Jerry is a 13 year old male adolescent, the youngest of three siblings. In my initial phone conversation with his mother, I learned that she and her husband have been concerned with the friends he has been making since they moved to town 10 months ago. While polite and respectful at home, they are concerned that Jerry is being unduly influenced by his friends. She described Jerry as kind-hearted, and shy, since early childhood. She told me that Jerry has never had more than a few close friends, and seems to be uncomfortable in social settings where he does not know people. He stopped attending school dances recently. When encouraged to join a sports team, he made excuses as to why he did not want to join. This idea of not joining, is not a …show more content…
I reassured her that what happens in our sessions will be kept confidential, with very few exceptions. I gave her a brief overview of my theoretical orientation (see below), then reassured her that I will review the counseling process in more detail in our first session, including an explanation of how confidentiality works. I told her that I would like to meet initially with Jerry and both parents, then with Jerry alone. After these sessions, I may ask to meet with other family members, in various configurations, but I will discuss this with them first. Before termination, I would again meet with both parents and Jerry together. She seemed reassured for the moment. We concluded our phone call by setting up an initial session.
The ego state I chose for Jerry is the Shy Child. When Jerry was 13 years old, neither Jerry, nor his family, understood the roots of his shyness, the impact it would have on slowing his social development, or the time and energy he would expend playing out maladaptive behaviors. Of course, the conversation with Jerry’s mother never happened, and so Jerry was left to figure things out with minimal help (which he eventually did). In stepping back from this ego-state, and from a therapist’s point of view, I see a shy child who has already built up numerous defense mechanisms. These defenses, while maladaptive, have the purpose of protecting his sensitive ego-state. This is all a reaction to his
After I left the counselling session, I felt relieved as though I had a load off my chest. I realised the counsellor let me express what I wanted to but used history as a guise. I spoke freely about all aspects of my life and the counsellor didn’t need to say too much. She quietly, but professionally took notes when a point of interest arose but didn’t let the note-taking affect the flow of talk. I noted that expressions on people’s faces can greatly determine the nature of the conversation. If someone looks easy to talk to, then they probably are as their body language can emphasise and express feelings (Egan, 2007, p .84). I noticed the importance of simple and respectful questioning and how it promotes more talking. If the question requires the client to think and reflect on the situation at hand then I believe it is a worthy question to ask (Egan, 2007, p. 95). Open questions that my counsellor asked such as “how do you think you will react when your wife comes back to Australia?” challenged the way I was thinking at the time and promoted reflection (Egan,
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
According to the ethical and legal principles of the counseling profession, it is our morally professional responsibility to break confidentiality in order to eliminate the possibilities of chaos, to the best of our ability. The American Counseling Association (ACA) code of ethics explains adherence to confidentiality in a number of instances. In standard A.2.e., Mandated Clients, it describes the requirements for informing mandated clients of the limitations to confidentiality and, should an issue arise, to whom the revealed information must be shared with. This rule applies to all clients. The counselor’s responsibility to do so must be conveyed to the clients at the very beginning of the counseling relationship, with periodic reminders throughout sessions, and include the dangers involved if the client refuses to participate in the mandated sessions. ACA code of ethics further explains in standard B.1.c., Respect for Confidentiality, that counselors are to guard “confidential information” and “disclose” this “information only with appropriate consent or with sound legal or ethical jurisdiction.” Therapists must also “identify situations” where breaches can void or challenge confidentiality (ACA, 2014, B.1.d., p. 7).
Many Psychoanalytic studies have observed the effect of self interest on people and in this case children: “Self-preservation, self-care, self-protection, and the like were originally grouped together by Freud as self-preservative or ego instincts. He referred to these as ‘instincts which serve the preservation of the individual’ as opposed to ‘those which serve the survival of the species’” (Khantzian and Mack 7). In this study we can see that self preservation can be separated into two categories. Self preservation can be classified by the basic need to survive and preservation based on ego
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).
* I believe it is unethical for the counselor to reveal anything said in individual counseling with the husband. She didn’t address a “no secrets” policy in the informed consent. Sharing this information with the wife without his permission is unethical. In marriage counseling the “no secrets” policy needs to be addressed and explained in the informed consent. Since she did not have a policy concerning this, she is bound by confidentiality which should have been in her informed consent.
I: This facilitator and PP, met the client and mother in order to open the case and begin the process of identifying client and family needs. FF went over the POC with the family. FF and PP asked client and family for good news. The client shared he didn’t have a good day at school. Client
The counselor will ask questions to clarify and summarize the family’s concerns. I will answer any questions and address any concerns raised by the family about the therapy process. I will also assist in laying down parental authority and a sense of impartiality among the children. This will reinstate equilibrium in the family and motivate all members to participate in the therapy.
A central tenet of classical psychoanalytic or psychodynamic theory is that three mental statues—id, ego, and superego play a major role in normal and pathological personality development. Traditionally, the id has been conceptualized as the source of drives and impulses, whereas the superego represents both the idealized self and conscience or moral code, and the ego is responsible of rational, reality-orientated thought. Early experiences help determine the developing child’s ego strength—the degree to which the ego carries our reality testing functions and deals effectively with impulses. Consequently, adequate parenting and minimal trauma or disruption enables the child to devote considerable psychic energy to developing good reality testing skills and acquiring effective self control strategies (Bronstein, 2005).
If I were to consult with my close friend’s daughter, the friend would want me to talk to her about the information that was discussed in the sessions. Because of the confidentiality agreement, I would not be able to discuss these things with her. This may cause the close friend to have hard feelings towards me because I would not be able to relay the information. This would be because she would be viewing me as a friend and not as a professional doing my job. While these guidelines are simple and easy to grasp, it is impossible to completely avoid dual relationships on a daily basis (Gottlieb, 1993). Therefore, I would not take a chance on conducting business with my close friend. I would much rather prefer to refer her to someone else who is also very proficient in adolescent counseling.
The LPC seemed hostile while discussing his relationship with his client’s sister and stated that this was his first time being addressed with the information by the client. I feel as though the counselor does not have his clients best interest at heart due to starting this relationship with a client’s family member. Some other actions that lead me to believe that the counselor does not have his client’s best interests at heart is how the termination of both therapeutic relationships discussed in this case was handled. To be an ethical counselor in termination or referral, I would communicate these in multiple ways because that is for my clients and my best interest. The LPC did not seem to see any issue with how he was advertising his counseling
Question one following the vignette considers the wife’s request to participate in therapy sessions. My response would be to inform the client about the ethical guidelines which bind my actions. I would gently remind them that they are individuals with their own needs. I am employed as Mr. Franks psychologist. I could remind Mrs. Frank that she has a vital role in her husband’s life and will at times be invited into the session when it would benefit them both the most.
I believed section 7:32 was the part of the tape that needs the most work due to me trying to relate to the client experience of her dealing with her “sneaky daughter”. I should have gave the client more information on my similar situation. Instead, I told the client that I can relate to her due to a similar situation I had experienced. I feel like I left the client hanging without providing her a little more.
The trust between Heather and me as a Counsellor is a vital part of our therapeutic relationship. I am aware that my client must feel that whatever she discloses in therapy will be treated confidentially. As a counsellor I am not to disclose information unless required by law or authorized by my client. The informed consent document Heather has signed prior to our first session does not state particularly that the Counsellor has to break confidentiality in instances of child abuse.
Ego: In this second developmental stage, compromises in instinctive responses to environmental circumstances begin to develop. The ego mediates with the id by considering the rules of the real world and the consequences of actions taken in that world.