Transcript Chapter 3

Chapter 3
Values and the Helping
Relationship
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
Values and the Helping Relationship
Research has provided evidence that therapists’ values influence
every phase of psychotherapy, including:
– theories of personality and therapeutic change
– assessment strategies
– goals of treatment
– the design and selection of interventions
– evaluation of therapy outcomes
Issues and Ethics - Chapter 3 (1)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
Values Pertaining to Sexuality
Counselors need to know their attitude toward:
– the belief that sex should be reserved for marriage only
– sex as an expression of love and commitment
– casual sex
– group sex
– extramarital sex
– premarital sex and teenage sex
– homosexuality
– internet sex talk
Issues and Ethics - Chapter 3 (2)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
Values Pertaining to Abortion
Millner and Hanks’ (2002) recommendations when making
ethical decisions in cases involving a discussion of abortion:
1. Make a comprehensive examination of your own moral
and ethical views on abortion.
2. Determine when your own personal ethics would make it
difficult for you to be objective and respectful of the client’s
autonomy.
Issues and Ethics - Chapter 3 (3)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
Values Pertaining to Abortion
3. Be prepared to refer clients to other professionals when it is
appropriate.
4. Become familiar with state and federal laws pertaining to
abortions.
5. Anticipate circumstances that would make it difficult for you
to maintain a sense of objectivity because of a value conflict.
Issues and Ethics - Chapter 3 (4)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
Spirituality and Religion
Spirituality refers to:
– general sensitivity to moral, ethical, humanitarian, and
existential issues without reference to any particular
religious doctrine.
Religion refers to:
– the way people express their devotion to a deity or an
ultimate reality.
Key issues:
– Can the counselor understand the religious beliefs of
the client?
– Can the counselor work within the framework of the client?
Issues and Ethics - Chapter 3 (5)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
Role of Spiritual and Religious Values in
Counseling
Religion and spirituality are oftentimes part of the client’s
problem and can be part of the client’s solution.
Spirituality and religion are critical sources of strength for
many clients.
Spirituality and religion should be incorporated in the
assessment and treatment process.
Counselors need training in using a variety of intervention
strategies in working with clients on their spiritual concerns.
Issues and Ethics - Chapter 3 (6)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
• Questions p. 97 (Corey)
Difference between religion & counseling –
counseling does not involve the imposition of
counselors’ values on clients; clients decide
what values to retain, replace or modify (p. 94,
Corey)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
End-of-Life Decisions
Various continuing care or treatment options exist:
– Aggressive treatment of the medical condition(s)
– Life-sustaining treatment
– Medical intervention intended to alleviate suffering
(but not to cure)
– Withdrawing life-sustaining treatment
– Voluntary active euthanasia
– Physician-assisted suicide
Issues and Ethics - Chapter 3 (7)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
End-of-Life Decisions: Key Terms
Rational suicide
– When a person has decided—after going through a
decision-making process and without coercion from
others—to end his or her life because of extreme suffering
involved with a terminal illness.
Aid-in-dying
– providing a person with the means to die; the person selfadministers the death-causing agent, which is a lethal dose
of a legal medication.
Issues and Ethics - Chapter 3 (8)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
End-of-Life Decisions: Key Terms
Hastened death
– ending one’s life earlier than would have happened without
intervention. It involves speeding up the dying process,
which can entail withholding or withdrawing treatment or
life support
Advance directives
– written documents that specify the conditions under which
people wish to receive certain treatment or to refuse or
discontinue life-sustaining treatment
Issues and Ethics - Chapter 3 (9)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
• p. 105 – Corey
- assist with informed decision making
- assess for depression
• Difference between hastening death in the
case of a terminal illness and suicide in the
case of severe depression – p. 108 (Corey)
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
Videos
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning
Complete the “list of potential clients” Page 83
– 84 (Corey) individually, then do suggested
activities p. 110 #6 with a partner.
Corey, 8e, ©2011, Brooks/ Cole –
Cengage Learning