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Koocher And Keith-Spiegel Model For Ethical Decision-Making

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Ethics
In regards, to ethical dilemmas, I recognize and acknowledge them based on both the AAMFT and the AUCFTI clinic's code of ethics and my own insight. It is important to follow the clinic’s code of ethics, but if something feels off or uncomfortable, you should acknowledge those feelings within yourself and reach out for assistance. Currently, as a student, I would reach out to my supervisor or another staff member if she isn’t available. Your supervisor is always a good source to help you process any questions or concerns. It is also important should anything arise, I would want to be able to have a clear, concise conversation with my clients holding onto and maintaining my boundaries on the issue. Within this process, I would also utilize the Koocher and Keith-Spiegel model for ethical decision-making, as outlined by pages 52 through 54 in Wilcoxon (2014). Ethical decision-making by definition can be difficult, this model allows you to decide what is the correct solution in a less biased way. It additionally, prompts you to provide adequate detail to back up your decision.
Therapy Process
Given the above (assumptions, goals, roles), I would again describe my conceptualization of the therapy process as a mixture of Bowiean and CBT. I find that when working with families, especially couples, I will engage in more of a Bowiean assessment. I look at the emotional reactivity, the degree of differentiation, triangulation, and looking for repeating intergenerational

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