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Ethical issues of confidentiality in counseling
Ethical issues of confidentiality in counseling
Confidentiality as an ethical issue in counselling
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Running head: TRANSFERENCE AND COUNTER-TRANSFERENCE
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TRANSFERENCE AND COUNTER-TRANSFERENCE
Transference and Counter-Transference
Harriet L. Wiley
Mississippi College
Abstract
Transference and counter-transference are natural behaviors. The literature under review has focused on the expression of counter-transference and transference in many ways. The value of recognizing both are acknowledged due to them being dually important by having positive and negative behaviors depending on the approach. The knowledge provided would help provide insight and comprehension reflected in the quality of care which the client receives. Both transference and counter-transference will be defined and explained for a better understanding,
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As a therapist, self-monitoring is a positive behavior that should be practiced daily during therapeutic session and not focus on past situations. Therapeutic responsibility for a therapist is to become so self-aware of personal behaviors or issues that counter-transference is not an issue. Therapists have to make therapeutic space for clients to assist them to react as they needed to help with their emotional distress as well. Recognizing counter-transference is excessive self-disclosure on the part of the therapist or inappropriate interest in irrelevant details from the life of the person in treatment (Gedo, 2013). If the therapist feeling toward the client that is being treated behavior is not appropriate or the treatment process is not effective, than the therapist is not managing counter-transference (Gedo, 2013). The therapist should be aware of possible signs. If the issue does not resolve, after knowing of the negative behavior the client may have to be …show more content…
A clinician should talk with a supervisor or mentor if they are insecure about concerns surrounding counter-transference as well as being open to counter-transference confrontations. Typically, a therapist’s supervisor can help with most counter-transference issues. A clinician should practice to control their behavior or pick up on triggers to have full control of their actions. But there will be times when it occurs and it must be stopped immediately. Some simple ways of managing counter-transference is proper training which means a therapist is very aware of countertransference and knows how to monitor and manage outrage impulses, that approach may come from school or observing a mentor; A second way is through experience, an experienced therapist knows how to catch a reaction from clients faster and able to use personal boundaries effective; also supervision, a therapist should always utilize their surroundings in getting that direct support, rather from a mentor or supervisor that will observe and monitor them on skill building (Prasko, Diveky, Grambal, Kamaradova, Mozny, Sigmundova, Slepecky, Vyskocilova,
Which theory, model of practice or frame of reference will you use with this client/patient and why?
Lastly, there is family therapy, and in my opinion the most important. This is essential for both the patient and members of their family to understand and learn how to cope with this behavior. This style of therapy will teach family members not to be co-dependent and allow the patient to take responsibility for their actions.
Common to all definitions of this construct is the belief that countertransference must be regulated or managed. If unregulated, a therapist's blind spots may limit his/her therapeutic effectiveness by allowing clients to touch the therapist's own unresolved areas, resulting in conflictual and irrational reactions. With greater awareness of the motivating forces behind one's own thoughts, feelings and behaviors, the therapist is less likely to distort the therapeutic relationship.
The therapist must be aware of individual values and beliefs in order to develop an understanding of why the client responds to certain life-stressors. For e...
Countertransference first introduced by Freud, “as a therapist’s unconscious reaction to a patient’s transference” (Dass-Brailsford, pg. 293, 2007). This concept has since become known as a normal emotional reaction to a client. This reaction that comes from the therapist is a resolved or unresolved conflict within the therapist (Dass-Brailsford, 2007). This has nothing to do with the client but something the client said or did triggered the therapist. If this goes unnoticed, it can be detrimental to the client’s recovery. The therapist may begin to overidentify with the client and lose their sense of hope (Dass-Brailsford, 2007).
Diagnosing a patient with a personality disorders where often evaluations done by a clinician. The clinician would listen to the importance of interpersonal experiences and observing the patients behavior in a consulting room (Westen, 2001). This was normally done in one session, if the patient informed the clinician of harming himself. The clinician would diagnose the patient as a borderline personality disorders.
Cournoyer (2014) holds that if a social worker is self-aware, then he or she can ensure that one’s personal issues and biases remain personal in a professional setting. I scored high on the self-control measure, which indicates that I can manage my thoughts, feelings, and behaviors such that I can simultaneously acknowledge their existence, understand how they might impact my client, and decide how I should react based on my client’s best interests. However, in situations that are emotionally arousing, it is difficult for me to consider other’s thoughts and feelings because when my emotions are raging a disconnect occurs between my intellect and emotions, which in turn produces a narrowed, one-sided perspective. To counteract this tendency, I will practice relaxation techniques such as deep breathing exercises when working with clients to ensure my focus remains on the
Transference and counter transference is one of most important aspects of treatment between patient and practitioner. In a clinical setting we do not always have the opportunity to have consecutive treatments with the same patient and as a result may not be able to acknowledge or notice these occurrences. It is not often that I have the opportunity to see a patient on a regular basis or even twice for that matter. As a result, it is not possible for me to notice or recognize any transference that the patient my have towards me. At times however, I clearly know the impose counter-transference & boundaries issues which patient and I experience.
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
I have developed a newfound confidence in myself that kills and professional competency. My interactions with patients and assertiveness in myself and to carry out a professional discussion and interventions. enhanced not only his communicative skills but as well as immediate reporting, analytical skills and extensive knowledge of the internal and external workplace. Further, becoming involved with committees helped him understand policy and the external situation, as well as government, councils, and regulation, and the way in which to administer the protocols around the plant and people. I have developed a successful rapport with patients, staff and external personnel. I once carried this apprehension and nervousness in patient interactions,
One theme of the book that stands out is the counselor as a person and a professional. It is impossible to completely separate one’s personal and professional lives. Each person brings to the table certain characteristics of themselves and this could include such things as values, personality traits and experiences. A great point that Corey, Corey, and Callahan (2010) make is to seek personal therapy. Talking with colleagues or a therapist will keep counselors on their toes and allow them to work out any issues that may arise. This could also prevent counselors from getting into a bad situation. Another good point made in this book was counter transference. Therapists are going to have an opinion and some reactions are going to show through. It is not easy to hide one’s emotions, but a good therapist will keep the objective in sight and keep moving forward. After all, the help counselors are providing is for the client.
The second stage in the psychodynamic therapy process is, the transference stage. In this stage the development of treatment is set and now it is the patient’s time to let their feelings out. The patient expresses those feelings, emotions, fears, and desires to the therapist without having to worry about censorship. The feelings and behavior of the patient become more pronounced and become a vital part of the treatment itself. During this stage the therapist could experience and better understand of the patient’s past and how it impacted their behavior in the
As a result if these ethics codes are not followed, legal action can be brought up against this counselor. Committing to clients is the first code of ethics which includes: “Primary Responsibility, Confidentiality, Dual/multiple relationships, Exploitive relationships, and counseling environments. “ Mental health counselors value objectivity and integrity in their commitment to understanding human behavior and they maintain the highest standards in providing mental health counseling services” ( https://amhca.site-ym.com/page/codeofethics). Establishing a relationship with the client opens up the floor in which she or he will be honest. S/he will be comfortable with speaking about the problem. The honesty of the client gives the counselor an ideal start of how the problem began. Under Ethic code C Assessment and diagnosis: Competent “Mental health counselors employ only
There is a difference between the OT intervention practice and receiving help from a psychologist from rehab. This can cause aggressive behavior and irresponsible conduct. The danger to either the OT practitioner or the client will need back up and ask for help from other practitioners in case anything dramatic happens. They come together as a team to treat the client (Harvey, 2010).
There are few circumstances counselors have to oblige when dealing issues from clients. Counselors have to be trustworthy; this is a fundamental to understanding and solving issues. Counselors have to keep information gathered confidential and restrict any disclosure of information to anybody. Clients voluntarily seek help to counselors for therapy or any kind of help they need. Hence as a counselor it is important to respect their clients’ self-government and ensure precision in information given. Commitment of a counselor plays a big role in a therapy. It is not ethical for a counselor to neglect a client such that the client’s well being is not taken care of. It is also important for counselors to have a fair treatment with all their clients. No matter how each client will be, there must not be any form of judgment, which will cause any form of unfair