Decision-Making Models
When using ethical decision-making models, remember to keep the six ethical principles in mind, which are:
1. autonomy
2. nonmaleficence
3. beneficence
4. justice
5. fidelity
6. veracity
Most ethical dilemmas are related to ______
Confidentiality
You find yourself sexually attracted to a client. This is known as:
Countertransference
_______ is defined as the intentional separating of a counselor’s personal values from his or her professional values or the intentional setting aside of the counselor’s personal values in order to provide ethical and appropriate counseling to all clients, especially those whose worldviews, values, belief systems, and decisions differ significantly from those of the counselor.
Ethical Bracketing
You are counseling your first cousin for depression. Is this ethical? Why or why not?
Generally unethical as it would constitute a dual/multiple relationship
This case decided that a counselor does have a duty to warn if there is clear and imminent danger
Tarasoff v Board of Regents UCA
According to most decision-making models, what are the steps to making an ethical decision?
Identify the problem
Gather Information/Define Potential Issues
Review relevant ethical guidelines
Generate possible decisions
Assess possible consequences
Weigh risks and benefits of decision vs. consequences
Make the decision
During a counseling session a 42 year-old male client threatens suicide. According to ethical guidelines, you should:
Alert his emergency contact (wife?) and advise of possible suicide precautions. In most scenarios, suicide is grounds for clear and imminent danger.
In the late 1970s, AACD (known as ACA since 1992) began to focus very heavily on professional credentialing. This led to the formation of the:
NBCC
The American Counseling Association (ACA) ethical standards for counselors are based on moral principles that include the following EXCEPT:
Beneficence
Veracity
Integrity
Justice
Integrity
A 16 year-old girl threatens to kill herself, and you fail to inform her parents. Your behavior as a counselor is best described as:
Negligence
A counselor reveals information that is extremely damaging to a client's reputation. This counselor could be accused of ________
Defamation
Jan, an incest survivor, is covered for six sessions by her insurance. Her counselor is in private practice and knows that Jan needs more sessions. She decides to offer Jan her services pro bono. In making the ethical decision to ensure that her client has equal access to services, the counselor is using the basic moral principal of:
Justice
A man has a rare, highly contagious disease that is fatal. He is keeping it a secret and insists that he will never tell his wife. You should:
Break confidentiality and tell his wife.
_____________ refers primarily to counselors' ethical duty to keep client disclosures private, whereas, _____________ is a legal term that protects certain counselor-client communication in the court system.
Confidentiality; Privileged Communication