ThompsonHMFT5102-3

.docx

School

Northcentral University *

*We aren’t endorsed by this school

Course

5102

Subject

Philosophy

Date

Jan 9, 2024

Type

docx

Pages

Uploaded by BailiffKingfisherPerson984

1 Applying Kitchener’s Model of Ethical Decision Making Haley Thompson MFT5102- Legal, Ethical, and Professional Development in Marriage and Family Therapy Dr. Leonard Bohanon Oct 22, 2023

2 Counselors face a variety of ethical dilemmas every day, and must be able to make decisions based on ethical principles and legal standards, while retaining respect and a positive relationship with their clients. Kitchener’s model of principle-based ethics is the foundation for the Ethics Code of the American Counseling Association [ACA], American Psychological Association [APA] and the American Association of Marriage and Family Therapy [AAMFT], and is used in tandem with virtue ethics in ethical decision making (Urofsky et al., 2008). Therapists must remain diligent in their knowledge of applicable Codes of Ethics and legal standards to make sound ethical decisions through critical thinking and self-awareness (AAMFT, 2015). The literature suggests that better integration of the model into ethics codes may be warranted to assist mental health professionals who may not only take different approaches to ethical decisions, but may also be limited on time and resources (Urofsky et al., 2008). A good example of this integration and its application is seen in the ethical framework of the British Association for Counselling and Psychotherapy [BACP], “ A practitioner’s obligation is to consider all the relevant circumstances with as much care as possible and to be appropriately accountable for decisions made ,” (BACP, 2018). In the following case study this essay will address the ethical dilemmas and how to apply Kitchener’s principle-based model to the situation. For the purposes of this paper, it will be assumed that the therapist is a member of AAMFT and is therefore obligated to adhere to the Ethics Code set forth as such. Ethical Dilemmas This case presents a few ethical dilemmas. First and foremost, is having to decide whether to accept the invitation and attend the ceremony. Secondly, though the therapist has already accepted the gifts, this is a behavior that needs to be discussed with the client. Lastly, the

3 relationship between therapist and medicine man needs to be discussed with both him and the client. All ethical standards need to be followed and most are applicable to this specific situation, however the three of these dilemmas mostly center around ethical standards: 1.2 - Informed Consent , 1.3 - Multiple Relationships , 1.13 - Relationships with Third Parties , 2.1 - Disclosing Limits of Confidentiality, 3.9 - Gifts . The dilemma that is most apparent is crossing the boundary line between the therapist- client relationship by attending the ceremony. Standard 1.3 of the AAMFT Ethics Code states MFTs cannot have multiple relationships with clients or their families outside of the therapy context. This includes business relationships, or social ones as pertaining to this instance. However, establishing rapport with clients, building up a positive relationship, and displaying sensitivity and respect for their culture is paramount to effective and successful therapy (D’Aniello et al., 2016; Sprenkle et al., 2009). When considering this dilemma, the therapist must also carefully consider the possible Implications of an “outsider” appearing at the ceremony. Though the therapist already works on the reservation, that does not immediately imply they are welcome to attend ceremonies or events in the community. There is a possibility that attending will draw questions or negative attention from the community. How would the community regard the medicine man if they found out the connection between the family and the therapist? The inclusion of someone outside of the community and culture might not be received well and could reflect badly on the medicine man. Could the therapist’s presence potentially harm the family because of stigma surrounding mental health or agencies outside of the traditional community? These are all factors that will need to be discussed with the client before deciding to attend the ceremony. However, becoming involved in the culture, even slightly, will likely strengthen the therapeutic bond by showing an appreciation and

4 willingness to understand it (D’Aniello et al., 2016). Regardless of the decision, it is essential to establish clear, firm boundaries in this situation while retaining respect and cultural sensitivity for the client and their culture. Secondly, the dilemma of receiving gifts from the client. The therapist has already accepted the gifts, but was conflicted on whether it was the ethical choice or not due to the family’s financial situation and Standard 3.9 of the AAMFT Code of Ethics (2015). Nearly all Native American cultures place great emphasis on sharing and generosity (Houser et al., 2006). In this case, it is important to show cultural competence and respect by accepting the gifts, while at the same time discussing the situation with the client. This discussion can address the cultural significance of gifting, alongside the therapist’s position to accept gifts. The goal is to show respect and appreciation for the gift, and not embarrass or humiliate the client by declining it. It is also essential that during this conversation, the therapist makes it clear that there is no expectation or obligation for gifts, and work with the client to discuss alternatives for the client should they want to express their gratitude again the future. Alternatives may be a small card or letter, or perhaps something intangible that is still culturally significant, such as a blessing or a song perhaps. This allows the client to express their gratitude in line with their culture, without placing any undue burden, strain, or obligation on their shoulders. Personally, gifts are not an issue for me, though clear understanding needs to be established so there is no expectations or obligations. This is a controversial topic, but if someone wants to give me a small gift of their own free will then I believe in most circumstances I would accept it with gratitude, and potentially discuss their reasoning and culture behind it if I felt the conversation was necessary. Again, establishing rules and expectations, and explaining my position as their therapist and the ethics code I have

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help