Carmen is a year-old Hispanic American woman who is working on a project with Hong, a year-old Asian American graduate student intern. Several months ago, they were assigned to work together on an integral part of the project. They have been working together on a daily basis since the assignment was given.
Often, no one could have seen it coming. Boundary issues Dynamics and ethics of the relationship arise in ways that therapists may not initially predict or even recognize. But, in too many cases therapists behaved in ways that seem completely out of touch with the impact their decisions and actions had on those with whom they had a professional relationship.
Legal suits and the cost of defending licensing board complaints cause professional liability insurance rates to rise, thus harming all therapists. Sadly, the stigma and the stress endured by the therapist if found guilty can be debilitating Warren and Douglas, Among the most significant changes in the ethics codes of professional organizations are those related to the drawing of boundaries between therapists and their clients.
Over the last couple of decades we have witnessed a relaxation of rigid restrictions. The reasoning for this has included the recognition that boundary crossing cannot be totally avoided, some belonging under certain circumstances may even be helpful to the client or at least cause them no harmand sometimes boundary crossings are mandated Barnett, a.
On the surface, the loosening of restrictions also feels more protective of therapists, allowing for leeway as to how therapists and their clients interact. At the same time, however, additional burdens are placed on therapists because the rules are no longer firm.
What the therapist may deem as an acceptable, even helpful, boundary crossing may be experienced as inappropriate or harmful by the client, as will be discussed further.
Our main goal for this course is to make a strong case for vigilance and ongoing self-awareness when making decisions about boundary crossing with clients. She is extremely distraught.
And what if your next client is in the waiting room now? Should you ask if she would mind dropping you off on the way home? A new client has rheumatoid arthritis and struggles to unbutton her heavy coat.
Do you rush over to help her? The small town in which you practice has suffered an economic decline. A client asks if he can pay you for psychotherapy services by doing your yard work, as he does landscaping on the side. Your yard requires extensive maintenance, so should you accept?
Your client starts bringing fancy coffee and croissants to every session. Is this an innocent pleasure? Case adapted from Pope and Keith-Spiegel, You realize that you have disclosed a great deal about your personal life over several sessions.
Should you pull back? You want to sell your car, and have a sign on it out in the parking lot and another on your bulletin board in your therapy office waiting area.
Your client decides to purchase it from you. You assure the client that it is in excellent condition and a good buy. Should you go through with a deal? The client you have treated for depression over the last six months tells you that she plans to visit her sibling who lives across the country in a few weeks.
With the exception of boundary violations that clearly violate any standard of care, ethics codes cannot possibly give specific guidance when it comes to mandating appropriate ways to socially interact with counseling and psychotherapy clients across all possible situations.
Many boundary crossings can involve no ethical transgressions and even prove beneficial to the client. However, as we will illustrate, remaining vigilant regarding our own needs and vulnerabilities as well as those of our clients is fundamental to ethical practice.
As for our examples, not everything turned out well in the actual cases upon which they are based. The distraught mother scenario illustrates a double boundary crossing. To offer the client extra time seems a kind gesture but runs counter to the therapeutic agreement.
In the future, this actual client felt entitled to extra time and resented not getting it. In the meantime, clients-in-waiting have an agreed upon appointment obligation altered.
One can feel sympathy for the distraught mother, but the matter does not qualify as an emergency. In fact, the mother might more appropriately focus on other actions e. Yet at other times, offering extra time would be prudent, such as in a true emergency situation. The client who was asked for a favor turned into a bit of a fiasco.Dynamics of Ethics In every professional field there is ethical decision making.
Ethics in business is essentially the study of what constitutes the right and wrong or the good and bad behavior in the workplace environment.
Researchers point out that there is a ___ relationship between practitioners personal life and professional behaviors. Reciprocal and casual.
What influence the way a clinician carries out her professional role? Why is it important for you to become familiar with the guiding principles of the ethics codes and accepted standards of practice? The Notre Dame Center for Ethics and Culture shares the rich Catholic moral and intellectual tradition across the academic disciplines.
The Dynamics of Business Ethics and Economic Activity We model the agency relationship between managers and investors.
Through socialization, ethical managers develop internalized norms which prevent them from acting opportunistically.
CAPT is committed to the adherence of ethical standards that: protect and preserve client rights, uphold the integrity of the instrument, and promote professionalism in the administration of the Myers-Briggs Type Indicator ® instrument.. Professionals from many fields such as psychology, education, social work, medicine, and law use the MBTI ® .
" Spiral Dynamics. Mastering Values, Leadership, and Change." Don Edward Beck and Christopher C. Cowan. Don Edward Beck has been an inspiration to many of us engaged in the process of Change during the long transition we experienced in South Africa as the old regime gave way to the New Order after the elections in