They have to know how when to report the cases, is there legitimate reason to believe that the client will do or has done harm to someone, or if they are talking out of frustration and anger. These dilemmas were evident in the video, as there were different cases that dealt with child abuse, confidentiality of a client’s file that had to be disclosed, and even cultural differences that caused some issues with the law. Ensuring the safety of the clients, and everyone else is a major responsibility that counselors and therapist deal with, while ensuring that they are following every rule and regulation set by their state to ensure that they are protected as well. Keywords: confidentiality, duty to warn, ethical, duty to protect, abuse, laws Ethical Vignette in Counseling and Therapy There are many cases that deal with confidentiality, child abuse, duty to warn, duty to protect, and duty to safeguard. The video detailed a few different cases that dealt with a nurse who did not report bruises that were on a little boy who was in the emergency room, and four days later, the boy was back in the emergency room and died.
Healthcare professionals are committed to keeping their patient's information confidently. Confidentiality is one of the essential duties of health care practice as well as lawful right of the patient. Healthcare staff could not disclose patient's vital information without the proper consent of the patient. In some difficult situation, nurses may face breaking the patient's confidentiality. An article by Nathanson (2000) described the condition of the ethical problem when a nurse had to disrupt the confidentiality of patient information to a suitable person.
Bi How would you explain the term ‘confidentiality’ to Hannah? I would explain to Hannah that I have a duty of care to share the information with only the people who need to know, such as line manager, colleagues who are directly involved in her care, and her G.P. I would explain that her daughter does not need to know and it is my duty of care to keep her information private, unless she gives me permission to disclose the information to her daughter. Bii Describe the possible tensions that may arise between telling others of Hannah’s decision and keeping this information totally confidential. The information Hannah disclosed would be recorded, signed and dated, reported to my line manager and those directly involved in Hannah's care such as her G.P.
“But that’s not the way I am and there’s nothing I can do to change that.” ‘The Curious Incident… shows that all people are capable of change if they have a goal they really care about’. Discuss. In The Curious Incident… Christopher’s mother writes to her son that she left partly because of the continual conflicts between her and Christopher and Christopher’s father. She admits she is short tempered and feels pessimistic about her power to change this. However, by the end of the novel she is making an effort to take control over her emotions: she sees a doctor and receives medication for her depression, and attempts to be patient in dealing with Christopher.
The therapist must also ask the client a number of questions to find out whether they have any contra-indications to the treatment to see whether the treatment is okay to go ahead. The consultation is the most important part of the treatment because the therapist can find out whether the client is allergic to any products, whether they have any specific needs that the treatment will help or whether they have any illnesses or ailments that will restrict or prevent the treatment. Also if something happens to the client during the treatment then
Ethical Dilemma in Psychotherapy Introduction: In the practice of psychology, psychologists are often challenged with unique dilemmas and issues for which they may not be ready for. Confidentiality in the realm of therapy is of vital importance. It is one of the aspects that facilitate a psychologically secure atmosphere within which a person can share intricate parts of their lives and themselves. Without a guarantee of confidentiality, the majority of patients would be hesitant in sharing of themselves and would most likely benefit much from therapy. This paper will examine an ethical dilemma that a psychotherapist/psychologist faces, how he dealt with the dilemma, and his reasoning behind how he dealt with the dilemma.
This will enable me to present my conclusion as to whether Person Centred Therapy offers the therapist all that is needed to treat clients. Counselling Course Assignment Can help client realise the solution but relies on them being able to be open and structured in their thinking and talking My experience in trying the person centred theory is that a client may not be able to structure their thoughts and just repeat themselves. An Introduced personality also does not always respond to open questions and clients may rely on counsellor for structure and some guidance. When practising this technique I found it limiting and the client (course colleague) was just repeating the same facts Advantages Client is given time to explore their problem and by articulating it they may become aware of aspects more clearly which can help them see a solution based on their experiences and lifestyle. Paraphrasing allows client to see that the counsellor is fully engaged and understand what they are saying.
Ethical Decision-Making Paper Abstract Counselors are often faced with situations which require sound ethical decision making ability. One dilemma that counselors face is the limits of confidentiality. Those who go for counseling assume that whatever they tell a counselor will be kept confidential and not shared with anyone outside of the counselor-client relationship. Competent counselors will honor their commitment to the laws and standards governing confidentiality, but there are limitations. When the clients right to confidentiality and the safety of human life clash, confidentiality cannot be maintained.
I would ask Miss E to discuss her ex-partner’s controlling behaviour in more detail. According to Patricia Evans (2001), “...this kind of behavior sets the stage for all kinds of abuse”. It is important as a therapist to understand the full picture before treating a client, in particular the depth
Carr (1992) argues that in health care, the primary sources of conflict fall in to disrepute about professional roles, goals and procedures. In other words, this implies that when nurses and other health care professionals have different ideas of professional roles and procedures this can result in conflict, as with this scenario. Boggs (2003) supports this by arguing that in nursing managed care exacerbates role conflicts in a variety of ways. In this case, the anaesthetist wasn’t aware of the limitations of a student nurses role and the student nurse didn’t understand fully her professional limitations as a student in this situation. The NMC guidance on professional conduct for nursing and midwifery students (2002) states that as a nursing student one must ‘be aware of the roles and responsibilities of other people involved in providing healthcare’.