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Ethics in Clinical Counseling

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Ethics in Clinical Counseling Presented By: Art Romero, MA, LADAC, LPCC Patricia McKeen, MA, LPCC Professional Ethics: DO NO HARM! Begins With Self Reflection Self ... – PowerPoint PPT presentation

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Title: Ethics in Clinical Counseling


1
Ethics in Clinical Counseling
  • Presented By
  • Art Romero, MA, LADAC, LPCC
  • Patricia McKeen, MA, LPCC

2
Professional Ethics
  • DO NO HARM!
  • Begins With Self Reflection

3
Self
  • Morals
  • Beliefs
  • Ethnicity
  • Experiences
  • Gender
  • Significant Events
  • Dysfunctional Family

4
Personal Ethics
5
Morals
  • Are you aware of your morals?
  • Are your morals rigid?
  • Are they based on religion?
  • Are they based on ideals?
  • Are your morals self imposed?
  • Are your morals imposed by others?

6
Beliefs
  • What are your beliefs?
  • Are your beliefs hereditary?
  • Are your beliefs rigid?
  • Do you believe self-will can overcome disorders
    such as alcoholism?

7
Ethnicity
  • What is your ethnicity?
  • Does your ethnicity give you a disadvantage? If
    so, how?
  • Does your ethnicity give you an advantage? If so,
    how?
  • Do you feel forced to live in two worlds?

8
Life Experiences
  • Name some of your experiences?
  • Do some of these experiences affect current
    behaviors/opinions ect.?
  • Do some of these experiences make you a better
    counselor?
  • Do some of these experiences make it harder to
    counsel?

9
Gender
  • What is your gender?
  • Are you satisfied with your gender?
  • Do you feel your gender gives you an advantage or
    a disadvantage?

10
Significant Life Events
  • Think of some life events that are significant.
  • Would any of them be considered traumatic?
  • Have you dealt with these events?
  • If so how have you dealt with them?

11
Dysfunctional Family
  • Did you grow up in a dysfunctional family?
  • Did you grow up in a functional family?
  • If your family was dysfunctional, why?
  • How does your family experience affect your work?

12
Co-Dependency
  • Are counselors by the nature of our work
    co-dependent?
  • Can a co-dependent counselor adversely affect the
    client?
  • What are some examples of how co-dependency can
    hurt a client and the therapeutic relationship?

13
What is co-dependency? What does it look like?
  • Enabling
  • Martyrs
  • Resentment
  • Sympathy
  • Denial for addict/self
  • Overachiever
  • Responsible

14
More co-dependency
  • Lack sense of humor
  • Pessimistic
  • Fear
  • Low self esteem
  • No self confidence

15
Discussion
  • Small discussion groups

16
Transference Vs Counter-transference
  • The only really serious difficulty he has to
    meet lie in the management of the
    transferenceS. Freud

17
Transference--LOVE
18
Love
  • Client openly declares she has fallen in love
    with the counselor!
  • What do you do?

19
First Option
  • This is a nice couple. Initiate a more permanent
    union.

20
Second Option
  • Discharge the client. Right away

21
Third Option
  • Continue Treatment?

22
Discussion
  • What about that first option?
  • Against the law!!
  • Harmful to the client!
  • Did we mention it is against the law?

23
The second option is not against the law!!
  • What is the client falls in love with the second
    therapist?
  • What happens to the recovery and the hard work
    and time invested in the treatment at this point?
  • Could discharging damage the client?

24
Therapeutic third outcome
  • What could come from continuing treatment?
  • What is the counselor role?
  • Should the counselor explore his own feelings?
  • Should the counselor just stay professional and
    not discuss his feelings toward the client?

25
Ethical Choices
  • What if you dont like your client?
  • What if they do things you do not like?

26
Working With Children
  • I want to go home with you.
  • I hate you..
  • Nobody wants me.
  • What ethics follow with working with children?

27
Working with couples..
  • Special considerations for couple counseling
  • Who does the couple counseling?
  • What if you want to take sides?

28
Family Counseling
  • Special considerations for family counseling
  • What are they?

29
Group Counseling
  • Confidentiality
  • Putting a group together

30
Counter-Transference
  • Therapy is never a truly reciprocal relationship.
  • The therapist must be cognizant of his own
    emotional responses to his client.
  • The therapist must analyze these feelings in
    order to discover as much as he can about why
    they are being elicited!

31
How Counter-Transference Can Help
  • In analyzing the counter-transference the
    therapist can garner information about the way
    the patient may be affecting others in his/her
    life.
  • The idea of even admitting the presence of
    counter-transference feelings, in modern
    counseling, let alone using it in therapy is
    relatively new!

32
Counter-TransferenceandCo-Dependency
  • What are some counter-transference feelings of
    co-dependency that may arise from therapy?
  • How can the co-dependency feelings toward the
    client be used to enhance therapy or hurt the
    therapy?

33
Why we choose the clients we choose?
  • What type of client are you most comfortable with
    and why?
  • Is it always training that makes us most
    comfortable?
  • Does counter-transference play a part in this?
  • When is this preference unethical?

34
Homework
  • Break into small groups and discuss scenario
    given to group.
  • Pick a spoke person to present to group.

35
Wrap Up
  • Ethics are important to maintain a healthy
    career.
  • Avoid lawsuits.
  • Prevent damage to clients.
  • Preserve the field of work for consumers and
    providers.
  • KNOW YOUR ETHICS BOARD!!
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