Ethics in Counseling | Overview, Guidelines & Issues
Table of Contents
- What are Ethics in Counseling?
- Why are Ethical Guidelines Important in Counseling?
- What are the Ethics in Counseling?
- Examples of Key Aspects of Ethical Framework in Counseling
- Resolving Ethical Issues in Counseling
- Lesson Summary
What are ethics in counseling?
Ethics in counseling are suggested standards of conduct based on professional values and moral decision-making. Ethics in counseling are concerned with doing what is best for the client. Ethics are important to protect both the client and the counselor.
What are the ethical principles in counseling?
Ethical principles maximize client benefits and minimize potential harm to the client. The ethical principles in counseling include:
- Maintaining confidentiality
- Not exceeding competence
- Avoiding dual relationships
- Countertransference
- Financial issues
Table of Contents
- What are Ethics in Counseling?
- Why are Ethical Guidelines Important in Counseling?
- What are the Ethics in Counseling?
- Examples of Key Aspects of Ethical Framework in Counseling
- Resolving Ethical Issues in Counseling
- Lesson Summary
Ethics in counseling are concerned with human conduct and doing what is in the best interest of the client. Ethics are not always clear-cut and concise. They are suggested standards of conduct based on specific professional values and moral decision-making. Generally, ethics in counseling are established by professional organizations, such as the American Counseling Association and the American Psychological Association.
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Ethical guidelines are important in counseling for a variety of reasons. For example, ethical guidelines in counseling can maximize client benefits and minimize possible harm to the client. It is common for clients to become vulnerable during counseling sessions as sensitive topics are discussed. Although ethics in counseling are not always clear-cut or concise, ethical guidelines can help the counselor develop a bond of trust with their client. When the client trusts their counselor, they are more likely to speak more openly.
In addition, ethical guidelines are important because they can protect the counselor from repercussions. For example, if the counselor breaks client confidentiality, they may be at risk of losing their license or facing a malpractice suit. However, the counselor can minimize these risks by following ethical guidelines.
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The ethics in counseling are what counselors follow to protect both themselves and their clients. Ethics may comprise personal moral qualities and key ethical guidelines. Personal moral qualities in counselling often include:
- Empathy — The ability to understand a client's feelings or thoughts from their point of view.
- Integrity — Being honest with strong moral values.
- Humility — Acknowledgment of one's own weaknesses.
- Resilience — The ability to recover from difficult situations.
- Competence — The ability to perform a duty efficiently.
The key ethical guidelines for counseling include the following:
Maintaining confidentiality — Counselors have an ethical responsibility to protect the privacy of their clients. Before the session begins, the counselor should provide the client with written information that explains how the client's private information will be handled. They may ask the client to sign an informed consent form that states they are aware of the counselor's confidentiality policy. In some circumstances, it may be necessary for the counselor to share client information.
For example, the counselor may be required to share information without the client's consent if the client is at risk of hurting themselves or others. In addition, the counselor may be required to share private information if the client is in an abusive environment. Furthermore, the counselor may be court-ordered to share client information. Sharing the client's information should be done as a last resort and should not occur without telling the client. If the counselor reveals information that was unnecessary, they could face a malpractice suit.
Not exceeding competence — Counselors have an ethical responsibility to practice within their area of competency. They must be truthful about their qualifications and experience. If the counselor is not competent in a specific area, they should refer the client to a counselor who is trained in that area. Counselors should not practice techniques that they have not been trained to do.
Avoiding dual relationships because of the power imbalance — Counselors have an ethical responsibility to maintain a professional relationship with their clients. Counselors should never engage in a sexual relationship with a client or a former client. The counselor should also avoid providing services to family, friends, or peers. A counselor's relationship with their client may hinder their judgement and ability to deliver quality services.
Countertransference — Occurs when the counselor projects attitudes or feelings towards the client. These attitudes or feelings are based on the counselor's own experiences and can distort how they view their client. Although countertransference can allow the counselor to be empathetic towards their client, it can also cause them to feel overprotective towards their client. Additionally, countertransference can cause the counselor to see themselves in their client or develop romantic or sexual feelings for them.
Financial issues — According to the American Counseling Association, the counselor should consider the client's financial status and location when setting fees for their services. If a client cannot afford the counselor's fees, the counselor should assist the client with finding an affordable counselor who offers similar services. Some counselors may offer a sliding scale. This means that the client is charged based on what they can afford. In addition, some counselors may set aside a few sessions to see clients pro bono, or free of charge.
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Examples of key aspects of ethical framework in counselling include:
- Not counseling family members.
- Providing a sliding scale for clients who cannot pay the full amount for counseling services.
- Revealing as little as possible if summoned to court to discuss a client.
- Referring a client to a counselor who has more education and training in a specific area.
- Keeping client records in a locked location that only the counselor has access to.
- Not leaving personal information on voicemails.
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On occasion, ethical issues in counseling can occur. It can be difficult to police ethical issues in counseling because counselors rarely want to report their peers. Although it may be uncomfortable, counselors must report peers who are engaging in unethical behaviors.
In addition, ethical issues may occur because the ethics in counseling are merely suggestions rather than precise rules that must be followed. Furthermore, ethical issues may occur if counselors are not able to agree on what is right, wrong, or ethical in some cases. To avoid ethical issues, counselors should consult with one another whenever they encounter ethical issues they do not know how to handle.
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Ethics in counseling are concerned with human conduct, moral decision-making, and doing what is best for the client. In counseling, ethical guidelines can maximize client benefits and minimize potential harm to the client. Ethical guidelines can also protect counselors from repercussions that can occur when ethical principles are violated. The ethical principles in counseling include:
- Maintaining confidentiality — Breaking a client's confidentiality is necessary in some situations; however, it should be a last resort and should not happen without informing the client. Failure to do so could cause a malpractice suit.
- Not exceeding competence — It is unethical for a counselor to say they can do techniques they have not been trained to do.
- Avoiding dual relationships — It is unethical for a counselor to counsel family members, have a sexual relationship with a client, or take advantage of a client because they have power over them.
- Countertransference — Occurs when the counselor projects their past feelings onto the client.
- Financial issues — Some counselors use a sliding scale when setting fees for their services. The client is charged based on what they can afford to pay.
It is difficult to police ethical issues in counseling because counselors may not want to report to each other. Additionally, ethics are not always clear or precise, and it may be difficult for counselors to agree on what is right, wrong, or ethical in some cases. When ethical issues occur, counselors should consult with one another for advice. To police ethical issues in counseling, counselors should report any peer who engages in unethical behavior.
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Video Transcript
Ethics
In this lesson, we will be looking at some of the ethical issues a new counselor may be confronted with and should know about. We'll cover the most prevalent violations of ethics, including violations of confidentiality, exceeding competence, dual relationships and sexual relationships with clients, counter transference, and questionable financial arrangements.
Ethics, which are the suggested standards of conduct based on a set of professional values and moral decision making regarding professional behavior, are usually established by a discipline's professional organization. Counseling professional associations, like the American Counseling Association and the American Psychological Association, have their own code of ethics. These codes do not provide all the answers but do provide information on the most common issues and provide some uniformity between practitioners.
Having a code of ethics is not a guarantee that the individual practitioner will follow them. However, it is expected that members of an organization do adhere to the code of ethics. Let's take a look at several important points that will usually be covered in a code of ethics.
Confidentiality
Confidentiality is an ethical understanding between the counselor and the client that what the client tells the counselor will be protected from disclosure without the client's permission. Before counseling sessions begin, the counselor has the responsibility to inform the client of when they can and when they cannot maintain confidentiality. The client should sign an informed consent form that states that he or she is aware that there are specific times the counselor cannot maintain confidentiality, such as when the client is a danger to himself or others or when the counselor is subpoenaed to court.
Licensed private practice counselors are protected with privileged communication from having to reveal information in court in many cases. The limits of privileged communication will vary by state. Non-licensed counselors, like school counselors, do not have this protection in most states. In cases where the counselor has to reveal information the client has shared with them, the counselor should reveal as little as possible. The counselor should err on the side of keeping the confidentiality. If the counselor reveals information that is not necessary, they leave themselves open to ethical and legal sanctions, including loss of certification and licensure or a malpractice suit.
Exceeding Competence
Counselors have an ethical responsibility to present their qualifications and experience truthfully. Many malpractice lawsuits are due to incompetence on the part of the counselor due to the counselor presenting herself as more qualified than she is or using techniques in counseling in which she has not had sufficient training. To prevent issues, counselors who have an area of specialization, such as substance-abuse counseling, or who wish to use specialized techniques usually either take additional coursework in that area or attend conferences and workshops to acquire additional experience.
Sexual and Dual Relationships
Counselors should never engage in a sexual relationship with a client - EVER. The greatest number of malpractice suits and complaints to professional organizations involve client-counselor sexual relationships. The counselor is in a position of power over the client by virtue of the position. This means it is always the counselor's responsibility to prevent these relationships. A counselor who has sexual feelings for a client may need to refer the client. Ethical standards even suggest that the counselor should not engage in a sexual relationship with a former client because of that earlier relationship.
What about friendships or other relationships with clients? There is no clear-cut ethical guideline about counseling people that you already have some relationship with. However, the counselor should use caution in counseling individuals with whom he or she has other relationships, such as family members, friends, and coworkers. The other relationship with the client might impair the counselor's judgment and objectivity and may affect the ability to provide services. The counselor will need to decide if the relationship can cause harm to the client. The counselor may decide to refer the client to another counselor or see the client but establish guidelines to prevent ethical issues.
Countertransference
Another ethical issue that is rarely discussed is countertransference. Countertransference is where the counselor projects feelings and attitudes that distort the way he or she perceives a client. Perceptions of a client are influenced by the counselor's own past experiences. Countertransference may result in the counselor being overprotective, treating the client too cautiously, seeing herself in the client, developing romantic or sexual feelings for the client, giving advice instead of therapy, or developing a social relationship with the client.
Countertransference is not all bad and may make the counselor feel more empathetic of the client and more aware of their own feelings. When it becomes problematic, though, the counselor should deal with feelings through consultation, supervision, or personal therapy.
Financial Issues
Counselors in private practice will have to set fees for their services. They must generate enough income to cover salaries and other business expenses. However, if fees are too high, clients will go elsewhere. If fees are too low, the clients may feel the counselor must not be as good as others who charge more.
The ACA Code of Ethics states that counselors should consider the financial status of clients and locality. If the counselor charges fees that a potential client cannot pay, they must help the client find comparable services with another counselor.
Some counselors use a sliding scale where a client is charged according to what they can afford to pay. In some cases, counselors may barter, or accept goods or services in place of money, for counseling services. Although the codes of ethics do not discourage doing so, it is suggested that it should be done on a limited basis. The codes do suggest that the counselor only do so when 1) the relationship is not harmful to the client, 2) the client suggests it, and 3) and it is an accepted practice in the community.
Policing Ethical Issues
For the new counselor, it is difficult to always know what is ethical and what is not. Ethics are not as clear as legal issues and sometimes have to be handled on a case-by-case basis. Counselors, especially new counselors, should consult with other counselors and practitioners in the field when they face ethical issues that they are not sure how to handle. Malpractice suits are often due to unethical behavior on the part of the counselor.
Finally, while counselors reporting other counselors who are engaging in unethical behavior may be unpleasant, it is necessary to police the profession.
Lesson Summary
It is important for counselors to be professionally ethical. Our clients expect it; our profession expects it. Ethics are difficult sometimes, however, because they are not always clear and concise.
Counselors have a responsibility to the client to protect his or her information as much as possible. There are exceptions, such as when the client threatens to endanger themselves or others, so the client should be informed of them before sessions begin.
Counselors should present their qualifications and experience to clients. Counselors should not engage in techniques for which they have not had training.
Counselors should never engage in sexual relationships with clients. Other dual relationships should also be handled with caution. Counseling friends or relatives can be a conflict of interest, and the counselor should evaluate whether or not it may harm the client.
Countertransference may cause difficulties for the counselor or make them more aware of the feelings of others. Countertransference is when the counselor projects feelings towards the client based on their own past experiences.
Counselors who are starting a private practice should establish their fees based on the market in their community. Counselors can accept payment through bartering, but it is recommended by ethical guidelines that they do this with caution.
In spite of having ethical guidelines, not every instance can be covered; therefore, counselors have to handle many situations on a case-by-case basis. Ultimately, the counselor should pursue what is best for the client.
Learning Outcomes
You'll have the ability to do the following after this lesson:
- Explain what ethics in counseling is, how ethical guidelines are established and ways to adhere to those guidelines
- Describe multiple examples of ethical issues that counselors might face
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