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Confidentiality In Counseling

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There are many ethical issues a counselor must confront during their work; dual relationships and confidentiality being two of them and are going to be discussed here. Both are important to both the client and the profession, as they set the expectations for how counselors are to act professionally (Miller, 2015). Ethical principles “direct the moral and value-based decisions that affect the counseling process” (p. 557). Without them, the profession lacks these moral and value-based directives and the ship that is “addiction counseling” has no rudder. It is directionless and adrift. Professional Issue # 1 Dual Relationships are dangerous to the client/counselor relationship because it blurs boundaries that must be clear to have …show more content…

There are two relationships present; one is a counselor/client and the other is familial. Being a family member of a client is problematic because there’s a bond based on family, emotion and love, which are all things that a counselor/client relationship cannot have. You’ve created an overlap in relationships, which can be confusing to the client (Miller, …show more content…

With some exceptions in 42 FCR page 2, (Miller, 2015), the client has the sole say in who can know if they are in treatment, and what details that involves. The entire agency has the responsibility to abide by professional, ethical and legal requirements to protect the client (Miller, 2015). Confidentiality allows the client to explore treatment without stigma and without invasion into their treatment by those that they do not want involved. Confidentiality allows the client the freedom to fully explore their treatment without barriers that could restrain their progress. Example #2 An example of a confidentiality issue is boyfriend and girlfriend, together for over a decade, both in treatment long-term at the same out-patient treatment facility. The staff might all know that these two are in a long-term relationship, but written permission must still be given for any agency employee to share information with the other. This written permission must be clear, purposeful and informed. No information about one or the other can be exchanged to the other without clear, informed consent. Application

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Primary Responsibility: The counselor principal obligation is to promote the prosperity of the clients with the reverence and dignity. This is the foundation for the therapists with maintaining their righteousness and obligations toward assisting the participants to adhere to the collaboration with the development of the client’s treatment plan. Overall, this approach is essential for the practitioners to enhanced their trust with the clients that were establishes, especially, with maintaining their responsibilities to the individual’s treatment objectives. NAADAC I-2 Informed Consent:

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Theses steps are imperative to maintaining the patient’s privacy. When disclosing

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In regards to the scenario of the patient Cindy who had an affair while being married, one of the red flags that I noticed was AACC Code 1-143 counseling with family, friends and acquaintances. According to the scenario, Cindy, as well as her family, attend the same church as the counselor, but also know the counselor very well. This was a breach in ethics on the counselor’s part, because in the AACC code, it states in Code 1-143, “Christian counselors do not provide counseling to close family or friends.” (Clinton, Ohlschlager, and Hart; pg. 269). The counselor has already broken the ethics code by giving Cindy counseling advice, which is part of the AACC code 1-145 (pg.269).

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Counselors must be aware of their ethical and legal obligations when providing counseling services, such as those related to crisis prevention and intervention. This knowledge can guide the counselor in making appropriate decisions to best assist the client. The American Counseling Association Code of Ethics (2014) provides counselors with the core principles of autonomy, nonmaleficence, beneficence, justice and fidelity to guide them in decisions making. Furthermore, the following ACA (2014) ethical codes are applicable to crisis counseling: A.1.a. Primary responsibility.

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Morality is a set of values held by a person in making when judging and evaluating what is deemed right or wrong, good or bad (Brandt, 1959). When we talk about morality in counseling it’s about the reasoning by the counselor that has four levels. They are, personal intuition, ethical guidelines established by professional organizations, ethical principles and general theories of moral action (Kitchener, 1984). Ethics is described as adopted principles that has relations to man’s behavior and moral decision making (Van Hoose & Kottler, 1985). Ethics is often thought as a synonym to morality.

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Counselors may allow their own personal experiences and histories to cloud the direction of their treatment due to personal conflicts in their lives. Counselors often ignore the feelings that their clients create in them. In order for me to deal with this type of situation ethically and effectively I would first have to accept the countertransference that is at hand, and seek personal therapy. Therapy will enable me to share my countertransference concerns, and become aware when they are taking place. It is important that I acknowledge these feelings and deal with them right away before it can effect therapy with the client, by seeking personal therapy or consolidation with a colleague or professional.

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The Nature of Europe: Cultural, Religious, and Geographical Considerations At the dawn of the twenty first century, Europe exists in much the same way as it had for previous centuries. Despite cultural, religious, and geographical similarities, Europe can best be described as an idea. Throughout the history of the continent, those tasked with identifying Europe have incorporated and developed a number of perceptions that rightly include and exclude a number of factors. At present, contemporary thought is confronted with a similar test.

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The Singapore Nursing Board (SNB) Code of Ethics and Professional Conduct states that confidentiality means to protect the privacy of clients’ personal information (SNB, 2014). According to Lockwood (2005), confidentiality could be viewed as information that a doctor learns about a

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Autonomy Respecting a clients autonomy is key in most counselling approaches. The very ethics of autonomy suggest a client should be granted the right to self-government and have freedom of choice. However the greatest requirement is “respecting the client’s own sense of what will be helpful to them.” (Bond, 2010, p.79; pp.82-83.) However, if the client is a young person of sixteen, have they got the capacity to understand the consequences of receiving a confidential service and the choices relating to the issues under consideration?

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In addition, boundary crossing such as home visits, or meeting with clients outside the office setting may potentially benefit the clients in significant ways. Furthermore, the clients cannot readily judge the appropriateness of the counselling dynamics for themselves and need guidance (Webb, 1997). Their expectations can be largely based on cultural norms, or influenced by their vulnerability and intimacy when entering the counselling relationship. Because of the vagueness, many counsellors struggle with establishing appropriate boundary as it can easily lead to confusion and mismanagement. (Webb, 1997).

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As I learn more about counseling theories, I realize that it is important for a counselor to not act as an expert on a client’s life, rather, this role is solely

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The mental health counselor received a new client that is seeking counseling; however, that client was actually one of the counselor’s close friend who knew the counselor for many years. The counselor seemed surprised that her closest friend was seeking help, and the counselor was the only professional mental health counseling practicing in the small community that matched the description of the services needed by the client (her closest friend). The counselor is feeling unsure that she can provide a good clinical insight/judgement for her client and whether or not she should continue seeing her friend as a client. The counselor sees herself in a predicament of what decision will be the most effective that could benefit the client’s wellbeing as well as the counselor’s ethical

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The benefits of the client are first in place before those counsellors even if such fidelity is uncomfortable for them. Furthermore, they should also make every effort to make sure that clients’ expectations have reasonable prospects of being met. They have to contemplate confidentiality as an duty arising from the client’s trust. Principle of fidelity

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Counselling is a talking therapy that involves interactive relationship of client and counsellor. Counselling offers opportunity for clients to talk to the counsellor about their problems and feelings in a confidential environment. A counsellor generally helps the clients to see things from a different perspective and find their own solutions based on their own beliefs. The main aim is to enable the clients to develop a better understanding of self and be able to make changes to cope with difficulties in their lives, by reaching their own decisions and act upon them accordingly to develop a satisfying life.

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It is important for them to put their thoughts aside and place themselves in their client’s feelings and remain empathic. Any individual who are struggling to cope, are all authorized to contact counselling services. As counsellors they have to uphold equal opportunities as they are there to help clients think differently. The importance of confidentiality within counselling is extremely valuable as every individual has the right to say how their information can be accessed. Before starting a counselling session, counsellors agree not to disclose any information with anyone.

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