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Ethics in Clinical Counseling

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 =. Morals Beliefs Ethnicity Experiences Gender Significant Events Dysfunctional Family. Personal Ethics. Morals.

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Ethics in Clinical Counseling

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  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 transference”—S. 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 don’t 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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