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clinical supervision psychology ethics

clinical supervision psychology ethics

Read the following Case Study:

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Joe, a 35-year-old, male mental-health counselor, received a client referral, 35-

year-old Jill, from a community-counseling clinic. He began providing counseling

services to her. Jill’s problem was that she was unsatisfied with her current job as

a bank teller and was experiencing mild anxiety and depression. Joe had been

providing services to Jill for three weeks when she disclosed that she was

confused about her sexuality because she was sexually attracted toward women.

Joe immediately responded to Jill with wide eyes and a shocked look. He told Jill

that he was a traditional Catholic, who felt that this type of feeling was immoral

and wrong. He informed her that she should avoid thinking about this and pray

for forgiveness. He also told her that he felt uncomfortable talking about the issue

any further. Jill continued to talk to Joe about dealing with her family issues.

Joe had recently read about a new technique and immediately became excited

about trying it in therapy. He explained to her that he read an article in a

magazine about a new technique called rebirthing. The new technique was being

used in Europe to help people change their views about their relationships with

their family. “It is supposed to be really effective in almost wiping out your

memory of your family; it is like hypnosis” Joe said. “I would really like to try it on

you today, what do you think?” Jill declined his offer and continued to talk about

her family. Joe thought to himself that even though Jill said no, he was still going

to try to hypnotize her as they talked. He thought she could benefit from

hypnosis.

Jill disclosed that she was raised in a traditional Asian-American home with many

cultural influences and culture-specific rules and behavior. Jill was struggling with

balancing her individualism and her cultural heritage. Joe explained to her that

because he was living and working in a rural community, mostly consisting of

people of East European descent, he could not relate to Jill’s culture and the

issues with which she was struggling. He apologized and explained that he was

not required to study these cultural issues because of his geographical location.

Jill moved on to talk about her depression. She began talking about feeling lonely

and how it contributed to her depression. During a counseling session, she

revealed that she was attracted to Joe and would like a closer, intimate

relationship with him. Joe, aware that he was also attracted to Jill, talked about

his feelings toward her but explained that engaging in a relationship outside the

established counseling relationship was unethical. He informed her that because

of the mutual feelings of attraction, the counseling relationship would be

ineffective and that he would refer her to another counselor for continued

services. Jill agreed and they terminated the counseling relationship. Jill asked

for time to think it over and left the office. Later, she contacted him to continue

counseling and to discuss the referral. Joe agreed to meet her that evening at a

restaurant and bring her the referral information. That night they began an

intimate sexual relationship.

Joe never got around to providing the referral for Jill even though he was aware

of her ongoing state of depression and anxiety. Joe stopped seeing Jill after a

month of intimate sexual encounters. Joe enjoyed the relationship but felt guilty

due to the unethical nature of the relationship. Because of his continued concern

about Jill’s depression, Joe considered going to his current clinical supervisor to

discuss the case. However, he decided against it and never contacted her. This

was because he and his supervisor had recently started a sexual relationship,

and he knew it would hurt the supervisor’s feelings if she knew of his sexual

relations with Jill.

Joe decided to call Jill’s boss at the bank to check on her and see how she was

doing. He called her boss and explained that he had been counseling her for

anxiety and depression and wanted to check if she was feeling fine. Her boss

informed Joe that Jill had quit her job and was in the county hospital undergoing

treatment for severe depression. Joe quickly hung up and decided not to call or

visit the bank again. After thinking it over, Joe decided that general counseling

might not be for him. He decided to begin marriage and family therapy. He

ordered some business cards and advertised in the yellow pages. He thought,

“after all, I am a health counselor and it can’t be hard to counsel a couple. You

don’t need anything special. I already have one degree, and that’s enough!”

Examine the ACA’s ethical guidelines (http://www.counseling.org/Resources/aca-code-of-ethics.pdf) related to the issue of Supervision in Section F and answer the following questions:

  • Was the counselor’s behavior with his clinical supervisor a breach of ethics on the counselor’s part?
  • Was the counselor’s behavior with his clinical supervisor a breach of ethics on the supervisor’s part?
  • Examine the influence of your own personal values as it relates to the issues presented in the case.
  • Compare this violation to the APA’s ethical standards and describe the similarities or differences in the ethical code, using the following Web site:
    www.apa.org
    www.counseling.org
  • Imagine you are a member of the ACA ethics committee. Recommend appropriate behavioral codes for counselors with reference to relationships with clinical supervisors.

Your response should be at least two pages long.

Assignment 2 Grading Criteria Maximum Points
Determined whether or not the counselor’s behavior with his clinical supervisor was a breach of ethics on the counselor’spart. 20
Determined whether or not the counselor’s behavior with his clinical supervisor was a breach of ethics on the supervisor’spart. 20
Explained how your own personal values relate to the issues presented in the case. 20
Compared the ethical standards of the APA and the ACA to analyze the differences and similarities. 20
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources, displayed accurate spelling, grammar, and punctuation. 20
Total: 100

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