Informed Consent In Counseling

Upon the first session with a new client, it is detrimental to go through certain expectations regarding confidentiality and privacy. According to the American Counseling Association, “at initiation and throughout the counseling process, counselors must inform clients of the limitations of confidentiality and seek to identify situations in which confidentiality must be breached” (ACA Code of Ethics, 2014). By disclosing expectations and policies held within the institution, allows the client to

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.

In their article, “The Concept of Informed Consent,” Faden and Beauchamp give two varying definitions of informed consent, namely sense one and sense two. Sense one is defined as autonomous authorization, meaning that the patient or subject agrees and then gives authority to move forward with a proposal (Vaughn 191). The authors give four conditions that have to be met for informed consent to be recognized: the patient has to understand the information presented to her, there should be no manipulation or coercion, and she has to intentionally give her authorization (Vaughn 191). Faden and Beauchamp also note that the fourth condition, where the patient gives her authorization, is pivotal in this sense since it differentiates autonomous authorization

Professional counsellors are also bound by other ethics such as being non-judgemental and should not exploit their clients in any way. They must be respectful of how their clients choose to live and their right to self-determination. Counsellors must not impose their own thoughts or feeling on other people & should not have any expectations or impose any conditions on their clients. The relationship between counsellor and client should be one of equality. Although, the client may not feel that there is equality, they may feel powerless, as they are seeking help. The counsellor must try and convey a sense of equality and use their skills and knowledge to enable the client to take control of their life and feel empowered.

Informed consent is the basis for all legal and moral aspects of a patient’s autonomy. Implied consent is when you and your physician interact in which the consent is assumed, such as in a physical exam by your doctor. Written consent is a more extensive form in which it mostly applies when there is testing or experiments involved over a period of time. The long process is making sure the patient properly understands the risk and benefits that could possible happen during and after the treatment. As a physician, he must respect the patient’s autonomy. For a patient to be an autonomous agent, he must have legitimate moral values. The patient has all the rights to his medical health and conditions that arise. When considering informed

The Doctor and Patient relationship aspect of Medicine has changed drastically in the last twenty years. It has evolved from paternalism (the doctor makes the decision for the patient) to shared decision making where the patient is considered an equal partner in his/her own health related decisions. Informed consent is the cornerstone for this view. When a patient or a research subject makes an autonomous decision after understanding, the risks and benefits involved with the decision is Informed consent. Complete Informed consent covers the following components: competency, disclosure, comprehension and voluntary. Competency refers to the requirement for the individual to be of legal age and be mentally competent to understand the process.

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

These publications regarding ethics, American Counseling Association: Code of Ethics (2005) and the American Association of Christian Counseling: Code of Ethics (2004), are available as a reference for use. The purpose of this paper is to compare general and specific elements of the two publications. There are two areas of general exploration: 1) relation to their format for retrieval of specific data, 2) their value or standards basis, if any, from which the publications are written. More specifically three specific areas will be compared. First, the area of informed consent as it relates to the client and the counselor. Second, codes relating to

This Paper focuses on the relationship between informed consent and the requirements of human service workers in the State of Washington. Informed consent is a legal procedure to ensure that a patient, client, and research participants are aware of all the potential risks and costs involved in a treatment or procedure. The elements of informed consent include informing the client of the nature of the treatment, possible alternative treatments, and the potential risks and benefits of the treatment ("Psychology About.com", 2014).

Obtaining an informed consent is a vital part of current health care. This document lists out several key pieces of information for both the patient, Provider, and the ancillary staff that also access the document during the procedure process. However, obtaining informed consent has not always been the practice norm and in research, informed consent carries different specifications.

Similarly, Canadian Nurses Association, (2009), further emphasizes the value of informed consent by promoting and respecting informed decision making. It is one of the ethical responsibilities of Canadian registered nurses. Nurses can play a vital role on behalf of their clients in obtaining informed consent process as a resource person, a co-ordinator or a facilitator to support their client to make an informed decision making. (CNA,

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

The informed consent process involves establishing the basic framework between a therapist and their client that serves as an ethical and legal requirement as well as the formation of a basic working partnership between a therapist and their client. The informed consent is essentially an informational exchange between a therapist and a client that outlines the process of therapy. It also allows the client to be informed of their rights in order to make conscientious and thoughtful decisions related to their therapy. An interesting fact about informed consent is that is it can be provided in written and oral form, or a combination of the two (Corey, 2013).

As everybody is different and comes from different backgrounds, therefore give us all different values and beliefs, it is important to have an effective client-counsellor relationship based on four main areas of duty of care 1. Helper competence, 2. Client autonomy, 3. Confidentiality, 4. Client protection (Nelson-Jones, 2008). There will be times throughout the sessions with clients that your own values and belief creep in, and you do make judgement, therefore you as a counsellor have to know and acknowledge this happen and understand why it is happening.

Informed consent is "the process of communication between a patient and physician that results in the patient 's authorization or agreement to undergo a specific medical intervention" (Practical Guide, n.d.). This doctrine is important to protect the patient and the physician from undue harm including false legal action against the physician. Informed consent is signed by the patient stating that the physician informed them of the risks and hazards that would lead a reasonable person to make an