Dual Relationship Between Patient And Client

The video presentation, Legal and ethical issues for mental health professionals, Vol. 2: Dual relationship boundaries, standards of care & termination (Feldman & Sommers, 2010), is broken up into four vignettes: dual relationships and boundaries, gift giving and touch, beginning treatment, and terminating treatment. Boundary violations occur when there is no clinical purpose for a

This paper will discuss the concept of non-sexual dual relationships between Ms. C and Ms. R., and the ethical consequences of relationships. This paper will also an ethical standard to use a guide when facing a dilemma like Ms. C. In addition to discussing ethical consequences, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how the Virginia Certificate Board, located in Virginia, may deal with reporting dual relationships, and how different interactions between Ms. C and Ms. R can be understood from an ethical standpoint, as well as preventive measures to avoid dual relationships.

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).

The purpose of this study was to examine and understand the types of activities viewed as either ethical or unethical by psychologists practicing in different settings and orientation. Psychologists from the district of Hilo, Hawaii completed questionnaire and survey concerning the behaviors and acts that lead practitioners to engage in dual roles with client. Measures included demographic questionnaire and the Therapeutic Practices Survey. The participants rated the degree or level to which each behavior or act was ethical. A majority believed dual role behaviors to be unethical under most conditions and some reported that they have rarely or never engage in such behaviors. The profession and practice setting did not vary among terms of involvements, which includes incidental, social/financial, and dual roles. A review of previous studies and literature assisted in revealing the nature of relationships, ethical guidelines provided, and limits of boundaries for relationships. This study offers data to support the need for awareness of activities and behaviors leading to dual roles and the settings of practitioners most at risk.

In the mental health field, dual relationships can often be damaging to both the client and the therapist. There are several situations where dual relationships, whether considered ethical or not, affect the course of treatment for the client, and the personal lives of therapists. Although some forms of dual or multiple relationships are unavoidable, engaging in a personal relationship between patient and client always involves the possibility of skewing therapeutic results. Dual relationships are defined as having relations with the client outside of therapy, and in most cases it is considered to be unethical. There are four main types of dual relationships including professional, social, business, and sexual. A professional dual

Geyer (1994) defines dual relationships as occurring when a mental health practitioner, “relates to a client in roles other than that of a mental health practitioner outside the therapeutic context” (p.187). Areas outside of context may include church, social gatherings, and organized events to name a few. The term dual relationship is interchangeably used with multiple relationships or nonprofessional relations. Corey et al. (2011) further defines this role as a professional who assumes multiple, two or more, roles at the same time with a client. The following paper will look to address a literature review of dual relationships along with a review of the California Association of Marriage and Family Therapist (CAMFT) and American Counseling Association (ACA) ethics codes regarding the topic. I will further provide personal reflections and values as they relate to dual relationships. In closing I will provide an ethical resolution to a hypothetical case and provide final thoughts.

The ethics of social workers engaging in possible conflicts of interest in the case of boundary and dual relationships presents major challenges for the clinical social work supervisor. After the many mistakes in this realm during the formative period of social work during the 20th century the National Association of Social Workers (NASW) and the American Psychological Association (APA) have defined various code of ethics and practice standards in order to shield vulnerable clients from over-confident, manipulative, or confused

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.

For that reason, in the mental health professions, dual relationships are generally not recommended. Thus, if your friend who’s a psychologist assumes two more roles consecutively with a client, this is considered a dual relationship. For instance, if an individual held a role as a counselor and business partner, or client and friend, this is a considered a dual relationship. Common examples of dual relationships include: bartering therapy for goods or services; providing

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.

There are many variables that influence the success of therapy for the client, none more so than the therapeutic relationship. The therapeutic relationship is defined as the strength and collaborative relationship between the client and therapist that emphasises mutually agreed goals and tasks within the context of a strong affective bond (Horvath, 1994.) In the therapeutic relationship, the clinician offers care, touch, compassion, presence, and any other act or attitude that would foster healing, and expects nothing in return (Trout, 2013.) Some clinicians believe that the “therapeutic relationship is a precondition of change, others as the fertile soil that permits change, while others see it as the central mechanism of change itself” (Norcross, 2010.) This is not to devalue other variables that impact the success of the therapy such as client involvement and the treatment method.

Customer services is a very important part of managing ongoing client/patient relationships, because they are the key to bringing in revenue. The concept of customer service is to deliver outstanding services so the customers will have a great experience. I currently work in the healthcare industry and the company that I work for is starting to have trainings and meetings to improve customer service to our clients to help increase our patient satisfaction levels. There are some employees who strive to help the patient by going far and beyond their line of duties, and as others are burned out and feel like they just need to get the patient in and out without really understanding the patient’s needs or concerns. Unfortunately, there is a

Dual relationships occur when a practitioner is in a professional role with a client as well as taking on another role outside the clinic with the client. The professional needs to assess the risk in the relationship and whether both the practitioner and the client can differentiate between a boundary crossing and a boundary violation. In rural area’s a dual relationship may be unavoidable, the article discuses that the practitioner may have been chosen because of the prior relationship, and that some form of prior relationship may even be a prerequisite for the development of trust and respect in a small community. However, Zur also writes about the “Slippery Slope Effect” in which that all boundary crossings eventually lead to sexual relationships and boundary violations. The author then notes that the slippery slope effect is an unreasonable link and adds that when thinking of crossing a boundary the professional needs to consider the welfare of the client and benefits to treatments, whilst avoiding harm or exploitation and to respect the client’s autonomy (Zur 2004, pp27-32).

When discussing the importance of professional boundaries in mental health work, most people think first of relationships between psychotherapists and clients. However, similar boundary considerations are relevant for professor–student relationships, supervisor–supervisee relationships, consultant–consultee relationships, and researcher–participant relationships. Although different dynamics are at play, the relationships psychologists have with each other, with other professionals, and with the general public have boundaries that warrant ethical consideration as well. The American Psychological Association (APA) offers some guidance. The APA Ethics Code says, in Standard 7.07: "Psychologists do not engage in sexual relationships with

“Relationship” is a term that has been used in many different situations. It could imply the ties between two people in love, the bond between family members or close friends or colleagues or even the bond between a person and his or her pet. In conselling, relationship takes on a more specific meaning. The counsellor establishes rapport with the client based on trust, respect and mutual prupose. When there is good rapport, a positive psychological climate is created and vice-versa. The likelihood of desirable outcomes is greater when the psychological climate is positive. Mutual purpose means both the counsellor and client have common goals leading to what has been described as a