Abstract
Ethics evolve, just as society
changes, often leaving some challenging gray areas which can be confusing and
dangerous in the counseling profession. In addition to the ethical quandaries,
the legal aspects to counseling are essential to offer protection for all
parties involved in a client-counselor relationship. Luckily, several agencies
contribute to guidance in both the legal and ethical arenas, assisting
counselors in the navigation of the murky areas in practice. Knowing where to
find the resources is as important as the application of the ethical and legal codes
themselves. Different settings and practices may have varying legal issues,
making current codes essential to any practicing counselor. Some of the
resources available to guide the ethical and legal questions that may arise
during practice are presented in the following paper.
What is the
difference?
Determining whether an issue is
legal or ethical can help to guide the actions of a counselor, hopefully
resulting in a positive outcome. However, the delineation between the two can
be a bit confusing to navigate, which is further complicated by the often
misuse of the terms, using them interchangeably, when they do indeed have
different meanings.
Ethics,
as described by Foster and Black (2007), address the relationship between the
client and counselor, in that there is an understanding of the roles each play
in the interaction. In addition to the two separate identities involved in the
therapeutic relationship, the counselor also has to take into consideration
their own behavior, as it relates to ethical implications. That is, an
examination of whether their actions are helpful or harmful, to one or both
parties. Ethics have been codified, in that the American Counseling
Association, or ACA, has published a code of ethics (http://www.counseling.org/resources/codeofethics/TP/home/ct2.aspx),
which helps to serve as a guide for counselors, providing a consensus of
behavior for professionals that are considered acceptable and helpful to both
the client and the counselor.
The term legal pertains to a
consensus of regulations that have been set forth to establish the minimum
standard of conduct acceptable (Remley & Herlihy, 2010). One of the key
differences between ethics and law is that the latter can differ depending on
the state the counselor is practicing. While there are some universal laws that
govern the behavior of counselors, learning the local state laws, in addition
to the more widespread laws set forth by the government can help the counselor
to stay on the right side of the legal system.
Updates and
revisions
In order to keep up with changes in
society, the counseling code of ethics changes to address the ethical issues
counselors may face in their practice. The ACA has a task force, consisting of
eleven experts in the field of counseling and ethics, that are currently
working on a collaboration of changes to the ethical guidebook, which is slated
to be published in 2014 (http://www.counseling.org/PressRoom/NewsReleases.aspx?AGuid=3dead7fe-795b-4d75-896d-c171079b4b10).
Some of the proposed changes include the expansion into the realm of the cyber
world, the use of technology in the forms of social media especially, along
with providing guidance to counselors on the intricacies of providing services
to a more culturally diverse population (Rollins, 2011).
Since
its inception in 1963, the Code of Ethics has been revised every seven to ten
years, making the upcoming revision a scheduled, but well needed augmentation
to keep up with the changes that have occurred since the current Code was
published in 2005 (Kocet, 2006). The current Code changed to reflect the
changing needs of society since the previous edition, published in 1995, and focused
on multicultural, diversity, and social justice issues (Kocet, 2006). Changes made
during the revision of the previous edition included the realms of confidentiality,
teaching, training, and supervision within the counseling field (Kocet, 2006). In
order to become uniform, some states have decided to integrate the ACA Code of
Ethics into their licensure boards. As of 2010, 17 states, including the
District of Columbia, have adopted the ACA Code of Ethics into their rules and
regulations (http://www.counseling.org/counselors/LicensureAndCert.aspx).
Oregon
counseling laws
The primary resource for learning
about local governmental and state laws can be found with just a little bit of
research. Oregon’s laws regarding counselors can be found online and is a
valuable resource for any practicing counselor, and aims to offer protection
for the consumer as their main goal (http://www.oregon.gov/OBLPCT/Pages/index.aspx).
In addition to addressing the mandatory educational and supervision required
for counselors-in-training, the site also offers clients a way of reporting
suspected infractions and/or abuse perpetrated by counselors. Oregon
Administrative Rules, or OARs, are the state guidelines that govern the
acceptable actions by state agencies and individuals operating within the state
of Oregon (http://www.oregon.gov/osl/ld/pages/resources/laws/oar.aspx).
Some of the counseling-specific regulations that can be found within the Oregon
Revised Statutes (ORS) include the reporting of suspected abuse, complaint
processes, and continuing education requirements (http://www.oregon.gov/oblpct/Pages/web-lr.aspx).
Examples of
issues that may arise
The ACA has recognized that counselors face
many ethical situations during their practice, and has designed the Ethical
Decision Making Model to address these issues. The model consists of seven
steps, which consist of identifying the problem, applying the ACA Code of
Ethics, determining the nature and dimensions of the dilemma, generate
potential courses of action, considering the potential consequences of all
options and choosing a course of action, evaluating the selected course of
action, and implementing the course of action (Forester-Miller & Davis,
1996).
Using
the aforementioned steps in analyzing prospective issues that may arise during
counseling practice can help to better prepare for when they do occur. Some of
the possible scenarios that one could experience as a counselor working with
military members include the sharing of records with the client, pursuing a
relationship outside of the scope of practice, sharing case records with
attorneys or representatives that can influence the degree of disability rating
received, counseling sessions conducted via email or other electronic
communication while deployed, and offering an assessment of fitness for family
court.
Clients
do have the right to acquire their case notes from sessions with the counselor,
as indicated by the guidelines included in the National Board for Certified
Counselors (NBCC), which states that the information included in the session
records ultimately belongs to the client and shall be shared with the client if
requested (http://www.nbcc.org/assets/ethics/nbcc-codeofethics.pdf).
The NBCC regulations are an ethical guideline that incorporates the ACA Code of
Ethics into a client- and counselor-centered approach to ethics.
Pursuing
a relationship outside of a professional one can be potentially damaging,
whether it is of the friend or romantic varieties, and can constitute an abuse
of power. As such, in order to reduce harm to the therapeutic relationship,
counselors are prohibited from entering into romantic relationships until after
five years have passed since the therapeutic interaction has been terminated.
The time increased in 2005, which was set at two years according to the 1995
Code of Ethics. The statute addressing such relationships, found in Standard
A.5. in the 2005 ACA Code of Ethics also includes a prohibition on
romantic/sexual interaction with family members and romantic partners of
current clients (Kaplan, 2006).
Sharing
of case documents, either with clients or legal representatives via subpoenas
can occur and does not cross any boundaries, legal or ethical, as long as the
proper releases are signed by the client (http://www.zurinstitute.com/subpoena.html#authorizations).
The counselor shall share the minimum amount of information pertinent to the
situation.
Advances
in electronic communication have required the counseling profession to adapt to
the changes in therapeutic intervention methods, including counseling via
email, Skype, and telephone. The current ACA Code of Ethics addresses such
advancements in Standard A.12, and recognizes that the delivery of counseling
via methods other than face-to-face may cross jurisdictional or state laws
(Kaplan, 2006). If counseling sessions are to be conducted over the internet,
it is imperative to use encryption software in order to maintain
confidentiality between clients and counselors.
In
addition to providing therapeutic interventions, counselors are often called to
provide assessments for fitness of duty, parenting, and emotional stability. In
the case of a client asking their counselor to provide a written opinion
regarding the fitness of a father to gain full custody of his children, a
counselor needs to keep in mind that their decision can influence not only
their client, but also the children involved in the custody case. According to
the American Psychological Association’s Ethical Principles of Psychologists
and Code of Conduct, the clients can obtain legal documents and expert opinions
provided by counselors (http://www.law.ucdavis.edu/faculty/bruch/files/appendixb.pdf).
However, the counselor must provide impartial information in their assessment.
Conclusion
The field of counseling, governed by
legal and ethical guidelines, is also influenced by changes in society and
culture. The need to recognize the differences between the legal and ethical
issues that may arise is essential in providing the most effective therapeutic
interventions, while maintaining a professional code of conduct that does not
cross any boundaries. Maintaining an effective professional relationship with
clients, legal entities, and fellow counselors can be challenging at times, but
with conscious effort into acquiring the most recent information regarding
rules and regulations, counselors can continue to provide the best treatment
possible.
**References available upon request**
I agree with you that there has to be boundaries with clients and psychologists. Once you have a personal relationship, I feel trust comes to an end and it could get ugly. I think by keeping it professional, you can see trust grow.
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