Counselor Ethics and Responsibilities Essay

Counselor Ethics and Responsibilities Essay.

In this paper I will discuss Counselor Ethics and Responsibilities; to include my own personal thoughts and values concerning abortion and extramarital affairs and how I would personally provide ethical counseling to a client’s struggling with abortion and or extramarital affair issues. Next I will discuss client’s right to autonomy, nonmaleficence, beneficence, justice and fidelity in ethical counseling. Then I will cover the factors that must be considered in “duty to warn” and also “duty to protect” obligations as a counselor.

Finally, I will discuss client record keeping; a client’s right to a professional standard of care, and counselor liability.

Counselor Values:

Abortion

From my own personal experience and beliefs, abortion is wrong with few exceptions. My personal belief is that if a female is raped or there is danger to the mother abortion is acceptable to me. What I mean by acceptable is that it creates dissonance with my current operating beliefs of abortion being wrong to take the life of an unborn fetus.

I have a 16 year old daughter whom was gang raped which resulted in a pregnancy not at the will or choice of my daughter. My belief says no abortion, but my rational side asks many questions like; is the mother ready to care for a child? Can she physically and monetarily care for a child? How will this affect her life in the long run? What about school? Are the any issues that might arise if the mother carries to full term? Am I ready in every fashion to become a grandparent? To me each answer was no and my daughter continued and had the abortion.

Extramarital affairs

In an article by Wagaman (2013), he point s out that Americans today are more tolerant to premature sex, divorce and gay relationships which was once considered taboo. He continues by saying “but there’s one exception: We condemn adultery like it is 1642.” (WAGAMAN, 2013) I follow suite and believe if you marry another person that is the one person you have devoted yourself to and should at any cost stick by their side no matter what and an extramarital affair is a deal breaker. I ask myself why I should punish my partner by going outside of the marriage seeking the puzzle piece that is missing, when my wife has already given me the key to her heart. In society today people have more control and freedom to explore premature sex and entering and leaving a relationship or marriage. But, with all this freedom and control there comes accountability and lying is the one vice most consider wrong. (WAGAMAN, 2013)

Describe how you would counsel the client in each situation. In counseling a client in both cases of abortion and extramarital affairs I quote the ACA (2014) section A; A.1.a, Primary Responsibility, “The primary responsibility of counselors is to respect the dignity and promote the welfare of clients.” It is not uncommon for the counselor and client to have different values and beliefs at all. (2014 ACA Code of Ethics, 2014) First off, I will have to step back and look at my own personal area or areas of expertise. According to the NBCC Code of Ethics (2012), “NCCs (Nationally Certified Counselor’s) shall perform only those professional services for which they are qualified by education and supervised experience (NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC), 2012) .”

Addiction specialist shall seek out new/effective approaches which enhance their professional abilities such as; continuing education research and activities with professional in different disciplines. (The Association for Addiction Professionals, 2013) Some client’s many have already dealt with an abortion or affair and may be seemingly ok, but not in-line with my values. As the primary counselor in these cases it is my responsibility to avoid causing harm or imposing my values on to my client.

As a counselor I must act accordingly to avoid harming my client or abate or remedy unavoidable or unforeseen harm. Counselors must be aware of their own values, attitudes, beliefs and behaviors and avoid imposing them on their client. For example, if I’m opposed to both abortion and affairs these are my own personal beliefs and not those of the client. My client may have had an affair and became pregnant by someone other than their partner and had an abortion to hide it from their significant other. So if I were to voice my values to my client this could cause harm to the counselor-client relationship where the client shuts down and it causes irreversible damage due to me imposing my own values on my client. According to the NBCC (2012), from the point of view of an addiction counselor, the professional counselor refrains from using methods which seems coercive like threats, negative labeling or any means which causes shame or humiliation. In the case of abortion or having an affair, either could provoke shame and humiliation in the client based on counselor vs client values.

Clients Rights:

Autonomy

Incorporating autonomy in its simplest form is supporting the clients’ right to make their own decisions and addresses the concept of independence. In order to support a clients’ autonomy, this means not imposing goals, agendas or values on a client. As a counselor I must understand, embrace and work with the client’s experiences; culturally, socioeconomically, this is supported in counseling through person centered style of counseling and communication. (Ryan, 2011)

Nonmaleficence

Incorporating nonmaleficence is supported by the number one rule in counseling, the concept of causing no harm to others our clients. This practice is tied with a clients’ autonomy and their right to independence and making their own choices. Implementing this means living by the laws of your state and follow the ACA, NAADAC or NBCC codes of ethics. (Davis, 1996)

Beneficence

Beneficence is simply doing what is good for the client, this is the counselors’ responsibility to be proactive and contribute to the overall health and welfare of their client’s. This means doing treatment planning with the client and listening to the clients’ input in the planning process. (Ryan, 2011)

Justice

According to Kitchner (1984), Justice is not doing what is right for the client, but treating equals equally and unequals unequally. This means identify such things as ethnic background, socioenomic background, race and numerous others. (Kitchner, 1984)

Fidelity

Incorporating fidelity is me being loyal to my client, because clients’ must must have faith and trust in their counselor in the therapeutic relationship in order for growth to occur. This means being faithful and meeting obligations and commitments and not leaving with of these unfulfilled. (Ryan, 2011) Discuss the informed consent process and how it protects client rights including: Informed consent is an on-going process throughout the counseling process; it lets the client know that first they have the freedom to engage in or decline entrance into a therapeutic relationship and gives them sufficient information concerning the theraputic process and the therapist.

Informed consent is an obligation placed on the counselor, which is reviewed both written and orally explaining the rights and responsibilities of the counselor as well as the client. Therapists explain to their clients the nature of all services, goals, purposes, techniques, limits, procedures, benefits and potential risk of services; counselor credentials and qualifications, relevant experience and counseling approach. Counselor explain fee and billing arrangements including non-payment of fees. Clients also receive rights and limits of confidentiality, information concerning records, refusal of services and consequences of refusal. (Gerald Corey, 2104)

Billing

When creating costs for counseling services, the counselor should take consideration the client’s locality and financial status so that the normal fees do not create an undue hardship on the client. Counselor may assist clients in finding comparable and affordable services or adjust fees when legally permissible.

Right to Privacy

As a counselor, each and every client has a right to privacy whether a prospective or existing client. Therapists only request confidential information from clients when it is determined advantageous to the therapeutic process. Counselor protect the privacy of clients and only disclose information with consent to release information or with sound legal/ethical confirmation. At the initiation and throughout the therapeutic process counselors inform clients of confidentiality limitations and identify situations situation in which confidentiality must be broken; such as when disclosure is required to protect clients or keep others from serious foreseeable harm or when legal requirements require release. HIPPA compliance and Compliance with credentialing board requirements for incorporating informed consent into practice

As a professional counselor we are bound by HIPPA to provide documentation to potential clients how the practice and you will handle the release of confidential information. This document describes how mental/medical information about you may be disclosed and used and how the client may get access to this information. This document must have a compliance date on it and includes information pertaining to; treatment, health care operations, payment and other disclosures and uses without the clients consent. (Association, Meeting HIPAA Requirements, Notice of Privacy Practices and Client Rights Document, 2014)

Responsibility to Warn and Protect

Duty to warm and protect refers to the responsibility of the therapist or counselor to breach confidentiality if a client or other identifiable person or persons are in clear imminent danger. When duty to warn and protect come into play there must be clear evidence of imminent danger to the client or other persons, then the therapist/counselor must determine the seriousness of the threat and then must notify the person in danger and other persons in a position to protect that person from harm.

The best possible example is the Tarasoff Act, which imposed inherent duty on therapist/counselors to warn potential victims of intended harm by a client, stating confidentiality ends where danger begins. The implications of the Tarasoff Act indicate that only notifying the police is not sufficient action to protect the therapist/counselor from a lawsuit if the client threatens to carry the threat out. (University, 2014) Client Record-Keeping/the counselor from liability

A client’s right to a professional standard of care

Documentation in a client’s record serves many purposes including; clinical/ administrative accountability, and documentation of the counselor’s protection of the clients’ rights. This documentation also provides protection for counselors in helping them refute any and all allegations of incompetence or misconduct by the counselor. A counselors’ responsibility to protect the clients rights is normally documented in a series of forms signed by the client to include; informed/parental consent, fee agreements, treatment forms, treatment plans, signed client rights statement and treatment team staffing notes, and release of information protecting the client’s privacy with specific parameters. Finally, documentation in a client’s record can be used to protect and defend the therapist/counselor from unwarranted allegations of misconduct.

A client record containing a thorough assessment, treatment plan, progress notes consistent with the plan, supervisory notes, billing for services rendered, and documented clients rights represent sound evidence of the counselor’s efforts to practice within their professional scope and standard of care. (University, 2014) In conclusion, the ethical responsibilities of a counselor are both broad and complex. This paper describes and discusses many of the aspect that are at the forefront of client/counselor relationship and protection of rights for both counselor and client. The knowledge required to become an ethical counselor comes with time and practice along with consulting colleges and primary supervision.

Bibliography

Association, A. C. (2014). 2014 ACA Code of Ethics. Alexandria: AMERICAN COUNSELING ASSOCIATION. Association, A. C. (2014). Meeting HIPAA Requirements, Notice of Privacy Practices and Client Rights Document. Alexandria: “Author”. COUNSELORS, N. B. (2012, June 8). NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC). Retrieved from nbcc.org: http://www.nbcc.org/Assets/Ethics/NBCCCodeofEthics.pdf Davis, H. F.-M. (1996). Moral Principles. A Practitioner’s Guide to Ethical Decision Making, 2. Gerald Corey, C. C. (2104). Issues and Ethics in the Helping Professions (9 ed.). (K. Mikel, Ed.) Stamford, CT, USA: Cengage Learning. Retrieved November 18, 2014 Kitchner, K. S. (1984). Intuition, critical evaluation and ethical principles: The foundation for ethical decisions in counseling psychology. Counseling Psychologist, 12(3), 43-55. Retrieved November 19, 2014, from
http://www.counseling.org/docs/ethics/practitioners_guide.pdf?sfvrsn=2 NAADAC. (2013). The Association for Addiction Professionals. Retrieved from NAADAC.org: http://www.naadac.org/code-of-ethics#i Ryan, R. M. (2011). Motivation and Autonomy in Counseling. The Counseling Psychologist, 193-260. University, G. C. (2014, November 18). Lecture 4. Retrieved from gcu.edu: https://lc-grad2.gcu.edu/learningPlatform/user/users.html?operation=loggedIn#/learningPlatform/loudBooks/loudbooks.html?viewPage=current&operation=innerPage¤tTopicname=Client Rights, Counselor Responsibilities, and Confidentiality&topicMaterialId=71 WAGAMAN, A. (2013, July 25). Americans grow increasingly intolerant of extramarital affairs. Star Tribune. Retrieved from startribune.com: http://www.startribune.com/lifestyle/relationship/216813271.html

Counselor Ethics and Responsibilities Essay

Five Ethical Principles for Research Essay

Five Ethical Principles for Research Essay.

There are five general principles in the 2002 APA ethics code designed to “guide and inspire psychologists toward the very highest ethical ideals of the profession.” These principles include beneficence and nonmaleficence (i.e., benefit people and do no harm); fidelity and responsibility; and integrity, justice, and respect for people’s rights and dignity. The Belmont Report identified three basic ethical principles when conducting research: respect for persons, justice, and beneficence. The following are five basic ethical principles presented in the order of the general principles in the APA code that apply specifically to conducting biomedical and behavioral research with human participants.

Principle 1: Beneficence and NonmaleficenceRepresenting the utilitarian tradition, this principle requires that researchers, using considerations such as those described above, strive to maximize potential benefits while minimizing risks of their research. Although the cost-benefit mandate seems straightforward, it is rarely unambiguous in practice because costs to participants and benefits to the profession and to society are difficult to accurately estimate in advance and no universally agreed-upon method or criteria exist for optimally balancing the two.

Where questions arise related to the degree of risk, researchers are responsible for seeking ethical advice and implementing safeguards to protect participants.

Risks that are identified in advance must be communicated to prospective research participants or their legal equivalent, and informed consent must be obtained (except in special cases approved by the IRB, such as research involving a placebo control, in which fully informed consent compromises a scientifically required research design). Sometimes research presents risks to groups of people or social institutions. No consensus exists for whether a representative can provide consent on behalf of a collective entity, but full compliance to Principle 1 requires sensitivity to this issue.

Principle 2: Fidelity, Responsibility, and TrustThis principle requires researchers to establish and maintain a relationship of trust with research participants. For example, before individuals agree to participate in research, investigators must be clear and explicit in describing to prospective participants what they will experience and what consequences may result from participation. Researchers also are obligated to honor all promises and commitments that are made as part of the agreement to participate. When full disclosure is not made prior to obtaining informed consent (e.g., information germane to the purpose of the study would compromise its validity), safeguards must be implemented to protect the welfare and dignity of participants.

In general, procedures that involve concealment or deception in a research design can be implemented only after rigorous criteria for the necessity of such procedures are met and the study is approved by the IRB. (Such instances also require a thorough debriefing of participants at the conclusion of their participation.) When children or adults with limited understanding serve as participants, researchers must implement special protective safeguards. When unintended negative consequences of research participation occur, researchers are obligated to detect, remove, and/or correct these consequences and ensure that they do not persist over time. Understandably, past ethical breaches have resulted in what some describe as widespread mistrust of biomedical and behavioral research in contemporary society. Principle 2 requires researchers to make every effort to foster trust and avoid causing further public mistrust.

Principle 3: IntegrityThis principle requires researchers to “do good science,” to truthfully report their results, to take reasonable steps to correct errors that are discovered, to present work that is their own (or to otherwise make appropriate citations), to take responsibility and credit only for work that is their own, to avoid “piecemeal publication” (i.e., submitting redundant analyses of a single data set for multiple publications), to share data on which results are published with other qualified professionals provided they seek only to verify substantive claims and do not use the data for other any other purpose, and to respect the proprietary rights of others engaged in the scientific enterprise.

Principle 4: JusticeIn following this principle, researchers strive for two forms of justice. The first, distributive justice, requires psychologists to entitle all persons equal access to the benefits of research, as well as to ensure that the risks for harm from research are not disproportionately greater for a particular group or category of persons within society. The second, procedural justice, refers to the adequacy of research procedures to ensure fairness, such as when easily accessible mechanisms are made available to participants to address any concerns they may have related to their participation in research.

Researchers also are promoting Principle 3 when they attend to the special concerns of underrepresented groups in developing programs of research, so as to avoid continued underinclusion and lack of representation in the knowledge base.

Principle 5: Respect for the Dignity and Autonomy of PersonsRepresenting the deontological tradition, this principle asserts that researchers respect research participants as human beings with intrinsic worth, whose participation is a result of their autonomous choices. The implications of this principle are far-reaching and relate to matters of obtaining informed consent, avoiding coercive and deceptive practices, upholding confidentiality and privacy, and preserving the selfdetermination of participants. In abiding by this principle, psychologists are also aware of and respect individual differences, including those influenced by gender, age, culture, role, race, ethnicity, sexual orientation, religious identity, disability, linguistic background, economic status, or any other characteristic related to group membership.

Ethical Conflicts and Decision MakingThe potential for ethical conflict is ubiquitous in biomedical and behavioral research. When making ethical decisions about research, it may be prudent to develop a systematic approach to reviewing all relevant sources of ethical responsibility, including one’s own moral principles and personal values; cultural factors; professional ethics codes, such as the APA code; agency or employer policies; federal and state rules and regulations; and even case law or legal precedent.

A process-oriented approach to ethical decision making may involve some variation of the following: (1) writing a description of the ethically relevant parameters of the situation; (2) defining the apparent dilemma; (3) progressing through the relevant sources of ethical responsibility; (4) generating alternative courses of action; (5) enumerating potential benefits and consequences of each alternative; (6) consulting with the IRB, relevant colleagues, and/or legal professionals; (7) documenting the previous six steps in the process; and (8) evaluating and taking responsibility for the results of the course of action selected. As previously mentioned, all research studies must be approved by the relevant IRB. However, approval of a research proposal by an IRB does not remove the mandate of ethical responsibility from the researcher. In making ethical decisions, researchers should consider the likelihood of self-serving bias that can lead to overestimation of the scientific value of a proposed study and underestimation of its risks.

ConclusionScientific research with human participants is an inherently ethical enterprise, and ethical conflicts in research are virtually inevitable. Researchers who exercise the privilege to conduct research with human participants bear the responsibility of being familiar with and abiding by the ethical principles and relevant rules and regulations established by their professional organizations and by federal and state governments. However, rigid application of rules is not a substitute for well-reasoned, responsible ethical decision making.

bibliography

American Psychological Association. Ethical principles of psychologists and code of conduct. American Psychologist vol. 57 pp. 1060-1073 (2002).

Bersoff, D. N. (Ed.). (2003). Ethical conflicts in psychology (3rd ed.). Washington, DC: American Psychological Association.

Miller, C. (2003). Ethical guidelines in research. In J. C. Thomas, ed. & M. Herson (Eds.), Understanding research in clinical and counseling psychology (pp. 271-293). Mahwah, NJ: Erlbaum.

Office for Protection from Research Risks, Protection of Human Subjects. National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979). The Belmont Report: Ethical principles and guidelines for the protection of human subjects of research (GPO 887-809).
Washington, DC: U. S. Government Printing Office.

Sales, B. D., ed. , & Folkman, S. (Eds.). (2000). Ethics in research with human participants. Washington, DC: American Psychological Association.

Sieber, J. E. Empirical research on research ethics. Ethics and Behavior vol. 14 pp. 397-412 (2004).

Five Ethical Principles for Research Essay