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Ethical Vignette Case Study

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For the ethical vignette paper, the main topic of discussion will be revolved around the issues of boundaries and having a dual relationship with clients. First, the discussion will start off by talking about the video presentation by Dr. Philip Hemphill who gave a lecture on the issues of boundaries and multiple relationships between a therapist and a client. For individuals that plan on becoming therapists or counselors, it’s important that the ethical guidelines are followed at all times. Now only will the code of ethics based on boundaries and multiple relationships will be discussed, the discussion of counselors or therapists following their state laws and regulations will be mentioned as well. When it comes to the therapeutic relationship, Counselors or therapists need to inform clients early on how therapy process works. Counselors need to be mindful of their roles as a professional as well as clients’ since …show more content…

Another slippery slope situation would be intense attraction where a therapist would take care of their appearance before a client comes in which also leads to having inappropriate unethical romantic or sexual relationships. This will also be violating clinical norms because one of the things that will likely happen during the inappropriate relationship between the therapist and the client is that the therapist will make the staff leave early to spend more time with the client (Hemphill, 2015). Also, the therapist may end up offering free care to the patient along with spending more time with each other outside of the office such as engaging in fun activities or talking to one another on the phone. If a client experienced a therapist coming onto them in an inappropriate way such as being sexual, they do have the right to file a legal

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Likewise it is important to not have sexual intimacy with current and former clients since the therapist is a person in power within the

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However with several of these treatment modalities, administering these treatments to current psychotherapy clients may constitute an inappropriate multiple relationship and violate boundary violation. The psychologist must remember to discuss different CAM modalities with clients they will need to discuss a variety of CAM modalities that are support by accurate scientific literature. Third, fidelity and responsibility meaning when a psychologist makes a referral to a CAM practitioner to provide treatment complementary to the psychological treatment it will be beneficial to the client to collaborate this care at times to work collaboratively with the CAM

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The American Psychological Association (2010) ethics code defines a multiple relationship as “one in which a practitioner is in a professional role with a person in addition to another role with that same individual.” In the present paper, the role boundaries play in therapeutic relationships is explored, as well as boundary crossing and violations. Boundary crossings can enrich therapy, serve the treatment plan, and strengthen the therapist-client working relationship. They can also undermine the therapy, severe the therapist-patient alliance, and cause immediate or long-term harm to the client (Pope & Keith-Spiegel, 2008). It is reasoned that when clinicians engage in multiple relationships with their clients, ethical dilemmas may arise,

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The Client-Centred approach has been working on allowing the client to guide themselves through their own life and problems with the help of their relationship with their counsellor since the 1940’s; completed through the equality and respect that is created between the two individuals

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Chapter 7 discusses the Issues and Ethics that come along with Managing Boundaries and Multiple Relationships. In class, we discussed the questionable idea of whether it is ethical or not to participate in multiple and dual relationships within the therapeutic relationship with your client. This type of relationship entails having any other sort of relations with the client that is outside of the boundaries of the standard professional - client relationship. When professionals participate in the occupation of different non-professional and professional roles with a client, I believe boundaries start to become blurred and crossed even when it is unintended. If I were a counselor, I would abide by the rationale that lies behind the idea of abstaining from any boundary crossing or multiple relationships that can possibly arise and involve the exploitation of the client by the unintentional use the power that exists between the client and therapist.

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One risk, is that the counselor may not be seen as the expert in the relationship. Through the process of collaboration, the responsibility lies on the client to guide the discussion. The counselor must continually check in with the client to verify that they are moving towards the stated goals. Research by Monk and Gerald (1996) challenged the idea that the client can speak truthfully about the success of the therapy to the counselor because of the power discrepancy that exists. Another challenge is the potential of the client avoiding personal responsibility.

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Adherence to professional ethics is a foundational aspect of counseling practice. As students, we are trained to be ethically competent, providing the most principled treatment for our clients. Yet, ethical issues are not just encountered by novice counselors, experienced practitioners face ethical dilemmas throughout their career, as well. The American Counseling Association (ACA) Code of Ethics (2014) sets ethical obligations and provides guidance for how to manage ethical dilemmas. The code considers professional values that counselors should be aware of, but also ethical principles that guide practice (ACA, 2014).

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The balance of power between the counselor/client relationships makes the relationship highly unethical. It is the counselor duty to make sure the relationship remains ethical and professional while doing no harm to the client. This is true regardless of whether or not the client has consented to sexual conduct. Consent is not a defense for malpractice. Dual Relationship Policies

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Additionally, as a counselor, it is important to be genuine with whatever feedbacks one presents to the patient and what one believes regarding the situation of the client. Mrs. Perez believes the more authentic and genuine he is with her patients, the more help he will be able to offer the clients. As a counselor, it is important to have a fine and professional interaction with one 's client but boundaries must be maintained. Through this, a counselor is able to demonstrate their focus on helping the patients by showing the client that they understand their problems. It also through such engagements that counselor is able to use the non-judgmental attention that does not require words for illustration in helping the patient.

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Like other professions in the mental health field and helping professions, counseling typically attracts those who are imbued with a need to help others, to make a difference in others’ lives, the community around them and sometimes even the world. There are many facets to a counselor and to counseling, some of which take on personal attributes such as personality, the values and beliefs held by counselors, and what they perceive their role in the counseling profession to be. Other facets involve ethical considerations in therapy, the importance of the profession, the value and process of change, important counseling practices and the value of necessary self-care a counselor ought to engage in. The role of a counselor is to act as a conduit to change and wellbeing in a client.

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According to the ethics code, it is clear that all sexual roles in psychology are unethical and should be avoided (APA, 2002). The promise of Dr Andrea to have a relationship upon completion of treatment is above the code of ethics (APA, 2002, 3.05). Regardless of the mutual interest between the therapist and the patient, there are other factors involving boundary crossing. When the doctor agreed to treat Bob, a professional line was drawn and establishing another relationship complicated the roles. The doctor failed to comply with the code of ethics because the possible establishment of a conflict of interest would affect the method of

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Over the past one and half month, the class of PDE 502 (Counselling and Career Education) has taught me some major lessons for life in dealing with the clients in response to their emotional needs. The role of a counsellor is not unlike that of a friend where by it is nurtured by being in each other’s company, talking over everyday issues and sharing feelings. However, what sets a counsellor apart is their experience and the ability to apply counselling theories and techniques to assist people in gaining awareness, insight and explore ways of solving their own issues.

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The counselor has an ethical responsibility to strive to reduce any harm caused to a client through a empathic

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