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Ethical Considerations In Therapy

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Ethical Considerations
Considering that one of the fundamental ethical considerations in therapy is to do no harm, it is useful to comprehend which treatments increase the risk. Approximately 10% of all clients in therapy have detrimental clinical outcomes (Boisvert & Faust, 2003), and it has been suggested that relational interventions have a higher probability of doing harm (Lilienfeld, 2007). Lilienfeld (2007) devised a provisional list of potentially harmful therapies and suggested that therapies involving the therapeutic relationship may increase the risk of harm due to the potential for deterioration as a result of releasing powerful affect. More so, if not managed correctly, this highly emotive environment may produce negative emotions …show more content…

Informed consent is characterised as the client’s right to be made aware of, and understand, how the therapist intends to work with them (J. Sommers-Flanagan & R. Sommers-Flanagan, 2018). Several examples of this include the therapist’s training, treatment plan, the anticipated length of time for therapy, and the risks and benefits associated with therapy. The client will provide their consent via written and verbal discussion. Similar to congruence in the therapeutic relationship, keeping the client informed and by having an open and honest dialogue, the commencement of therapy can be empowering, thus leading to better overall outcomes (Harris & Robinson Kurprius, …show more content…

The dyads completed self-report measures based on therapist multicultural competency, the therapeutic relationship, and their satisfaction with the therapy. The outcome indicated a strong relationship between the client’s ratings of therapist multicultural competency, the therapeutic relationship, and treatment satisfaction. Clients were more empowered to discuss cultural differences and their own life changes, demonstrated more trust towards the therapist, and produced overall more favourable therapeutic outcomes. Albeit, several authors had suggested that it is essential to understand the potential harms associated with addressing cultural differences when the client did not bring it up themselves or concerned with other difficulties (Sue et al., 2009). As a result, the client may assume that the therapist lacks understanding, interest, or patience when dealing with their concerns (Speight & Vera, 2017). While the client may or may not have pronounced concerns surrounding their culture, what matters most is the meaning that they attach to it (Roche & Maxie,

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Consequently, this week’s interpersonal/relational wiki proves to have a strong focus on therapies that analyze the core of relationships. Thus, the similarity that stood out was the depiction of relationships. Most of the models rely heavily on a client’s relationship, either with self, family, or society. While each model focuses on one’s relationship/s, each model differs in its perception of where relationships fail, how they are empowered and what role the therapist plays. In Relational-Culture Therapy (RCT) the therapist empowers clients through growth fostering relationships; Family Systems Theory (FST) the therapist remains neutral and creates structure; Adlerian therapists model social behaviour; Gestalt therapists create space for

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Most important, this model allows for investigation of clients ' level of conformity and idealized identification with the dominant culture as well as their rejection of their own culture.”

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Definitions of multicultural Competence Frontline Human Service Providers, was collaboratively written by L. Caldwell, D. Tarver, D. Iwamoto, S. Herzberg, P. Cerda-Lizarraga, and T. Mack. The article was published by the journal of Multicultural Counseling and Development. This article explores different definitions provided by ninety nine different human service providers who are on the frontline serving in the helping capacity. All information they have in counseling was gain from firsthand experience. Color blindness, client focused, acknowledgement of cultural differences, textbook consistent, resources driven, skills-based, and self-integrated, are used throughout the article as terms that are frequently used to define multicultural.

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You recently joined a day treatment programme as staff. You are excited to start working in the field, and you want to be a good team player and effective employee. When the supervisor is not around, you start to observe that the other employees like to hang out, eat, play cards, gossip, and ignore the clients. Identify the problem.

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The therapist has to “do so in a clinically sound manner that reduces the possibility of harm” (Behnke, 2009, p.70).The standards that will assist the therapist when addressing the issue are Ethical standards in the AAMFT Code of Ethics 2.01 Boundaries of Competence, and 10.10 Terminating Therapy. According to Standard 2.01(a), the therapist should give within the limitations of their competence; competence pertains to education, training, administered and professional experience, and consultation (Behnke, 2009). Standard 10.10 (a) Terminating Therapy, lists three conditions for ending therapy; aid is no longer wanted, therapy is not likely helpful, or if continuance of therapy may cause harm to be inflicted to his or her client (Behnke,

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Methodology During The Tuskegee Study

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For instance, the practitioners are obligated to constantly inform the participants about plans that pertains to interventions (Reamer, 1987). In addition, it is essential for informed consent to include the following: “What is done, the reasons for doing it, clients must be capable of providing consent, they must have the right to refuse or withdraw consent, and their decisions must be based on adequate information” (Kirk & Wakefield, 1997, p. 275). One of the most dehumanizing incidents that occur is the researchers prohibit the participants’ self-determination. For example, the men were compliant with receiving treatment and to be examined by the physicians.

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Many ethnic groups are resistant to treatment due to mistrust of the system and stigma around mental health. The issue of trust should be brought up in the beginning of treatment in order for the client and family to feel comfortable and be more likely to disclose information. Therefore, the therapist should establish clear and effective boundaries to ensure the development of a safe therapeutic environment on which trusting relationship can be developed and provide psycho-education on mental health to avoid resistance to treatment (Harper & Steadman, 2003). It is also very important to establish a positive working alliance with the family system as defined by the client; they are the most important resources to the client and support system to help guide the client through the therapy process and for better success in

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An Ethical Objection Of Brief Therapy

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An ethical objection about brief therapy is that the therapist runs his/her own agenda and fails to listen to the client. Brief therapy requires the therapist to be direct (B. Hardy, personal communication, April 30, 2015). For instance, the therapist rushes the client from talking about the problem to talking about the solution right away. The forceful change of thinking disrupts the client’s venting process and leaves the client feeling dismissed. Although, brief therapy requires changing client’s problem language to solution language, therapists should be sensitive to the client’s needs as well (Nichols & Schwartz, 2007).

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Historically, society as a whole has encountered many adverse situations regarding multicultural counseling, all of which have strengthened the core of the profession. Counseling for many years was entangled with the ideology of monocultural disciplines, which deemphasizes the notion of cultural diversity in the profession of counseling. This is significant as due to the premature societies, it was considered the norm to be associated with a single dominant cultural group where its values, behaviors, expectations, and methodologies were assumed to be the catalyst for all other cultures to follow. Seemingly, the previously mentioned became problematic and unorthodox, as societies across the world continued to expand racially and ethnically.

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The art therapy services conducted by Registered Art Therapists, or ATRs, are an establishment of professional competence, responsibility, and respect. Simultaneously, part of that mission is the recognition and compliance of the ethical codes and moral values. When confronted with an ethical dilemma, the ATR must evaluate the issue and identify the important general principle with a positive approach. Whether it is the clients’ safety, their right to make a choice, or having equal access to services (AATA, 2013), the art therapist must then utilize the ethical standards as a guideline into understanding factors that are right and wrong. One must demonstrate in achieving a good conclusion by following the five-step model: the first is to identify

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A therapists always practices high confidentiality level of client’s information however, there are exceptional circumstance which compel a therapist to disclose the client’s information. Some of these circumstances are when a court order is issued to a therapist to present counseling records, when a therapist is being supervised, when a client consents to information disclosure, when a therapist consults from a

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The role of counselling or psychotherapy is a “means of gaining access to cultural resources that can be used to solve or resolve problems in living and to construct a life that has meaning and purpose”. (McLeod, J. 2005). Cultural resources from a pluralistic stance focus on the strengths of a client (Duncan, Miller and Sparks, 2004). They are viewed as both a form of resilience and strength, but also as a means by which a client can be connected to a social network outside of the therapy room.

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