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    Chapter 3 - Values and The Helping Relationship

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    Banana
    This document discusses several topics related to addressing value conflicts that may arise in counseling: 1) Counselors must develop the ability to manage their personal values so they do not influence clients, and should not attempt to impose their own values on clients. 2) A referral may be considered if the counselor lacks skills to address a client's issues, but merely disagreeing with a client's values is not sufficient for a referral. 3) Counselors are advised to engage in self-reflection before making a value-based referral to determine if the issue stems from their own discomfort or a competence issue.

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    Chapter 3 - Values and The Helping Relationship

    Uploaded by

    Banana
    53 views2 pages
    This document discusses several topics related to addressing value conflicts that may arise in counseling: 1) Counselors must develop the ability to manage their personal values so they do not influence clients, and should not attempt to impose their own values on clients. 2) A referral may be considered if the counselor lacks skills to address a client's issues, but merely disagreeing with a client's values is not sufficient for a referral. 3) Counselors are advised to engage in self-reflection before making a value-based referral to determine if the issue stems from their own discomfort or a competence issue.

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    Chapter 3 - Values and the Helping Relationship

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    This document discusses several topics related to addressing value conflicts that may arise in counseling: 1) Counselors must develop the ability to manage their personal values so they do not influence clients, and should not attempt to impose their own values on clients. 2) A referral may be considered if the counselor lacks skills to address a client's issues, but merely disagreeing with a client's values is not sufficient for a referral. 3) Counselors are advised to engage in self-reflection before making a value-based referral to determine if the issue stems from their own discomfort or a competence issue.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    53 views2 pages

    Chapter 3 - Values and The Helping Relationship

    Uploaded by

    Banana
    This document discusses several topics related to addressing value conflicts that may arise in counseling: 1) Counselors must develop the ability to manage their personal values so they do not influence clients, and should not attempt to impose their own values on clients. 2) A referral may be considered if the counselor lacks skills to address a client's issues, but merely disagreeing with a client's values is not sufficient for a referral. 3) Counselors are advised to engage in self-reflection before making a value-based referral to determine if the issue stems from their own discomfort or a competence issue.

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    Ethical bracketing - develop the ability to manage their personal values so that they do not unduly

    influence the counseling process

    Value imposition – directly attempting to influence a client to adopt their values, attitudes, beliefs, and
    behaviors. It is possible for mental health practitioners to do this either actively or passively, and with or
    without awareness

    Value Conflicts: To Refer or Not to Refer


    Merely disagreeing with a client’s value system is not ethical grounds for a referral; it is possible to work
    through value conflicts successfully
    Consider a referral only when you clearly lack the necessary skills to deal with the issues presented by
    the client

    Discriminatory Referrals

    Person-centered theory rests on the foundation of acceptance, respect for a client’s autonomy, and
    avoidance of judgment

    We tell our students who want to make a referral based on a value conflict to ask themselves these
    questions:
     What skills am I lacking in counseling a client struggling with a critical life decision?
     Is this my issue and feelings of discomfort or are these my client’s feelings?
     Can I obtain the knowledge necessary to acquire competence through continuing education,
    consultation, or supervision?
     How quickly can I gain the knowledge necessary to be of service to my client?
     What is stopping me from gaining that knowledge, supervision, or consultation?
     How can I determine what would ethically justify a referral?

    Ethical Decision-Making Process Model


    • Respectfully assess a client’s religious or spiritual beliefs at the beginning of the counseling
    relationship. Tailor this assessment to the individual client, the psychotherapy context, and the
    client’s preference for considering these concerns.
    • Carefully assess any connection between a client’s presenting problem and religious or spiritual
    beliefs. Be aware of the wide range of religious and spiritual beliefs and practices in various
    cultural groups by engaging in both didactic and experiential learning.
    • Weave the results of an initial assessment into the informed consent process. If religious or
    spiritual concerns will be explicitly addressed in therapy, develop a treatment plan that
    incorporates this focus and obtain your client’s informed consent.
    • Honestly consider your potential countertransference to a client’s religious beliefs and practices.
    If your countertransference might undermine the therapeutic endeavor or harm the client, seek
    consultation.
    • Evaluate your competence in a given case by reviewing the professional literature, practice
    guidelines, laws, and ethics standards pertinent in working with a client’s religious concerns.
    • Consult with experts in the area of religion and spirituality in the practice of psychotherapy.
    Colleagues with expertise in religion and spirituality can help you explore your
    countertransference involving a client’s spirituality or religion.
     If appropriate and clinically indicated, and with a client’s consent, consider consulting with a
    client’s own clergy.
    • Evaluate the potential benefits and risks of integrating religious or spiritual interventions into
    treatment and decide whether to treat a client or make a referral. If you are making a referral,
    document the reasoning and steps you took to enhance your own knowledge and experience.
    • Assess outcomes and make necessary adjustments to a client’s treatment plan

    Value Conflicts Regarding End-of-Life Decisions


    • Rational suicide means that a person has decided—after going through a decision-making
    process and without coercion from others—to end his or her life because of extreme suffering
    involved with a terminal illness.
    • Aid-in-dying consists of providing a person with the means to die; the person self-administers
    the death-causing agent, which is a lethal dose of a legal medication.
    • Hastened death means ending one’s life earlier than would have happened without
    intervention. It involves speeding up the dying process, which can entail withholding or
    withdrawing treatment or life support.

    Advance directives contain decisions people make about end-of-life care that are designed to protect
    their self-determination when they reach a point in their lives when they are no longer able to make
    decisions of their own about their care

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