Counseling: An Ethical Dilemma with HIV/AIDS Essay example

Clearly, confidentiality is essential to the healing process. However, though it may appear to be a relatively easy concept, its application in the therapeutic atmosphere has proven to be quite complex (Younggren & Harris, p. 589). One issue that causes confusion for many professionals pertains to the differences between confidentiality and legal privilege. Quite often, ethical obligations overlap with the legal requirements. Frequently, the practitioner is not well informed about these particular limits on confidentiality and this lack of knowledge can place both the client and the helping professional at risk (Younggren & Harris, p.590, 598).

In the relationship between counsellor and client the need for confidentiality is vital as it is not only the bases that the relationship is built on and it is a legal obligation.

Before a counselling session starts it is important that the client understands confidentiality. To be able to understand this the counsellor must explain to the client that anything they say within the

However, it is not always that simple and there may be some instances when it is not possible to maintain total confidentiality and the counsellor my have to pass on certain information that was revealed. For example, if a crime has been committed or if there is a risk of harm to another person. In this case the counsellor must be clear with the client what information they may have to pass on and to whom.

The AASECT ethical code that I can relate to the most is competence and integrity. Competence and integrity relates to a counselor’s responsibility for the consequences of their acts, by commission or omission, and making reasonable efforts for provision of all professional services in an adequate and appropriate manner (Long, Burnett, & Thomas, 2006). As human sexuality counselors, I believe that it is critical for us to maintain client’s confidentiality by ensuring the information obtained from clients is used for counseling purposes only and is kept private and confidential. This can only be done through competent practice and maintenance of professional integrity.

I intend to show an understanding of the ethical framework for good practice in counselling, relating it to practice and also my own beliefs and opinions, how this influences the counselling relationship, I will also show the need for protection of self and client.

This paper is a response to a video discussing the issues of confidentiality, privilege, reporting, and duty to warn. This paper looks at these issues and their explanations in the American Counseling Association Code of Ethics as well as the Georgia State Board of Professional Counselor’s ethical guidelines and provides a commentary on the laws. It was found that these issues are not always black and white, but there is some debate on these issues. Confidentiality is both an ethical and a legal responsibility yet there are often times when the ethical demands clash with the legal demands. This paper explores some of those crashes and explains what I have learned from the video and the professional and stage guidelines concerning confidentiality and its implications and how I will apply what I have learned into future practice.

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).

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).

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).

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.

Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be

Working in the helping profession I will come across situations where I need to make a decision on whether to breach confidentiality in order to protect my client or others or “simply” practise within the framework of social equity and justice.

Confidentiality is someone who is trusted with private or secrecy matter; confidential whisper or issue. (Credo Reference, 2001). Certain situations where the confidentiality between client and therapist, may need to be breached to ensure the safety of the client him/herself, the community or ourselves. Two important circumstances would be a client/child under 16 who has been abused or a client needs hospitalisation because they have been considering taking their own life or other concerning issues (Corey, 2009).