Ethics in Counseling: A Multiple Role Perspective

Gross, Douglas R.; Robinson, Sharon E.

doi:10.1080/1046171x.1987.12034287

Cited by 4 publications

(6 citation statements)

References 7 publications

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“…This tendency was strongest in regards to confidentiality dimensions with those that had taken an ethics course as compared to those that did not have an ethics course. This is in keeping with the current literature (Gross & Robinson, 1987) as the two largest areas of disparity between those that have ethical training as compared to those that do not often stem from problems with confidentiality and role confusion. In the future, it may be helpful to incorporate additional confidentiality questions that may help bolster significance and create a more robust factor construct.…”

Section: Question #1supporting

confidence: 86%

“…Egan and Kadushin (1999) found that social work practice with in-home populations is "more complex and multifaceted than documented in earlier research" (p. 52). Additionally, Gross and Robinson (1987) addressed the importance of the core principles of avoiding dual relationships, conflict of interest situations, and maintaining confidentiality as it applied to licensed counselors.…”

Section: Ethics and The Modern Therapistmentioning

confidence: 99%

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Navigating the ethical quandaries of wraparound multi -systemic treatment (MST): A comparative study between in -home and outpatient therapies

Roberts¹

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Multisystemic treatments (MST) have become a significant force in the mental health community over the past decade. Yet, scant literature is available in regards to differing ethical considerations that may arise when working outside of a traditional office setting. The current research reviewed key ethical issues within the therapeutic relationship (i.e., confidentiality, dual roles), and extended the discussion to pertinent, often unrecognized issues endemic to in-home service modalities (i.e., confidentiality, role confusion, client diffusion, and unintentional witnessing). More specifically, this research examined whether certain ethical violations are perceived to occur less frequently in outpatient settings compared to in-home settings. It was hypothesized that in-home therapists would report more possible hypothetical experiences with these kinds of violations than their outpatient therapist counterparts. A survey was mailed to agencies that employ both outpatient and in-home therapists in the states of Pennsylvania and Eastern Ohio to test this hypothesis. The therapists had a minimum educational level of a Master's degree. The study examines those therapists that worked with children under the age of eighteen, using in-home or multisystemic therapy (MST). Likewise, office-based therapists who treated the same age-group were sought to offer balance for data interpretation. Hence, the comparison between office-based and in-home therapist's ethical dilemmas were the primary focus. Ninety-seven therapists completed the survey and some of the results showed significant differences in both ethical perceptions and supervision standards. In-home therapists noted significantly higher perceived instances of confidentiality (p = .003) and role confusion (p = .04) ethical quandaries than their office-based colleagues. In addition, in-home therapists stated that they received significantly less individual supervision (p = .01) than office-based therapists, used clinical consultation less frequently (p = .01) and were more likely to withhold information from their direct supervisors (p = .03). Years worked in the field, state licensure, and whether or not a therapist had taken an ethics course did not appear to be significant in terms of observing ethical dilemmas in their work. iii Table of Contents iv Chapter 1: Introduction and Literature Review

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Section: Question #1supporting

confidence: 86%

Section: Ethics and The Modern Therapistmentioning

confidence: 99%

Navigating the ethical quandaries of wraparound multi -systemic treatment (MST): A comparative study between in -home and outpatient therapies

Roberts¹

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“…The ethical standards, general principles, and general guidelines state that psychologists need to practice within their boundaries of competence. Gross and Robinson (1987) list the following aspects of competence: accurate representation of credentials, professional growth through continuing education, provision of only those services for which one is qualified, maintenance of accurate knowledge and expertise in specialized areas, and obtaining assistance in solving personal issues which impede effectiveness.…”

Section: Competencymentioning

confidence: 99%

“…However, Gross and Robinson (1987) highlight some basic aspects of confidentiality that apply to all counselors, therapists, and psychologists. They state that clinical workers have a primary obligation to safeguard information about individuals obtained in the course of therapy.…”

Section: Confidentialitymentioning

confidence: 99%

“…These areas include multiple relationships, competency, burnout, and confidentiality. Gross and Robinson (1987) identify core ethical practices for counselors when considering client welfare which include: avoiding dual relationships that might impair professional judgement; being cognizant of situations in which conflicts of interest can jeopardize client welfare; insuring confidentiality and informed choice;…”

mentioning

confidence: 99%

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National survey of psychological practices across rural and urban communities

Helbok¹

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The purpose of this study was to examine potential differences in the practice of psychology across urban and rural communities. The review of the rural literature suggests that psychologists in rural areas are likely to encounter numerous ethical dilemmas and problems that are related specifically to the characteristics of such communities. To date, however, much of this literature has been based on theory and the individual experiences of practitioners. This study sought to quantify any differences in the practice of psychology across communities for such ethical issues as multiple relationships, competency, burnout, confidentiality, and visibility in the community. A survey instrument was created based on previous surveys of ethical practices. A national sample of 1000 psychologists, stratified into urban and non-urban practitioners, was obtained from the American Psychological Association. After several mailings 447 usable surveys were returned. Data analysis revealed significant differences between urban/suburban and small town/rural groups, particularly for the dependent variables of multiple relationships and visibility. Significant differences were found across gender such that male psychologists are more likely than female psychologists to engage in a range of multiple relationship behaviors, and female psychologists are significantly more likely to make use of support from supervisors, colleagues, family and friends. Psychologists in private practice are significantly more likely than those in institutional settings to engage in multiple relationships, to find their work satisfying and rewarding, and to have control over their work environment; whereas practitioners in institutional settings are more likely to have support from colleagues and supervisors, and to work when too distressed to be effective. Psychologists with more experience are significantly more likely to engage in multiple relationship behaviors than those with less experience. Psychologists with a psychodynamic orientation are more likely to make use of supervision and to discuss case work with colleagues than other orientations. The most common concern listed, across community type and gender, is a lack of alternative referral sources. Results from this survey are compared to previous surveys of ethical practices. Qualitative results are categorized and discussed. Suggestions are made for future research based on these findings.

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