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The listserv alone is rife with people looking for tips on how to approach their latest case, and members don't disappoint, usually offering guidance as rich and varied as the membership of AASECT itself. What can easily get overlooked, however, in the careful consideration of various clinical approaches, are the ethical issues at play.
For example, say a couple comes to you for counseling and, on top of the overarching concern they have brought to the table, you also perceive an underlying current of sexual coercion, verbal abuse, or possibly even domestic violence.
What do you do then? What are the ethical issues you should consider?
There are so many intricacies that can come into play when a therapist is approached by a couple in which she or he perceives there to be an unspoken domestic violence issue.
Depending upon the practitioner's background, there could be any number of clinical interventions he or she might choose to utilize in such a situation.
And knowing which technique is the most appropriate can be challenging in itself. But even when one steps back from questions of therapeutic technique to focus on the ethical and legal implications, the answers are often not black and white. Ethical decisions are those that help us decide how to do the 'right thing' based on a larger, more visionary picture of what healthcare, and the profession of sex therapy, should be.
What is one ethically required to do?
In looking at the various ethical principles that exist, no easy answers emerge. In fact, more often than not, asking these questions only brings up more questions. The answer to this varies from state to state. According to the " Compendium of State Statutes and Policies on Domestic Violence and Health Care ," compiled in by the Family Violence Prevention Fund, the laws in each state generally fall into one of four categories: Penalties also vary from state to state.
For example, in California, a failure to report is considered a misdemeanor. Possible punishments include monetary fines and jail time.
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And in addition to monetary fines and jail time, mandated reporters can be sued in a civil court for monetary damages for any harm caused by their failure to make a report to the New York State Central Register.
Parsing out the ethics of dealing with sexual assault in particular can be even more difficult, because the definition of sexual assault differs from state to state and, in some cases, is used interchangeably with that of rape.
This includes sexual touching and fondling. Some states use this term interchangeably with rape. The FBIon the other hand, uses this definition for rape, updated January 1, Penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim prev definition: Though many societies around the world don't tolerate the practice, it still remains outside the law in many countries, or is illegal but widely tolerated or unenforced.
To clarify these laws even further, reporting is not necessarily required in all sex crimes cases.
Rather, in most cases, it is only required where there is abuse of a "child" or "vulnerable adult. In cases in which the alleged victim is not a child or vulnerable adult, the victim must decide whether or not to report.Ethical Dilemma: When DV is suspected or disclosed by a consumer, the clinician must adhere to mandatory reporting laws and the ethical duty to protect, which is often opposed by the ethical issues of confidentiality and respect for consumers autonomy Domestic.
Transcript of Domestic Violence Ethical Dilemma in counseling setting Ethical Dilemma: When DV is suspected or disclosed by a consumer, the clinician must adhere to mandatory reporting laws and the ethical duty to protect, which is often opposed by the ethical issues of confidentiality and respect for consumers autonomy Domestic.
Dealing with a loved one’s alcohol abuse can be emotionally draining and that causes domestic violence to accelerate; “There were times of unexplainable malevolence, times when the alcoholic fuse caused an explosion of unseemly anger” (Muscles 67). Ethical Implications in Cases Involving Domestic Violence.
Parsing out the ethics of dealing with sexual assault in particular can be even more difficult, because the definition of sexual assault differs from state to state and, in some cases, is used interchangeably with that of rape. Behind Closed Doors In the story A Domestic Dilemma, Carson McCullers shows us what life is like for in the Meadows caninariojana.com informs us of the trials, tribulations and struggles that Martin faces while trying to take care of his family and deal with the fact that his wife, Emily Meadows, is an alcoholic.
Ethical Dilemma: If Your Neighbor Has Domestic Violence Problems, Would You Report It? Domestic violence is a serious problem all over the world, and even progressive countries like the United States have its own share of domestic violence problems.