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
Unlike some of the other ethical topics we have discussed that I do not believe are dilemmas I will run into often as a clinician, such as
The main goal of CBT is to help individuals and families cope with their problems by changing their maladaptive thinking and behavior patterns and improve their moods (Blackburn et al, 1981). Intervention is driven by working hypotheses (formulations) developed jointly by patient, his/her family and therapist from the assessment information. Change is brought about by a variety of possible interventions, including the practice of new behaviors, analysis of faulty thinking patterns, and learning more adaptive and rational self-talk skills. (Hawton, Salkovskis, Kirk, and Clark, 1989).
The basic concepts of this type of therapy are boundaries, subsystems, complementary and alignments which are easily applied and grasped. The most important aspect the therapist must keep in perspective is that every family is made up of structure and that these structures are seen only when the members of the family interact. If the therapist does not consider the entire structure of the family and intervene in only one of the many subsystems are most likely not to attain a lasting change.
Approaches to Family Therapy: Minuchin, Haley, Bowen, & Whitaker Treating families in therapy can be a complex undertaking for a therapist, as they are dealing not only with a group of individuals but also with an overall system. Throughout history several key theorists have attempted to demystify the challenges families face and construct approaches to treatment. However, there have been key similarities and differences among the theoretical orientations along the way. While some have simply broadened or expanded from existing theories, others have stood in stark
Forester-Miller and Davis’s (1996) ethical decision-making model suggests that the initial step in resolving an ethical dilemma is to first identify the problem and then clarify the nature of the problem. This entails gathering pertinent information that will help elucidate any potential ethical issues. One important matter to reflect upon is whether this dilemma is ethical, clinical, professional, legal or any combination of the aforementioned categories (Forester-Miller & Davis, 1996). Honing in on the nature of the ethical issue will provide some direction as to which avenues are the most applicable for the given ethical situation.
It goes without saying that at some point in a counselor career, he or she can expect to be faced with an ethical dilemma. Ethical decisions are rarely easy to arrive at, as the dilemmas a counselor is faced with can be very complex
Background: Two staff are seen carrying the old woman and throwing her onto her bed. (YouTube) A nursing home along Braddell Road has been suspended from admitting new patients with effect from 12 April after a patient was reported to have been mistreated. The incident at Nightingale Nursing Home came to light after a video of a patient being mistreated was sent to local broadcaster Mediacorp. The footage was shot by a hidden camera on a patient's bedside. In the video, an elderly woman patient is seen sitting stark naked beside a bed with the room ceiling fans on. She is then picked up by two hospital staff and thrown onto a bed, before a staff is shown slapping her on her mouth when she wailed in pain. Reports say the patient has been a resident there for four years and is suffering from stroke. The Ministry of Health (MOH) said it has suspended the nursing home from admitting new patients from 12 April until further notice. The nursing home has also disciplined the staff involved and put in place additional measures such as ward rounds by senior staff, regular meetings with patients and their family members, and management check on staff conduct and patients In a statement to Yahoo! Singapore, a MOH spokesperson said, investigations into the video recording show "significant lapses in the care standards" to the patient in question. "This should not have happened. There should have been tighter supervision of staff rendering care to vulnerable patients. Patient's dignity
therapy aims to improve family relations, and the family is encouraged to become a type of
Management constitute amongst major components of a company, organization or a business. As such, management oversees employees interactions with their supervisors and also control of people within a particular organization. Also, it includes critical and ethical decision-making process so as to address various ethical dilemmas experienced by employees while undertaking their respective assigned duties within the company. Ethical dilemmas are hereby to stay as issues usually arise now and then and place a variety of options that bear different repercussions. Therefore, it calls for ethical and critical decision-making skills so as to make the most appropriate option that bears more benefits in comparison to other options presented. While making ethical decisions, it 's substantially important to play heed to a certain ethical decision-making theory. This would enable an individual making the decision to ripe best possible consequences rather than living to regret. Moreover, ethical decision making is typically important in business as making a wrong decision may result not only in huge losses but also poor relationship amongst colleagues and miserable life for employee(s) working in a particular company or business in question.
Ethical dilemmas happen frequently in the social work and how one handles them could be the difference on how a clinician keeps their license or not. The problem is there is no way to prepare a person from knowing what situations will arise. Scenarios arise all the time and new ways to handle them is constantly changing. The ethical dilemma can happen anywhere and at any time with anyone, it could be a client, co-worker, and even supervisors. No social worker is safe from them. One however can practice with scenarios and be aware of personal biases. A social worker needs to evaluate each dilemma with the different frameworks and principals to determine which one applies best, anticipate what possible outcomes could happen, and what interventions a social worker would implement.
The first step of the Ethical Decision-Making Procedure is stated as, “1.0 Become Aware of Dilemma” (McNamara). According to the given case scenario, the dilemma is clearly stated. It reads that the client (mother) does not believe in rewards or support the use of them for her son. The mother is going against what the BCBA believes in and stands for, thus causing a direct dilemma. Removing reinforcers is not feasible for the professional BCBA, and this must be properly addressed with the client. Situations like these are where the Ethical Compliance Code comes into place for the sake of the clients and professionals involved.
My theoretical approach to family therapy is very integrative as I believe families cannot be described nor treated from a single-school approach. I view humans through a humanistic and existential lens but am more technically structural and solution-based. With this integrative approach, I believe I will be the most effective in helping families grow and reach their goals.
June is obtaining great training that is difficult to buy. She is getting to see a real life example of what she needs to strive to not be like. And, she is getting a chance to filter all this through her ethical decision-making model and risk management toolkit that she hopefully created in one of her masters classes.
The ethical decision making process is based on moral rules and unchanging principles that are derived from reason and can be applied universally. These universal rules and principles must be considered separate from the consequences or the facts of a particular situation. (McWay, 2014). Health care workers face ethical issues and have to use the ethical decision making process to determine what is best for their patients.
Ethical theories in philosophy are used as decision making tools (Trevino p38), many theories with different frameworks with argument with and against.