Case Conceptualization: Dual Relationship

Ethical issues come from various concepts in the selection because not all member are not ideal patient for each counseling session. Counselors receive individuals who are mandated to attend counseling in many cases set by a judge or a doctor. In these sessions, there may be aperture of confidentiality, kinship, or individuals who are unable to be polite that may impede treatment those member counseling to be done

According to the ethical and legal principles of the counseling profession, it is our morally professional responsibility to break confidentiality in order to eliminate the possibilities of chaos, to the best of our ability. The American Counseling Association (ACA) code of ethics explains adherence to confidentiality in a number of instances. In standard A.2.e., Mandated Clients, it describes the requirements for informing mandated clients of the limitations to confidentiality and, should an issue arise, to whom the revealed information must be shared with. This rule applies to all clients. The counselor’s responsibility to do so must be conveyed to the clients at the very beginning of the counseling relationship, with periodic reminders throughout sessions, and include the dangers involved if the client refuses to participate in the mandated sessions. ACA code of ethics further explains in standard B.1.c., Respect for Confidentiality, that counselors are to guard “confidential information” and “disclose” this “information only with appropriate consent or with sound legal or ethical jurisdiction.” Therapists must also “identify situations” where breaches can void or challenge confidentiality (ACA, 2014, B.1.d., p. 7).

The counseling settings is a Community Mental Health Facility which involves in working with families going through adoptions. Client B and adopted parents came to the facility to address the client anxiety, emotional withdrawal issues and anger problem. Client has been showing symptoms of distress and depressive mood. Both adoptive parents are concern about the issues as it is affecting the relationship building process thus seeking help for a better relationship and for client B to feel a sense of belonging.

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).

Counselors need to be guided by the ethical standards set forth by the American Counseling Association’s Code of Ethics. These standards define ethical conduct in the counseling profession, and provide guidance for maintaining professionalism in any situation. I have become familiar with many of the sections included in the ACA Code of Ethics from the research and assignments completed in this class. Garnering an awareness of the ACA Code of Ethics as it pertains to informed consent, confidentiality, professional responsibility, and resolving ethical issues, has given me confidence to discuss and evaluate the legal issues and ethical obligations associated with this profession. The section regarding professional responsibility of this document resonated with me the most, and elicited a feeling of confidence about counseling ethics and law, that was not present before this class. Professional responsibility sets the tone for everything else we do. As counselors, we must be guided by professionalism and high standards. Standard C.1 of the ACA Code of Ethics (2014) states that counselors have a responsibility to read, understand, and follow the ACA Code of Ethics, and abide by all applicable laws and regulations. While there are a plethora of legal and ethical issues that may arise for professional counselors throughout their careers, I feel that this class has given me a broad overview of how to be proactive and use appropriate decision-making tools to work

Mr. Gillespie is a 21 year old male who presented to the ED after an intentional overdose on 20 600mg of Gabapentin. Per documentation from ED staff Mr. Gillespie reported he became angry at his grandmother tonight and tried to "prove a point." Mr. Gillespe reported to staff threatened to overdose on his on pills, however dumped them in the toilet. He expressed after making threats to overdose on his prescribed Celexa did not phase his grandmother, he proceeded to take her Gabapentin. Per documentation Mr. Gillespe has been living with grandmother for 2 weeks and before that was living with his mother in Cary. At the time of the assessment Mr. Gillespie was calm and cooperative. He denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He appears guarded during the assessment. He reports tonight his grandmother and he got into an argument over him getting a job. He reports his grandmother informed him he has to be out by Friday. Mr. Gillespe denies history of self harm. He

The ACA’s code of ethics list under the developmental and culturally sensitivity portion, counselors should communicate appropriately in a cultural sensitive and developmental manner (2014 ACA Code of Ethics, 2016). The language she exemplified was written in for an average day to day person to understand. She did not mention arrangements of interpreter or translators as suggested by ACA code of ethics. I also noticed that she did not list continuation of services incase the death or incapacitation of the counselor that ACA code of ethics states. In all, Ms. Forione is very thorough with her consent and she used language that any average person could

Legal and ethical consideration for the Jacques family is informed consent and confidentiality. According to American Counseling Association Codes of ethical (ACA) (2014), state developmental and cultural sensitivity are discussed by the therapist to the Jacques to what expect during the session. The therapist use language that the Jacques family can understand and association to the Jacques cultural that is accommodating to their cultural (A.2.c.). The multicultural and diversity considerations allow the therapist to explain to the Jacques family when confidentiality would be shared. For example, the information on confidentiality can be shared if any member of the Jacques family wants to cause harm to themselves

According to the AAMFT, the therapist’s ethical responsibilities is that a therapist needs to non-discriminatory. The therapist needs to obtain informed consent to clients to an legally authorized person (AAMFT American Association for Marriage and Family Therapy, 2016). Therapists cannot abandon their client, and need to make arrangements for continued treatment (AAMFT American Association for Marriage and Family Therapy, 2016). The counseling relationship needs to be built on trust, the therapist much keep confidentiality for the client disclosures (AAMFT American Association for Marriage and Family Therapy, 2016).

Throughout the field of social work there are many issues that can cause ethical and multicultural dilemmas. Within the arena of counseling there are laws and ethics that each counselor should abide by and uphold. Ethical decisions should be practices daily to ensure no harm is committed to clients or patients. Being that our environment influences our decisions and thoughts practitioner’s standards to obtain necessary competencies to work effectively with diverse populations.

In the ACA code of ethics (2014), section A.5.d, counselors are prohibited from engaging in counseling relationships with friends or family with whom they have an inability to remain objective. The counselor and Ken has been friends for over 10 years, and she is unable to be fair

Ethical codes have been developed so that therapists understand the standards for appropriate behavior and maintaining the welfare of the client. All mental health professionals should be proficient in the acknowledgment of any Code of Ethics as they serve as legal guidelines when ethically questionable circumstances arise. Essential to the principles of counseling, a client’s confidentiality is imperative as a therapist is the receiver of an individual’s thoughts and ideas surrounding the concerns for seeking treatment. Item 2.1 in the AAMFT Code of Ethics states how a therapist would disclose and limits of confidentiality, and in what circumstances that a client’s information would be requested. Additionally, item 2.2 is the

Both the ACA (2005) and AACC (2004) code of ethics require the counselor to maintain client confidentiality to the fullest extent. Working in the counseling field, trust is a rock in the foundational of a helping relationship and confidentially plays a large role in the client counselor relationship. Both codes share similarities regarding their stance on confidentiality. When counseling others, a counselor is to inform their clients about their commitment to confidentiality as well as their limits before

This is also stated in subsection 1-421 of the AACC code of ethics (AACC Law and Ethics Committee, 2004, p 12). However, the ACA guidelines with regards to this area are more comprehensive and clearly stated than the AACC guidelines. Section B of the ACA code of ethics provides guidelines on how a counselor can maintain client confidentiality in various circumstances such as incapacity of client, when treatment calls for services with others and even in consulting other counselors (American Counseling Association, 2005, p 7-9). On the other hand, the guidelines of the AACC are more limited in scope as can be seen in Section ES1-400 (AACC Law and Ethics Committee, 2004, p 11-13).

Furthermore, client welfare is an concern that this guideline is addressing. According to the American Counseling Association ethical codes it is the counselors’ primary responsibility to promote the welfare of clients. Counselors should also take reasonable steps to do the client no harm. Also, the therapeutic relationship most important in this guideline. It is of much significance that the counselor discuss appropriate issues with the client.