Termination In Psychology

If the therapeutic relation has already been stablished, I would not terminate survives, unless it becomes reasonably clear that the client no longer needs the service (BACB Ethical Guideline

(Horvath and Greenberg, 1994) As Binder and Strupp (1997) have suggested, the outcome of the therapeutic alliance is highly connected with the therapist’s capability to recognize whether the treatment they have applied is helpful and if it isn’t how it could be changed in order to turn into a positive treatment. (Binder and Strupp, 1997) Furthermore, both statements suggest that there must be a close connection between the therapist and the family/person, which is being treated at the considered moment. Those texts could suggest that it is important to have a personal, yet professional connection with the “client” in order to achieve a positive outcome. However, this would mean that one must take their work life into their everyday life and engage with the patient even outside work hours and that would be crossing the professional boundaries. To give an example for a positive treatment which evolves into a negative, I would like to draw your attention to the Netflix Original Series - Atypical.

During the film Antwone Fisher (Black, Haines, & Washington, 2002) the therapist who worked with Antwone seemed to have Antwone’s best interest at heart, but still managed to violate some ethical codes. One of the first violations that I noticed was when he tried to terminate therapy with Antwone after only three sessions. Whereas he initially informed Antwone that he was only required to see him for three sessions, as the sessions progressed it seemed obvious to me that Antwone may need more, and even asked to come back for a fourth session. According to the 2014 American Counseling Association (ACA) Code of Ethics, A. 11.c. Appropriate Termination, “Counselors terminate a counseling relationship when it becomes reasonably apparent that the client no longer needs assistance, is not likely to benefit, or is being harmed by continued counseling.” I think that the therapist trying to terminate therapy with Antwone after three sessions was an obvious violation of this ethics code as it was not in Antwone’s best interest, especially given how much distress it caused him.

The nature of therapist-client relationship and understanding the therapist’s role is vital in making sure that the client’s rights are not jeopardized. The client must be willing to trust the therapist. The therapist can earn the trust of the client will confidentiality guidelines that are established by requiring informed consent. The therapist-client relationship is based on counseling approach as well as relationship with the client. The therapist’s role is to understand the client’s needs, help them get their needs met mentally, and to develop the proper plan that fits the client’s needs. The therapist must fully

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,

It is important, during these final stages, that the counsellor and client can resolve any unfinished business and have time to consider the complex feelings about endings. According to Dryden and Feltham (1994), ‘a fear of loss may cause some clients to cling on to relationships in life and this will obviously have some bearing on the therapeutic relationship.’ As the counsellor, I need to be aware of what an ending might signify for the client, and for me, and manage these ethically and with the guidance of my supervisor.

This leaves the client and their family in a sticky situation. They can pay cash out of pocket for the treatment, wait for a mental health diagnosis so that the insurance companies will pay, or look for an alternative form of treatment that might be more effective an affordable. Sometimes the insurance company actually will refuse to pay any more benefits for the client for the year since he or she has been in and out of treatment centers so many times that

Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by

In the mental health profession of counseling, therapy, psychology, psychiatric and social services ethical dilemmas are faced primarily on a daily basis. Being that mental health professionals are working with clients who are often fragile and vulnerable, they must develop an intense awareness of ethical issues. On the other hand, mental health professionals would never intentionally harm their clients, students or colleagues and others whom they work with. Unfortunately, good intentions are not enough to ensure that wrong doings will not occur and mental health professionals have no choice but to make ethically determined decisions. Depending upon the experience and expertise of the professional determines the outcome of the ethical

Writing therapeutic contracts can be a frustrating task for novice therapist (Fisher, 2017). In graduate school therapists are trained to be caring, empathic, and most importantly provide a safe space for their clients. Although these things can be completed without any contradiction from a contract. Therapists must be mindful of what their contract encompasses. For example, one area that has always been an issue for therapists is fee setting (Fisher, 2017). A therapist would not want to terminate services with a client because the client cannot afford their services. The obvious solution to this problem is to lower their fees, if a therapist decided to lower their fees then the issue of self-worth arises (Fisher, 2017). Therapists who

Therapy relationships with clients. The psychologist to patient relationship during therapy is a crucial aspect. It is within ethical guidelines that the psychologist clearly establish his role whether it be with an individual, group, or family therapist. These roles need to be understood for the variety of issues that may arise; one of which is the disclosure of information. Psychologists, for obvious reasons, are not to have sexual relationships with patients or former patients within a

This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.

There are many variables that influence the success of therapy for the client, none more so than the therapeutic relationship. The therapeutic relationship is defined as the strength and collaborative relationship between the client and therapist that emphasises mutually agreed goals and tasks within the context of a strong affective bond (Horvath, 1994.) In the therapeutic relationship, the clinician offers care, touch, compassion, presence, and any other act or attitude that would foster healing, and expects nothing in return (Trout, 2013.) Some clinicians believe that the “therapeutic relationship is a precondition of change, others as the fertile soil that permits change, while others see it as the central mechanism of change itself” (Norcross, 2010.) This is not to devalue other variables that impact the success of the therapy such as client involvement and the treatment method.

Licensed professional counselors have a unique occupation in that not only do they interact with their clients on a highly personal level, but they also momentarily share their client’s burdens, worries, and concerns. This vicarious aspect of counseling creates the possibility for a counselor to continue sharing the client’s troubles long after the session has ended. According to Norcross and Guy (2007), “The person of the psychotherapist is inextricably intertwined with treatment success” (p. 2) meaning that if we desire more positive outcomes than negative ones we must figuratively become one with our clients. Due to this fact, “self-care is not simply a personal matter but also an ethical necessity, a moral imperative” (p. 6). If we fail to leave work at work at the day’s end, then other facets of our lives are in jeopardy of becoming tainted.

Counsellors should take sufficient periods of time between clients in their clinic to allow for grounding, as counselling places considerable demands on the counsellor. Counsellors should also be mindful of the number of clients that they see in a typical week. Counsellors should only enter into a therapeutic relationship on a voluntary basis and as a result of an informed decision to do so. When a counsellor is experiencing difficulties such as emotional or personal difficulties, illness or any matter that impairs their functioning they should refrain from seeing clients. This may present as a challenge to many counsellors as they may often continue working for financial or feelings of obligation; however this is unethical and may leave the counsellor and the client