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Ethics in psychiatric nursing
Ethical issues in mental health nursing
Ethics in psychiatric nursing
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broad range of clients. Awareness and respect for diversity and multicultural values facilitates good communication and therapeutic relationship. 2.4. Non-Maleficence: A Commitment to Avoiding Harm to the Client The concept of non-maleficence extends from the principle of beneficence, which is upheld by not inflicting intentional harm (e.g. torture, degrading or inhuman behaviour) on client and taking precautions to prevent unintentional harm by avoiding risky behaviours (ACA, A.4.a. Avoiding Harm). This can primarily be assured by maintaining competence and practising within boundaries of education, training and supervised experience. Intellectual competencies attained through study and research for instance, ensures proper conceptualizing of issues and planning of treatment, thereby preventing misdiagnosis. Emotional competencies also encompass another aspect wherein counsellor knows oneself, and is willing and skilful in objectively detecting influential elements in client’s issues and intrusion of personal bias and also able to contain emerging emotional issues in self through self-therapy without which therapeutic …show more content…
They should be sensitive towards the client’s emotions and not be judgemental. Approach should also be developmentally and culturally appropriate and interaction void of any prejudice and discrimination (see ACA E.5.b. Cultural Sensitivity (in Diagnosis of Mental Disorders) & E.6.c. Culturally Diverse Populations (in Instrument Selection)). For example, while counselling a child, counsellor must be able to understand the perception of the child which may involve elements of immaturity and fantasy and not seek to correct the child’s worldview to match that of an adult. Such behaviour will diminish the child’s self-esteem and stress the child, causing harm instead of
Counselors today face the task of how to appropriately counsel multicultural clients. Being sensitive to cultural variables can be conceptualized as holding a cultural lens to human behavior and making allowances for the possibility of cultural influence. However, to avoid stereotyping, it is important that the clinician recognize the existence of within-group differences as well as the influence of the client’s own personal culture and values (Furman, Negi, Iwamoto, Shukraft, & Gragg, 2009). One’s background is not always black or white and a counselor needs to be able to discern and adjust one’s treatment plan according to their client.
Although, even if the therapist is from the same cultural background this can still be hard to counsel these clients because of different traditions, language dialects, family values, and ancestry. This does not mean that the therapist cannot help these clients, but this could hinder the therapist and client relationship if brought up in an entire different environment. For instance, you can have two individuals from the same cultural background and family values, but these individuals live in an entirely different environment or learned different family values and belief system. When working with a diverse client, it is very important to monitor your own culturally beliefs and be willing to work with the client no matter if you have any biases or prejudice towards them. Some of the strategies that could be helpful in these situations include, (a) treat the client the same way you would like to be treated, (b) research some information about the clients background and, (c) beware of your own cultural biases and prejudices when counseling minorities if your unaware of their backgrounds.
It was an effective film to show that clarifying goals of therapy are another way to provide effective counseling rather than giving advice and solving the clients’ problems. Specially working with a minority group client, I always try to be prepared, learn about my client culture, background, values, beliefs, create a plan, make sure my client doesn’t not feel overwhelmed or discouraged by any of my statements, frame the issue in a personal context, and allow a moment of silence for the emotions to come out. In general, the counseling profession must develop multicultural competencies in order to successfully work with clients from diverse
By every individual accepting and acknowledging that we are all different then there will be mutual respect for each other’s cultural difference. When these differences are explored in a safe, positive, and nurturing environment, they are more than simply tolerating others but that through these differences are instead commended and embraced. People become aware of each other’s difference and uniqueness such as religion, sexual orientation, race, gender, age and beliefs. When this is embraced by the health care providers then there will be improved care.
This assignment was conducted with myself as the counsellor and Olivia, a fellow classmate, as the client. A fifteen minute counselling session occurred and was recorded, in order for students to be able to critically analyze their counselling skills. Olivia felt the need to talk with a counsellor due to the pressure she is experiencing trying to fit all of her commitments into her weekly schedule. Olivia is currently struggling with splitting her time between her family, friends, school, and new fitness goals. Throughout this counselling session various techniques were used in the beginning stage, action stage and ending stage of the counselling session. These techniques were used throughout these stages of counselling to gain information
The field of clinical mental health is one of great reward, but also one of grave responsibility. It is the duty of the counselor to provide the client with a safe environment and an open mind, in order to foster a healthy therapeutic relationship. The majority of mental health counselors would never intentionally harm their clients; however; good intentions are not enough to ensure that wrong will not occur. The ethical expectations and boundaries are regulated by both laws and professional codes. When discussing ethics, one must realize there are two categories, mandatory and aspirational. (Corey, Corey & Callanan, 2007)
The diversity among clients and the counselor is an issue that has recently come to the forefront. The counselor must be very cautious and sensitive to the cultural values of their clients, gender and gender preference, age, language preference, ethnicity, and spirituality and religious beliefs.
3. Pedersen B. (1994) A Handbook for Developing of Multicultural Awareness, American Counselling Association: USA
This model identifies five moral principles which are: justice, autonomy, beneficence, non-maleficence, and fidelity. These fundamental guidelines are used to clarify issues that involve any given situation. Ethical guidelines may not address all situations, but will allow a counselor to explore ethical dilemmas and conflicting issues. Counselors are responsible to encourage clients to make their own appropriate decisions and to act on their own values. Two important things to consider when counseling client are: autonomous encouragement helps clients understand how their decisions and values that may or may not receive within the context of the society; they live in or may impinge on the rights of others (Kitchener,
It is interesting to note according to Raskin et al. ( 2011), “Our basic practice [client centered therapy] remains true to the core conditions no matter who our client may be. We also assert that our ability to form an initial therapeutic relationship depends on our own openness to and appreciation of respect for all kinds of difference” (p. 183). I believe that the cultural diversity that CCT maintains is important in a multiplicity open therapeutic environment. The implications for a non discriminatory form of therapy are that it can be used across populations. This allows for broader use of this theory and the chances for positive outcomes is increased because the availability.
The amount of trust a client has in their counselor is going to be determined upon their world view (Sue & Sue, 2013). A persons world view is going to be shaped by their cultural upbringing and past experiences (2013). Counselors also need to understand that a clients locus of control and locus of responsibility is also going to be dependent upon their upon their upbringing and culture. For example American culture values self reliance and other cultures such as Asian cultures value collectiveness (2013). There is also the issue of oppression and discrimination that may leave a client feeling powerless, regardless of what they try to do. Counselors who are working with clients, such as these, may view their clients as lazy or lacking motivation,
As a new therapist in training I will need to be diligent to pay close attention to the diversity of the client’s population in the area that I currently practice as a student intern. I am working at an adult Day out center which has a diverse population of participants that attend. Being open minded to the client’s needs and wants here at the center has been a challenge for me since I was not accustom to the needs of elderly people.
The relationship between the counsellor and client is fundamental to the success of the counselling experience and the results that will follow. The counsellor and client need to build rapport and trust. The client needs to feel comfortable enough to open up and discuss their inner most thoughts and fears in the knowledge that the discussion is confidential and non-judgemental. The resulting relationship should be one of mutual respect.
The use of active listening is an essential skill to achieve this type of relationship as well as a sensitivity for clients who come from a culture different than the counselor’s culture. Great counseling also includes being honest with the client from the first session where informed consent is provided. It is important to discuss the limitations of confidentiality. Another important factor is to guide the client into setting realistic goals, so the counseling sessions can be more
My cultural background has provided me with my values, beliefs, and identity. Throughout my childhood I was taught to value family. Family was expressed as the most important relationships and family is meant to accept you and help you through whatever. This could influence the client-counselor relationship if the client does not value their family. Through making comments about family, asking the client if they have talked to family members about what they are going through, or suggesting it, can influence the relationship immensely.