Chapter Objectives (1 of 2) By the end of this chapter, you should be able to: Identify the characteristics of the counselor as a therapeutic person. Describe the benefits of seeking personal counseling as a counselor. Explain the concept of bracketing and what is involved in managing a counselor’s personal values. Explain how values relate to identifying goals in counseling.
Chapter Objectives (2 of 2) Discuss the role of diversity issues in the therapeutic relationship. Describe what is involved in acquiring competency as a multicultural counselor. Identify issues faced by beginning therapists. Describe the main therapeutic lifestyle changes that are key to self-care.
Introduction The most important instrument you have is YOU. Your living example of who you are and how you struggle to live up to your potential is powerful. A good way to begin your study of contemporary counseling theories Being open to self-evaluation, you not only expand your awareness of self but also build the foundation for developing your abilities and skills as a professional. The person and the professional are intertwined facets that cannot be separated in reality.
The Counselor as a Therapeutic Person
The Counselor as a Therapeutic Person Be authentic and don’t hide behind your role. Leaving your reactions and self out of your work may result in ineffective counseling. Be a therapeutic person. Be willing to grow, risk, care, and be involved. Abundant research indicates the centrality of the person of the therapist and therapeutic relationship as key factors in successful therapy. The contextual factors are the primary determinants of therapeutic outcome.
Personal Characteristics of Effective Counselors (1 of 2) Have an identity Are open to change Make choices that are life oriented Are authentic, sincere, and honest Have a sense of humor Make mistakes and are willing to admit them Live in the present
Personal Characteristics of Effective Counselors (2 of 2) Appreciate the influence of culture Have a sincere interest in the welfare of others Possess effective interpersonal skills Become deeply involved in their work and derive meaning from it Are passionate Are able to maintain healthy boundaries
Personal Therapy for the Counselor
Personal Therapy for the Counselor (1 of 2) Personal therapy contributes to the therapist’s professional work in three ways: (1) as part of the therapist’s training, personal therapy offers a model of therapeutic practice in which the trainee observes a more experienced therapist at work and learns experientially what is helpful or not helpful.
Personal Therapy for the Counselor (2 of 2) (2) a beneficial experience in personal therapy can further enhance a therapist’s interpersonal skills, which are essential to skillfully practicing therapy. (3) successful personal therapy can contribute to a therapist’s ability to deal with the ongoing stresses associated with clinical work.
The Counselor’s Values and the Therapeutic Process
Overview of the Theory Chapters Psychodynamic Approaches Experiential and Relationship-Oriented Therapies Cognitive Behavioral Approaches Systems and Postmodern Approaches
Becoming an Effective Multicultural Counselor
Becoming an Effective Multicultural Counselor Acquiring Competencies in Multicultural Counseling Diversity-competent practitioners Beliefs and attitudes Knowledge Skills and Intervention Strategies
Issues Faced by Beginning Therapists
Issues Faced By Beginning Therapists (1 of 2) Dealing with anxiety Being Yourself and Self-disclosure Avoiding Perfectionism Being Honest About Your Limitations Understanding Silence Dealing with Demands from Clients Dealing with Clients who lack Commitment
Issues Faced by Beginning Therapists (2 of 2) Tolerating ambiguity Becoming Aware of Your Countertransference Developing a Sense of Humor Sharing Responsibility with the Client Declining to Give Advice Defining Your Role as a Counselor
Maintaining Your Vitality as a Person and as a Professional
Maintaining Your Vitality as a Person and as a Professional Therapeutic lifestyle changes (TLCs) Physical activity Diet and nutrition Being in nature Relationships Recreation Religious/spiritual involvement Providing services to others
Summary Click the link to review the objectives for this presentation. Link to Objectives
Chapter Objectives (1 of 3) By the end of this chapter, you should be able to: Describe mandatory, aspirational, and positive ethics. Identify characteristics and procedural steps of ethical decision making. Explain the right of informed consent. Articulate the dimensions of confidentiality (privacy, privileged communications, and exceptions). Recognize the ethical and legal aspects of using technology.
Chapter Objectives (2 of 3) 6. Identify the major exceptions to confidentiality. 7. Discuss ethical issues from a multicultural perspective. 8. Recognize when it is necessary to modify techniques with diverse clients. 9. Identify some key ethical issues in assessment and diagnosis. 10. Explain how ethnic and cultural factors can influence assessment and diagnosis. 11. Compare arguments for and against evidence-based practice.
Chapter Objectives (3 of 3) 12. Describe ethical issues related to multiple relationships in counseling practice. 13. Discuss various perspectives on multiple relationships. 14. Explain the differences between a boundary crossing and a boundary violation. 15. Explain how to manage boundaries and risks associated with using social media. 16. Explain what is involved in becoming an ethical counselor.
Introduction Ethical principles and issues are a basic part of professional practice. Balancing clients’ needs against your own needs, ways of making good ethical decisions, educating clients about their rights, parameters of confidentiality, etc. Being an ethical practitioners
Types of Ethics Mandatory Ethics deals with the minimum level of professional practice. Aspirational Ethics involves the highest standards of thinking and conduct. Positive Ethics is an approach taken by practitioners who want to do their best for clients rather than simply meet minimum standards to stay out of trouble.
Putting Clients’ Needs Before Your Own
Putting Clients’ Needs Before Your Own Become aware of your own needs, areas of unfinished business, potential personal problems, and especially sources of countertransference. Professional relationships with clients exist for benefitting the client. Examine your personal needs that can create growth-producing relationships.
Ethical Decision Making
Ethical Decision Making (1 of 3) Ethics codes are a fundamental component of effective counseling: They are guidelines that outline professional standards of behavior and responsible practice. Counselors must interpret and apply ethical principles to their decision making. Codes do not make decisions for counselors
Ethical Decision Making (2 of 3) The principles that underlie our professional codes: benefit others, do no harm, respect other’s autonomy, and be just, fair and faithful. The following is the role of ethical codes: They educate us about responsibilities, are a basis for accountability and improving professional practice, and protect clients.
Ethical Decision Making (3 of 3) The following are the steps in making ethical decisions: Identify the problem, look at the relevant ethics codes and laws, seek consultation, brainstorm various possible courses of action, list consequences, decide, and document the reasons for your actions. To the degree it is possible, include the client in all phases of your ethical decision-making process.
The Right of Informed Consent
The Rights of Informed Consent (1 of 2) Providing clients with information they need to make informed choices Educating clients about their rights and responsibilities Empowering clients and building a trusting relationship with them Addressing privacy issues with clients, including the implications of using technology to communicate
The Rights of Informed Consent (2 of 2) Some aspects of informed consent process include the following: Therapeutic procedures and goals Responsibilities of clients Limitations of and exceptions to confidentiality Legal and ethical parameters Qualifications and background of the practitioner Fees involved Approximate length of the therapeutic process
Dimensions of Confidentiality
Dimensions of Confidentiality (1 of 3) Confidentiality is essential but not absolute. Privileged communication is a legal concept that protects clients from having their confidential communications. Confidentiality is developing a trusting and productive client–therapist relationship.
Dimensions of Confidentiality (2 of 3) Ethical Concerns with the Use of Technology Confidentiality and privacy can become more complicated when technology is involved. ACA Code of Ethics (2014) contains a new set of standards with regard to the use of technology, computer-mediated communication, and social media as a delivery platform.
Dimensions of Confidentiality (3 of 3) Exceptions to Confidentiality and Privileged Communication Client poses a danger to self or others. Clients who are children/minors, dependent adults, or older adults are victims of abuse. Client needs to be hospitalized. Information is made an issue in a court action. Client requests a release of record.
Ethical Issues From Multicultural Perspective
Ethical Issues From Multicultural Perspective (1 of 2) Current theories can be, and need to be, expanded to include a multicultural perspective. Assumptions made about mental health, optimum human development, and the nature of effective treatment may have little relevance for some clients. Theories should incorporate an interactive person-in-the-environment focus.
Ethical Issues From Multicultural Perspective (2 of 2) Counselors must be mindful of diversity and social justice issues to practice ethically and effectively. A counselor or therapist should facilitate social action that leads to change within the client’s community rather than merely increasing the individual’s insight. An adequate theory of counseling does deal with the social and cultural factors of an individual’s problems.
Ethical Issues in the Assessment Process
Ethical Issues in the Assessment Process (1 of 2) Assessment is an ongoing process designed to help the counselor evaluate key elements of a client’s psychological functioning. Influenced by the therapist’s theoretical orientation Requires cultural sensitivity Can be helpful in treatment planning
Ethical Issues in the Assessment Process (2 of 2) Diagnosis is the process of identifying a pattern of symptoms that fit the criteria for a specific mental disorder defined in the DSM-5 . Requires cultural sensitivity Practitioners debate whether a diagnosis is necessary Can be helpful in treatment planning If used only for insurance purposes, can lead to ethical dilemmas
Ethical Aspects of Evidence-Based Practice
Ethical Aspects of Evidence-Based Practice (1 of 2) Treatments have been validated by empirical research Treatments are usually brief and standardized Are preferred by many insurance companies Enhance the effectiveness of client services and to improve public health
Ethical Aspects of Evidence-Based Practice (2 of 2) Empirically analyze the most effective and efficient treatments Mechanistic and do not take into full consideration the relational dimensions of the psychotherapy process and individual variability Existential concerns that do not fit with any diagnostic category
Managing Multiple Relationships in Counseling Practice
Managing Multiple Relationships in Counseling Practice (1 of 2) Either sexual or nonsexual, multiple relationships occur when counselors assume roles sequentially with a client Multiple relationship is often used instead of dual relationship because of the complexities involved Nonprofessional relationships Nonprofessional interactions or nonsexual multiple relationships pose a challenge to practitioner
Managing Multiple Relationships in Counseling Practice (2 of 2) Dual or multiple relationships are combining the roles of teacher and therapist or of supervisor and therapist. ACA Code of Ethics (ACA, 2014) teaches how to manage multiple roles and responsibilities in an ethical way. Inherent in counseling relationships and training relationships, balancing boundary issues, addressing nonprofessional relationships, etc. Boundaries in Psychotherapy: Ethical and Clinical Explorations ( Zur , 2007) is an excellent resource .
Perspectives on Multiple Relationships
Perspectives on Multiple Relationships For helping professionals who are using social media, a host of ethical concerns about boundaries, dual relationships, confidentiality, and privacy are raised. Practitioners should maintain the following: Limit what is shared online. Include social networking policies as part of informed consent. Regularly update protective settings, because privacy rules change.
Becoming an Ethical Counselor
Becoming an Ethical Counselor Knowing and following your profession’s code of ethics Interpreting the ethical guidelines of your professional organization and applying them to particular situations Seeking consultation from trusted colleagues and supervisors Ethical decision making is an evolutionary process that requires to be continually open and self-reflective
Summary Click the link to review the objectives for this presentation. Link to Objectives