Week1 Paper: Counseling
Week1 Paper: Counseling
TheEthical tasks of a new therapeutic relationship in counseling
Ahigh quality therapeutic relationship is vital for the success of anycounseling encounter (Feltham, 1999). A therapeutic relationship isthe working alliance or rapport that the counselor forms between themand the client. A new therapeutic relationship requires the clientto creates three types of spaces for a successful counseling session:create a physical space that allows the client to relax and feelaccepted create a temporal space which involves choosing the righttime for counseling and finally creating an emotional space throughconcentrating on the plight of the client.
Creatingan appropriate physical space is vital for first time clients becausethey are is likely to be concerned about the level ofconfidentiality hence, the physical space should be quiet, safe, andassuring of confidentiality for the initial counseling interview.Setting the right temporal space entails determining the ideal timefor the counseling session. The time constraint is a reality for boththe client and the counselor. Temporal space ensures that thesession is not affected by distractions due to other pressing issuesthat may take away the emotional commitment that the client direlyneeds during counseling. Finally, Creating a friendly emotional spaceis the most important condition for effective psychotherapy. Emotional space involves creating a real engagement where the clientand counselor have psychological contact with each other rather justa physical undertaking.
Informationthat goes into informed consent
Oncea client starts counseling relationship with a counselor, the laterhelps the client enter a contract of informed consent which includesinformation on the following issues (Green & Claringbull, 2010).
Firstly,the client needs to provide identification information.Identification information includes full names, physical addresses,and the contacts of the clinician. On the part of counselors, theymust disclose licensure and the treatment approach to be used. Secondly, the counselor presents a confidentiality policy to theclient. The policy aims to notify clients on information concerningclinical records, psychotherapy notes, and verbal communication. Thepolicy must conform to legal standards in place. Thirdly, thecounselor should provide a manual for emergency handling. Emergencyinformation involves a specific protocol for clients to follow in theevent that they face an emergency situation outside the working hoursof the counselor or a simple outline of what they need to do shouldan emergency arise.
Thefourth requirement for informed consent is the disclosure offinancial issues. The client must agree with the charges and fees ofthe counselor before the commencement of the session. The fifthrequirement is coordination of treatment where the client allows thecounselor to inform the personal physician of the client that theyare engaged with them. Finally, provision of a notice informing theclient of their rights and professional privacy practices isimportant. The notice contains information that describes the mannerin which the client will be contacted in compliance with professionalethical practices.
Thelimitations of confidentiality
Confidentialityrefers to the accordance of safety and privacy to the client as partof the executing the autonomy requirement, which is essential incounseling. Thus, the counselor has the primary mandate to ensurethat the settings assure the client of confidentiality as much aspossible because the lack of it works against the effectiveness ofthe entire counseling and outcomes. However, there are somelimitations to the requirement of confidentiality, which arenegotiated by the counselor with the client:
The setting may require that the counselor discloses some information which is deemed confidential in the profession. For example, a doctor in primary care may need essential updates agencies may require teams to discuss cases involving the issue affecting the client etc. (p.45). The caveat here is that explicit contracting legalizes the disclosure of confidential information.
Exceptional circumstances: Exceptional circumstances include the likelihood that non-disclosure of certain facts would predispose the client to harm or danger to other people or the client. Thus, disclosing confidential information falls squarely in the moral obligation of psychologists to protect the overall good of the society.
Privileged communication- In some instances, legal proceedings may require the disclosure of sensitive information about the client to the attorney or the presiding judge because their positions accord them privileged communication for the sake of justice.
Feltham,C. (1999). Understandingthe counselling relationship.London: SAGE Publications.
Green,J., & Claringbull, N. (2010). Creatingthe therapeutic relationship in counselling and psychotherapy.Exeter, U.K: Learning Matters.