Immigration Social Ethics in Family Therapy
Immigration:Social Ethics in Family Therapy
Immigration:Social Ethics in Family Therapy
Theselected and perhaps the most important ethical issue when workingwith families in family therapy is confidentiality as it poses amajor dilemma to many practitioners. In view of confidentiality, theidea of trust in any therapeutic relationship always prevails. Infact, trust is intimately connected to the guarantee ofconfidentiality in all therapeutic relationships. It is theresponsibility of every practitioner to speak openly and withemotional honesty when dealing with family clients, which issupported by the existence of a trusting relationship. Such arelationship will always ensure respect for privacy. In fact, itshould be noted that in all the states in the US, the right toprivacy in psychotherapy is recognized as one of the most importantcitizen’s rights. In addition, the HIPAA standards as well as theSupreme Court decisions also recognize the right to privacy, whichmeans that the right is recognized at the federal level.
Nevertheless,the ethical dilemma is to determine the degree of privacy that afamily counsellor or therapist can truly uphold. As such,confidentiality, in my practice, has proved a major ethical issue inour practice. In my practice, confidentiality has proved to be anenormous responsibility when working with members of the family. Forinstance, I have realized that the challenges to confidentialityincrease when I am working with multiple people, especially in oneroom. In particular, I have faced difficulties when conceptualizingthe clients I serve, when trying to obtain informed consent from myclients and when handling matters of relationship with an individualclient. Clients often present differing problems, especially thosefaced at home and within the family relationships. They seek to beattended in private, yet sometimes one need to work in a room. Inaddition, when clients from the same family seek my help but do notwant me to disclose their personal information to the family member,especially couples, it becomes a major problem in my practice.
Tosolve the ethical dilemma, the first step is to gather the facts. Inthis case, I will be asking the questions of what, who, where, how,when and why. For instance, I will be asking such questions as, “Whatis the problem”, “where did it rise from?” “And when did itarise?”. Based on these questions, I will assemble as many facts aspossible.
Thesecond step is to define the ethical issues in the situation and alsodefine the basis for the issue of focus. In this case, I will bedefining the confidentiality problem and showing that it results fromfamily members seeking to have their information protected from theirpartners, yet they are seeking for help to solve their problems.
Inthe third step, I will be seeking to determine the affected parties.In thjis case, I will identify the stakeholders, and these are thecouples. I will try to see the problems of the clients through theireyes and try to fit in their positions to realize why they areseeking for confidentiality.
Thefourth step will be to determine the consequences of the ethicaldilemma, including the short-term and long-term results. I will alsodetermine the positive and negative outcomes of the dilemma to mypractice as well as to the clients.
Thefifth step will involve determining the relevant rights, principlesand justices. Here, I will consider the rights of privacy for clientsas citizens. It is evident that every citizen has the right toprotection of personal information. I will determine my obligationsin managing the problem, which will include determining theobligations that have resulted from specific ethical principles suchas the need for privacy. Finally, I will consider my character andintegrity, including my relevant community members’ considerationof the kid of a person I am when working with them. I will alsoconsult the NOHS standards to determine what I should do and theguidelines and rules that I should follow when working with thecommunity to ensure that the ethical dilemma does not arise again atthe workplace. Further, I will consider the possible expectations ofthe people and what they are likely to think of my actions after Ileave the workplace. In this case, I will be asking myself whether Ihave done the appropriate work and its possible impact on thecommunity.
Inconclusion, the ethical problem seems to come from the desire of myclients to have their personal information concealed even in caseswhere couples are seeking help. I have witnessed partners in familiesseeking to have personal information hidden from the other partner,yet they are both seeking help. In these situations, the practitioneris left in a dilemma. As shown above, the best way is to follow thesix step model and apply the NOHS standards as the guidelines tosolve the problem and determine how to prevent it in future.
Corey,G., Corey, M. S., & Callanan, P. (2016). Issuesand ethics in the helping professions.Mason, OH: Cengage
Cournoyer,B. R., (2016). Thesocial work skills workbook.Mason, OH: Cengage
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