Dilemmas
A client discloses they are HIV-positive during their first session. At the end of the session they say, "Please don't tell anyone, not even my doctor.
In Florida, HIV status is confidential. Duty to Warn does not apply.
A counselor has never worked with an HIV-positive client before. According to ethical guidelines, they should:
C. Seek training, supervision, and consultation before or while providing services
A counselor realizes mid-session that they personally believe HIV is "God's punishment" for certain behaviors. The client is seeking emotional support after diagnosis.
Non-maleficence and non-discrimination. The counselor's personal values cannot intrude into the therapeutic relationship. The counselor should seek supervision and work through their countertransference.
A counselor unknowingly provides a client with outdated information about HIV transmission. This is an ethical violation of:
C. Beneficence and competence
A 16-year-old client tests HIV/AIDS-positive at a school-based clinic. They share this in counseling. Their parents are unaware. The minor begs you not to tell them. Your state gives minors the right to confidential HIV testing.
the counselor's obligation here is NOT about HIV/AIDS confidentiality. HIV/AIDS status remains confidential even for minors. However, because the minor is sexually active, the counselor must consider mandatory reporting obligations for sexual activity involving a minor.
Which factors predict higher HIV transmission and prevention knowledge among counselors?
Ethnicity, sexual orientation, and education level