Possible abuses in Counselling
This essay aims to investigate and research potential risks, possible adverse outcomes, and consequences of abuse and/or violating the ethical codes of conduct. Three specific examples in this essay will discuss: (a) Client rights on informed consent; (b) breach of confidentially; and (c) boundary transgression. The goal to (a) Define, detail and explain each possible abuse/violation, (b) clarify any possible legal implications, distinguishing between possible legal and professional conduct ramifications, and (c) clarify their potential impacts on the client, counsellor, therapeutic relationship, the profession, organisation’s reputation and society’s perceptions. An example scenario to illustrate
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As a result, the information focused on the therapeutic approach, number of sessions, payment, etc. The counsellor presents the informed consent document to sign, changed to show only what she discussed with the client. First, is the counsellor in breach of the duty of care and responsibility to the client? ACA, (2015). Has the counsellor omitted the right of the client to be informed about possible risks in treatment? Discussion and/ or questions regarding the consent form were they offered, or did the counsellor forget, did the counsellor avoid the discussion due to her values and beliefs? In answering these points and defining informed consent (Corey, Corey, & Callanan, 2015) states that clients should have the rights to make informed decisions and given an understanding of the therapy to be implemented, this encapsulates standard practice. In clarifying informed consent (Fisher & Oransky, 2008) discuss that informed consent respects both the client and counsellor, not only satisfying Code of ethics, it builds the relationship and allows the client to take ownership of the process. Therefore, the dilemma here of respecting autonomy by providing adequate information for informed consent: versus avoiding the potential harm of discussing risks. Second, might this be perceived as neglect of the counsellor? Alternatively, might this be the counsellor deciding to discuss the Informed Consent in more detail at the second
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.
The British Association of Counselling and Psychotherapy (BACP) Ethical Framework for the Counselling Professions provides the foundations and guidelines for ethical understanding and good practice in counselling work. This enables a counsellor to practice safely in private practice or within an agency. Different agencies may work with other frameworks, for instance the National Counselling Society (NCS), who support counselling and related therapies, and are closely linked with the NHS. (Nationalcounsellingsociety.org). The BACP framework can’t inform a counsellor of specific rights or wrongs, but outlines the values, principles and moral qualities that a counsellor should adhere to, which helps with guidance and ethical decision making and safeguarding client and counsellor. (BACP, 2015)
In order for counselling to be effective and purposeful it must be conducted in an ethical way. The very act of seeking counselling predisposes that the seeker is vulnerable/troubled and needs assurance that the main focus of counselling will be their well-being and promote for them a greater sense of autonomy, and not to serve any other purpose. Therefore the foundation of good counselling must be an ethical relationship, hence the need for an ethical framework. As Tim Bond (2010) states:
The counsellor is in their right to inform the counsellor that they can not keep the confidentiality on the particluar piece of information been shared. It is important that the counsellor does not arrange to meet the client outside of the counselling sessions and that both client and counsellor keeps to the agreed appointment times. The counsellor is there to purely counsell the client and should by no means become in involved in other aspects of the clients life for example offering to find out something on behalf of the counsellor. It is important that once the costs/fees are agreed upon that the counsellor does raise these costs or waive them for something in return. At the first counselling session the counsellor should offer the client a set number of weeks that they maybe counselled and it is important that the counsellor does not extend these without any clear reason to do so as this may result in the client becoming dependant on the counsellor. The counsellor must on no terms exploit the client in anyway and recieving or giving of gifts is not acceptable during the time the client is being counselled.
1. Describe and discuss ethical frameworks within which counselling and therapeutic practitioners work. Include justification for observing codes of conduct and how professionalism is maintained.
However, it is not always that simple and there may be some instances when it is not possible to maintain total confidentiality and the counsellor my have to pass on certain information that was revealed. For example, if a crime has been committed or if there is a risk of harm to another person. In this case the counsellor must be clear with the client what information they may have to pass on and to whom.
Professional counselors and their staff are exposed to sensitive client information and records. The helpful receptionist and whose privilege videos, show how to apply both the American Counseling Association Code of Ethics (ACA Code of Ethics) and state board counseling laws to common ethical scenarios. The content explores aspects designed to call attention to favorable and unfavorable skills and techniques in handling such matters. These two videos demonstrate the limitations of confidentiality and privileged information. As a professional counselor one is expected to uphold the principles of confidentiality and privilege according to the ACA Code of Ethics and state laws. One may conclude that the helpful receptionist video shows clear violations of confidentiality. While the whose privilege video indicates the significance of insuring that counselors comprehend state laws and ethics codes pertaining to confidentiality and privilege. Furthermore, counseling professionals are held accountable for violating ethics codes and state laws as well as training staff on informed consent.
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 EAI indicates that ethical guidelines have changed from individual character to organizational ethics (Ethics Awareness Inventory, 2011). The prime focus of this change are client-patient relationships in psychological counseling and clinical practice (Fisher, (2013). Psychological counseling and clinical practice are both constructed on ethical guidelines with the possibility for misuse of power and negligence to discretion (Fisher,
Video presentation: The video clip was quite interesting I found it to be very educational as to the legal obligations of therapists in the mental health field. There were issues that were brought up that were quite important, such as therapists need to understand confidentiality, privileged information, and a therapists responsibility related to reporting suspected child abuse, elder abuse, and/or suicidal ideations, and possibly the most important of them all is a therapists duty to warn. The first case they were
There are several ethical dilemmas that the mental health professionals that are working as a team will face including “ensuring that the client has given informed consent, maintaining client confidentiality, and involving professionals, paraprofessionals, and family in appropriate coordinated processes that benefit the client” (Paproski & Haverkamp, 2000, p.96).
The ethical dilemma I wish to explore is The Duty to Warn. This refers to the duty of a counselor, therapist to breach one of the most important bonds between a client and a therapist; the law of confidentiality. The therapist has the right to break confidentiality without the fear of being brought up for legal action. If the therapist believes that the client poses a danger, or is a threat to himself, someone else, or society as a whole, the therapist must decide how serious of a threat the client may be, then if he decides it’s a serious issue, he must notify the person in danger, which would e the third party, or the police, or other people who may be in the
Lying on the Couch by Irvin D. Yalom has been both entertaining and interesting from a counseling standpoint in that it provides a scandalous and as was in most of the cases, a look at what could go wrong if ethics in a clinical counseling setting go awry. Following the characters of Seymour Trotter, Earnest Lash, and Marshal Streider in working with their clients and with each other the ethical lessons to be learned become obviously apparent, if not emotionally painful. Although, numerous issues arise throughout the book, there were at least three that will be covered within the context of this writing. In consideration of each of these ethical breaches there will be dialog on the nature of the ethical issue or violation, where the ACA ethical code applies, ramifications of the ethical issue or violation on both parties, and application of Kitchener?s five primary ethical principles that were involved or violated. In addition, the justification offered by the characters in the book for their actions or considered actions, application to the situation in the setting of Clinical Mental Health counseling, and indication of personal response to the situation presented. Understanding that the use of these ethical principles and considerations as they apply in counseling are unequivocally valuable tools in helping a practitioner in working with clients to make comprehensive decisions that will not create conflict within their ethical parameters and are aligned with the laws
After the client signs the inform consent and understands what therapy entails, then the client may start to feel a little at ease. The therapist may need to ask some questions regarding the client’s background, to help the therapist understand the client. Also, the therapist needs to be warm and empathetic in listening to the client. This will help
Within today’s society, sexual abuse scandals within sports are unfortunately becoming more and more common. They plague almost every sport but are more prominent sports like swimming, gymnastics, and more individualized sports. One of the most disturbing sexual abuse scandals is the USA swimming scandal that has resulted in over one hundred coaches being banned from the sport and numerous female swimmers living with unthinkable memories. People of the clubs or gyms where these athletes practice believe they know their staff, the athletes would speak up, and they would see signs if something is going on. However, they cannot imagine the extent of these horrendous experiences these young girls go through.