How Ethical Issues Affect The Dispensation Of Care Within The Multicultural Counseling Context

the case study presented addressed the ethical implication of “understanding the complex role cultural diversity and similarity plays in therapeutic work” (Corey et al, 2015, p. 106). Culture diversity is broad concept that encompass multicultural awareness and understanding, value imposing, discrimination, cultural sensitivity, respect of diversity, and the history of social prejudice, dominant and oppressed group. The ACA code of ethics highlights the concept of multiculturalism and diversity in various section.

In my personal opinion and experience, I find that the field of psychology is lacking in diverse cultural competencies as much as the society is diverse in its population. I believe that as with using any theoretical model, the therapists’ cultural knowledge needs to include understanding of the many cultural considerations influencing the effectiveness of treatment when dealing with clients from diverse backgrounds. When servicing the individuals in the family, care and attention needs to be directed towards family and community norms and values around help seeking, secrecy and confidentiality, family roles, child rearing and spiritual practices.

Because multicultural counseling can have a myriad of people with different personalities and backgrounds, many ethical procedures cannot address all the circumstances that a counselor could come across. According to Diller (2011) it is critical when preparing to work with clients of a particular ethnic group by doing research into the group’s history, culture, and health issues (p. 320). This would include not only academic, professional, or web searches, but travel,

client, to move at her pace and to go to the places where she wanted

Over time, society has become increasingly diverse and globally connected. In order to meet the needs of an interconnected society, the American Counseling Association (ACA) endorsed the creation of multicultural and social justice competencies (Ratts, Singh, Butler, Nassar-McMillan, & McCullough, 2016). The Multicultural and Social Justice Counseling Competencies (MSJCC) were developed in order to showcase the importance of integrating MSJCC into all aspects of the counseling profession. Originally, these competencies were geared more toward majority professionals working with minority clients. However, it has become more clear that the range of diversity is endless and it is not uncommon for privileged clients to be counseled by minority counseled (Ratts, et al., 2016).

The three factors that the model takes into account are cultural identity, development stage and adjustment to disability. Sue et al. (1982) pioneered this approach and thus set the basis of multicultural counseling competency. The model aims at facilitating the relationship between the client and the therapist and thus makes counseling intervention more effective (Lewis, 2006). The therapist before being able to practice this model effectively has to have a complete awareness of attitudes towards his own heredity and cultural origin as well as that of others. The second factor is the counselor’s multicultural

Starting this course in August, I didn’t realize the power that multicultural counseling had instilled in it. The fact that its central focus is around social justice and equality is a characteristic our society much needs today. Throughout the duration of this class, I learned about multicultural counseling as a whole, new theories that can be applied specifically to different racial/ethnic minorities, the ACA code of ethics, and who I want to be as a future counselor.

While working with clients that are multicultural, it’s important that counselors address the behavioral problems in the client’s family. (Santisteban, et al., 2003). It is important that the counselor allows changes in the family’s function and allow problematic behaviors to change to allow the family to work better, together (Santisteban, et al., 2003). The counselor can do this by addressing the client’s presenting problems and correcting those problems with healthier behaviors (Santisteban, et al., 2003). The counselor needs to allow the family time to change their behaviors. For example: A Hispanic family has come into counseling because their son is disruptive. This disruptive behavior is disrupting the family’s functioning.

In this case, cultural competent therapist are more equipped to work with racial/ethnic minority client than other therapist, but the outcome will not be the same for all clients (Hayes, Owen, & Bieschke, 2015). Culturally competent counselors are willing to learn about their clients values and beliefs through openness and curiosity. Although there is an awareness to enhance cultural competence in counselors, there is a lack of multicultural training. Dinsmore and England (1996) illustrates that in half of the programs multicultural content was not emphasized and that there were a lack of minority clients in internship and practicum (p. 72). Counselors in training acknowledge that a course in multicultural is not sufficient in order to best help clients.

It is important to be aware of one’s limitations, weaknesses and strengths in the delivery of counseling services. Taking into account the cultural values of the client, the support systems and the client’s view of the key parts of his or her makeup (the history of the client) are culture specific (because someone is of the same race does not mean that values will be the same) and does not discount the individual. Sue et al reminds us that multicultural counseling competency looks beyond racial and ethnic minorities and also includes disabilities, sexual orientation, age, and other special populations (Sue, et al, 1992).

To provide excellent help to client, I must build a relationship with that person. For this therapeutic relationship to be strong and trusting; that will lead to a better treatment for the client I should respect confidentiality and the privacy of my client. In doing so I must pay more attention to the clients’ rights. I should be multiculturally competent and know that there is diversity (American counseling association ACA), 2014). This calls me to be careful and respectful of in the ways I react to my clients’

Multicultural group counseling takes place when a counselor and/or clients are from differing cultural, race, and/or ethnicity groups. Due to the significant demographic changes that are occurring in the United States, multiculturalism is becoming increasingly important. When acting as a multicultural group counselor, it is important to modify techniques to reflect the cultural differences of the client, be prepared to deal with difficulties during the counseling process, and understand the way culturally diverse people conceptualize their problems as well how they resolve them (Gladding, 2012). In order to be an effective multicultural counselor, it is important that one is aware of their cultural heritage, understands how their cultural background affects their attitudes, values, and beliefs, recognizes the limitations of their multicultural expertise and/or competency, and identify the root of their discomfort with different clients (Gladding, 2012). One can implement these through three key aspects Gladding (2012) outlined in his book and effective leadership skills.

In a multicultural counseling perspective there are four key approaches when counseling individuals, (a) multicultural awareness of culturally learned assumptions about self and others leading to accurate assessments of clients, (b) multicultural knowledge of information, (c) multicultural skills and interventions, that are appropriate treating clients, and (d) individuals are from a variety of backgrounds, demographic status, and affiliation of cultures. The three-stage approach, will direct the counselor towards levels of multicultural competence in therapy by providing a successful outcome in the recovery process. When conducting a psychotherapy session with a client the counselor should be able to demonstrate skills, when exploring the client’s cultural background. Counselors should also be able to focus on the essential skills and pattern behaviors, when identifying cultural differences. Counseling a minority from a different culture counselors’ must be able to identify their own personal behaviors. These behaviors are crucial when counseling these individuals. First, a counselor must be able to sense the clients’ viewpoint or issue in some way. Secondly, a counselor should be specific when asking a question rather than being unclear and confusing.

Counselors who are unaware of diverse cultural viewpoints are more than likely to do intentional or unintentional damage when working within communities opposite of their own and with those whose cultures and worldviews differ from theirs. If a counselor is unaware of their own cultural identity, biases, and stereotypes, how then will they know if they are unintentionally causing harm to their clients or build rapport? Cultural self-awareness is relevant because counselors need to know their cultural identity and what they must offer their clients in a therapeutic relationship and to help clients become aware their cultural identities.

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