Cultural & Ethical Dilemmas

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Cultural & Ethical Dilemmas for Rehabilitation Counselors

Use the case study to develop a scenario of an ethical dilemma addressing each principle. You should have five (5) ethical dilemmas from the 5 ethical principles. (Autonomy, Nonmaleficence, Beneficence, Justice, and Fidelity). Following each ethical principle for the client from the case study should have: 1) a dilemma; 2) a selected course of action; 3) reasons why precedence should be given, in that situation, using the code of ethic(s). For each scenario the client must be a different ethnicity. Cultural considerations should be addressed. Please use the format provided. References should be in APA format.

 

Case Study

The client is a 30-year-old male who lives with his parents; father and mother, ages 55, and sister, age 18. He loves his home environment and gets along with his family members. He was diagnosed with Renal Disease secondary to Type I Diabetes. He developed Type I Diabetes at the age of 16 and has recently developed Renal Failure requiring dialysis twice weekly. After being diagnosed with Renal Disease and developing Renal Failure, Mr. Velázquez reports having frequent feelings of depression and anxiety due to stress and limited pain management.

Vocational objective: To become employed as a receptionist. With counseling, medical services and reasonable accommodations, he should achieve functional capacity for clerical work. He is a high school graduate and has completed two years of college. He enjoys people and would like to secure employment as a receptionist. Mr. Velázquez has some experience with clerical work from previous employment as a convenience store clerk, but he will need short term vocational training to improve his skills.

 

Format

Ethical Principle #1

Define this principle in your own words

Ethical Dilemma

The example of the dilemma should be written in paragraph format

Course of Action

This will state the decision you will make in dealing with the dilemma as the client’s counselor. This should be written in third person.

Code of Ethic(s)

This should state the code of ethics used to support the course of action taken.

Ethical Principle #2

Define this principle in your own words

Ethical Dilemma

The example of the dilemma should be written in paragraph format

Course of Action

This will state the decision you will make in dealing with the dilemma as the client’s counselor. This should be written in third person.

Code of Ethic(s)

This should state the code of ethics used to support the course of action taken.

Ethical Principle #3

Define this principle in your own words

Ethical Dilemma

The example of the dilemma should be written in paragraph format

Course of Action

This will state the decision you will make in dealing with the dilemma as the client’s counselor. This should be written in third person.

Code of Ethic(s)

This should state the code of ethics used to support the course of action taken.

Ethical Principle #4

Define this principle in your own words

Ethical Dilemma

The example of the dilemma should be written in paragraph format

Course of Action

This will state the decision you will make in dealing with the dilemma as the client’s counselor. This should be written in third person.

Code of Ethic(s)

This should state the code of ethics used to support the course of action taken.

Ethical Principle #5

Define this principle in your own words

Ethical Dilemma

The example of the dilemma should be written in paragraph format

Course of Action

This will state the decision you will make in dealing with the dilemma as the client’s counselor. This should be written in third person.

Code of Ethic(s)

This should state the code of ethics used to support the course of action taken.

What other information would you like to learn during the interview with the family?

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Create a brief response to each of the following questions

 

1. What other information would you like to learn during the interview with the family?

 

What questions would you ask?

2. In addition to the clinical interview, what other clinical assessment tools should you consider? Why

3. Although you need more information to begin treatment, what factors might you take into consideration in designing an effective intervention for this family?

4. If you were preparing to diagnose Clara, you would refer to the DSM-IV classification system to evaluate her condition on five separate axes. What type of information would go into each axis?

 

Which other strategies can Fred employ to reduce the likelihood of groupthink during the meeting?

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According to Irving Janis (1972), groupthink is the process by which we conform to others’ decisions even when we individually disagree with these decisions.

Imagine that Fred is the manager of a bookstore, and the sales of books have slowed in recent months. Fred decides to meet with his employees to find ways to reduce expenses and increase sales.

To reduce the possibility of groupthink before the start of the meeting, Fred encourages everyone to speak up with their opinions—no matter what those opinions are.

    • Discuss why groupthink takes place. What characteristics of a group most often lead to groupthink?

 

    • Do you agree with Fred’s strategy to reduce the likelihood that groupthink will occur?

 

  • Which other strategies can Fred employ to reduce the likelihood of groupthink during the meeting?

 

Please include 3-4 academic reference written in APA

The medical profession has made huge leaps in their understanding of every phase of development.

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Chapter 9: What Should you do?

After reading chapter 9 on development, you know how important the prenatal life is to the developing embryo/fetus.  The medical profession has made huge leaps in their understanding of every phase of development.  Today, we have a much more thorough understanding of the effects of teratogens (e.g., viruses, drugs/alcohol, radiation, etc.) in development.

I once taught a developmental psychology class at another college (I won’t say which one).  A women in the class (around 35 years of age) reported to the entire class that “she drank throughout [her] pregnancy, and nothing is wrong with [her] son.”  I stood in amazement, and the class gasped in unison.  I was at a loss for words.  Well, as it came out later in the semester, there were many things that were challenges to this woman’s son (I think she forgot the story that she told to the rest of the class in the beginning of the semester)–he had cognitive deficiencies, an attention problem, learning disabilities…… Anyway, at the end of the semester, she showed me a picture of her son, and he clearly had features of Fetal Alcohol Syndrome.  This child will forever be affected by this woman’s choice to drink while she was pregnant (especially during the 2 to 4 month period of development), and it is COMPLETELY AVOIDABLE.

Now, imagine that you were at party or restaurant and you saw a pregnant woman drinking–not just a glass of wine, but several alcohol drinks…… one after another.  What would you think about this behavior?   And, would you say something?  Do you think we have a duty to protect the unborn child from this woman’s choices, or do you think this woman should be free to make whatever choices she wants until the baby is born?