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Ethics in Action

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Module Three Questions

Segment One: Teen Pregnancy

1. If this was your client, what would you say and do? Be specific. Why would you respond this way?

The first thing I would do is remind the client of the rules of confidentiality to maintain a level of trust. Then I would review the situation with her and ask her what would it take for her to be able to discuss the pregnancy with her parents. Provide assistance by asking the client if I could call a meeting with her and her parents and give her an opportunity to tell them in a safe environment what is going on. I would also try to find out who it is in her life that she does trust and who she could tell, maybe a favorite aunt or uncle or maybe a trusted teacher or parent of a friend who could help her inform her parents. I would encourage her to tell her parents mainly because eventually there will be no way of hiding the fact that she is pregnant and that it may be best for her to tell them instead of waiting and have them find out through rumours or by someone else. I would respond this way because if I went to her parents it would be breaking confidentiality and it would destroy any level of trust that had been developed between the client and myself.

2. What is an Informed Consent Form and why is it important? What would you include on your own Informed Consent Form regarding confidentiality? Why?

Informed consent is a legal procedure to ensure that a client is fully aware of all the costs and possible risks involved in a treatment or procedure in the continuum of care. It is the counselor’s responsibility to inform the client of the details of the treatment or particular type of service provided that they qualify for and the other levels of care available including the possibile benefits and risks of treatment. Consent must be given voluntarily and a client must be competent to give consent before it is considered legal. I would include on my own Informed Consent a paragraph that details the state regulations regarding informed consent from the state in which I was practicing. The reason why I would include this is because clients receive a copy of consent forms they sign and by placing the state regulations on the form they can use it as a point of reference in the event they forget what has been discussed regarding consent from their sessions.

3. What does the law in your own state say regarding how you need to handle this kind of situation? See http://www.nbcc.org/directory/ to look up legal information related to your state.

The state of North Carolina has extreme limitations that do not fully protect the confidentiality of minor clients. Prior to providing psychological services to a minor a therapist or psychologist must get consents signed by the parents or legal guardian NCGA, 2012). In North Carolina a minor is anyone under the age of 18 who has not been emancipated by the courts. In addition a parent or guardian has full access to the minor’s psychological treatment records (NCGA, 2012). The only exception to the informed consent law in North Carolina is when the care of the minor is given by a physician. The only way around this law is if the psychologist or therapist is under the direct supervision of the physician.

4. What do the ACA and AACC Code of Ethics say regarding confidentiality?

The ACA and AACC both have specific codes when it comes to a client’s confidentiality. The ACA (2005) states that “counselors aspire to earn the trust of clients by creating an ongoing partnership, establishing and upholding appropriate boundaries, and maintaining confidentiality” (p. 7). The counselor is not allowed to share confidential information without the client’s consent or without legal or ethical justification (ACA, 2005). The ACA code of ethics then goes on to explain what they mean by legal or ethical justification. They give examples such as foreseeable harm to the client or to others and also only if ordered by a subpoena and even then try to limit the amount of information given (ACA, 2005).

Segment Two: Big Brother

1. If this was you client, what would you say and do? Be specific. Why would you respond this way?

I would discuss with the client why he feels the way he does about Asians or any other group outside of his own. I would discuss if he himself had ever had a relationship with a person outside of his cultural group. I would discuss if his reasoning would be the same if his sister lived in another state. I would examine his need to control his sister decision and if it would be the same if his sister did not approve of his relationship. I would respond this way in an attempt to find out if this is a matter of prejudice against a different racial group or if it had to do with some issue from his childhood. Is it because he was once in love with someone outside of his race and his parents did not approve? Is it a case of “if I can’t do it then neither can she”? It even could be sibling rivalry and the idea of “ they let her get away with anything”. Then I would examine the issue from the perpective of sibling rivalry or other family issues instead of assuming it was an issue of prejudice.

2. According to the law in your state, what is your legal obligation to disclose information if your client told you he/she intended to physically harm himself or someone else? How is this similar or different to the ethics codes? See http://www.nbcc.org/directory/ to look up legal information related to your state.

The state of North Carolina is very similar to the ACA code of ethics regarding this disclosure of information. North Carolina General Statute §130A-143 states that is any professional in the human services field see a formidable threat from the client to himself or another person or group of person’s then they must report it to the proper authorities (NCGA, 2012). This is similar to the ACA code of ethics that states “the general requirement that counselors keep information confidential does not apply when disclosure is required to protect clients or identified others from serious and foreseeable harm or when legal requirements demand that confidential information must be revealed. Counselors consult with other professionals when in doubt as to the validity of an exception” (ACA, 2005, p 7). Neither the state of North Carolina nor the code of ethics for the American Counseling Association condones placing other individuals in danger if they feel that a client may be a hazard. They both require either notification to the individual in possible danger or to law enforcement agencies if an illegal act is planned or has occurred.

3. What are your state’s legal requirements related to handling reports of child abuse and neglect and adult abuse? See http://www.nbcc.org/directory/ to look up legal information related to your state.

North Carolina’s reporting law applies to every person and every institution in the state. It requires “any person or institution who has cause to suspect that any juvenile is abused, neglected, or dependent, as defined by G.S. 7B-101, or has died as the result of maltreatment” to make a report to the county department of social services (NCGA, 2012). North Carolina even requires that religious officials to report abuse even if it is given in pastoral communication. This is different in other states where the clergy are exempt from this rule. North Carolina has been described as one of only three states that both mandate reporting by “any person” and deny the clergy–penitent privilege in child abuse cases (NCGA, 2012).

4. Do you have any personal issues or history that might hinder your ability to effectively respond to client feelings (e.g., to anger, sadness, fear, or shame)? What are some ways you plan to appropriately manage your own feelings and reactions as they arise in counseling?

No I do not think that I have any personal issues that may hinder my ability to be affective. Since I have worked in the field for many years I think something should have come up by now. I have however had experiences regarding racism from consumers or their families, experiences of sexism and aggressive clients. In each case I have met with my supervisor and discussed each instance and how to best handle the client and their behavior before our next session.

5. Why is counselor self-knowledge vitally important to ethical and effective counseling practice?

Self-knowledge is important for ethical and effective counseling practices because they can influence how you interact with your client. When you know yourself and address your own issues you can be more objective when dealing with your clients issues instead of concentrating on your own.

Segment Three: Cultural Issues

1. If this was your client, what would you say and do? Be specific. Why would you respond that way?

I would be older than the client in the video but that doesn’t mean she would not have a problem with my age. She could very easily say that I was too old to understand what she is currently going through. I would inform the client about my education,experience and my training and try to allay her fears regarding my competence. Since most counselors and other professionals have their diplomas somewhere posted in their office this should be fairly easy to do. I would also discuss the cultural competency training that is part of the training required by my state. I would also discuss with her that although I may not be Chinese that what we did have in common is that we are both women. I may not completely understand her experiences being Chinese but I very well understood her experiences being a woman. My reason for responding that way would be to establish some kind of bond between me and the client.

2. List several actions you can take to become a more culturally competent counselor.

I would take all training regarding cultural competence required by state regulations . I would become more involved in the diverse cultural events in my community.

Ethics in Action II: Divorce, Doing It My Way, Sexuality, and Relationships: The Affair

Lesa Tatum

Liberty University

Counseling 501

Professor McCreary

February 17, 2013

Module Five Questions

Segment One: The Divorce

1. If this was your client, what would you say and do? Be specific. Why would you respond that way?

As the counselor I would delve deeper into the client’s reason for divorce. I would help the client explore her reasons for divorce and maybe journal her reasons and the pros and cons of a divorce. I would also have her journal what her expectations are with how all of this will effect her children and what if the outcomes are different than her expectations. I would respond that way because the consumer doesn’t need judgement now but understanding coupled with clear thought out decisions regarding her future and that of her children.

2. What are your personal values on this ethical issue? I can’t really say that divorce is right or wrong but I know that sometime divorce is a person’s only option especially if violence is involved. I do believe that every possible option should be explored before seeking divorce and that divorce should be last resort.

3. Relate the ethical principles of autonomy, nonmaleficence, beneficence, and fidelity to this case.

The client needs autonomy to make her own decisions regarding her future, the counselor provided nonmaleficence by not rewounding the client and doing no harm to the client, the client’s bemeficence is promoted when a feeling of well being is procured by helping the client make her own life decisions and fidelity is the end result from the discussion because trust between the client and the consumer is strengthed.

Segment Two: Doing It My Way

1. If this was your client, what would you say and do? Be specific. Why would you respond that way?

I would start by exploring the client’s and her parent’s background. Does the client’s parents have college experience? Do they see college campuses as being a dangerous place for a young woman? I would explore with the client what is her reasoning for wanting to move out? Is it just because of her controlling parents or is she leaving due to other factors such as a boyfriend her parents don’t approve of? I would have the client journal and have a list of pros and cons of the benefit of living on campus as opposed to living with her parents and then I would ask permission of the client to schedule a session that included her parents to discuss her list and her reasons for wanting her independence.

2. If you were this counselor’s supervisor, what are some issues you would explore with her?

I would explore the counselor’s cultural competence and discuss with her that it is part of the client’s culture to explore independence and to start to establish that independence away from her parents. I would discuss that in American society one of the first rights of passage in a adults life is attending college and that moving on or near college is one of the first steps to establishing their own households. I would also discuss that college is one of the places that young adults meet their future spouses and where many gain their first positions for employment. Then I would encourage the counselor to talk with her peers about their experiences when they moved out of their parents home and out on their own.

Segment Three: Sexuality

1. If this was your client, what would you say and do? Be specific. Why would you respond that way?

I would discuss the potential risks of STD’s and put emphasis on her right to live her life but discuss how she could live her life and have “fun” and still protect herself. I would discuss with her what her idea of an ideal relationship would be and her plans for the future and how that would change if she became HIV positive. I would explore with her how to maintain a ideal relationship instead of repeated one night stands and how she may have issues with boundaries and possible fear of commitment or fear of abandonment from members of the opposite sex.

2. How might you apply the biblical concept of “speaking the truth in love” to this situation?

I would be mindful of our relationship and that it is based on truthfulness. I would tell her the truth about the possibility of contracting a HIV but I would not do it in a sternful way but in a caring way. “ I’m worried about you and I don’t want anything bad to happen. I understand that you want to live your life your way but why can’t you do that and protect yourself and your partner?” I would base all my statements on the history of our relationship which is built on trust and professionalism.

Segment Four: Relationships: The Affair

1. If this was your client, what would you say and do? Be specific. Why would you respond that way?

I may not agree with the client having a affair but would focus on all the clients relationships not just the affair. I would help the client make the best choices regarding what she wanted in life and how she wanted to make a positive change in her life. I would inquire if her husband knew and if she wanted to include her husband in counseling. I also think it is important to find out if the affair is a fling or serious enough for the consumer to consider divorce.

I would respond this way due to the fact that I can not put my feeling regarding divorce before the clients needs.

2. What are your personal values on this ethical issue?

I think that a affair is a betrayal of your relationship with your spouse. I understand that things happen and people develop feelings for other people whether intentional or not. I think the issue is that many who develop such feelings refuse to act on them until their other relationship has ended and others charge ahead full steam and do not consider the consequences.

3. Why is it important to consult a supervisor or colleague when you have a value conflict with a counselee?

It’s important because when you have a value conflict with the actions of a client you could easily show your disapproval based on your beliefs and wind up re wounding the client even though unintentionally. By rewounding the client you wind up destroying the trust and degree of professionalism you have developed with the client in the process.

4. How can you prepare yourself to work ethically and effectively with clients who have different values than your own? List specific actions you can take.

For me regular meetings with my supervisor to help me handle the situation is much needed. I also think that keeping a calm demeanor is also necessary as well as developing an open and objective mind is necessary to be effective in working with any consumer.

Ethics in Action III: Managing Boundaries

Lesa Tatum

Liberty University

Counseling 501

Professor McCreary

Februray 24, 2013

Module Six Questions

Segment One: Managing Boundaries

1. If this was your client, what would you say and do? Be specific. Why would you respond that way?

This has happened to me and I responded by saying that my concern was with confidentiality. If we took our sessions outside of the office I could not guarantee that others would not be privy to their personal information. By keeping our sessions in the office then I could guarantee their privacy and the confidentiality of their personal information. I also discussed that our relationship is a professional one and not a personal one. Just as a doctors would not examine them in a public place I could not provide counseling in a public place. I would respond that way because from the beginning treatment I would have put in place the boundaries of our relationship and discuss that our relationship was that of counselor and client and not of friends.

2. What do the ACA and AACC Code of Ethics say regarding managing boundaries? What is your response to this?

The CAC code of ethics on boundaries states that “counselors should practice only within their boundaries of their competence, based on their training, education, supervised experience, state and national professional credentials, and appropriate professional experience” (Clinton 2002)

My response is that the professional relationship should be maintained at all times.

Segment Two: The Friendship

1. If this was your client, what would you say and do? Be specific. Why would you respond that way?

If this was my client I would react the same way the counselor did in the video. As a Qualified Professional in mental health part of the process of working with a client is to discuss with the client throughout the service that their will be a day when they will no longer be receiving a particular service and that the relationship will end. We ensure the consumer’s success by helping them build natural supports and to build other relationship to help them after the service has ended.

2. What do the ACA and AACC Code of Ethics say regarding dual relationships? What is your response to this?

The CAC and AACC code of ethics regarding dual relationships state that counselors should avoid dual relationships with their clients (Clinton 2002).

My response is that this type of relationship can impair a counselors judgement.

Segment Three: Sexual Attraction

1. What is your response to this counselor’s sharing his feelings of sexual attraction with his client?

I was very uncomfortable with the counselor not only sharing those feelings but having feelings of sexual attraction to his client. If the counselor felt this way he should have discussed it with a supervisor instead of the client and asked his supervisor for advisement regarding the situation.

2. What does this statement mean and why is it so important: “Counselor know thyself; counselor know thy ethics codes”?

It means that a counselor should know and respect their profession by following their professional code of ethics.

3. If you were a counselor in this position what actions would you take to protect your client? What if sexual feelings between the two of you were escalating?

If I ever had feelings for a client I would recognize my feelings and immediately discuss the issue with a supervisor and seek advisement regarding having the case transferred to another counselor. I would never get to the point where feelings of a sexual nature would be escalating with a client I would protect myself and the client by having the case transferred to another counselor.

4. What do the ACA and AACC Code of Ethics say regarding sexual relationships with clients? What is your response to this?

ACA and AACC code of ethics regarding sexual relationships with clients forbids any engagement in sexual relationships with current clients as well as former clients (Corey, 2011). Counselor can have sexual relationship with a former client five years after their last professional contact (Clinton 2002).

My response to this is that it is still against the our professional code of ethics and that this type of relationship should be avoided at all costs.

Segment Four: Bartering

1. If this was your client, what would you say and do? Be specific. Why would you respond that way?

I would refer the client to our Code of Ethics and discuss why this would not be a suitable option for payment of services. I would discuss other options such as shorter sessions at a reduced price or payments based on her income and I would also discuss the issue with a superior or advisor for clarification and the possibility of other options. My reasoning for this would be the guidelines based on the ACA code of ethics.

2. Review the ACA and AACC codes. What is discussed regarding bartering and what is your response to this?

ACA and AACC code of ethics allows counselors to barter so long as the relationship does not cause harm exploit or give the counselor an advantage over the client (Corey, 2011). But my opinion is that the potential for harming the client is there and should be avoided at all costs.

Segment Five: Gift Giving

1. If this was your client, what would you say and do? Be specific. Why would you respond that way?

I would tell the client the I appreciate the thought but that I could not accept the gift due to the Code of Ethics regulations. I would make sure that the client understood that I appreciated the thought but that helping her and watching them succeed was all the thanks I required. I would respond that way because the need to maintain a good trusting relationship with the comsumer is very important to maintain a therapeutic relationship with the client.

2. Review the ACA and AACC codes. What is discussed regarding gift giving and what is your response to this?

ACA and AACC code of ethics permits gifts (Corey, 2011). I still regard gift giving as wrong and against the client’s rights.

References: 1. Clinton & Ohlschlager (2002).Competent Christian counseling: Foundations and practice of compassionate soul care. Colorado Springs, CO: WaterBrook Press. 2. Corey, Corey, & Callanan (2011).Issues and ethics in the helping professions (8thed.). Belmont, CA: Brooks/Cole. 3. AACC Code of Ethics (2004) American Association of Christian Counselors. Retrieved April 4, 2012, from http://www.aacc.net/about-us/code of-ethics 4. Ethics (2005) ACA. Retrieved April 4, 2012, from http://www.counseling.org/Resources/CodeOfEthics/TP/Home/CT2.aspx. 5. North Carolina General Assembly (2012) duTIES AND RESPONSIBILITITES Retrieved April 4, 2012 from http://www.ncga.state.nc.us/gascripts/statutes/Statutes.asp

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...Under this form of ethics you can't justify an action by showing that it produced good consequences, which is why it's sometimes called 'non-Consequentialist'. The word 'deontological' comes from the Greek word deon, which means 'duty'. Duty-based ethics are usually what people are talking about when they refer to 'the principle of the thing'. Duty-based ethics teaches that some acts are right or wrong because of the sorts of things they are, and people have a duty to act accordingly, regardless of the good or bad consequences that may be produced. Some kinds of action are wrong or right in themselves, regardless of the consequences. Deontologists live in a universe of moral rules, such as: It is wrong to kill innocent people It is wrong to steal It is wrong to tell lies It is right to keep promises Someone who follows Duty-based ethics should do the right thing, even if that produces more harm (or less good) than doing the wrong thing: People have a duty to do the right thing, even if it produces a bad result. So, for example, the philosopher Kant thought that it would be wrong to tell a lie in order to save a friend from a murderer. If we compare Deontologists with Consequentialists we can see that Consequentialists begin by considering what things are good, and identify 'right' actions as the ones that produce the maximum of those good things. Deontologists appear to do it the other way around; they first consider what actions are 'right' and proceed...

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...Ethics is a set of moral principles; a theory or system of moral values. Normative ethics is an ethical system with standards that regulate right and wrong conduct. This ethical system can be broken down into three categories: virtue ethics, utilitarian ethics, and deontological ethics. Normative ethics' golden rule is to do unto others what we want others to do to us. This establishes a single principle against which we judge all actions. The study and application of ethics has created a variety of approaches to the basic questions of what should I do?, what do i value?, and why do I value that? The purpose of this paper is to discuss the similarities and differences between virtue ethics, utilitarian ethics, and deontological ethics both morally and ethically. Virtue ethics is the character of a moral agent as a driving force for ethical behavior. For example, a person using the virtue approach would focus less on lying in a particular situation and instead consider the decision to tell a lie or not to tell a lie. Virtue ethics places less emphasis on learning rules, and instead stresses the importance of developing good habits of character. Utilitarian ethics is a theory that the aim of action should be the largest possible balance of pleasure over pain or the greatest happiness of the greatest number. For example, a utilitarian approach implies that no moral act like stealing, or a rule like keeping your promise, is in intrinsically right or wrong. The rightness or wrongness...

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...Ethics Essay Ethics, according to dictionary.com, is the branch of philosophy dealing with values relating to human conduct, with respect to the rightness and wrongness of certain actions and to the goodness and badness of the motives and ends of such actions. Or as the textbook states, ethics is the science concerning the “right and wrong” of human action. This paper will be discussing the similarities and differences between virtue theory, utilitarianism, and deontological ethics. There will be a description of the differences in how each theory addresses ethics and morality. It will contain a personal experience to help explain the relationship between virtue, values, and moral concepts as they relate to one of the three theories. The three main views of the normative ethics theory is virtue ethics, deontological ethics, and utilitarianism. Virtue ethics focuses on the virtues, or moral character, while deontological focuses on duties and rules, and utilitarianism focuses on the consequences of ones actions. Virtue ethics is called agent based or character ethics, as well. According to the textbook, when using the virtue ethics approach, one should take the viewpoint that in living their life they should try to cultivate excellence in all that they do (Boylan, 2009). Virtue ethics suggests that people should develop their character so that they will lead a good life. Utilitarianism is a form of consequentialism. This means that the moral worth of an action is determined...

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...Running head: Ethics Essay Ethics Essay Crystal Sircelj ETH/316-Ethics and Social Responsibility August 20, 2012 Carmela David Ethics Essay Ethics consist of concepts of right and wrong behavior. Different philosophers, such as Socrates, Aristotle, Bentham, and Kant dabbled in the theories of ethics. Virtue theory, utilitarianism, and deontology deal with approaches to ethics. All three theories consist of similarities and differences as they address ethics and morality. This paper will also include a personal experience as it relates to the relationship between virtue, values, and moral concepts as it applies to deontology. Virtue ethics is an approach to ethics where a person possesses the habits and characteristics that wills him or her to achieve excellence (Boylan, 2009). This approach differs from utilitarianism and deontology in that a person is judged morally wrong based on an action even though the person possesses characteristics to want to achieve excellence. Virtue ethics is based on morality and not on ethics. This approach does not define how one should act but on the traits necessary to achieve excellence. Utilitarianism theory is the approach where the action or decision should be what is best for the greater good of the people. This approach differs from virtue ethics and utilitarianism...

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...Ethics Essay ETH/316 Ethics Essay Virtue theory has a definition of cultivating excellence in life and constituting an aspect of the “good person” (Boylan, 2009).  Virtue theory is a theory that emphasizes that role of character and virtue in moral philosophy rather than doing one’s duty or action in order to bring about good consequences. Utilitarianism according to Boylan (2009),” is a theory that suggests that an action is morally right when that action produces more total utility for the group than any other alternative and sometimes this has been shortened to the slogan, “The greatest good for the greatest number”. (p. 153). Deontological ethics, in philosophy, ethical theories that place special emphasis on the relationship between duty and the morality of human actions. Deontological places a special emphasis on the relationship between duty and the morality of human actions (Britannica Encyclopedia, 2001). The common similarities between each ethics give the impression that they are one. Virtue ethics determine the good and bad trait of each person. Utilitarianism holds almost the same ethics values, which is to find the good in the person’s action. The Deontological ethics action is morally good because of an action, and the result of that action is good. Deontological ethics holds acts that are morally obligatory of their consequences for human actions. The difference between each ethics is that Utilitarianism is about morality...

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