Ethical Issues in Thereaputic Relationships

This is a counseling program and ethical issues discussed.

Case number 1 . Due to confidentiality the therapist ( I ) can not let the parties know that he sees all of them. However he can encourage Antonio for safe sex.
Case number 2 the therapist will discuss not advise! the client the pros and cons and discuss the only person will hurt is her. Case number 3 therapist need to bring up the issue on the next group session and discuss . Please write the summary as a way you are the therapist and be authentic.
Ethical Analysis for Case # 2

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1. Ethical Dilemma

“ What should Theresa do? “

In this case the ethical problem is inability to be objective.
Inability to be effective.

Being a friend with the parent of the patient.
Possible conflict between the therapist and the mother


2. Stakeholders

Therapist
Client
Client Family
Supervisor
No Agency
Current and future client

Moral principals:

1.The therapist did not violated autonomy.
2. Violated nonmaleficence, ( Changing behavior with the client and having dual relationship is hard for a 13 years old to understand, its might effect the two teenager relationship than the therapist have to  treat loss as well)
3. Beneficence
4. Justice
5.Fidelity ( she kept confidentiality) did not brake promise
6.Veracity – She was not truthful to herself when she was agreed to take on her closed friend son as a client who is friend with her son as well.  She discussed with the client about her being not comfortable with dual relationship however she was not honest with herself. She did not make any professional decision prior to discussion.

  3. Ethical Codes

A.1.a  Primary responsibility the therapist not promoting the client welfare.  (Do not harm.  Dual relationship)

A.1.b Records  The therapist did not indicate that she had documentation.
A.1.c. Counseling Plans – Therapist did not review with client the counseling plans.
A.2. Informed consent – There is no indication of the client signing an informed consent.
A.4.a Avoiding Harm
B.5.b The therapist did not inform the parent about confidentiality and counseling relationship.
B.8.a Agreements
c.2.b She did not consulted . New areas therapy with friend would never happened if she consulted.
C.2.d Monitor effectiveness  _ the therapist behavior changed, she is not be able to be effective any longer.
C.2.e Consultation on ethical obligations _ She did not consulted from the beginning.

4. Laws

She did not violate the law.

5.      Consultation

The therapist did not consult at the beginning. She only decided to consult after many weeks.

6. Possible of probable causes of action

7. Consequences of each cause of action

Action 1.   Termination and referral
Action 2. Training- continuing education in related issue.


Action1. Consequences   - Client might have problems with transfer to someone else. Transportation will be an issue for the client.  Client might have abandonment issue to transfer. Client might not find competent therapist.

Action 2. Consequences.  The therapist will take a continuing education class in related issue.

8. Recommendation

---Theresa decided to provide counseling for her good friend son Chris. Theresa had a conflict with herself not to however she decided without consultation to take on the client.

++ Theresa new the client and his family.
++ Theresa was fairly sure she would do no harm.

--Theresa feelings changed towards her friend during counseling.  Possibility to be subjective!
---Theresa behavior changed toward the client.

---Dilemma to discuss with the parent. She did not, crossed her mind to go to a coffee house.

Recommendations are Theresa will refer the client to a competent professional and transfer the client. Theresa will sign up for a continuing educational class in related issue.

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