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Roles of ethics in counseling
Roles of ethics in counseling
Importance of rapport in counselling
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Introduction
Ethical guidelines
Many shared that rapport building between counselor and client is one of the significant steps in ensuring the success of the counselling process (Achmon, 2004; Davis & Ritchie, 2003; Glosoff, Herlihy & Spence, 2000). When rapport is established, clients felt more motivated to share their issues explicitly and this facilitates a successful intervention. Along with confidentiality, it further provides a safe environment for them.
Before the signing of Confidentiality form, clients are usually briefed on the confidentiality clause in accordance to the Ethical guidelines. For example, when there are clear indications of imminent danger situations towards the clients or others, confidentiality will be breached. Although we utilize the ethical guidelines to operationalize our practice as counsellors (Hendricks, 2008), there are situations where confidentiality becomes indistinct and we have to grapple with our emotions to exercise conscientious, reflective decision-making (Lazovsky, 2008).
School counselors are often faced with dilemmas when comes to confidentiality. This is partly because they are trying to have collaborative relationship with parents and at the same time honour student confidentiality (Lazovsky, 2008). For instance, when students are caught stealing in school, parents would be notified and school counselors have to decide if they should follow the ethical and legal guidelines (e.g. lodge police report as it is criminal behaviour) or exercise professional judgment (e.g. giving them warning) (Glosoff & Pate, 2003; Mitchell, Disque, & Robertson. 2002; Stone, 2005).
In my own view, trust and confidentiality can be a double edged sword. Trust can be misplaced and affected the professional b...
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...ues which enable us to reveal the underlying issues that the clients have; which is the root of the problem.
Conclusion
All in all, this journal has provided a platform to reflect on how my own values and beliefs can influence clinical judgments. Although reflection is a good practice for counsellors, it also required efforts to do so. Nonetheless, this process can be effective when there is constant practice with the clients (Hanna, Giordano, & Bemak, 1996).
Even though ethical framework does provide us with guideline to our job, it is not impeccable. There are times where we need to make professional judgement in our decision making. Moreover, our jobs as counsellors often have to cope with emotional problem and transferences issue may be present. Thus, self-care is imperative for counsellors to avoid burnout rate, which indirectly impacted on quality of work.
The school setting makes this task quite daunting since “a culture of open communication regarding student information is quite common among educators in school settings” (ARTICLE P337). Even so, it is important to disclose only the most vital information so as to not jeopardize one’s job duties nor compromise one’s ethics. When taking in a situation in its entirety, a school counselor must dissect all of the information given and only release what is absolutely necessary in order to take action – if any action is needed. The relationship of trust between the school counselor and the minor student must be kept intact and remain unaffected at all cost. Releasing too much information would create mistrust and separation between the two, leaving the student with no one else to turn to.
Children, young people and adults need to know confidentiality will be honoured unless their, or other's safety and well-being is threatened, a crime has or is likely to be committed, and a professional's knowledge of and access to the child, young person or adult's information will not be abused, in the same way that it is important for professional's to understand how important shared information is, where and how it's stored, transported and disclosed to other appropriate professionals.
One theme of the book that stands out is the counselor as a person and a professional. It is impossible to completely separate one’s personal and professional lives. Each person brings to the table certain characteristics of themselves and this could include such things as values, personality traits and experiences. A great point that Corey, Corey, and Callahan (2010) make is to seek personal therapy. Talking with colleagues or a therapist will keep counselors on their toes and allow them to work out any issues that may arise. This could also prevent counselors from getting into a bad situation. Another good point made in this book was counter transference. Therapists are going to have an opinion and some reactions are going to show through. It is not easy to hide one’s emotions, but a good therapist will keep the objective in sight and keep moving forward. After all, the help counselors are providing is for the client.
Another aspect of my personal theory comes from Carl Rogers and his Person Centered theory. My greatest take away from Rogers is his theory of unconditional positive regard. I am in agreement that an individual in counseling must feel as if they are being accepted and not judged by their therapist. Often individuals who seek counseling are fearful to begin with so as a therapist it is important to make this client feel at ease and understand that they are in a safe environment where they will not be judged. Once you can establish this with a client I believe that the relationship with that client will be more successful and the ...
Also related to ethical counselor behavior are the specific roles that a counselor might play related to recommending and prescribing medication with a...
In today’s society with the blogs, the gossip sites and the other forms of social media, confidentiality is a thing of the past. However, for, physicians and other health professionals, they are held to a higher standard to maintain a level of ethics and confidentiality for their patients. Confidentiality is a major duty for a health professional, but is there ever a time to where it is okay to tell what a patient says in confident? What if the patient is a minor, or a senior citizen or someone who is mentally challenged? What if a patient is being abused or wants to commit suicide? Does it matter if it is a nurse, or a dentist, or a psychologist or is all medical professional held to the same moral standard? What roles does a consent form or Health Insurance Portability and Accountability Act plays in the medical world in being confidentiality? I would like to explore Confidentiality and the moral effects it has on the health profession.
Corbin, J.R. (2007). Confidentiality and the duty to warn: Ethical and legal implications for the therapeutic relationship. The New Social Worker, 4-7.
Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be happening in a counseling setting and serves to inform the client to their rights, responsibilities, and what to expect. Most importantly, the informed consent is in place for the client’s benefit. It also is important to understand that culture and environment play a role in the treatment of a client and how theories can positively or negatively impact this treatment. Therapists need to understand how to work within the context of a theory while being able to understand the individual in their own environment. Although theories are put into place to serve as a framework, there are also alternative ways to approach counseling, one example being evidence-based practice. Such an approach is very specific, which presents a series of solutions for counseling as a whole, but also brings forth many problems. Every approach or theory introduces ethical concerns that need to be taken into consideration by the entire counseling community and how each can positively and negatively affect clients and the pr...
Describe the importance of ongoing supervision and consultation with regard to ethics and confidentiality issues. A helping professional that continually receives supervision and consultation is more likely to avoid making ethical errors than a professional that refuses. Working on an island and not consulting with others about the difficult cases professionals are confronted with can easily result in an error. According to standard 28 of the NOHS ethical standards (2015), by discussing the difficulties faced with clients or their cases during supervision, professionals can receive help and assistance in areas of legal, ethical, and other dilemmas while still maintaining confidentiality with the client. 5.
Bodenhorn, N. (2006). Exploratory Study of Common and Challenging Ethical Dilemmas Experienced by Professional School Counselors. Professional School of Counseling, 10(2), 195-202.
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
Values, Morals, and Beliefs are components that play a role in an individual’s self-identity. The establishment of these components shape human nature, behavior, and the development of an individual’s purpose. The basis of these fundamentals has contributed to my desire to become a counselor. This paper will discuss my views of human nature, factors of behavior changes, goals of therapy, the roles of a therapist, and the counseling approaches that I chose to incorporate in a practice.
A norm in society is when an individual sees danger they are supposed to report it to the authorities, therefore preventing any further damage. Breach of confidentiality is when a nurse shares information about a patient to others who are not authorized to know about the patients personal information. Due to this, patients are afraid to be honest with their physicians and nurses that are treating them. In order to assure pati...
G.P. Koocher & P. Kieth-Spiegel (1998) pointed out many conflict of dual and multiple role including personal, client/therapist, therapist/supervisor and therapist/colleague, and how they can improve and complicate the counselling process. Boundaries and competence runs along side one another, which made come to conclusion that if the therapist is considering breaking them s/he should know what they breaking and how to break them ethically. Sometimes the outcome of ethical dilemma can only be “determined by the client and counsellor at that time” which could enable the therapist to change the priorities of Ethical principles and modify his/her actions according to the client’s circumstances (T. Bond, 2000:62).
In the case study of Gwen, there is one major problem presented. That problem is whether it is ethical for a supervisor to counsel his supervisee. I think that Gwen is going through the grieving process after learning about her mother’s condition and is in a vulnerable spot. She feels like she cannot continue her work with hospice patients because of personal feelings. Ken thinks that Gwen is a great therapist and does not want to see her give up. He also feels like he would be the most effective person to give Gwen counseling, because of their trusting relationship. I think that this would be a bad idea and could cross professional boundaries. The Ethical Guidelines for Counseling Supervisors strongly suggest against a supervisor entering in a psychotherapeutic relationship with supervisees. It is important to limit the possibilities of a dual relationship. Dual relationships can easily become unethical and present problems or possible harm to the client, which in this case is the supervisee. They can also create dependency or have unfavorable symbolic meanings. I also do not think it was a good idea that the counseling happened in the supervision sessions. This time should be spent on improving knowledge and helping clients. Spending most of the supervisor sessions working on personal problems could potentially harm the progress and well-being of the supervisee’s clients. My reaction to Ken blending the roles of supervisor and counselor is that it was not a good, professional, decision. He has entered a dual relationship with Gwen that could potentially cause harm to her or create a conflict of interest. Since Ken is Gwen’s supervisor, he has more power over the relationship than Gwen does. This power can easily be abused by Ken...