Clearly As A Human Service Provider, You Will Encounter Situ ✓ Solved

Clearly As A Human Service Provider You Will Encounter Situations I

Clearly, as a human service provider, you will encounter situations in which you are confronted by an ethical dilemma. The situation may include if and when to disclose confidential information without a client’s consent (e.g., a suicidal client) or the ethics of limiting a client’s right to self-determination (e.g., when involuntary hospitalization is required) or even the appropriateness of engaging in nonprofessional relationships with a former client. These ethical dilemmas are difficult to resolve, because by one definition, that of Kitchener as cited in Shiles (2009), an ethical dilemma occurs when “there are good but contradictory ethical reasons to take conflicting and incompatible courses of action” (p. 43). As such, the ethical dilemmas we encounter are by definition often subtle and always, by definition, without a singular clear path to resolution.

Consider the findings of one study assessing 450 members of the American Psychological Association’s Division 29 (Psychotherapy) by Pope, Tabachnick, & Keith-Spiegel (1987). Of the 83 separate behaviors the members were asked to rate according to ethicality, very few—for example, having sex with a client or breaking confidentiality if clients are suicidal or homicidal—were clear-cut. Most of the 83 fell in what the authors termed “gray areas” between being ethical and unethical.

Such data highlights the difficulty one experiences when faced with an ethical dilemma and the need for a sound model of ethical decision-making. Ethical decision-making: A range of models. Life—at least our professional lives—would be easier if all practice decisions and ethical dilemmas were black or white. As should now be evident, the ethical nature of our practice decisions are most often colored in many shades of gray, and thus the path to follow is not always clear. For some, the goal is to follow the ethical codes from a mandatory perspective and thus be true to the letter of the law. While this is a basic level of ethical functioning and may serve to protect the human service provider to avoid legal trouble, this should not be the main focus of our ethical choices.

We are called to embrace our ethics on an aspirational level. For one embracing aspirational ethics, the goal is not self-protection but rather client welfare. While it is our duty, our responsibility, to understand and embrace our codes of ethics (i.e., mandatory ethics), the execution of these codes in practice demands that we engage in self-reflection and the employment of a decision-making process that results in what is best for each of our clients (i.e., aspirational ethics). Reliance on one’s “gut-feelings” or intuition, in the absence of reflection on that which is both mandatory and aspirational, presents an ethical problem in itself, given the greater risk to the public (Welfel, 2010).

In complex situations, the American Counseling Association’s (ACA) Ethics Committee, for example, recommends that counselors explore professionally accepted decision-making models and choose the model most applicable to their situation (Kocet, 2006). This position has even been codified in the ACA Code of Ethics where it is noted: “When counselors are faced with an ethical dilemma, they use and document, as appropriate, an ethical decision-making model” (ACA, 2014, Code I.1.b). While there is no one specific ethical decision-making model that has been identified as most effective and globally embraced, it is important, as noted by the ACA (2014, p. 3), for practitioners to be familiar with a credible model of decision-making.

To this end, numerous authors have offered models for ethical decision-making, a sampling of which is offered in the next section. Each model offers a unique perspective or lens through which to view practice decisions and ethical dilemmas and as such are worthwhile, considering as each may reflect your style of practice and/or the context in which you work.

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The ethical dilemma presented in the case scenario involving Brittany, a human service provider, is multifaceted. Brittany is faced with the challenge of navigating cultural norms regarding gift-giving while adhering to her organization's strict policy prohibiting the acceptance of gifts from clients. This situation raises several ethical questions, primarily regarding the implications of accepting or declining the gift from the Burmese family she assisted. The potential dilemmas can be categorized into three main areas: adherence to professional ethics, respect for cultural values, and the impact on client-provider relationships.

Firstly, from a professional ethics standpoint, Brittany must understand that her organization has set clear boundaries to avoid conflicts of interest and maintain the integrity of service provision. Accepting gifts could lead to perceived favoritism and compromise the objective nature of her role. Conversely, refusing a gift might come across as a rejection of the clients’ gratitude, which could hurt the therapeutic alliance she has built. Therefore, the ethical dilemma here is balancing organizational policies with the moral obligation to respect cultural significances surrounding gift-giving.

Secondly, the dilemma touches upon cultural sensitivity and the ethical responsibility of a human service provider to recognize and adapt to the cultural contexts of their clients. Different cultures have varied interpretations of gift-giving; hence, Brittany must consider the cultural background of her clients. In some Asian cultures, offering a gift is a social norm that reflects respect and appreciation. By refusing the gift, Brittany risks offending the family, which could damage their relationship and deter them from seeking future assistance.

Exploring the NOHS Ethical Standards for Human Services professionals can provide structural guidance for Brittany. For example, Standard 1 emphasizes the importance of maintaining the integrity of relationships with clients. Furthermore, Standard 2 focuses on respecting the dignity and worth of all persons, reinforcing the need for Brittany to approach the situation with compassion and understanding while remaining compliant with her organization’s policies.

Imagining myself in Brittany's position, my initial reaction would be one of conflict. I would feel the weight of my professional obligations alongside my genuine desire not to disrespect my clients’ cultural practices. My first step would be to consult my supervisor or an ethics board within my organization to discuss the situation and seek advice. It would be essential to explore any potential avenues to acknowledge the gift in a manner that complies with policy, such as politely declining while expressing gratitude, ensuring that I communicate my understanding of its cultural significance.

To draw on the course material, a quote from our ethics textbook by Welfel (2010) resonates with this situation: “Ethics is about more than遵守法规; 它还关乎对他人的尊重和移情。” This quote highlights the importance of respecting and understanding the perspectives of others, especially in diverse environments. In Brittany's case, it underscores the delicate balance she must maintain between ethical adherence and cultural appreciation.

In conclusion, navigating the ethical dilemmas faced by human service providers requires a nuanced approach that considers legal, ethical, and cultural dimensions. Brittany's scenario exemplifies the complexities inherent in ethical decision-making within human services, illustrating the importance of reflective practice and supervision in achieving an ethically sound resolution.

References

  • American Counseling Association. (2014). Code of Ethics. Alexandria, VA: Author.
  • Anderson, T. & Kitchener, K. (1998). Ethical Decision Making in Counseling Psychology. American Psychologist, 53(5), 497-503.
  • Forester-Miller, H. & Davis, T. (1996). A practitioner’s guide to ethical decision making. Retrieved from http://www.counseling.org/resources/ethics/ethical-decision-making
  • Kocet, M. (2006). Ethical Decision Making in Counseling: A Practical Guide. Journal of Counseling & Development, 84(3), 338-346.
  • Kitchener, K. S. (1984). Ethical principles in psychological practice. Professional Psychology: Research and Practice, 15(2), 127-135.
  • Pope, K. S., Tabachnick, B. G., & Keith-Spiegel, P. (1987). Ethics in psychotherapy: An empirical investigation. Professional Psychology: Research and Practice, 18(1), 55-62.
  • Shiles, P. (2009). Ethics for the Human Services. Upper Saddle River, NJ: Pearson Education.
  • Urofsky, R. I., Engels, D. W., & Engerbretson, M. (2008). Ethical Decision-Making Models: A Review of the Literature. Journal of Counseling & Development, 86(3), 267-272.
  • Welfel, E. R. (2010). Ethics in Counseling & Psychotherapy. Belmont, CA: Brooks/Cole Cengage Learning.
  • Parsons, R. D., & Dickinson, K. L. (2013). Ethical Practice in the Human Services. Thousand Oaks, CA: SAGE Publications.