Ethical Considerations In The Therapeutic Relationship

An essential job duty for any healthcare professional is to be able to service clients. The Code of Ethics (1999) outlines that service means to use the knowledge that a social worker has acquired through training and education to assist clients with issues that are inhibiting them from living their life completely and without suffering. By this definition, a social worker’s job is to assist a client with real-life issues, such as depression and anxiety, which are faced by the majority of the elderly population (Richardson & Barusch, 2006). For a social worker, assisting clients who face mental illness means

The American Counseling Association and the American Mental Health Counselors Association Codes of Ethics both provide guidance and direction in making ethical decisions for their members (ACA, 2005) (AMHCA, 2010). Both the ACA and the AMHCA Codes of Ethics cover a wide range of moral and ethical situations that could present themselves to mental health professionals. Both of these codes of ethics have significant impacts on the counseling profession. The tools provided by these codes of ethics ensure that mental health professionals are able to conform to the regulations set forth. They address common concerns from varying points of view. Understanding these codes of ethics is essential to all mental

1. Describe and discuss ethical frameworks within which counselling and therapeutic practitioners work. Include justification for observing codes of conduct and how professionalism is maintained.

The EAI indicates that ethical guidelines have changed from individual character to organizational ethics (Ethics Awareness Inventory, 2011). The prime focus of this change are client-patient relationships in psychological counseling and clinical practice (Fisher, (2013). Psychological counseling and clinical practice are both constructed on ethical guidelines with the possibility for misuse of power and negligence to discretion (Fisher,

Remley and Herlihy (2016) defines confidentiality as an ethical concept which refers to the counselor 's obligation to respect the client 's privacy and in session discussion will be protected from disclosure without their consent (p.108). The receptionist never disclosed what was being discussed in wife A session; however, her inadvertent breach of confidentiality occurred the moment she divulged the fact that wife A is a patient at a mental health facility. An important premise to understanding the ethical principle of confidentiality is base that a counselor respects the client 's right to privacy (Remley & Herlihy, 2016; Quigley, 2007). Premise one states the "counselor honor the rights of clients to decide who knows what information about them and in what circumstances" (p.110).

Ethical principles and virtues give mental health professions guidelines to follow to police their behaviors. Do no harm, respect autonomy, be just and pure excellences are some of the principles and virtues. Purse excellence is described in my textbook, Ethics in Psychology and the Mental Health Professions: Standards and Cases, as maintaining competence, doing your best, and taking pride in your work. (Koocher & Keith-Spiegal, 2008)

Video presentation: The video clip was quite interesting I found it to be very educational as to the legal obligations of therapists in the mental health field. There were issues that were brought up that were quite important, such as therapists need to understand confidentiality, privileged information, and a therapists responsibility related to reporting suspected child abuse, elder abuse, and/or suicidal ideations, and possibly the most important of them all is a therapists duty to warn. The first case they were

The concern for morality and ethics cuts across all endeavors of human existence. Focusing particularly on the helping professions – Pastoral care, Counseling, medicine, Psychiatry, Social Work, Law, and Teaching - the need for standard professional guidelines for conduct of practitioners becomes of paramount importance. Competence or knowledge of techniques of therapy is important; but A person who needs to be salvaged, who needs spiritual, psychological, emotional, psychiatric healing or direction would rather prefer to interact with an ethically seasoned” half trained

There are several ethical dilemmas that the mental health professionals that are working as a team will face including “ensuring that the client has given informed consent, maintaining client confidentiality, and involving professionals, paraprofessionals, and family in appropriate coordinated processes that benefit the client” (Paproski & Haverkamp, 2000, p.96).

Marriage and Family Therapists’ are faced daily with difficult situations that may pose ethical dilemma’s. Shaw (2011) explains that ethical decisions weight “heavily on rational” (pg. 2).

Although confidentiality is considered to be of great importance in therapeutic relationship, one must not assume it to be independent. In particular, confidentiality ought to be compromised whenever it conflicts with a higher moral value, such as the duty to safeguard human life. Most often physicians do not know if to disclose the HIV status of their patients to known contacts or if failure to do so may give rise to liability if the known contact becomes HIV positive. This is one of the most controversial issues in reporting and partner notification

In the mental health profession of counseling, therapy, psychology, psychiatric and social services ethical dilemmas are faced primarily on a daily basis. Being that mental health professionals are working with clients who are often fragile and vulnerable, they must develop an intense awareness of ethical issues. On the other hand, mental health professionals would never intentionally harm their clients, students or colleagues and others whom they work with. Unfortunately, good intentions are not enough to ensure that wrong doings will not occur and mental health professionals have no choice but to make ethically determined decisions. Depending upon the experience and expertise of the professional determines the outcome of the ethical

Given the multiple problems in the relationship therapist-client and ethics we must show that there is still an ample population especially some minority communities and remote populations far away from resources in the administration of justice and the enforce of their individual rights,” Because marginalized clients are often oppressed to some degree by the dominant society, they can be helped by counselors who are willing to speak on their behalf or to argue for a cause”.( Corey, Corey, & Callanan, 2010) p.473) . especially in the areas of civil law and community resources, those rights are not usually know by the client, to realize it we as therapist have also provide them with guidance and assistance in access to resources, like health

The second ethical issue occurred when the psychologist disclosed information about Mr. Hartwig’s to his psychiatrist without Mr. Hartwig’s consent. The psychologist motivations for contacting Mr. Hartwig’s psychiatrist appears to be ethical. He was attempting to establish a collaborative relationship with the psychiatrist in order to maximize the effectiveness of each for of treatment in order to best serve the client (APA, 2002). However, The APA guidelines on stipulate that while psychologist should attempt to establish a collaborative relationship they must request release from the client before disclosing confidential information (APA, 2002). The client shared the name of his psychiatrist, but there was no evidence that the client consented to an exchange of information between the two professionals. In addition to the psychologists’ obligation to obtain consent to disclose information to the psychiatrist; he was also ethically obligated to ensure that the client understands what he/she is giving consent for. Koocher and Keith-Spiegel, suggest elements that a release-of-information form should include; who the information is to be released to, and any limitations on the information to be released (2008). If the client consented to disclosure with the

Step 7: Implement the Course of Action - It is counsellor duty to protect and according to UNAIDS (2000) guideline, in cases where the client refuses to notify, following repeated efforts to persuade him to do so, and where the failure to notify creates a danger to a partner (an identifiable third party), I should be authorized to counsel the partner(s) without the consent of the client. However, it also states that in making this decision, I should ensure that the following factors are present: (1) Client has been thoroughly counselled as to the need for partner notification/counselling; (2) The counselling has failed to achieve the appropriate behavioural changes, including the practice of safe sex; (3) The client refused to notify, or consent to the counselling, of his partner(s); (4) A real risk of HIV transmission to the identifiable partner(s) exists; (5) The client is given reasonable advance notice of the