Multiple Relationships in Psychotherapy and Counseling
You must identify and cite the Code of Ethics that are relevant to each of the vignettes. The Ethics Codes are located in under Resources. If the links do not work, please copy and paste them into your browser.
You must illustrate multicultural competence. All discussions must take into account issues of culture and human diversity that may pertain to the situations presented below. Information on Culture and Diversity are covered in the course text, but you are encouraged to utilize other cultural resources to enhance your analysis for this assignment. For example, if the client in the vignette is a Native American who asks to participate in a healing ritual, you would research Native American ceremonies and the ethical issues relating to this.
Please keep your responses focused on what is presented in the vignette. Creativity is encouraged but do not add information or change the vignette.
Your response to each vignette should be approx 2 ½-pages per vignette.
Your entire assignment will be approx 10 pages total plus a title and reference page. ?
For each of the four vignettes presented below:
What are the ethical issues in the case? Identify the issue in the ethics code.
Did the professional act in a manner consistent with current standards and principles? If not, what other courses of action would be more ethical? Support your decision by identifying the standards and principles relevant to this case.
Are there any indications of bias, stereotyping or marginalization present?
If relevant did the professional advocate for the client?
How can colleagues and supervisors help the professional to act ethically in this situation? Please be specific.
Toula is a college counselor who is well known on campus for her skill and compassion in helping students cope with relationship problems. Currently, Andrew is one of her clients. He came to counseling because he is distraught that his girlfriend, Collette, ended their relationship. Andrew is making slow progress, but still hopes that the will be able to rekindle the relationship with Collette at some point. Louisa is another of Toula’s clients. One day Louisa enters counseling feeling happier than she has in months. She reports that she has met a new lover, Collette, with whom she is very happy. After hearing Louisa describe Collette, she is fairly certain that it is the same woman with whom Andrew was involved. Toula decides to continue counseling both Andrew and Louisa, determined to maintain the confidentiality of each person’s disclosures.
Dorian, licensed psychologist, has a 79-year-old African American client named Roberta who has come to counseling at the insistence of her children. Roberta wants to maintain her own home, but her children and neighbors are convinced that she can no longer care for it properly. Roberta begins the interview by stating that if anyone forces her to move she will commit suicide because she has nothing else to live for. In the course of the session Roberta admits some problems with independent living, and seems to be distractible and unfocused in her comments. However, she does not seem disoriented or unable to meet her own needs. After several sessions, Dorian concludes that Roberta would probably be better off not having responsibility for a large home on her own. Dorian also concludes that while Roberta’s mental capacities are not as strong as they once were, this woman is competent and in touch with reality. Whatever suicide risk that existed before has diminished. When the family calls Dorian to ask about Roberta’s progress in counseling he decides to reveal this information to them, even though he has not received prior permission from Roberta to do so.
Joshua and Elaine are co-leaders of a marriage encounter group. They are both skilled family therapists and participants’ evaluations of their groups are generally very positive. Their leadership style is dominating and confrontive. When Chad and Jan, Hopi Indians, enroll in their group they feel uncomfortable with the leadership style of Joshua and Elaine. It is not consistent with their personalities or the style of interpersonal communication patterns most common in their tribe and family. When Chad and Jan express discomfort to the leaders, they remark that they seem to be using their culture and personality as a defense against exploring their issues. Soon thereafter Chad and Jan drop out of the group and refuse further contact.
Earl is a counselor in a community mental health agency that serves an urban population. Earl conducts an intake session with a client named Brenda, a 19-year-old Korean American woman he had seen in family therapy 2 years ago. Brenda is currently an art student and sculptor. As a student, she lives on grants and student loans and wants to pay for counseling services with the art that she produces. She tells Earl that she trusts him, and wants to see him individually, as he helped her family through some painful times in the past. Brenda suggests that she could get the art appraised so that its value would be independently determined. When Earl offers a sliding-scale fee arrangement as a better option Brenda says that she comes from a proud family that has never accepted charity and she would not feel comfortable with that arrangement. Her actual cash income is so low that Brenda would qualify for free services. Earl is considering this arrangement as long as the art is independently appraised.