ethics: professional boundaries
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ETHICS: PROFESSIONAL BOUNDARIES. Rev Fr. John Cox. ETHICS DEFINED…. WHAT ARE ETHICS?. I think the term “ethics” means…. A Definition of Ethics. “The explicit, philosophical reflection on moral beliefs and practices.” ETHICS is the reflection on… CODE OF ETHICS is a summary of, …. and - PowerPoint PPT PresentationTRANSCRIPT
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ETHICS:PROFESSIONAL
BOUNDARIES
• Rev Fr. John Cox
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ETHICS DEFINED….WHAT ARE ETHICS?
• I think the term “ethics” means….
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A Definition of Ethics
• “The explicit, philosophical reflection on moral beliefs and practices.”
• ETHICS is the reflection on…
• CODE OF ETHICS is a summary of, …. and
• MORAL BEHAVIOR is putting these beliefs into skillful practice.
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A Definition of Ethics
• “The explicit, philosophical reflection on moral beliefs and practices.”
• The difference between ethics and morality is similar to the difference between musicology and music.
• Ethics is a conscience stepping back and reflecting on morality, just musicology is a conscious reflection on music.
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A Definition of Ethics
• How we make decisions and interact with our clients is the
“music” they experience.
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“Professional Boundaries”… they:
• Mark the emotional space that allows the client to focus on their own healing and not on the provider.
• Create the distance the provider needs to stay as objective as possible.
• Are limits placed on the provider’s power so clients aren’t hurt physically, emotionally, or spiritually.
• Term: Power Differential
Ex. teacher/student; doctor/patient;
pastor/church member; counselor/client
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Professional Boundaries con’t.
• Are flexible guidelines that change depending on the clients vulnerability and the role the provider plays in the client’s treatment / recovery.
• Describe the relationship between client and provider so that they can work together in an environment of mutual trust and respect.
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Five areas in which the dependent patient is vulnerable to exploitation.
• Finances
• Publicity
• Sexual relationships
• A. A. relationships
• Social drinking
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Physical Boundary Transgressions
• You are in meeting and a co-worker comes in, sits down and starts processing an issue.
• You ask a client to wait for you in your office and when you come in you see them looking through your papers on your desk.
• Your boss hugs you without permission after a negative performance review.
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Emotional Boundary Transgressions
• A client shares her memory of sexual abuse with the members of the support staff in a crowded lobby.
• A fellow employee shares the intimate details of a divorce during a staff meeting.
• Your supervisor interacts more like your therapist in a meeting with you.
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Psychological Boundary Transgressions
• A white client calls a black client a racist name.• One staff shames another by stating “ your
clients relapse a lot. What does that say about you?”
• Your supervisor answers the phone three times during a supervision session you requested.
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Spiritual Boundary Transgressions
• Using scripture out of context and inappropriately: “An abused wife must submit to here husband.”
• Using religion to control or shame• While a client expresses and shows intense,
sobbing pain over an abusive situation, you begin to pray out loud for the “binding of demons,” without previously disclosing this possible option of care.
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Sexual Boundary Transgressions
• A client winks at you seductively during a therapy group.
• A co-worker makes comments about your body and says it reminds them about a particularly wild weekend and begins to tell you about it.
• A supervisor wants to know the details of the sexual lives of your clients. When you try to discuss other issues, the topic is always steered back to sex.
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Transference & Countertransference
• When the client projects their personal issues onto their counselor
• TRANSFERENCE
• When the counselor projects their personal issues onto the client
• COUNTERTRANSFERENCE
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Transference:
• When the client projects their personal issues onto their counselor.
• Their family of origin issues • Gender –specific conflicts• Unresolved authority/caregiver conflicts• Judgments/prejudices: ethnicity,
religious
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Counter-Transference:
• When the provider projects their personal issues onto their clients.
• Seduction
• Aversion
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Counter-transference: Seduction
• A strong need to have the client like or approve of you.
• A desire for them to succeed beyond what you have for other clients.
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Seduction con’t.
• The beginning of the blurring of the boundaries between professional and friend.
• Improper spiritual disclosure and spiritual adultery
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Counter-transference: Aversion
• A strong negative reaction to a client
• Loss of objectivity with the client
• May be evidenced by being too hard on the client: expecting more from them than you would from other clients.
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Aversion con’t.
• Delivering consequences more quickly and more severely than with other clients
• Relief when they miss appointments
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What are three typical problems associated with addiction
professionals and their relationship with A. A. ?
• Understanding anonymity
• Requesting reporting from the AA group
• Thoughtless referral practices
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Boundaries with Co-workers
• Expect a range of approaches & methods
• Accept that differences will always exist
• Respect and Positive Regard for others who are different in philosophy & lifestyle
• Be a positive influence to colleagues & staff