Social Work, 45 3. Another example is if a social worker attends the same step group as a client. Is competent consultation available and used? And there may be therapeutic reasons for crossing the professional boundaries, too, such as eating a meal in a family-based treatment visit or attending the funeral of a hospice patient. They argue that being too dogmatic about avoiding dual relationships diminishes the essence and authenticity of social work. Using the critical dimensions of power, duration, and termination, the model recommends that social workers do the following: Dual relationship legitimization and client self-determination. The distinction between crossings and excursions may lie in the difference between inadvertent and deliberate. Ethics in community mental health care: What about intimate gestures such as sending a card? Protection of social workers from liability:
The social work Code of Ethics stipulates that if a dual relationship is exploitative, whether it begins before, during, or after a professional relationship, it should be avoided. But are these situations always wrong? Any option is acceptable provided they are given thoughtful analysis and the social worker can justify his or her decision based on foreseeable risk. Often they are inevitable, especially when the social worker is in private practice or practices in a rural setting or a denominational agency. Student cases in social work ethics. Families in Society, 89 1 , The social worker differentiates the roles, never providing counseling to the patients for whom he has the fiduciary role and responsibility. Ethical issues related to professional boundaries are common and complex. A relativist believes that moral standards are personal, subjective, and situational. Freud contends that bartering can be an empowering equalizer, that the traditional distancing accepted in psychosocial counseling prohibits authenticity and keeps the client in a one-down position, as if they have nothing to give. Protection of social workers from liability: Personal benefit monetary gain: Should the social worker limit his or her involvement in the group? They argue that being too dogmatic about avoiding dual relationships diminishes the essence and authenticity of social work. Is he or she likely to misinterpret behavior, or does he or she have a strong sense of self that could distinguish roles? Social Work, 45 3. Beyond the code of ethics, part II: Rural communities often have a limited pool of healthcare and mental health providers. In fact, she prefers calling them consecutive or concurrent relationships, arguing that the contexts in which dilemmas arise do not easily fit into the guidelines of the code. She refers to the American Psychological Association, which provides the following specific contextual factors when deciding whether a dual relationship is appropriate: She is the founder of Clinical Support Associates, providing supervision, consultation, and training to professional social workers. The person in the process. The client also overhears the social worker talking about her plans to try to adopt a child. Many of us are in the social work profession because we find it rewarding; it fills an emotional need. The professional relationship is a fiduciary one.
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