A licensing exam question about all of the above might look something like this: The two-year absolute prohibition immediately following termination is when a client's ability to exercise a fully autonomous choice with regard to a former treater seems most likely to be compromised, and when sexual involvement that had been suggested explicitly or by innuendo during treatment would most likely come to fruition. To the extent that an individual's autonomy is compromised, that individual may be less able to avoid entering into harmful or exploitative relationships. Cases outlined in the GSCC guidance include: In whichever direction the standard evolves, its evolution should rest upon solid clinical thinking and good research. See also Standard 3. This article is over 6 years old Aisha was exploited by a social worker after they started a relationship. The general principles set forth the values central to our profession. If yes, than B. Before considering termination, the social worker should explore the issue in supervision. In this manner, the standard is founded upon data about how to avoid a very high percentage--perhaps nearly all--of potentially harmful relationships. Experts working with offending clinicians often suggest guidelines to protect clients and prevent inappropriate dual relationships. Here we see the important relationship between the ethical and the empirical: Penny Thompson, the GSCC chief executive, said the guidance was "not a list of do's and don'ts" but was designed to stimulate reflection and discussion around a series of cases that had been heard by the body's conduct committee.
Aisha's ordeal is one of a growing number of cases of social workers found to have formed inappropriate relationships with their clients, which has led to disciplinary action, including dismissal and removal from the professional register. Sexual misconduct between a social worker and a client is often the end result of a series of boundary-related indiscretions in that relationship. The two-year absolute prohibition immediately following termination is when a client's ability to exercise a fully autonomous choice with regard to a former treater seems most likely to be compromised, and when sexual involvement that had been suggested explicitly or by innuendo during treatment would most likely come to fruition. The good news is that relatively few social workers become involved in such relationships. It may include overt and explicit sexual behavior—such as sexual intercourse, oral sex, or fondling—or sexually suggestive behavior, such as using sexual humor and making suggestive remarks or glances. Here we see the important relationship between the ethical and the empirical: Analyzing this issue requires examining post-termination sexual involvements from at least two perspectives: Social workers, it will say, need to take particular care to ensure their support for vulnerable clients does not develop into something more. The relationship ultimately became sexual, although Smith was married with children. This question is important because a post-termination sexual involvement will preclude the possibility of any further professional relationship between the psychologist and client. Some clinicians appear to struggle with their own major mental illness, which can take the form of borderline, narcissistic, impulse control, and antisocial personality disorders. This question is centrally important because the first general principle of the Ethics Code involves nonmaleficence: When are post-termination involvements most likely to occur? Even now, Aisha, 46, admits she felt supported by some aspects of the relationship, which began during the three years that Smith was assigned by the local council to her family and continued for more than five years. If yes, than B. Happily, there's another, better answer here: He gave her a Bible and tapes of sermons and took her to church. Would you refer the client without telling him why? All of this really could be folded into the dual relationship section of the code, but given that this is an area that social workers and other therapy types lose their licenses over with some regularity, it seems to have warranted its very own detailing. There were grey areas in a social worker's dealings with a client that did not apply to other caring professions, Thompson said. Are individuals able to exercise a truly autonomous choice to enter into a sexual involvement with a former treating psychologist? Experts working with offending clinicians often suggest guidelines to protect clients and prevent inappropriate dual relationships. Maybe this client does need to be referred out. Psychologists strive to do no harm. Note three things about Ethical Standard Within three weeks, Melvin and Iris were involved sexually.
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