Ethical dilemmas

AbstractThis paper looks into the legal and physiological as rise as a counselors best measures to take in pillow issue of an exigency relating to an ab utilize woman who has a baby that could suffer if the woman is advance exposed to the harm she has been undergoing.Introduction honest predicaments are offset by conflict of respect fitted codifications and a patients interest. harmonize to Hill, Glaser and Harden, an honest dilemma is a take of no appropriate course of action, since each(prenominal) course of action conflicts with a set code of ethics completely which expose the decision lay downrs to uncertain guesss (18-19). As such, the clinician or therapist has to prise the best course of action, table service and recommendations to conclude a case without exposing some(prenominal) himself and the patient to risks.In this case, denim is faced by an honorable dilemma in which she has to weigh her options without destroying her therapeutic relationship with bloody shame and her work. denim has to esteem her professional codes, the possible legal implications and the clients gather ups in advance embarking on finding resolve.Though bloody shame is now absorbed in the counseling, its not clear how committed she is to the therapy, secondly, bloody shame is possibly in like manner stirred uply impaired that, she is confused nigh positive resolve. bloody shames from the onset doesnt want her problem to be exposed, and also, she is afraid her decisions top executive result to further complexion of her life, endanger her little boy and subsequently expose her to risks. She has confided in jean and blue jean has, through professional ethics, to stress a proper methodology of arresting bloody shames problem.According to Hill, Glaser and Harden, ethical consideration which covers intuitive and cognitive levels of reasoning and concrete places for ethical decision devising, and comments is seen to arise as bloody shame does not want to be known that she is attending counseling lessons most definitely by her married man. Issues of regarding the selective information and situation of the victim confidential is conflicting with a set of procedures which would help resolve bloody shames case. As such some ethical considerations on the side of dungaree are demand so as to find a solution and to more appropriately help Mary and the boy.Ethical considerations jean has an obligation to safeguard respect for persons. This translates to respecting the autonomy and self-government of the victim. The context of confidentiality arises as the foremost problem jean is facing. Mary is want redress however she is still rigid about eventualities which she has to face in the event of complete separation with her husband. Most accurately, she is fiscally unable then would rather tolerate further abuse than starve in the streets. From this perspective, denim is facing a weighty ethical dilemma since she has to evaluate the need for assisting this woman while at the same time she remains soundless about her problem.This is a result of Marys anxiety about the destructive social, material, psychological and legal consequences of disclosing her experience. Her situation is characterized by inst might, in credentials, fear, dependance and loss of autonomy.Jean has a duty to protect those who lack autonomy, including providing security from harm or abuse. Any legal action aimed at Marys husband leave behind certainly invoke an impasse which will further affect Mary. Mary has confided in Jean and Jeans responsibility is to weigh and assess the options best suited to help Mary without further infringing her physiological well being. However, Jean has a more profound role in her capacity she is now entrusted with the welfare of Mary and the barbarian involved (Nama & Schwartz 2002). She has a role which includes minimizing risks and assuring that benefits which Mary will view outweigh risks and eventualities which would harm Mary and her child.The child is another issue which Jean has to ethically consider. The child has suffered and is still exposed to twain physical and physiological dangers. Jean has a duty to ensure that, the child is protected and that she every bit distributes the benefits of child protection without infringing Marys physiological well being (Brasseur 2001).On this child issue, research has shown that both maternal depression and social severeness lead to compromised social, cognitive, and emotional outcomes for infants (Murray & Cooper, 1997), as such Jean has a enormous responsibility to help the child as well.Read also Ethical Dilemma Glengarry Glen Ross by David MametHowever Jean has to weigh the li talent incurable if she helps the victim. Her decisions and involvement in implementing the most effective and concise decisions might result to drastic legal repercussions on her side (WHO 2007). According to Nama and Schwartz, as a social worker, Jean might find herself going beyond her employer code of ethics (6).ConfidentialityThe context of confidentiality comes up when Mary confesses her traumatic life and the excellent issue of the boys harassment. Jean has been privileged by Mary as a confidant irrespective of her position as a social worker. Secondly, Mary has testified that the boy is in great risk if the arrive continues to be near him. The need for confiding is to edge nearer to the fairness about both Marys and the babys terminal figure and if the contract had in any way molested or even sexually assaulted the baby.This is based on the fact that Mary wants the issue of the baby and the father kept secret. Jean has a duty to warn the patient of the threatening dangers of going back to her husband and the subsequent eventualities on the baby (143). The husband might be more violent and as he is used to, beat her and abuse the child. Jean should, assess and enter Marys problems and inform the liable government.This way, the principles of the practice of informed consent wont put Jean at a risk of prosecutions since if the clients safety is jeopardized, Mary risked with her consent fully aware of the implications as advised by Jean (Bednar et al., 1991). According to Hill, Glaser and Harden, the protection of Mary takes precedence over Mary agreeing to intervention in this emergency situation (143).Addressing the issuesFrom the onset, Jean should document Marys case and inform the facilitator of the impeding problem. This way she will be able to present credible evidence about Marys case to any referral or during counseling. Documenting Marys case is the initial misuse to address the problem. This, she should do in a manner that wont risk the confidentiality of the victims. She should make available the basic care Mary and the child need. This she should do at the earliest convenience even before Mary tells onward any further problems she is facing.Jean has already assessed the immediate consequ ences of foregoing manipulation and since Marys behavioral reaction to the current situation is potentially calumnious to herself and the baby. If help is not offered immediately, she has to take whatever steps are necessary to ensure no harm comes to Mary and the baby (Bednar et al). As such, Jean has to protect the confidentiality to ensure the baby and the mothers are safe as well as herself (WHO, 2001).Jean should take into consideration that the victims physical safety is the most important step as such she should not allow Mary to leave the facility whatsoever until a resolve is found. Also, she should make sure the confidentiality of the victim remains prioritized. Each resolve she uses should be aimed at reducing any possible caused to Mary. The baby should be granted all necessary child protection amenities and kept safe. This should be prioritized to avert Marys irrationality from taking unprecedented emotional toll on the baby. These actions will safeguard both the mot her and baby. addressThere is an urgent need for Jean to consult with relevant authorities about the issue of the husband. This is based on an intuitive and the critical critical levels of moral reasoning as argued by Kitchener (1984). This will help Jean nominate a background and a foreword on what Mary needs in therapy and if, she Jean, is capable or cannot, based on a cognitive evaluation of the confidence aspect of the case, continue to counsel Mary. This will promptly lead to consulting with another counselor to help Mary.Jean has to forecast if the cognitive and rational respites are good for both the subjects and herself, and if, in her perspective, would they gibe her (Hill, Glaser and Harden, 12).Through consultation Jean can be able to chance upon a better treatment.She and the colleague can re-examine the data Jean has collected about the patient and come up with a more decisive resolve. The new resolve might affect Mary and respite the ethics of confidentiality, bu t they are effective and would result to helping Mary once and for all. Not to honor the clients choice without compelling reasons would constitute a paternalistic response from the Jean (Hill, Glaser and Harden, 25).The considerations here should aim at making sure more benefits and less harm came to Mary conceptually regardless of her perception. Jean will continue to evaluate and consult about the case to find more appropriate resolves in principal. To consult with someone and document the consultation when in doubt is a mandatory practice which Jean should not ignore. Consultation is mandatory since the situation involves physical harm to both Mary and the baby and threats and circumstances in which abuse is susceptible (Hill, Glaser and Harden, 25).ResponsibilityJean Is now bound in principal as the guardian to Mary. She has to deliver the goods up the case and make sure that Marys therapy continues so as to have her empowered to become independent and have the ability to have autonomy and an emotional balance so as to make rational decisions. Her commitment to Mary is to ensure Mary recovers and regains her autonomy some other considerationsJean should assess if the potential risk of Mary and the boy glide slope to harm and if all suggestions made to clients were meant to ensure clients safety.She should make sure Interventions initiated to return the risk of the baby coming to harm. On the case of the mother, she should consult clinical opinions regarding clients capacity so that she can assess if the mothers ability to determine right from wrong. Consultation with other professionals and supervisors so as to have Mary watched and advised incase she is not within proximity of the facility. whole works citedBrasseur. D (2001) Ethical considerations in clinical trials(CPMP)Hill, M., Glaser, K., & Harden, J, () A feminist model for ethical decision makingMurray, L., & Cooper, P. (Eds). (1997). Postpartum depression and child development. impudent York The Guilford Press.Nama.N., & Swartz.L., (2002) Ethical and Social Dilemmas in Community-based Controlled Trials in Situations of Poverty A trip up from a South African Project Journal of Community & utilise Social Psychology 12 286297