boundaries in a dual relationship

In the mental health field, dual relationships can often be damaging to both the client and the therapist. There are several situations where dual relationships, whether considered ethical or not, affect the course of treatment for the client, and the personal lives of therapists. Although some forms of dual or multiple relationships are unavoidable, engaging in a personal relationship between patient and client always involves the possibility of skewing therapeutic results. Dual relationships are defined as having relations with the client outside of therapy, and in most cases it is considered to be unethical. There are four main types of dual relationships including professional, social, business, and sexual. A professional dual

Dual relationships and the ethical behavior that revolves around boundaries with clients present a multitude of very complicated situations to counselors where a clearly defined course of action is not always evident. Aside from no accord amongst mental health professionals and boundary issues being unavoidable at times, recognition and prediction of potential benefits or pitfalls correlated with dual relationships can prove to be troublesome as well (Remley & Herlihy, 2010). For most cases, it is best if an outline is used to discern when it is appropriate for a counselor to breach the client-counselor boundary.

The code also extends to include “former clients, their romantic partners, or their family members”. The code simply states that the counselor cannot have professional contact with the client within 5 years before or after a relationship. The counselor must also “demonstrate forethought and document”, in writing, the possibilities of exploitation, or potential harm to the former client. If either of these elements is present, then the counselor avoids the interaction or relationship. The code is AACC: Code of Ethics (2004) is defined as “Marriage with Former Clients/Patients” and the stipulations are explained that this type of relationship is allowed with three provisions. (p 8) First, the counseling sessions had to have been terminated without the influence of a relationship or potential relationship, also within the proper guidelines of termination as defined in the AACC: code of ethics guidelines. Secondly, the client must understand unequivocally that any further counseling must be by someone other than the counselor-spouse. Thirdly, there must be no harm to the client or the client’s family as a result in the change of the relationship between the client and the counselor. Lastly, the counseling or helping relationship must be terminated at least two calendar years prior to marriage.

As a counselor in training, I believe that counseling is a collaborative process between you and I. Counseling is a personal and safe process that deeply respects and honors each individual’s unique life experiences. Here are some aspects of counseling and therapy as I perceive and practive it: Therapeutic counseling

Counselors have a responsibility to monitor their effectiveness, in order to do this they need someone who is trained to assist them in understanding what is effective. Counselors have to seek supervision when appropriate and in order to do so a program needs to be in place that has supervisors readily available. The absence of clinical supervision may lead to counselors-in-training to lack the necessary skills to be a successful and productive counselor. Counselors need to develop a comprehensive understanding of the setting, population, needs, contexts and tasks of a counselor. As explained by Milne and Oliver (2000), Clinical supervision is central to initial professional training and to continuing professional development. It is necessary for counselors-in-training to refine their skills and get assistance in applying theories to any issues they may encounter with their clients. In addition to the everyday assistance necessary, a supervisor needs to present/model ethical behavior and counseling practices. In any profession the need for improvement is prominent and therefore any assistance and feedback given is appreciated and necessary. Expectations are increasing and therefore supervision is expected. Evidence shows that supervision results in school counselors’ increased effectiveness and accountability, improved professional development, and improved job performance, confidence, and comfort

In this scenario, as a psychologist I face several ethical issues. According to the American Psychological Association, Ethical Principles of Psychologist and Code of Conduct there are at least six standards I have to

Trading goods and services is can work out for the best when it is not clinically contraindicated, and the relationship is not exploitative. I am on the line with exploration. If I offered my client services for free with no work or payment in return, I can certainly help her with her sessions but it would be at a lost for me. I am offering her an exchange which will benefit her but it also benefits me.

I believe counseling is a collaborative partnership between client and counselor. Furthermore, this collaborative partnership is built from trust and acceptance of both client and counselor. I hope in conjunction with clients to understand the issues and concerns so to help them tap into their wisdom, creativity, and strengths to meet their current challenges. I believe in a comprehensive perspective through which clients can better comprehend themselves in the framework that our thinking about events can lead to emotional and behavioral upset. Moreover, counselors are to provide a safe environment for clients to explore their challenges and identify ways to move differently in overcoming these challenges.

For that reason, in the mental health professions, dual relationships are generally not recommended. Thus, if your friend who’s a psychologist assumes two more roles consecutively with a client, this is considered a dual relationship. For instance, if an individual held a role as a counselor and business partner, or client and friend, this is a considered a dual relationship. Common examples of dual relationships include: bartering therapy for goods or services; providing

This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.

Counseling is a relatively young profession when compared to other mental health professions. In my brief personal and professional experience with the field, I have come to define counseling as a process of engagement between two people, both of whom are bound to change through a collaborative process that involves both the therapist and the client in co-constructing solutions to concerns.

Geyer (1994) defines dual relationships as occurring when a mental health practitioner, “relates to a client in roles other than that of a mental health practitioner outside the therapeutic context” (p.187). Areas outside of context may include church, social gatherings, and organized events to name a few. The term dual relationship is interchangeably used with multiple relationships or nonprofessional relations. Corey et al. (2011) further defines this role as a professional who assumes multiple, two or more, roles at the same time with a client. The following paper will look to address a literature review of dual relationships along with a review of the California Association of Marriage and Family Therapist (CAMFT) and American Counseling Association (ACA) ethics codes regarding the topic. I will further provide personal reflections and values as they relate to dual relationships. In closing I will provide an ethical resolution to a hypothetical case and provide final thoughts.

A counselor should be very observant and able to interpret non-verbal communication for example if the patient looks angry, and then find out the cause of his/her anger first. An effective counselor should provide non-possessive warmth in a counseling environment. Smile and show concern and acceptance by showing comfort, empathy, and understanding to the patient.

Boundaries are extremely important in a counseling session. Setting boundaries and limits in therapy sessions represents an ethical decision that is set by each counselor, when entering a therapeutic relationship. In this presentation, I will discuss pertinent boundary issues that the staff has encountered, since working at this agency. Finally, I will describe how these boundaries are addressed and resolved at this site.

“Relationship” is a term that has been used in many different situations. It could imply the ties between two people in love, the bond between family members or close friends or colleagues or even the bond between a person and his or her pet. In conselling, relationship takes on a more specific meaning. The counsellor establishes rapport with the client based on trust, respect and mutual prupose. When there is good rapport, a positive psychological climate is created and vice-versa. The likelihood of desirable outcomes is greater when the psychological climate is positive. Mutual purpose means both the counsellor and client have common goals leading to what has been described as a