They are a mix of Singaporean Chinese, Malay, Indian and some immigrants. There can also be ethical conflicts between duties of confidentiality, grounded in respect for patient autonomy, and both statutory and moral obligations to report child abuse, which are grounded in duties of care and protection Kaplan, Taylor and Adelman argued that the important issue is not the guarantee of confidentiality but the collaborative work with minor clients to reveal information.
While it is true that Singapore is a mix of different ethnic groups, each group has retained much of its Breaching confidentiality in counseling minors unique cultural character. On the other hand, some of us harbor tinted views of the ethnic minority that cause us to unwittingly impose upon them stereotypes and preconceived notions.
Research by Gustafson and McNamara recommended looking at Piagetian and Kohlberg stages as indicators of when minors Breaching confidentiality in counseling minors ready to make decisions with regard to their own treatment.
Suggestions for Minor Client Confidentiality Hendrix identified four positions concerning minor client confidentiality as a complete confidentiality with no disclosure to parents or othersb limited confidentiality for which minors waive the right to know what may be disclosed in advance, c informed forced consent when a child is provided advance notice that information will be revealed to parents or othersand d no guarantees made about confidentiality at all.
Some cultural differences that affect counselling relationships include communication styles, for example the way words and phrases are used, the degree of importance given to non-verbal communication, and the appropriate degree of Breaching confidentiality in counseling minors in communicating.
Counseling minors, ethical and legal issues. Other limitations included a relatively small sample as well as the reality that reactions on a survey do not always translate into the actual course a professional will choose when faced with an ethical dilemma.
However, counselors constantly struggle between the ethical obligation of privacy to their minor clients and their legal obligation to the parents of the same minor clients to keep their child protected and safe. The second factor that mitigates decisions to breach confidentiality is the degree of seriousness of the activity being revealed.
The majority of counselors are less ambivalent and certain they would provide contraception advice with minors of at least 14 years of age. Most minor clients who are placed in clinical treatment facilities will be unable to make crucial decisions for themselves.
Should parents or guardians be involved in the counseling process, the counselor must act with exceedingly professional expertise when disclosing confidential information. There may be fears and embarrassment about not being able to speak the language of the dominant culture well enough to express difficulties.
In attempting to seek information from the children, it is important to acquire permission before proceeding with the interview. Knowing our own culture is an important aspect of self-awareness, however, because we need to be able to recognise culturally-based differences.
The lack of significance among respondents based on any demographic, experience or training variable indicates agreement in attitudes across many counseling practitioners in this study.
Culture is a set of meanings that provides a sort of blueprint for how we should think, feel, and behave in order to be a part of a group.
They perceive confidentiality as being related in an important way to their willingness to self-disclose and seem to understand and accept that there are frequently limitations to absolute privacy in counseling p.
For example, one group of people may tend to complain about their physical problems, while another may deny having any pain and see it as a form of punishment. Prom, DeMartino, and Prout explained that professionals working with the same child routinely share information with each other, which is quite different from the way adult confidentiality rights are handled.
Privilege belongs to the client and the counselor asserts privilege for the client.
Further research is warranted to identify the developmental benchmarks used by counselors in affording autonomy in making decisions without involving families or other adults.
In my opinion, sensitivity includes respect and acceptance of who they are, the way they are and their beliefs. Parents of minors rather than minor clients are assumed to control privilege.
In intervention, counsellors need to be knowledgeable of the culture of their clients because each culture holds different ideas about what constitutes problems in living. This goes down well with the clients she sees who are pragmatic and time-conscious. Similarly in a counselling room, when we are with our client from a different culture, our awareness of our own culture tends to increase too.
Ruth felt incompetent when she encountered elderly people who often interrupted her during conversation to correct her. Confidentiality is a variously accorded legal right of clients and a primary responsibility of mental health counselors who are charged with making professional judgments that protect clients.
Professional School Counseling, 2, As a result the counselor may view the client as passive and resistant. Privacy, confidentiality, and privilege in psychotherapeutic relationships. Table 1 presents a breakdown by job category and the amount of experience counselors have had with similar ethical situations.
Australian Psychologist, 30, An externally oriented family may be interpreted by an internally focused counselor as procrastinators.Issue One: Breaching Confidentiality in Counseling Minors Before we move into the topic, we want to explore the issue of confidentiality in counseling.
This is applicable to not just minors but also all age groups, religions, cultures and genders. The original Confidentiality and Minors Questionnaire, designed by the authors based on information from current court decisions and legislative mandates about managing confidential information, was revised into the Survey of Counselor Attitudes to Breaching Confidentiality with Minor Clients.
Breaching confidentiality is allowed by ethical codes in special or extreme circumstances. For exam-ple, in Israel, the IASC () ethical code states right of receiving information provided by minors in counseling sessions (Achmon, ; Mitchell et al., Minors’ confidentiality in the United States is an ill-defined area not only.
in the confidentiality privilege" (Everstine et al.,p). Undoubtedly, breaking confidentiality in any case can interfere with the trust between client and professional and make it difficult to help the client.
Minors The primacy of confidentiality is clear in the codes of ethics and standards of practice for the American Counseling Association (ACA) and the American School Counselors. Describes the results of research that explored how mental health counselors consider the confidentiality of minors and conditions under which they would breach it.Download