An Ethical Dilemma in Counseling: Deciding Between Two Rights

b. What special issues of confidentiality may arise in the case? How should David address these issues? Even though David most recently been in a counseling relationship with the husband, he stills have a legal “duty” to the husband, who was originally client..In most circumstances, he can release the husband 's individual counseling records to her upon his written request. However, he may be compromising his ethics and breaching confidentiality by releasing information to the wife that he obtained from the husband or learned during a joint counseling session unless he have written authorization of both or a court order (2005 ACA Code of Ethics, Section B.2.c.)

Considering the ethical and legal issues within the therapeutic relationship, specifically concerning the case study to follow, a six-step ethical problem-solving model that Bond describes, derived from American sources (Paradise and Siegelwaks, 1982; Austin et al., 1990), cited in Bond (2015) would help a counsellor to think clearly and carefully towards managing difficult choices within dilemmas. Bond quotes:

It goes without saying that at some point in a counselor career, he or she can expect to be faced with an ethical dilemma. Ethical decisions are rarely easy to arrive at, as the dilemmas a counselor is faced with can be very complex

The first ethical issue that counselors have to worry about in counseling children is to be a competent counselor. It includes that the counselor must be familiar with child and adolescent development. Also, in order to be competent in counseling children, a counselor must frequently participate in trainings, specialized education, and supervised practice (Henderson & Thompson, 2011). Another ethical issue in counseling minors is privacy and confidentiality. According to the American Counseling Association (ACA) (2014) Code of Ethics, when counseling minors a counselors protect the confidentiality of information received (ACA, 2014, B.5.a). Counselors also have responsibilities with the child’s parents such as inform parents about the role of counselors and the confidential nature of the counseling relationship (ACA, 2014, B.5.b). When a counselors needs to release confidential information, he needs to seek permission from the child’s parents, legal guardians, or the appropriate third party in order to disclose the information (ACA, 2014, B.5.c). According to Henderson and Thompson (2011), children have to have their parents’ consent to see a

Many times in counseling sessions, situations arise that require the ability to make ethical decisions. When confronting these types of situations, counselors often refer to the Elizabeth Reynold Welfel’s Ethical Model, comprised of 10 steps, to guide them in making an ethical decision. These steps provide a framework which counselors may use to help with ethical dilemmas. Below are the 10 steps in the Ethical Decision-Making Model provided by Elizabeth Welfel in the book Ethics in Counseling and Psychotherapy to examine the multiple relationship case described in Herlihy and Corey’s ACA Ethical Standards Casebook (2006, p. 242) "A

Professional counselors deal with many legal and ethical issues in the course of treating clients. Some of the issues they may come across include dual relationships, boundaries, bartering, sexual relationships, gift giving, touching a client, and how to begin or end treatment. Some of these issues may seem straightforward in theory, but they can become complicated in practice. In these cases, if possible, a counselor should seek consultation before making any decisions. Ethical dilemmas are an area where professional counselors should continually receive consultation and ongoing education. This paper provides a summary of how a video presentation, the ACA Code of Ethics, and Maryland’s board regulations for professional counselors handle dual relationships, boundaries, gift giving, touch, and beginning and ending treatment. The paper will go on to discuss my reaction to these issues. Finally, I will discuss how I plan to apply what I have learned to my own counseling practice.

Ethical dilemmas happen frequently in the social work and how one handles them could be the difference on how a clinician keeps their license or not. The problem is there is no way to prepare a person from knowing what situations will arise. Scenarios arise all the time and new ways to handle them is constantly changing. The ethical dilemma can happen anywhere and at any time with anyone, it could be a client, co-worker, and even supervisors. No social worker is safe from them. One however can practice with scenarios and be aware of personal biases. A social worker needs to evaluate each dilemma with the different frameworks and principals to determine which one applies best, anticipate what possible outcomes could happen, and what interventions a social worker would implement.

The ACA Code of Ethics states, “when counselors are faced with ethical dilemmas that are difficult to resolve, they are expected to engage in a carefully considered ethical decision-making process,” (ACA, 2014, p. 3). Throughout these three case studies, I will use the seven-step ethical decision-making model to address the important professional issues, relevant ethical codes, and legal standards (Forester-Miller & Davis, 1996). By applying the steps to each case I will share how I came to my resolutions.

Lying on the Couch by Irvin D. Yalom has been both entertaining and interesting from a counseling standpoint in that it provides a scandalous and as was in most of the cases, a look at what could go wrong if ethics in a clinical counseling setting go awry. Following the characters of Seymour Trotter, Earnest Lash, and Marshal Streider in working with their clients and with each other the ethical lessons to be learned become obviously apparent, if not emotionally painful. Although, numerous issues arise throughout the book, there were at least three that will be covered within the context of this writing. In consideration of each of these ethical breaches there will be dialog on the nature of the ethical issue or violation, where the ACA ethical code applies, ramifications of the ethical issue or violation on both parties, and application of Kitchener?s five primary ethical principles that were involved or violated. In addition, the justification offered by the characters in the book for their actions or considered actions, application to the situation in the setting of Clinical Mental Health counseling, and indication of personal response to the situation presented. Understanding that the use of these ethical principles and considerations as they apply in counseling are unequivocally valuable tools in helping a practitioner in working with clients to make comprehensive decisions that will not create conflict within their ethical parameters and are aligned with the laws

A counselor’s primary goal is to have integrity, while also having the client’s well-being as a priority. While competency is the most important factor in professional counseling, a level of trust needs to be met between the client and the counselor. When a client has full confidence that the counselor will maintain confidentiality, the counselor’s integrity has been established and the client can being to open up more to the counselor, establishing better tools for increasing mental health (Sanders, et. al., 2013, p. 263). Sexual identity therapy is also a potential means of.

Dual relationships and the ethical behavior that revolves around boundaries with clients present a multitude of very complicated situations to counselors where a clearly defined course of action is not always evident. Aside from no accord amongst mental health professionals and boundary issues being unavoidable at times, recognition and prediction of potential benefits or pitfalls correlated with dual relationships can prove to be troublesome as well (Remley & Herlihy, 2010). For most cases, it is best if an outline is used to discern when it is appropriate for a counselor to breach the client-counselor boundary.

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.

Clients must be able to trust the counselor and have faith in the therapeutic relationship if growth is to occur. Therefore, the counselor must take care not to threaten the therapeutic relationship nor to leave obligations unfulfilled. When exploring an ethical dilemma, you need to examine the situation and see how each of the above principles may relate to that particular case. At times this alone will clarify the issues enough that the means for resolving the dilemma will become obvious to you. In more complicated cases it is helpful to be able to work through the steps of an ethical decision making model, and to assess which of these moral principles may be in conflict. Ethical Decision Making Model We have incorporated the work of Van Hoose and Paradise (1979), Kitchener (1984), Stadler (1986), Haas and Malouf (1989), Forester-Miller and Rubenstein (1992), and Sileo and Kopala (1993) into a practical, sequential, seven step, ethical decision making model. A description and discussion of the steps follows. 1. Identify the Problem. Gather as much information as you can that will illuminate the situation. In doing so, it is important to be as specific and objective as possible. Writing ideas on paper may help you gain clarity. Outline the facts, separating out innuendos, assumptions, hypotheses, or suspicions. There are several questions you can ask yourself: Is it an ethical, legal, professional, or clinical problem? Is it a combination of more than

There are many ethical issues that can arise during counseling. One issue that is fairly common is sexual attraction from patient to counselor, counselor to patient, or even in both directions. Even though an attraction may exist, this does not necessarily mean that these instincts will be followed in any inappropriate way. In fact attraction is a natural part of life and is impossible to avoid. However, any fulfillment of these desires is an unethical act that could not only be in violation of the code of ethics that a counselor is bound by, but it could also subject the counselor and their organization to litigation and legal action.

In no more than 3,000 words you are required to complete an essay on ethical issues in the practice of counseling, by addressing the following question: