Counselling Ethics Overview

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Questions and Answers

What is one important aspect of counselling that clients should be made aware of?

  • Counsellor's social life
  • Counsellor's personal opinions on therapy
  • Counsellor's favorite book
  • Financial terms related to counselling services (correct)

Which of the following is NOT a recommended practice for counsellors?

  • Maintaining confidentiality
  • Being inconsistent about financial arrangements (correct)
  • Providing clear details about payment methods
  • Consulting clients before terminating counselling

Why is establishing a contract between client and counsellor important?

  • To document the client's personal background
  • To limit the time clients can spend in therapy
  • To clarify the nature of the counselling relationship (correct)
  • To ensure the counsellor can charge what they want

What should a counsellor inform the client about regarding session management?

<p>How long sessions will typically last and their frequency (B)</p> Signup and view all the answers

What is a potential area of abuse within counselling?

<p>Arriving late to sessions or leaving early (A)</p> Signup and view all the answers

Which of the following should NOT be included in a counselling contract?

<p>The counsellor's favorite therapy approach (C)</p> Signup and view all the answers

What might indicate a failure in counselling supervision?

<p>Neglecting to discuss client progress (B)</p> Signup and view all the answers

What aspect of confidentiality should a counsellor handle meticulously?

<p>Informing clients of any conflicts of interest (A)</p> Signup and view all the answers

Which factor is NOT typically considered an underlying cause of suicidal feelings?

<p>Experiencing financial stability (A)</p> Signup and view all the answers

What is a common reaction of clients expressing negative feelings during counseling?

<p>To express feelings more readily (D)</p> Signup and view all the answers

What is typically the best approach for clients who express threats of violence towards others?

<p>Assessing the degree of actual danger involved (B)</p> Signup and view all the answers

What contributes to the relief of pressure experienced by clients in crisis?

<p>Identifying and discussing underlying factors (B)</p> Signup and view all the answers

Which of the following is NOT an indication of countertransference reactions experienced by counsellors?

<p>Increased empathy towards the client (D)</p> Signup and view all the answers

Which of the following may NOT be a factor in the history of a client at risk of suicide?

<p>Past positive life experiences (C)</p> Signup and view all the answers

What is one way counsellors can monitor their countertransference feelings?

<p>By asking if their interventions are geared towards the client's needs (A)</p> Signup and view all the answers

What should counsellors do when a client threatens violence to others?

<p>Follow agency guidelines and assess the degree of danger (C)</p> Signup and view all the answers

Which factor can contribute to the potential for exploitation in the counselling relationship?

<p>The imbalance of power within the relationship (D)</p> Signup and view all the answers

Which feeling might indicate a countertransference reaction in a counsellor?

<p>Extreme tiredness or drowsiness (B)</p> Signup and view all the answers

Which of the following is NOT a concern related to a client's family background?

<p>Family conflicts of interest regarding finances (B)</p> Signup and view all the answers

Why is confidentiality considered a fundamental aspect of the counselling relationship?

<p>It allows clients to trust counsellors with sensitive information. (B)</p> Signup and view all the answers

What kind of feelings can increase the risk of countertransference?

<p>Feelings of over-protectiveness towards the client (B)</p> Signup and view all the answers

What role does supervision play in addressing problematic issues in counseling?

<p>It provides support for helpers when dealing with complex situations (D)</p> Signup and view all the answers

Why might a counsellor experience strong sexual feelings towards a client?

<p>Personal relationship problems experienced by the counsellor (A)</p> Signup and view all the answers

What is the initial response of many clients before fully trusting a counsellor?

<p>They focus on secondary issues. (A)</p> Signup and view all the answers

When should the topic of confidentiality ideally be addressed in a counselling session?

<p>As early as possible, unless in a crisis. (D)</p> Signup and view all the answers

How can less obvious forms of exploitation occur in counselling?

<p>Through emotional manipulation of the client (D)</p> Signup and view all the answers

Which question can help in identifying countertransference feelings?

<p>Do I experience any strong feelings that seem inappropriate? (B)</p> Signup and view all the answers

Which scenario typically does NOT require breaching confidentiality?

<p>A client discusses their feelings about a breakup. (C)</p> Signup and view all the answers

What does establishing an atmosphere of trust in counselling facilitate?

<p>Clients feeling more secure in disclosures. (D)</p> Signup and view all the answers

Why might clients take time to reveal personal information to a counsellor?

<p>They are testing the counsellor's responses. (B)</p> Signup and view all the answers

In which situation is it critical for a counsellor to breach confidentiality?

<p>When a client reveals intention to harm another person. (D)</p> Signup and view all the answers

What can happen if clients feel their confidentiality is not respected?

<p>They may retreat from the counselling process. (D)</p> Signup and view all the answers

What might cause a client to feel resentment regarding the referral process?

<p>Not being allowed to express their feelings about referral (A)</p> Signup and view all the answers

Which of the following is NOT a factor that might impede a helper's ability to assist clients?

<p>Having a strong theoretical orientation (A)</p> Signup and view all the answers

Why is it crucial to communicate the possibility of referral early in the counselling process?

<p>To allow timely access to specialized help (B)</p> Signup and view all the answers

Which factor might lead a counsellor to refer a client to a specialist?

<p>The client requires help for specific issues like adoption (A)</p> Signup and view all the answers

What might indicate that a client is in crisis?

<p>They express thoughts of self-harm or violence (D)</p> Signup and view all the answers

How can a difficult relationship between a client and a counsellor affect the referral process?

<p>It might encourage the client to seek help elsewhere (B)</p> Signup and view all the answers

What emotional impact should counsellors consider when clients express intentions of self-harm?

<p>The counsellor's own emotional response (C)</p> Signup and view all the answers

Which of the following statements is true regarding clients' feelings about referrals?

<p>Clients benefit from discussing their feelings before referral. (C)</p> Signup and view all the answers

Why is it crucial for clients to receive help with low risk of exacerbating their existing problems?

<p>Clients may feel helpless and overwhelmed by their emotional stress. (A)</p> Signup and view all the answers

What is a common misconception clients may have about their counsellors?

<p>Counsellors possess magical powers to solve all issues. (C)</p> Signup and view all the answers

What does excessive trust in a counsellor potentially hinder in a client's therapy?

<p>The development of the client's autonomy and self-direction. (C)</p> Signup and view all the answers

What role does transference play in the counselling relationship?

<p>It is based on the client’s emotional responses influenced by past relationships. (B)</p> Signup and view all the answers

Which of the following might lead clients to seek counselling?

<p>A realization of their inability to cope with their issues. (A)</p> Signup and view all the answers

How can counsellors help clients develop autonomy over time?

<p>By allowing clients to explore their issues and consider necessary changes. (D)</p> Signup and view all the answers

What is a potential risk when clients over-estimate a counsellor's capabilities?

<p>Clients may undervalue the importance of their own input. (B)</p> Signup and view all the answers

The emotional responses in transference are primarily rooted in which of the following?

<p>Previous relationships, especially from childhood. (D)</p> Signup and view all the answers

Flashcards

Confidentiality in Counselling

The protection and secrecy of information shared within a counselling relationship, ensuring that private thoughts, feelings, and desires are kept confidential.

Initial Reticence in Counselling

A client's initial hesitation to fully disclose information, often due to a lack of trust or fear of being judged.

Establishing Trust in Counselling

The process of building trust and rapport with a client, allowing them to feel safe to share their experiences.

Exceptions to Confidentiality

Information disclosed by a client that indicates potential harm to themselves or others, requiring a breach of confidentiality to ensure safety.

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Threatening Injury

When a client expresses intent to cause physical harm to themselves or another individual.

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Disclosure of Child Abuse

When a client reveals information about the abuse of a child, requiring reporting to relevant child protection authorities.

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Suicidal Tendencies

When a client expresses suicidal thoughts or tendencies, requiring immediate intervention and support.

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Severe Mental Illness

When a client experiences severe mental illness and requires professional evaluation and treatment.

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Transference

The emotional response a client has towards their counselor, often stemming from past relationships with parents or significant figures in their childhood.

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Counseling Relationship

The bond between a client and their counselor, crucial for creating a safe and trusting environment for exploration and healing.

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Client's Initial State

Clients seeking help often come with preexisting emotional stress and may have struggled for a long time.

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Client's Perception of Counselor's Expertise

Clients' perception of counselors as experts can create unrealistic expectations, which may potentially hinder their progress if not addressed.

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Counselor's Awareness of Client Expectations

The counselor's awareness of the client's potentially unrealistic expectations is essential for guiding them towards self-reliance.

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Client Autonomy

Allowing clients to explore their challenges and consider solutions empowers them to take control of their lives.

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Counseling Process

Counseling involves helping clients understand their issues and develop strategies for change.

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Key Elements of Counseling Relationship

Trust, respect, and a safe space are crucial elements for a successful counseling relationship.

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Informed Consent

Providing clients with clear and comprehensive information before embarking on counselling.

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Financial Transparency

Outlining the financial terms of counselling, including fees, payment methods, and any special arrangements for low-income clients.

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Counselling Contract

A written agreement between a therapist and a client that outlines the goals, methods, and boundaries of therapy.

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Therapist Supervision

The process of a counsellor discussing their case with a more experienced professional for feedback and ethical guidance.

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Counsellor's Orientation

Understanding the counsellor’s theoretical approach to therapy, including their training and specialized methods.

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Counselling Session Details

Clear details about the duration and frequency of counselling sessions, and how many sessions are likely to be needed.

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Counselling Abuse

Actions that may exploit or compromise the client-therapist relationship and violate ethical boundaries.

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Countertransference

Unconscious emotional reactions of a therapist toward a client, often stemming from the therapist's own unresolved issues.

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Countertransference Reactions

Intense emotional reactions that are not directly related to the client's situation, but rather to the therapist's personal experiences or unresolved issues.

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Exploitation in Counseling

The potential for a therapist to abuse their power in the therapeutic relationship, often through sexual or financial means.

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Taking Care of Therapist Needs

Taking care of a therapist's own emotional needs and well-being outside of the therapeutic relationship.

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Power Imbalance in Counseling

The power imbalance inherrent in the therapeutic relationship, where the therapist holds more power than the client.

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Unintentional Exploitation

Therapists can unintentionally exploit clients by not properly recognizing and managing their personal issues.

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Monitoring Countertransference

Counsellors can monitor their own countertransference feelings by self-reflecting on their feelings and the nature of their interventions.

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History of legal trouble with alcohol or substance abuse

A history of facing legal trouble related to alcohol or drug use.

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Family history of alcohol or substance abuse

A family history of alcohol or drug abuse, meaning that family members have struggled with these problems.

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Mental illness or family history of mental illness

Having a mental health condition like schizophrenia, or having a family history of mental illness.

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Family history of suicide

A family history of suicide, suggesting a potential risk for suicide in the individual.

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Family violence or sexual abuse

Experiencing physical or emotional violence or sexual abuse within the family or elsewhere.

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Conflict due to sexual orientation

Experiencing conflict or negative treatment due to one's sexual orientation.

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Experience of being bullied

Being bullied, which can lead to feelings of isolation, low self-esteem, and even suicidal thoughts.

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Loneliness, isolation, or loss of relationship

Feeling alone, isolated, or experiencing the loss of a close relationship.

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Client Reluctance to Refer

Clients may be hesitant to refer themselves due to past experiences of rejection or feeling that their problems are too overwhelming.

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Importance of Early Referral

Referral should happen early in the process, ensuring the client receives the most appropriate support. It allows the client to feel heard and involved in the decision.

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Counsellor Factors Influencing Referral

A counsellor needs to consider if their expertise, time, theoretical orientation, knowledge, confidentiality, relationship with the client, or location are suitable for their client's needs.

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Clients in Crisis

These are situations where a client is a danger to themselves or others. For example, threats of suicide or violence.

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Confidentiality in Crisis Situations

Counsellors should be aware of and follow specific guidelines for handling situations where a client's confidentiality may need to be breached to ensure safety.

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Counsellor's Emotional Impact in Crisis

Counsellors should prioritize the client's well-being and consider their emotional needs in crisis situations.

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Reasons for Referral

Moving away, needing specialized support, requiring specific skills, or experiencing issues related to adoption, disability, or language barriers may necessitate referral.

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Client Communication & Referral

Open and honest communication with clients about the referral process, including their feelings and concerns, is crucial.

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Study Notes

Ethical Considerations

  • Confidentiality: A crucial aspect of counselling, clients trust counsellors with sensitive information.
  • Client Perspective: Clients often disclose very personal information that may have never been shared. Trust and confidentiality are essential in establishing a counselling relationship.
  • Guidance Guidelines: Certain situations necessitate breaching confidentiality, e.g., threats of harm to others, child abuse disclosure, or suicidal tendencies.
  • Counselling Relationship: Clients often face emotional distress when seeking counselling; counsellors should be aware of this vulnerability.
  • Client Expectations: Clients often overestimate a counsellor's capabilities, and it's essential for counsellors to manage client expectations.
  • Counsellor Responsibility: Counsellors need to be prepared to work with clients, while also taking care of their own well-being and recognizing their limitations.
  • Referral: It's necessary for counsellors to be aware of their own limitations in case they need to refer clients for specialized support. This is especially true when clients are in crisis or experiencing extreme distress.

Transference and Counselling Relationship

  • Transference: Clients' emotional responses to counsellors, derived from past relationships, especially with parents. It's unrealistic since it originates from past experiences.
  • Countertransference: Counsellors' emotional reactions to clients' transference; it can stem from issues they haven't dealt with in their own past. Counsellors should recognize and address potential countertransference feelings.
  • Objectivity: Important for counsellors to avoid letting countertransference influence their perspective.
  • Client Perspectives: Clients may disclose personal and private emotions during counselling that may potentially benefit the client's recovery process.
  • Counselling Dynamics: Recognising transference and countertransference as potential aspects affecting counsellor-client interactions is crucial for a safe environment.
  • Client Needs: Recognising client circumstances and circumstances regarding their current emotional and mental state will help to address needs.
  • Potential Exploitation: Exploiting clients regarding abuse (sexual, financial) are more obvious forms and counsellors should be aware of this in their professional practice and take necessary measures. Less obvious interactions should also be noted.

Ending Counselling

  • Termination: Counselling relationships are meant to end, which can be challenging for clients and counsellors.
  • Client Feelings: Clients may experience various emotional responses (e.g., fear, grief) related to the end of therapy. Recognizing and coping with potential emotional reactions on both sides is critical.
  • Planning: A counselling relationship, in many instances, requires planning between both the counsellor and the client to help both transition to normal life circumstances.
  • Referral: Counsellors must be prepared to refer clients if needed given specific areas of expertise or if clients experience unique circumstances.
  • Ending Safely: This can encompass the identification of issues within the relationship at any point and discussing with both sides the reason for the relationship ending.

Supervision

  • Importance of Supervision: Provides support, guidance, and feedback to counsellors and promotes objective perspectives.
  • Benefits: Includes developing better approaches with clients, improving therapeutic techniques, and addressing personal issues in a safe and controlled environment.
  • Limitations: It's important to recognize the differences and unique training for each counsellor in order to understand what specific problems require professional help.

Referral

  • Referral Considerations: Counsellors need to consider their expertise and client needs when deciding whether a referral is necessary.
  • Client Needs: Assessing clients' circumstances and emotional needs during referrals is critical, often reflecting complex circumstances and individual factors.
  • Reasons for Referral: This may be needed for various reasons, including client relocation, needed support with an issue outside a counsellor's expertise or in certain situations where clients are in crises.

Clients in Crisis

  • Crisis Intervention: Recognizing and managing suicidal and violent tendencies is essential, and understanding client feelings and perspectives is crucial.
  • Client Wellbeing: Addressing and promoting client care in crisis situations and understanding the dynamics involved, especially within crisis situations.
  • Confidentiality: Identifying and distinguishing between clients who are serious about harming themselves versus clients who are expressing their feelings out of distress is critical.
  • Action Steps: Counselling needs to be responsive to helping clients in crisis.

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