Business Ethics Chapter 8 Homework You Should Reiterate That Confidentiality Waived When

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Chapter 8

Boundary Issues

Focus Questions

1. Do you think a sexual relationship between a counselor and a former client is ever

acceptable? Why or why not?

Points instructors may want to make:

2. What are differences between a friendship and a counseling relationship?

Points instructors may want to make:

• In a friendship both parties get personal needs met. In a counseling relationship, only

3. What would you do if you found that you felt a strong sexual attraction to a client you

were counseling?

Points instructors may want to make:

• Acknowledge to yourself the feelings you are having.

In-Class Activity

Title: Dual Relationships

Learning

Goal: Students learn about their own and others’ understanding of dual relationships. Explore personal

feelings related to dual relationships.

Procedures: Give a brief introduction to the concept of dual relationships and then assign

students to small groups. Allow each member of the group to fill out the survey

reactions to the survey.

Discussion

Questions: Which of the items seemed to have a clear answer?

Point/Counterpoint (Debate) Topics

Title: Friendships with Former Clients

Learning

Goal: To consider the risks and benefits of post-termination friendships with clients.

Procedures: Assign (or allow students to volunteer) 2 groups of students (preferably 3-5

students in each) to each take one of the positions described below and prepare a 5-

clients..

Title: Accepting Gifts from Clients

Learning

Goal: To explore the multiple considerations involved in whether or not to accept a

gift from a client.

Outside Class Activity

Title: Personal and Professional Boundaries

Learning

Goal: To reflect on personal and professional boundaries. Use the ethical decision making model provided in

the text to reflect on a dual relationship you have been involved in or you have some experience with.

Reflect on your decision to be in that position.

Procedures: Write a 2-4 page paper reflecting on your personal or professional experiences

Topic for Self-Reflection/Journaling

Topic: Think ahead to the time when you are practicing as a counselor. Under what

circumstances do you anticipate that you might self-disclose to a client? What kinds

Case Study

You are a counselor at a community based mental health clinic. You mainly see children,

adolescents and their families. One day you are presented with a gift from one of your 9-year-

old clients. It is something he has made for you. Do you keep it or do you refuse it?

Case Study Discussion

1. What should you do?

2. What options do you have?

3. Explore with the client his reasons for giving you the gift. Explain that you do not expect

1. Develop a list of the potential benefits of dual relationships. Then, develop a list of the

potential risks. Do the

2. benefits outweigh the risks, or is the reverse true?

Case Study Discussion

You should inform Marcie at the very beginning of the intake session, when discussing the

issue of confidentiality, that counselors are mandated by ethics and law to protect clients from

harming themselves. At this time, you will need to express your concern for Marcie’s well-being

and explain to her the need for a psychiatric evaluation in order to keep her safe and to determine

whether medication or hospital treatment would be appropriate for her at this time. You will

probably need to spend some time talking with Marcie about her refusal to disclose to her mother

that she is feeling depressed and sometimes suicidal, and you should encourage her to discuss

1. How did you feel as you thought about how you would handle this situation?

2. What were your primary ethical and legal concerns related to this case?

Short Paper or Oral Class Presentation Topics

1. Privileged Communication Statutes of this State Regarding Counseling Relationships

Chapter 6

Records, Subpoenas, and Technology

Focus Questions

1. Why should counselors keep records?

Points instructors may want to make:

• To refresh their memories from one session to the next.

2. Why is it important to carefully document events in emergency situations?

Points instructors may want to make:

3. Why should counselors consult with an attorney if they receive a subpoena?

Points instructors may want to make:

• Counselors can get into trouble if they do what a subpoena says when they shouldn’t

4. What are some of the primary benefits and problems that technology has brought to

the counseling process?

Points instructors may want to make:

• Benefits include

What do you think about counselors providing counseling services to clients via the

Internet?

Points instructors may want to make:

• Good thing would be that more clients can access services.

In-Class Activity

Title: Documenting for Self-Protection

Learning

Goal: Learning how to write detailed notes.

Procedures: Ask a student to role play with you. The student role plays the counselor and

you role play a parent who has come to see the counselor after his/her adult child

to file a lawsuit.

Point/Counterpoint (Debate) Topics

Title: Cyber-counseling

Learning

Goal: To consider the advantages and disadvantages of counseling clients over the

Internet.

Procedures: Assign (or allow students to volunteer) 2 groups of students (preferably 3-5

students in each) to each take one of the positions described below and prepare a 5-

Internet.

Title: Counselor participation in Social Media

Learning

Goal: To consider the benefits and risks involved in participating in social media

websites..

Outside Class Activity

Title: Handling a Request for Transfer of a Client’s Records vs. Responding to a Subpoena

Learning

Goal: To be aware of the similarities and differences among the steps a counselor should take in responding

to a request for transfer of a client’s records and in responding to a subpoena.

Procedures: List the considerations relevant to each of the two types of situations, and then

outline specifically the steps the counselor should take in responding to each.

Topic for Self-Reflection/Journaling

Topic: Reflect on the use you currently make of social media sites. Project yourself into

Case Study

Sheila came to your office about eight months ago, seeking counseling and stating that she “hoped to save her

marriage.” After a few sessions with Sheila, you had suggested that couples counseling might be helpful, but her

husband, Roy, refused to participate. Three months ago, Sheila and Roy went through a very nasty breakup of their

marriage, and now you have been subpoenaed to produce all of your records pertaining to Sheila’s treatment. Sheila

has told you to comply with the subpoena, saying that she has nothing to hide. Despite your suggestion to Sheila

that it may not be in her best interest to disclose those records, she has refused to assert the privilege. What should

you do?

Case Study Discussion

You should tell Sheila that you respect her decision to waive confidentiality and that you would like to

discuss the matter with her in greater detail. It may be therapeutically advisable to have this discussion with Sheila

authorization to release the records pursuant to the subpoena.

1. What types of issues might be related to Sheila’s decision to release her records?

Short Paper or Oral Class Presentation Topics

1. Provisions of the Buckley Amendment (FERPA) and Its Implications for School

Counselors

3. Communications Technology and the Privacy of Clients