Lecture 2 Flashcards

(35 cards)

1
Q

Evolution of values and ethics:

A

Morality period
Values period
Ethical theory and decision-making
Ethical standards and risk management

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2
Q

Personal response from Frederick Reamer (2004)

A

‘I’ve broadened my definition of risk to include protection of clients, secondarily, social works themselves.”

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3
Q

Frederick Reamer (2008)

A

Minimise the risk of harm to clients and minimize the risk of ethics complaints and lawsuits. Since the mid-1990s. Focus of “personal responsibility” and somewhat moralistic position on the spectrum

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4
Q

Reamer 2011

A

Concerns of social media and the boundaries of dual relationships, confidentiality, privileged communication etc. “Ethics risk-management” the phenomenon of cybertherapy and eTherapy

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5
Q

What Felix Biestek had to say about evolution of values and ethics:

A
Individualisation
Purposeful expression of feelings
Controlled emotional involvement
Acceptance
Non-judgement attitude
User self-determination
Confidentiality (Caseworker relationship, 1957)
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6
Q

Values that are important for social work & human service practice (Reamer)

A
Respect of persons
Valuing capacity for change
Client self-determination
Client empowerment
Individual worth and dignity
Commitment to social change and social justice
Service to others
Professional competence
Professional integrity
Realisation of potential
Client privacy and confidentiality
Non-discrimination
Equal opportunity
Respect and diversity
Transmission of professional knowledge and skills
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7
Q

Purpose of practice

A

The purpose of practice is to position human welfare and human rights as a primary social responsibility, acknowledging that humanity exists in balance with the environment, and to celebrate and nurture the diversity of humanity. Social workers and human service practitioners are charged with the duty to respond, with passion, hope and care, to human need wherever and however it is manifested, and to work towards the attainment of social justice for individuals, groups and communities in a local and global context (Chenoweth & McAuliffe (2011), p. 16).

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8
Q

The ‘hub’ S/W & H/S Values

A
Humanity
Positive change
Choice
Quality service
Privacy
Difference and diversity
Valuing the environment
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9
Q

Distinctions

A
Ethical:
issues
problems
dilemmas
decision-making
challenges
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10
Q

Opportunities

A

Continued professional development
Assured sense of competency
Potential to pass on practice wisdom

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11
Q

Threats

A

Weakening of boundaries
Temptation to misuse power or resources for personal gain
Risk to reputation

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12
Q

Areas of most controversy in social work and human service practice - ethical taboos

A
Multiple/dual realtionships
Sexual and intimate relations
Concrete assistance/gifts and loans
Religious, spiritual and body-focused interventions
Confidentiality and disclosure
Imposition of personal values
Impaired practice
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13
Q

Multiple/dual relationships

A

can set up unclear relationships, expectations and boundaries; particularly difficult in rural practice.

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14
Q

Sexual and intimate relations

A

issues of power, control, coercion, vulnerability-never acceptable to engage in a sexual or intimate relationship with a current client- issues in relation to former clients difficult to negotiate

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15
Q

Concrete assistance/gifts and loans

A

can blur relationship boundaries, cause offence if cultural issues, set up unequal relationships and expectations

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16
Q

Religious, spiritual and body-focused interventions

A

can be used as legitimate therapeutic interventions depending on context, but can also be misused if imposition of beliefs; requires attention to evidence base of practice

17
Q

Confidentiality and disclosure

A

limits of confidentiality need to be explained clearly; duty of care can over-ride

18
Q

Imposition of personal values

A

can seriously impact on client self-determination and lead to clients not being given all information that they are entitled to have

19
Q

Impaired practice

A

can result from mental health issues, substance abuse, trauma or bereavement, vicarious trauma- a very serious issues that requires careful management

20
Q

top 5 unethical bethaviours

A

Sexual encounter with a current client
Borrow money from a client
Agree to be named as a beneficiary in a clients will
Accept an ex-romantic partner a a client
Falsify statistics in order to ensure a service is maintained (National Ethical Conduct Research McAuliffe, 2004)

21
Q

top 5 behaviours considered mostly ethical

A

inform clients about limits of confidentiality
break confidentiality if a client is suicidal
attend a clients funeral
report a serious criminal activity told in confidence
give a client a ride home in your work vehicle

22
Q

top 5 scenarios where it depends on ethically correct

A

engage in recreational or social activities with clients
hug or embrace a client
share information about your personal or family life
give a client a ride home in your work vehicle
Accept a hand-made gift from a client

23
Q

Other points of interest from survey

A

great debate about swearing with clients (matching language)
differences in rural and remote areas
more unethical to discuss (own) religious views with clients than praying with clients at their request
more unethical to discuss politics than religion

24
Q

Differences between personal and professional relationships (from Beddoe & Maidment 2009, p. 93)

A

Professional: paid, time-limited, structured, power over other, greater responsibility, responsibility to other stakeholders, involvement requires preparation & training, contractual agreement within timeframes, can I work with this person
Personal: Voluntary, forever, spontaneous, more equal power, equal responsibility, responsibility to family or community as citizen, no preparation required, personal choice and natural processes, do i like this person?

25
professional and personal relationships: Key principles
autonomy, paternalism, self-determination, privacy and confidentiality, social control and toleration, autonomy, paternalism and self-determination, is there a duty to help? a duty to warn? duty to protect? does autonomy=self-rule? is coercion ever justifiable? what is the role of statutory authority?
26
professional and personal relationships: privacy
Privacy: a moral right to be left alone, confidentiality-obligation not to disclose information without consent Anonymity-assurance of non-identification. These terms often confused and actual scope not understood-privacy does not often have a clear place in codes of ethics-bound up with self-determination
27
professional and personal relationships: confidentiality
not absolute, can be over-riden by duty of care concerns or legal obligation-needs to be very careful about clarity of obligations. Trust argument-no empirical evidence for this. questions raised about what information can actually be shared within a team, outside of an agency, with other interested parties? (links to informed consent)
28
social control and toleration
control and tolerance two sides of the one coin major question: who am I to tell someone else how to live? Concepts of 'cultural relativism' and 'absolutism'. social control= tendency to impose mainstream morality and lifestyle on others Tolerance should not be confused with valuing diversity
29
Professional boundaries
Lies in broader literature of applied and professional ethics literature only emerged since the 90s concept of risk management most challenging dilemmas most dilemmas are not clear cut rules are not enough-requires ethical decision making skills
30
Boundary Issues
arise when human services professionals encounter actual or potential conflicts between their professional duties and their social, sexual, religious or business relationships
31
Boundary crossings or breaches
occur when a professional is involved in a dual relationship with a client or colleague in a manner that is not necessarily exploitative, manipulative, deceptive, or coercive. Boundary crossings can be harmful, helpful or neutral
32
Boundary violations
occur when a practitioner engages in a dual relationship with a client or colleague that is exploitative, manipulative, deceptive, or coercive. It is a conflict of interest that causes harm. Intentional or unintentional
33
Harms to practitioners and clients
Might not be visible Psychological, physical, legal, deteriorating professional relationships-breaches of trust-foster unhealthy relationship. Exacerbation of previous trauma. Sabotage current and future treatment, override client need-practitioner need central. Unequal treatment. Compounds personal problems and burnout. Hinders ongoing professional development. Culture of secrecy. Encourages labelling of clients and blame culture. lose sight of professionalism.
34
Impropriety and the appearance of...
important concepts are impropriety and the appearance of impropriety. An impropriety occurs when boundaries are violated whereas the appearance of impropriety occurs when the conduct appears to be improper but in fact may NOT be.
35
So how do you know the difference between a crossing and a violation?
* Know it’s complicated * Understand that context is important and dangerous * Know everyone is vulnerable * Understand it * Develop knowledge and skills * Put it on the agenda * Utilise professional supports and resources * This distinction highlights the needs for all professionals to continually self-evaluate, seek advice and support and to document