Ethical Dilemmas In Marriage And Family Therapists

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:

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

Certain modalities of therapeutic treatments are linked to ethical dilemmas as well; these modalities affect treatment outcomes as well. Dyadic therapists may misuse the intimate nature of the sessions by pushing their values on the client or clients, or by allowing therapy to extend beyond its efficiency. Confidentiality can be broken much easier with the group setting; therapists need to be highly guarded on this topic. (Amato, 2000)

I wanted to join the class because I am considering being a marriage and family therapist in the future. I definitely learned a lot from this class about the models and theories. I found structural family therapy the most interesting out of all the therapies. I also thought structural family therapy would be very beneficial in my job as a child protective service worker. Having an understanding of the family, their structure, and what problems there maybe is great for this job. Of course, most of my structural mapping is doing to deal with substance abuse in a subsystem. I am also a visual and hands on learner, and being able to see something physically works best for me.

I appreciated reading the California Association of Marriage and Family Therapists Code of Ethics article. This article increased my knowledge on the responsibilities a marriage and family therapist has to their patients, profession, the legal system, colleagues and themselves. I was intrigued to read that the practice of marriage and family therapy is considered an art and science and not only a “helping” profession (CAMFT (2011) Code of Ethics).

The code of ethics for both the American Counseling Association (ACA) and the American Association for Marriage and Family Therapy (AAMFT) create a framework by which Licensed Professional Counselors (LPC) and Marriage and Family Therapists (MFT), respectively, determine their ethical boundaries in which to practice in the field of counseling. Though it is clear the code of ethics within this profession are not definitive nor concrete instructions to handle all ethical concerns and scenarios, they do serve a major purpose in helping professionals navigate ethical concerns that may arise (Corey, 2015). In addition to the professional ethics, “Christian mental health professionals are called to a higher ethic (Sanders, 2013, p. 27).” This goes without saying for the one whose life has been radically transformed because of what Christ accomplished on the Cross. However, in the context of a profession that restricts one’s personal values there remains a consistent thoughtfulness of the impact it has on one’s faith.

Flying, G. (2010). Legal and ethical issues for mental health professionals, vol. 2: Dual relationship boundaries, standards of care & termination. Retrieved from http://ctiv.alexanderstreet.com.ezproxy.liberty.edu:2048/view/1779008

For this assignment I interviewed a Licensed Mental Health Counselor named Amanda Gilman and a Licensed Marriage and Family Therapist names Lois Dennett. Both were very informative about ethics in their practices. Both therapists currently have private practices, and in the past have worked within companies.

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

Professionals in all fields experience ethical problems especially in health care. In fact, ethical issues arise in government, industry, science, and academia (Steneck, 2004). Ethical issues can be see in every decision making process which often involves competing goals and motives (Werhane, 2002) Ethical decision making (EDM) requires a number of complex cognitive processes in which people must assess the effectiveness of alternative courses of action in the context of their understanding of the problem and the relevant rules and guidelines involved (Miner & Petocz, 2003). Occupational therapists (OT) have increased autonomy to meet the clients and provide unrestricted practice in today's healthcare

After reading two articles it was interesting to note the differences and similarities between the two intellectual and highly respected individuals within the field of Marriage and Family Therapy (MFT). Each makes many valid points yet with such opposing viewpoints. By taking a closer look at some specific areas one may see that though these men have different beliefs on how treatment should be conducted, there are also some parallels. Some of the topics will include the history and future of Marriage and Family Therapy (MFT), what they agree and disagree on along with the challenges each has dealt with. Finally the author of this paper will provide insight as to what this means for her as she begins her journey to becoming a Marriage and Family therapist.

There are several ethical standards that have been broken regarding John and his female therapist, now girlfriend. Some of the ethical standards that have been broken include standard 10.05- Sexual Intimacies. “Psychologists do not engage in sexual intimacies with current therapy clients/patients” (Fisher, 2013, p. 352). The female therapist broke several ethical standards by engaging in any type of relationship with a current client. After John had left his female therapist because of their relationship to see a new therapist his former therapist is still conducting herself in an unethical manner by continuing the relationship with her former client. Standard 10.08 (a) is also a standard being broken regarding this situation. “Psychologists

Ethics and therapy are closely intertwined. It is important that healthcare professionals dealing in therapy adhere to strict professional standards and values that help define expectations and also prevent harm to those who seek therapy. Although the application of such values can sometimes be somewhat complicated when such therapists are dealing with individual clients, the complexity is even more heightened in the context of having multiple family members under therapy. Advancing conversations regarding values and marriage and family therapy is important to enable professionals grapple with the complexities of the topic as well as support their clients better.

John began his career practicing therapy at a local clinic, Martha was a young woman who was having a difficult time after her divorce she was depressed and decided to take therapy to help her overcome her pain, at just five sessions the therapies were interrupted because she must leave a trip. Two years later he met Martha, in a pub and a few days later, he feels strongly attracted by her former patient and perceives that his feeling is reciprocated. The two began a friendship that could become a probable relationship.

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: