Personal Narrative Behavioral Therapy

Another patient, whose story affected me on a deep level, was molested as a child. As an adult she was married, and after a year of marriage her husband began to physically abuse her. She came to my program after a suicide attempt. It was a struggle for her to get out of bed every morning and come to the program. She would wear a

The case of Leanne presents a number of ethical dilemmas that counselors can face with their clients. Here Leanne does not want you to tell anyone what she has just told you regarding her past. By telling someone you will be breaking client confidentiality, Leanne’s trust in you, and the therapeutic relationship you have built with her. If you decide to not then you are breaking the law. Even though the sexual abuse is reported as only existing in the past the client is still a minor and living with her father. By not reporting this you are also possibly putting the client at risk of being sexually abused again.

Taking the role of the school counselor in the case of the 11-year-old girl, the counselor would first empathize with the girl and let her know that she is very courageous for sharing the information. Additionally, the counselor would want to emphasize the importance of continuing the counseling relationship with the student to help her with this difficult situation. Next, the counselor would remind the student about the limits of confidentiality. Further, the counselor would tell the student that she is concerned for her safety and that based on the limits of confidentiality that was discussed during the beginning of counseling and the informed consent paper that was signed by parents and students at the beginning of the year, the counselor would need to get the student some help. The counselor would ask the student if she could share this information with her mother with the support of the counselor or get the student’s okay to share the information with her mom. This would help to keep the counseling relationship in tact. However, if the child did not want the counselor to tell anyone, the counselor would still be obligated as a mandated reporter to report the abuse to child protective services (State of Hawaii Department of Human Services, 2007). The counselor would also tell the student what the next steps would be and help her prepare for them. For example, the counselor would tell the student that she would be calling a person that would come visit her home to make sure she was safe.

Ms. Wegner picked up contact once again with Client A in January of 2016, and engaged in sexual conduct. Ms. Wegner was aware of the ethical scope of social work boundaries and had even provided training on the topic to other social workers and staff. The respondent has taken upon her own initiative to get mental health treatment and has not continued practicing since January 12, 2016. The respondent denies any wrong-doing, but consents to following Conclusions of Law and Order.

My heartrate has to be off the charts. I’m sure the anesthesiologist would know, since I’m hooked up to a monitor. She is doing her damnedest to make this experience seem routine. For her, I’m sure it is. She must do at least a dozen sections a week. I, on the other hand, have never had surgery. Never have I had another life inside me either, counting on me to make all the right decisions. I’m hoping this is the right decision. I am sitting here on this hard cold steel table alone, no loved ones are allowed back until the procedure is underway. My naked back is exposed to a student. There will be a slight pinch as the needle pierces through my lumbar flesh kissing the anesthetic solution into my system. I am here because my daughter, my already

Sometimes, I feel like I am experiencing a double therapy. One that I am leading with my therapist, and another one, more passive, in class. School can inadvertently speed up a process for which you are not necessarily ready. It can stir your past and your emotions arise. In that case, there is an assignment that I am postponing and trying in every way possible to avoid or twist differently. The material evoked in class was hard to process and I did not expect it. Ironically, I now think about it all the time. I know that I need to go to the bottom of it one way or another, but homeostasis is compromised and I do not like it. I try to look at it like gym. It is not pleasant but it is good for your health. The problem with that paper is that

In dealing with the families, a lot of the parents ask questions about their children as well as what things are discussed in therapy. For instance, parents want to know if their child is sexually active. The law does not allow her to disclose that information for someone who is over the age of 14. Counselors protect the confidential information of prospective and current clients. Counselors disclose information only with appropriate consent or with sound legal or ethical justification (American Counseling Association, 2014). Mrs. March stated she makes sure that she keeps an open mind and respects the difference of her clients. She understands that they have various cultural backgrounds, different economical statuses and some come from broken homes.

Narrative therapy was developed by Michael White and Davis Epston in during the 1980 's. Narrative therapy is described as a “ collaboration and non-pathologizing approach to counseling and community work which centres people as the experts on their own lives” (Narrative Therapy Centre, 2014). The basis of this theory is to separate the person from the problem so they rely on their own skill sets to eliminate their problems. Narrative therapy allows people to transform their personal experiences into stories and discover their life 's purpose (GoodTherapy.org, 2015).

As a narrative therapist with this particular family the goal would be to be an empathic listener and touch on the key facts they describe as part of their narrative to unravel and mend the dilemma that brought them into therapy.

It was gone- my arm. Torn right off where the humorous met the clavicle. Behind their constant looks of pity and commiseration, I could tell the doctors were disgusted. And despite my protests, Kevin was arrested upon my cousins urging.

However, this model is missing a few components important to trauma counseling. TF-CBT is effective for clients with PTSD, depression, and behavioral problems known to the client’s family. However, if a client’s family is not aware of his/her child’s traumatic issue or importance is not on the child’s overall well-being, providing this type of counseling poses challenges for the counselor. Informing the client’s parent of a child’s trauma must coincide with legal and ethical responsibilities of a mandated reporter. Realizing members of the family will likely have different emotional responses to this discovery is important for professionals to keep in mind. Allowing the family to express emotions in a safe environment aids in catharsis however, if a family member monopolizes the session, the child can experience increased feelings of inadequacy and lack of control. Providing parents with counseling resources to see his/her own counselor through this difficult time should incorporate appropriate processing of each individual’s emotions in a private and safe

Working with minor clients can be extremely challenging because of the grey areas surrounding ethical and legal issues. Two major challenges when working with minor clients are confidentiality and reporting suspected child abuse or neglect. There are actions taken by counselors to provide the best possible care for the minor client, while maintaining a therapeutic relationship. As a future counselor, I am aware I will encounter challenges pertaining to confidentiality and abuse/ neglect, however I understand the need to make an ethical decision and use the ACA Code Of Ethics to guide me through the journey.

In addition to duty to reporting, I was quiet surprised at how mandated Laws requiring reporting and the limitations to Confidentiality differ in various states, because coupled to what Joseph and Nellie were discussing in Feldman’s video , New York lawyer are not obligated to carry out reporting (Stein, 2004). In some cases, Professional Counselors/therapists are covered under attorney-Client privilege, if the Counselor/therapist is employed under the attorney, thus making reporting of an abuse void. (Stein, p. 11). Furthermore on the issue of Confidentiality, I found the video’s information and the information I gathered from the State of Maryland, Board of Professional Counselors/therapists and the ACA code of ethics websites, contradictory. According to the discussion, on the Video, a third party can be granted access into a victim’s records, but according to both Maryland and ACA code of ethics websites, Clients recorded are not supposed to be made known to a third party, unless the Client issues an informed consent. So I just think revealing a Client’s information is in violation of the code of conduct and HIPPA act, just like Nurse Brown and the incompetent social worker, they were in violation of the Statue and I could say, COMAR 10.58.04; Professional Competence. Finally, on the ethical issue on the duty to warn, in the case of Tatiana

One of the goals for this client is to eliminate tantrum behaviors. The objective that goes along with this goal is that the client will learn coping skills to manage anger/frustration when he does not get his own way. His task for this goal is that he will use his coping skills 3-5 times a day. I feel that all of the values of professional social work are important whenever you are dealing with a client. However, depending on the situation at hand some can be more important than others. One value that I feel is extra important in this situation is the value of dignity and worth of the person. I feel that it is always important to emphasize the worth of an individual, but in this situation, it is also important for this client and the client’s family to be aware of their own worth and that they are not being

Throughout my 13-year career in the Human Services field, spending the majority of that time working with adolescent girls in residential treatment facilities, I am very much aware of the risks that exist with regard to sexual relationships between professionals and clients. In that time, it came to my attention that at least three employees at programs where I was employed had sexual relationships with clients. In addition to the ethical issues that arose from these situations, all of the clients were under 18 years of age so the actions of these employees had legal ramifications. Many of our clients had been victims of sexual abuse prior to admission into our program. I always viewed our programs as safe places where clients would be treated with respect and could develop strong therapeutic relationships with both their counselors and program staff members. Unfortunately, the actions of a few had a detrimental effect on our programs and also the lives of our clients. Having dealt with these issues and focusing on ethical decision-making throughout my education and professional career, the ethical dilemma of