If the therapist sent flowers it would definitely be an instance of boundary crossing. The action of sending flowers would raise concerns about the nature of the psychologist-patient relationship. There is a risk of violating APA ethics code General Principle A: Beneficence and Nonmaleficence as well as General Principle G: Fidelity and Responsibility. The act of giving a gift to a patient no longer in therapy does not serve to achieve a therapeutic goal but it instead focuses on an area unrelated to therapy. Therefore there is no therapeutic benefit to the former patient. In fact, because there is no therapeutic rational in giving the former patient a gift, the act of giving the gift may actually cause the patient harm. According to APA ethics code 3.4 Avoiding Harm, the …show more content…
This in turn could cause her to experience anxiety and even possibly depression. Conversely, this misinterpretation could also lead to an adverse outcome for the therapist such as a complaint to the psychology licensing board by the patient. This action may also lead to the therapist losing her ability to practice. Further still, if escalated, the boundary crossing could also potentially lead to additional violations of APA ethics codes, such as 3.5 Multiple Relationships, and 3.8 Exploitive Relationships. The boundary crossing could lead to a personal relationship between the client and patient and due to the unequal status between the therapist and patient; the patient will be at risk of harm. Subsequently, the therapist will be in a position to exploit the patient because of her knowledge of the patient’s deepest thoughts and feelings obtained during therapy. Therefore the therapist must take in consideration any foreseen harm, exploitation, and impairment that may result in giving the patient flowers. Lastly, in going about deciding what to do, the therapist should take all of these important factors into considerations and decide whether the potential benefits outweigh the
According to Allison L. Kramer (2016) in her “Why we can’t be friends” article, researches have observed numerous relationships between psychotherapists and their present and/ or previous clients. Boundary issues have been studied in the world of ethics and dual-role relationships with current clients are ordinary for some practitioners in their daily practice. Meaning it isn’t rare to run into dual relationships in counseling. These relationships aren’t always negative nor avoidable states Kramer. The example she used for dual-role relationships being advantageous and unavoidable was a school guidance counselor having multiple roles in the school. The counselor could also be “a coach of a sports team, thus filling both a counselor and
Current research implies that an empathetic clinician-client relationship and interrelated ecosystems play the majority role in the success of therapy (Kilpatrick & Holland, 2009). The clinician’s ability to be present and actively perceive what the client is experiencing is of utmost importance in creating a therapeutic alliance. It is imperative that the clinician gains positive regard towards the client and their environment displaying honest acceptance towards the client no matter what issues are presented in session. This closely relates to a sincere presentation of genuineness that instills a feeling of honesty within the client and clinician (Kilpatrick & Holland, 2009). An experienced clinician builds upon the therapeutic
Being in dual or multiple relationship is one of the ethical traps which could be very dangerous for her career. The law is not clear about it, but it is unethical to have dual or multiple relationship with her client. Improving his mental health by referring him to different specialist such as psychiatric is very essential as a preliminary response to this case. On the other hand, ethical resolution of his case to be on the graduate psychology school and being aware of limitation of confidentiality and boundaries, still asking Julia for going out, make it more difficult to follow all the ethical and the law to be followed by Julia. . Reporting his danger for his former supervisor must be done by her could help the MFT community to improve the knowledge of this mater and future problems. Consulting with her colleagues and her own supervisor and inputting from agencies, other specialists, and community leader is very helpful for getting feedback. At the end, there is some action to be taken such as reporting, decides to whether tell him about reporting or not, seeking help from other therapist and specialist, and avoiding perfection, ponder, procrastinate, and
suggests as the therapist acts like an animal when she opens the door. Acting irrationally by
Boundaries are established to protect the patient, the nurse, and the co-worker from over or under involvement in each other’s lives. Therapeutic care belongs in the middle of a continuum, deviation to either side skews the interpersonal boundaries established for “effectiveness and patient safety” (National Council of State Boards of Nursing, 2011). These boundaries are not just established for the benefit of the patient and the nurse, but for all of those in the workplace. Interpersonal boundaries should be respected by all employees. These boundaries include information regarding our personal lives, patient information not pertinent to those involved in their care, or allowing relationships to alter into forms that are inappropriate. What is important to remember about interpersonal boundaries, is that these boundaries are not just established for the benefit of the nurse-patient relationship, but for all employees of a business. Outside of a business, boundaries are established throughout different types of relationships. Maintaining boundaries keeps all people involved in everyday and workplace life safe and professional. This can be a confusing topic, trying to decide what is okay to disclose and what is not okay to disclose. The nurse a...
Over the course of their therapeutic relationship, Dr. Davenport violates client confidentiality as it is described by the American Counseling
Caution and strict compliance with regulations, laws and following a proper client-therapist relationship will ensure a smooth ride for both a client and their therapist. Dual relationships and boundary breaking are perhaps the most fatal blow to that of said relationship. For a therapist to truly show compassion they must limit any instance of a dual relationship or boundary push. Erosion of one’s trust and guidance can build slowly over time if just the wrong thing is said. Through building dual relationships or breaking boundaries, this becomes all too apparent. To become a competent therapist that is filled to the brim with helpful resources, there are things one must limit.
For me this means that everything in existence is in some shape or form is connected and therefore has the ability to be consciously or unconsciously be manipulated. Field theory also takes into account that we are in some shape or form both molded by our environment and cre-ate our environment (this occurs often simultaneously).
Counselor should never have a dual relationship with a client it can bring a lot of ethics issue that affect the client and counselor. According to ACA "A.6.b. Extending Counseling Boundaries Counselors consider the risks and bene ts of extending current counsel- ing relationships beyond conventional parameters. Examples include attend- ing a client’s formal ceremony (e.g., a wedding/commitment ceremony or graduation), purchasing a service or product provided by a client (excepting unrestricted bartering), and visiting a cli- ent’s ill family member in the hospital. In extending these boundaries, counselors take appropriate professional precau- tions such as informed consent, consul- tation, supervision, and documentation to ensure that judgment
...ients shutting down and being cold towards the therapist or even discontinuing the sessions. That’s why it is best to keep the relation strictly professional and to give each patient an equal amount of time. There should never be a relationship that goes farther than the patient-therapist contact.
The process of applying an effective counseling framework takes time and dedication. Yet, the positive results of students’ academic success are impressive. A study conducted by Lapan (2012) reveals that students who received one-on-one counseling services were more likely to have better college outcomes than students who did not receive these services. Additionally, the author discussed how the many benefits of comprehensive counseling services impacted students’ lives. The comprehensive school counseling program assisted a substantial amount of students with college and career decisions, scholarships, financial aid opportunities, and an overall more productive future.
...ily (Nursing Council of New Zealand, 2012). Nurses demonstrate this in their professional practice by being accountable for continuing professional boundaries even when the patient is doing otherwise (Arnold & Boggs, 2011). It is precise of the nurse to avoid presenting too much personal information or developing emotions and becoming fond of a patient in a non-professional way, and to also avoid receiving gifts from any patients (Nursing Council of New Zealand, 2012). A time may arise when there is a pre-existing relationship with a patient who may be a family member or a friend, in this case the nurse could feel borderline confusion therefore the nurse is still to continue caring for the patient whilst abiding by the professional boundary procedures or the nurse can ask to be excluded from the patient’s direct healthcare team (Nursing Council of New Zealand, 2012)
Theoretical Perspective: This semester in procedures of counseling class we discussed a lot of different types of counseling theories. We also did a lot of practicing with each theory with our partners. I found that person-centered therapy best fits my personal attitudes and style of counseling. I think this would be a good style of counseling for me because I can see myself better helping people as a whole than trying to fix an actual problem.
The 18-year-old student from Illinois State High School, Kevin was referred to the student counselling service by his football coach. The concerns were that Kevin was having difficulties focusing and playing well, with generalised issues about low mood. Additionally, Kevin has a diagnosis of major depressive disorder where feelings of inadequacy and a perception of worthlessness are the presenting themes.
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.