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Conflict perspective in healthcare
Conflict resolution in the health care environment
Conflict perspective in healthcare
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PORCHÉ FINAL EXAM Case I Boundaries Violation Dual Relationships Boundaries violation accrues when a client has developed a dependent relationship with therapist and a therapist will not refer out, which means that the therapist has loyalty to do no harm upon clients (Welfel, 2013/2010). Undue influence (Conflictual dual relationships) according to Colorado Association of Psychotherapist (2011): Therapist shall not enter into a therapeutic relationship with a client where there is undue influence to the detriment of the client or where there is a risk of exploitation or impaired judgment by the therapist. Therapist shall be especially sensitive to conflicts of interest that may arise from dual relationships during or immediately before or after a therapeutic relationship (p. 4) APA implies (2010) (sec. 10.10), ending or referring patients are based on when treatment has successfully resolved a client’s problem. In this dilemma the patient dependency lies on Howard, he believes that, “if she needs it, she gets it,” but he is causing harm to the patient referring is necessary at thi...
According to Guideline 1.06 (a) In many communities and situations, it may not be feasible or reasonable for behavior analysts to avoid social or other non-professional contacts with persons such as clients, students, supervisees, or research participants. Behavior analysts must always be sensitive to the potential harmful effects of other contacts on their work and on those persons with whom they deal (Bailey & Burch, 2011, p. 65) A situation in which a behavior analyst faced the possible development of a dual relationship will be presented, as well as the steps that were taken in an attempt to avoid it. Guideline 1.0 Responsible Conduct of A Behavior Analyst states that the behavior analyst maintains the high standards of professional behavior of the professional organization. In our assigned text, Bailey and Burch specify that you should strive to avoid social contacts with your clients because it might interfere with your objectivity as a behavior analyst (2011) in regard to Guideline 1.06 Dual Relationships and Conflicts of
Counselor should never have a dual relationship with a client it can bring a lot of ethics issue that affect the client and counselor. According to ACA "A.6.b. Extending Counseling Boundaries Counselors consider the risks and bene ts of extending current counsel- ing relationships beyond conventional parameters. Examples include attend- ing a client’s formal ceremony (e.g., a wedding/commitment ceremony or graduation), purchasing a service or product provided by a client (excepting unrestricted bartering), and visiting a cli- ent’s ill family member in the hospital. In extending these boundaries, counselors take appropriate professional precau- tions such as informed consent, consul- tation, supervision, and documentation to ensure that judgment
Over the course of their therapeutic relationship, Dr. Davenport violates client confidentiality as it is described by the American Counseling
So your opinions on the topic may or may not help out the situation and also in some unfortunate cases can send the client into a ‘downward spiral’. By expressing your ethical issues on the topic to your client you may trigger unwanted emotions. These unwanted emotions can drive the client to hurt themselves or even make the client take legal actions towards the counselor. Ways to prevent this from happening is learning your own self-control and what your limits are when its comes to dealing the client. “You want to consider the best action that will protect your client’s needs, but you also want to ask yourself: What is the best action to protect the profession and myself? (Berton, J. D. (2014). Make the Rule to Break the Rule: Setting Your Ethical Standards. Counselor: The Magazine For Addiction Professionals, 15(5), 10-12
Still, major concern with boundary crossing in treatment is the potential, differential between therapists, and clients and how therapists may use or abuse the power. Therapist are hired for their professional expertise, which consequently gives them an expert- based power over their clients (Zur, 2007, p. 47). Husted could have asked herself should I cross this boundary (i.e., is it ethical to keep a “secret” of into a relationship with a client) or what are the opportunities plus advantages of carrying out rather not carrying out the sexual performance (risk of either accepting or rejecting of the client).
...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).
“Dual or multiple relationships” is a second relationship that arises between two individuals who are currently or were previously relating with each other in a professional social worker to client manner. In my understanding, it is a relationship that is outside what is intended, and goes beyond to break professional boundaries that formerly existed between two people who may have same or different professionals. In view of the ethical values, dual relationship includes factors such as; bartering for goods and, or services; providing therapy to a relative or a relative of a friend; socializing with clients; and lastly, becoming emotionally attached to or involved with the client or former client
A friendship isn’t a “task or goal to complete, it’s a need that people have for companionship and can last a life time” (Mandell & Schram, pg. 107). As seen in the table below the therapist and client would “negotiate a contract in which the tasks and goals are spelled out” (Mandell & Schram, pg. 108). Table 2 is an example of a dialog of a
...confidential information is shared without their permission, this situation can be detrimental to the client. The client may stop treatment or be passive-aggressive towards the therapist by being late of cancelling appointments with the clinician.
Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.
An example of this would be a therapist and a client living in the same community. This type of multiple relationship between a therapist and client can be somewhat unavoidable at times. Mostly for the fact that it can unavoidable because of the small living areas, this can be areas where most individuals in a community know each other due to small living situations (Zur, 2015). The issue that can arise with this is that there can be confidentiality issues, because if individuals know each other in a community it can be challenging to keep information away from others. An example of that would be the therapist has a client that works as a grocery store cashier in the community. If the therapist goes into the store and speaks with the client/cashier there could be issues where the client may speak with the therapist as if they are in the office, or others in the store may wonder how the cashier knows that therapist/individual. Multiple relationships can be avoidable but at times it can be unavoidable due to these small living situations and even being in a small town with everyone knowing each other. With this type of communal multiple relationship it can be shown that they may be unexpected because even if the therapist and client do not know each other personally there could be a situation where they end up on the same community sports team or even have the same friends on a social networking site (Zur, 2015). Looking into the ramifications that can ensue with this type of multiple relationship is if there is confidentially issues that arise, there could be lawsuits between the therapist and the client. Even if they are unintentional, it can still happen if the client feels that their confidentiality has been broken, especially if there are no guidelines put into place. With dual relationships and multiple relationships, psychologists can look at the APA Code of
However, I feel that if a client has a sever problem this act should not take place because the therapist is now “shifting the focus of therapy away from the client”(e.g., see cutis, 1982b; Freud, 1912/1958; Greenson, 1967, chap. 3) and that it self is damaging the client.
Resistance comes as clients attempt to control sessions or refuse to talk to each other in sessions, arrive late, insisting that one family member is the problem, or challenging the therapist’s competence (Gladding, 2011). Subsequently, if treatment is to be
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.