Exam 2: A Model for Ethical Practice: Using Resources to Enhance Individual Judgment

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Describe a situation in which the principle of beneficence and the principle of nonmalficence may conflict and the decision making process a counselor or therapist should use to resolve this conflict.

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One situation in which the principle of beneficence and the principle of non-maleficence may conflict is when a therapist is working with a client who is considering leaving an abusive relationship. The principle of beneficence, which emphasizes doing good and promoting the well-being of the client, may lead the therapist to encourage the client to leave the abusive relationship in order to protect their safety and well-being. On the other hand, the principle of non-maleficence, which emphasizes avoiding harm, may lead the therapist to consider the potential risks and dangers of leaving the relationship, such as the possibility of retaliation from the abuser.

In order to resolve this conflict, the therapist should engage in a careful and thorough decision-making process. This process should involve a comprehensive assessment of the client's individual circumstances, including the severity of the abuse, the client's support system, and their resources for safety and protection. The therapist should also consider the potential risks and benefits of both staying in the relationship and leaving it, and work collaboratively with the client to explore their options and make an informed decision.

Additionally, the therapist should consult with colleagues or supervisors, as well as relevant ethical guidelines and legal requirements, to ensure that they are considering all relevant factors and making a well-informed decision. Ultimately, the therapist should prioritize the safety and well-being of the client while also respecting their autonomy and agency in making decisions about their own life. By carefully considering the principles of beneficence and non-maleficence, the therapist can work towards a resolution that promotes the best interests of the client while minimizing potential harm.

When professionals consult with colleagues or supervisors about an ethics issue, what questions should they ask colleagues and which colleagues should they speak with?

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When professionals encounter an ethics issue and decide to consult with colleagues or supervisors, it is important to approach the consultation with a clear and structured mindset. Here are some questions they should consider asking, as well as guidance on which colleagues to speak with:

Questions to Ask:

1. **Clarification of the Ethical Dilemma**: What are the ethical principles or professional standards at play in this situation? Can you help me identify the specific ethical issue(s) here?

2. **Precedents and Policies**: Are you aware of any existing policies, precedents, or guidelines within our organization that apply to this situation?

3. **Perspective and Experience**: Have you ever encountered a similar ethical issue in your professional experience? How was it resolved?

4. **Stakeholder Considerations**: Who are the stakeholders involved, and how might they be affected by the potential decisions?

5. **Legal Implications**: Are there any legal implications or requirements that we need to consider in this situation?

6. **Confidentiality**: How can we ensure that the confidentiality of all parties involved is maintained during and after this consultation?

7. **Alternative Solutions**: Can you think of any alternative solutions or approaches to this issue that I might not have considered?

8. **Support and Resources**: What resources or support might be available to help address this ethical issue?

9. **Documentation**: How should I document this consultation and the ethical issue itself?

10. **Follow-up**: Can we schedule a follow-up conversation to reassess the situation after taking initial steps?

Which Colleagues to Speak With:

1. **Immediate Supervisor or Manager**: They often have a good understanding of the organizational policies and the authority to address ethical issues.

2. **Ethics Officer or Ombudsperson**: If your organization has one, these individuals specialize in handling ethical issues and can provide expert guidance.

3. **Human Resources (HR) Professionals**: HR can advise on policies, legal implications, and the appropriate handling of situations involving personnel.

4. **Legal Counsel**: For issues with potential legal ramifications, consulting the organization's legal team can be crucial.

5. **Experienced Colleagues**: Colleagues who have been with the organization for a long time or have a wealth of professional experience may have valuable insights.

6. **Professional Mentors**: A mentor who knows your professional values and goals can provide personalized advice.

7. **Members of Professional Associations or Ethics Committees**: These individuals can offer a broader perspective based on industry standards and ethics.

8. **Interdisciplinary Consultation**: For complex issues, consulting with professionals from different disciplines can provide a more holistic view.

It's important to choose colleagues who are knowledgeable, trustworthy, and have a reputation for ethical conduct. Additionally, the consultation should be approached with discretion to protect the privacy of all parties involved. When in doubt, professionals should consider seeking advice from multiple sources to ensure a well-rounded understanding of the ethical issue at hand.

If a licensed professional claims that they acted the way they did "because a supervisor insisted that that action be taken"a disciplinary body:

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The most fundamental ethical principle is:

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Mental health professionals have fidelity obligations to clients, colleagues and to the institutions for which they work. Sometimes these loyalty obligations conflict. Give an example of one such situation and discuss the steps a professional should use to resolve this conflict.

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When consulting with colleagues counselors and therapists should:

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The obligation to be truthful with clients and colleagues is most closely related to which of the following ethical principles?

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Respect for autonomy is based on Kant's principle that states

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Identify at least three situations in which the codes of ethics fail to provide definitive advice for professionals treating clients. Also describe the steps a professional should take to resolve the ethics issue when this happens.

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