a car from Mr. Hartwig. It may not be enough that the brief, informal relationship ended. The psychologist must assess the dimensions of the previous relationship from the viewpoint of the client as well as his/her own personal feelings (Koocher & Keith-Spiegel, 2008). For example, the client could feel that he gave the psychologist a good deal and that the psychologist was indebted to him. This could leave the psychologist vulnerable to being manipulated by the client. Or, what if the car broke down? This could leave the psychologist feeling cheated and resulted in hostile feelings toward the client. The psychologist has an ethical responsibility to examine both relationships for role incompatibility prior to forming a therapeutic relationship. The psychologist seemed to be aware that there was the potential role conflict resulting from their initial meeting, and he acted ethically by attempting to refer Mr. Hartwig to a Psychology Registry.