Boundary Issues in Counseling - Log into your Online Media
Transcription
Boundary Issues in Counseling - Log into your Online Media
11/4/2014 ACA Ethical Standards Casebook and Boundary Issues in Counseling Barbara Herlihy, Ph.D., LPC, LPC-S University Research Professor in the Counselor Education -graduate program at the University of New Orleans and Gerald Corey, Ed.D., ABPP Professor Emeritus of Human Services & Counseling California State University at Fullerton 1 Poll Question 2 1 11/4/2014 Program Description The presenters will address a range of topics related to the revised ACA 2014 Code of Ethics and provide highlights on the new 7th edition of the ACA Ethical Standards Casebook (2015) and also the 3rd edition of Boundary Issues in Counseling (2015). Focus will be on competence, managing value conflicts, and counselor education and supervision. Emphasis will also be given to effectively and ethically managing boundary issues in the practice of counseling 3 Learning Objectives • To offer audience participants an opportunity to raise questions of the presenters on the topics of the program. • To explore the role of values in the counseling process and to provide guidelines for ethically managing a counselor’s values in his or her professional work. • To highlight a few of the challenges involved in acquiring and maintaining competence. • To explore a few ethical issues in clinical supervision. • To examine some of the 2014 standards that apply to counselor education. • To introduce the topic of learning how to define and manage professional boundaries. 4 2 11/4/2014 Part I ACA Ethical Standards Casebook • There are 34 contributors to the Casebook, and most of the cases are new. 5 • There are several new chapters in the Casebook that reflect the new developments of the ACA 2014 Code of Ethics: 6 3 11/4/2014 • New emphasis on social justice and counseling across cultures 7 • New chapter on managing value conflicts 8 4 11/4/2014 • New chapter on technology, social media, and online counseling 9 • New chapter on research and publication 10 5 11/4/2014 • New chapter on the intersection of ethics and law 11 • Resource: See the LINK in the LINKS BOX to download the Table of Contents and Preface for 7th Edition of ACA Ethical Standards Casebook, which will provide an overview of what is new in this casebook. 12 6 11/4/2014 Competence • What is competence? How can we acquire and maintain competence? • What does the ACA Code of Ethics say about competence? • How can the boundaries of competence be determined and assessed? • What is multicultural competence? Transcultural competence? Why are these essential for today’s counselors? 13 Competence (continued) • How are burnout and impairment related to competence? • In what sense is self-care an ethical mandate rather than a luxury? • A critical question for reflection: How well are you taking care of yourself? • What is involved in self-care and how can this enhance a counselor’s vitality? [See Link to Chapter 9, Taking Care of Yourself, Corey, 2010] 14 7 11/4/2014 Key Message #1 Competence • From an ethical perspective, competence implies that counselors do no harm to clients. Although counselors may not intend to harm their clients, incompetence often is a contributing factor in causing harm to clients. From a legal perspective, counselors who are incompetent are vulnerable to malpractice suits. 15 Key Message #2 Competence • Competence is a lifelong endeavor. Rather than thinking of competence as a goal that counselors eventually attain, competence is best viewed as an ongoing process. In short, competence at one point in a career does not assure competence at a later time. 16 8 11/4/2014 Key Message #2 Competence (continued) • It is essential to take active steps to develop and refine skills and to acquire new knowledge. For counselors to determine their level of competence, they must engage in an ongoing process of self-assessment and selfreflection. Competence involves a commitment to continue learning throughout our career. 17 Key Message #3 Competence • The answer to maintaining competence lies in our ability to explore our own motives and relationships insightfully, and to make self-care an integral part of our lifestyle. Retaining our vitality, both personally and professionally, is critical to our ability to function ethically and competently. • Resource: See the LINK in LINKS BOX to download Chapter 9 “Taking Care of Yourself” from Creating Your Professional Path: Lessons From My Journey (Gerald Corey, 2010, ACA Publication). 18 9 11/4/2014 Managing Value Conflicts 19 Managing Value Conflicts 1 • What does the new 2014 ACA Code state with respect to the role of values in counseling? • What are the implications of some of the recent court cases involving value conflicts? • What is “ethical bracketing” and why is this so important? 20 10 11/4/2014 Managing Value Conflicts 2 • The new code is clear that referral must be based on lack of competence rather than value conflicts. What can counselors do to manage their values rather than refer a client because of value differences? • How can problems occur when the personal values of counselors are in conflict with the professional values of counseling? 21 Managing Value Conflicts 3 • What are the legal and ethical implications of using religious beliefs as the basis for refusing to counsel certain clients? [See link to JCD article by Barbara Herlihy, Mary Hermann, and Leigh Greden] 22 11 11/4/2014 Managing Value Conflicts 4 • What kind of ethical decisionmaking model can help a counselor work through personal and professional value conflicts? [See link to JCD article by Michael Kocet and Barbara Herlihy] • What are some ways counselor educators can teach counseling students to reconcile their personal and professional values? [See JCD article by Irene Mass Ametrano] 23 Counselor Education and Supervision 24 12 11/4/2014 Counselor Education and Supervision 1 • How is informed consent regarding policies, practices, and expectations of the program of critical importance for students? • What should counselor educators tell students about what is involved in becoming a competent counselor? 25 Counselor Education and Supervision 2 • In addition to knowledge and skills, how is the student’s ability to form and maintain a working alliance with clients essential for positive outcomes? • How can counselor educators use their power wisely and form collaborative relationships? • What are some ethical standards pertaining to counselor educators maintaining appropriate boundaries with students? 26 13 11/4/2014 Counselor Education and Supervision 3 • How can counselor educators best teach their students about what is involved in becoming an ethical practitioner? • What are a few examples of challenges that supervisors face in ethically carrying out their roles in supervising trainees? • How is the quality of the supervisory relationship of the utmost importance in creating an effective supervisory process? [See link to Chapter 3, The Supervisory Relationship, by Corey, Haynes, Moulton, and Muratori, 2010] 27 Key Message #1 on Supervision • Supervisors operate in multiple roles as teacher, mentor, consultant, counselor, sounding board, adviser, administrator, evaluator, and documenter. They might instruct a supervisee in a clinical approach, act as a consultant on how to intervene with the client, act therapeutically in helping the supervisee with countertransference issues, and give evaluative feedback to the supervisee regarding his or her progress as a counselor. 28 14 11/4/2014 Key Message #1 on Supervision (continued) • Supervisors have a position of influence with their supervisees, and they take steps to prevent the misuse of this power that could lead to harm or exploitation of their supervisees. If there is a frank discussion at the beginning of the supervisory relationship about the mutual responsibilities of supervisors and supervisees, expectations can be clarified and conflicts are less likely to develop at a later time. As a part of the informed consent discussion, supervisors can explain that supervision is a complex process and that supervisors are required to function in multiple roles. 29 Key Message #2 on Supervision • Supervisors serve as gatekeepers to the profession and must monitor and evaluate supervisees’ performance. Supervisors must conduct explicit evaluations of their supervisees throughout the supervisory process; they must be fair in the evaluation process and give opportunities for supervisees to take remedial actions when their performance does not meet expected standards. 30 15 11/4/2014 Key Message #3 on Supervision • Effective supervisors understand that the supervisory relationship is key to the effectiveness of supervision as well as to the personal growth and development of the supervisee. Supervisors have the task of creating an environment in which there is an appropriate balance of challenge and support. Open and honest communication is necessary for the supervisee to obtain the maximum benefit from supervision. Resource: See the LINK below to download Chapter 3 “The Supervisory Relationship” from Clinical Supervision in the Helping Professions (Gerald Corey, Robert Haynes, Patrice Moulton, and Michelle Muratori, 2010, ACA Publication). 31 Key Message #1 on Counselor Education It is the responsibility of counselor education programs to introduce the topic of boundary crossings and explore multiple relationship questions with students. 32 16 11/4/2014 Key Message #2 on Counselor Education It is important to teach students ways of thinking about alternative courses of action. When students first enter their graduate program in the helping professions, they may have given little thought to the complexities involved in multiple relationships. 33 Key Message #3 on Counselor Education • Counselor education programs have a responsibility to develop their own guidelines, policies, and procedures for dealing with multiple roles, role conflicts, and managing boundaries within the program. Faculty should be engaged in a continuing discussion about ways to prevent harmful dual relationships within the training program. 34 17 11/4/2014 Key Message #3 on Counselor Education (continued) • Counselor educators must be able to deal with multiple relationships effectively, if they hope to teach students how to deal with these matters. If counselor educators are not modeling effective ways of thinking about and managing boundary considerations, how can students be expected to grapple constructively with them? 35 Key Message #4 on Counselor Education • A critical component of most counseling training programs is an emphasis on students engaging in self-growth experiences that foster awareness of self and others. Students must be made aware of the ramifications of selfdisclosing personal information in an academic setting. Prospective students should be made aware of the fact that counseling involves a personal investment and that they will be doing more than learning knowledge and acquiring skills. 36 18 11/4/2014 Key Message #4 on Counselor Education (continued) • Prospective students need to know that they will be affected personally in many of their courses, and that their program will be challenging to them on both academic and personal levels. Most counseling programs combine academic and personal learning, weave together didactic and experiential approaches, and integrate study and practice. In experiential learning and in fieldwork, problem behaviors of trainees often surface and can be ameliorated. 37 Question & Answer Time Part 1 ACA Ethical Standards Casebook 38 19 11/4/2014 Part 2 Boundary Issues in Counseling A brief survey of what is new in the 3rd Edition of Boundary Issues in Counseling: Multiple Roles and Responsibilities 39 There are 40 contributors to this book, and most of the contributors’ perspectives are new. Boundary Issues in Counseling is organized to begin with a general introduction and overview of dual or multiple relationships and a range of boundary issues in counseling practice. • • • In the first three chapters, we define the issues and areas of concern (Chapter 1), then focus on sexual dual relationships (Chapter 2), and present the client’s perspective (Chapter 3). Chapter 4 addresses multicultural and social justice perspectives on boundaries, which is a foundation for many of the chapters that follow. Chapters 5, 6, 7, 8, and 9 examine boundary issues in counselor education, supervision and consultation, the education and training of group counselors, group counseling and couples/family counseling, and school counseling. 40 20 11/4/2014 There are 40 contributors to this book, and most of the contributors’ perspectives are new. (continued) • • • Chapter 10 focuses on these specialty areas: disaster mental health, private practice, addictions counseling, and rehabilitation counseling. In Chapter 11 we focus on unique boundary issues that arise in these specialty areas of practice: rural practice, counseling in the military, working with clients with end-of-life concerns, in-home service provision, and working in forensic settings. Finally, in Chapter 12 there is a discussion of key themes in this book, questions to encourage integration and reflection, and a decision-making model that is described. Resource: See the LINK below to download the Table of Contents and Preface for 3rd Edition of Boundary Issues in Counseling, which will provide an overview of what is new in this book. Also, see LINK to download Chapter 12 of this book, “Key Themes, Questions, and Decision Making.” 41 Key Message of Part II of Program • • • The third edition of Boundary Issues in Counseling is based on the assumption that counseling professionals must learn how to manage multiple roles and responsibilities (or nonprofessional interactions or relationships) effectively, rather than always attempting to avoid them. This entails managing the power differential that is inherent in counseling or training relationships, balancing boundary issues, addressing nonprofessional relationships, and striving to avoid using power in ways that might cause harm to clients, students, or supervisees. We can develop ethical decision-making skills that will enable us to weigh the pros and cons of multiple roles and nonprofessional interactions or relationships. 42 21 11/4/2014 Key Themes 1-3 1. Multiple relationship issues affect mental health practitioners, regardless of their work setting or clientele. 2. Most professional codes of ethics caution against forming dual relationships that have the potential to cause harm, but the newer codes also acknowledge the complex nature of these relationships. 3. Not all multiple relationships (and boundary crossings) can be avoided, nor are they necessarily always harmful, and they can be beneficial. 43 Key Themes 4-6 4. Multiple role relationships challenge us to monitor ourselves and to examine our motivations for our practices. 5. There are few absolute answers that can neatly resolve dual or multiple relationship dilemmas. 6. Decisions whether to enter into dual or multiple relationships should be for the benefit of our clients or others served rather than to protect ourselves from censure. 44 22 11/4/2014 Key Themes 7-9 7. In determining whether to proceed with a dual or multiple relationship, or to cross a boundary, consider whether the potential benefit of the relationship outweighs the potential for harm. 8. Whenever we consider becoming involved in a dual or multiple relationship, it is wise to seek consultation from trusted colleagues or a supervisor. 9. Boundary issues must be considered with in their cultural contexts. 45 Final Thoughts 1 • We expect that ethically conscientious professionals will continue to struggle with the multiple relationship dilemmas that they face and the multiple roles they will be expected to balance in their work. 46 23 11/4/2014 Final Thoughts 2 • In the absence of certainties, we must rely on our reasoned professional judgment, openness to discussing issues with clients (or students or supervisees) who are equally affected by the decisions made, and consultation with colleagues. 47 Final Thoughts 3 • Instead of searching for definitive answers to many of the multiple roles and responsibilities associated with counseling practice, the real challenge is to learn a process of thinking about such dilemmas and clarifying our rationale for the decisions we make in our professional practice. 48 24 11/4/2014 Questions & Answers Part 2 Boundary Issues in Counseling 49 Suggested Readings for This Webinar • Herlihy, B., & Corey, G. (2015). ACA ethical standards casebook (7th ed.). Alexandria, VA: American Counseling Association. • Herlihy, B., & Corey, G. (2015). Boundary issues in counseling: Multiple roles and responsibilities (3rd ed.). Alexandria, VA: American Counseling Association. • Barnett, J. E., & Johnson, W. B. (2015). Ethics desk reference for counselors (2nd ed.). Alexandria, VA: American Counseling Association. • Remley, T. P., & Herlihy, B. (2014). Ethical, legal, and professional issues in counseling (4th ed.). Upper Saddle River, NJ: Pearson. 50 25 11/4/2014 Suggested Readings for This Webinar (continued) • • • • • • Corey, G., Corey, M. S., Corey, C., & Callanan, P. (2015). Issues and ethics in the helping professions (9th ed.). San Francisco, CA: Cengage Learning. Corey, M. S., & Corey, G. (2016). Becoming a helper (7th ed.). San Francisco, CA: Cengage Learning. Nagy, T. F. (2011). Essential ethics for psychologists: A primer for understanding and mastering core issues. Washington, DC: American Psychological Association. Knapp, S. J., & VandeCreek, L. (2012). Practical ethics for psychologists: A positive approach (2nd ed.). Washington, DC: American Psychological Association. Zur, O. (2007). Boundaries in psychotherapy: Ethical and clinical explorations. Washington, DC: American Psychological Association. Yalom, I. D. (1997). Lying on the couch: A novel. New York: Perennial. 51 26