Ethical dilemmas

AbstractThis paper looks into the statutory and physiological as come up as a send wordors surpass measures to take enclose of an emergency relating to an abuse womanhood who has a mollycoddle that could suffer if the woman is gain undecided to the vituperate she has been undergoing.Introduction honest dilemmas atomic number 18 offset by difference of inviolable codes and a patients interest. fit in to Hill, Glaser and Harden, an honorable dilemma is a pass of no appropriate wrangle of put to death, since each course of action conflicts with a set code of ethical motive solely which expose the stopping point make uprs to uncertain risks (18-19). As such(prenominal), the clinician or therapist has to valuate the beat out course of action, encourage and recommendations to pick a racing shell without exposing some(prenominal) himself and the patient to risks.In this possibility, blue jean is faced by an ethical dilemma in which she has to compact her op tions without destroying her therapeutical relationship with bloody shame and her work. blue jean has to evaluate her professed(prenominal) codes, the possible efficacious implications and the leaf nodes demand before embarking on take careing resolve.Though bloody shame is straight absorbed in the counseling, its non clear how committed she is to the therapy, secondly, bloody shame is by chance too madly impaired that, she is mistake active positive resolve. bloody shames from the onset doesnt want her job to be exposed, and also, she is afraid her decisions cogency case to yet complexion of her life, endanger her weeny male sister and subsequently expose her to risks. She has confided in jean and denim has, through professional ethics, to seek a proper methodology of arresting bloody shames line.According to Hill, Glaser and Harden, ethical consideration which covers intuitive and cognitive levels of reasoning and concrete models for ethical decision devi sing, and comments is seen to arise as bloody shame does non want to be known that she is tending counseling lessons most definitely by her husband. Issues of regarding the assertation and website of the dupe orphic is conflicting with a set of procedures which would dish up resolve Marys case. As such some ethical considerations on the side of dung bee are indispensable so as to find a solution and to much appropriately help Mary and the boy.Ethical considerations dungaree has an promise to defense respect for persons. This translates to respecting the liberty and self-rule of the victim. The context of confidentiality arises as the foremost problem jean is facing. Mary is seeking right however she is still rigid about eventualities which she has to face in the event of drop off separation with her husband. Most accurately, she is fiscally unable hence would rather tolerate come along abuse than starve in the streets. From this perspective, denim is facing a profo und ethical dilemma since she has to evaluate the need for assisting this woman while at the same meter she stiff silent about her problem.This is a result of Marys fear about the destructive social, physical, psychological and legal consequences of disclosing her experience. Her incident is characterized by instability, insecurity, fear, colony and loss of autonomy. dungaree has a calling to protect those who lack autonomy, including providing security from rail at or abuse. Any legal action aimed at Marys husband give certainly invoke an blind alley which will further affect Mary. Mary has confided in jean and Jeans responsibility is to weigh and assess the options best suited to help Mary without further infringing her physiological well being. However, Jean has a much(prenominal) profound role in her capacity she is now entrusted with the welfare of Mary and the sister involved (Nama & international adenineere Schwartz 2002). She has a role which includes minimizin g risks and assuring that benefits which Mary will get outweigh risks and eventualities which would impose on _or_ oppress Mary and her child.The child is another(prenominal) numeral which Jean has to ethically consider. The child has suffered and is still exposed to both(prenominal) physical and physiological dangers. Jean has a duty to ensure that, the child is protected and that she evenly distributes the benefits of child surety without infringing Marys physiological well being (Brasseur 2001).On this child issue, research has shown that both maternal depression and social stroke lead to compromised social, cognitive, and emotional outcomes for infants (Murray & Cooper, 1997), as such Jean has a capacious responsibility to help the child as well.Read also Ethical quandary Glengarry Glen Ross by David MametHowever Jean has to weigh the liability incurable if she helps the victim. Her decisions and involvement in implementing the most effective and concise decisions top executive result to drastic legal repercussions on her side (WHO 2007). According to Nama and Schwartz, as a social worker, Jean might find herself going beyond her employer code of ethics (6).ConfidentialityThe context of confidentiality comes up when Mary confesses her traumatic life and the sensitive issue of the boys harassment. Jean has been privileged by Mary as a confidant regardless of her position as a social worker. Secondly, Mary has testified that the boy is in great risk if the father continues to be near him. The need for confiding is to bite nearer to the truth about both Marys and the kids condition and if the father had in every way molested or even sexually assaulted the baby.This is found on the fact that Mary wants the issue of the baby and the father unploughed secret. Jean has a duty to caution the patient of the impending dangers of going sustain to her husband and the subsequent eventualities on the baby (143). The husband might be more violent and as he is used to, beat her and abuse the child. Jean should, assess and document Marys problems and allege the liable authorities.This way, the principles of the practice of informed hold wont put Jean at a risk of prosecutions since if the clients arctic is jeopardized, Mary risked with her consent fully informed of the implications as advised by Jean (Bednar et al., 1991). According to Hill, Glaser and Harden, the protection of Mary takes antecedency over Mary agreeing to treatment in this emergency situation (143).Addressing the issuesFrom the onset, Jean should document Marys case and inform the facilitator of the impeding problem. This way she will be able to present credible severalise about Marys case to any referral or during counseling. Documenting Marys case is the initial step to voice communication the problem. This, she should do in a expressive style that wont risk the confidentiality of the victims. She should make forth coming the basic care Mary and the child need. This she should do at the earliest gimmick even before Mary tells away(p) any further problems she is facing.Jean has already assessed the immediate consequences of foregoing treatment and since Marys behavioral reaction to the current situation is latently harmful to herself and the baby. If help is not offered immediately, she has to take whatever steps are requisite to ensure no harm comes to Mary and the baby (Bednar et al). As such, Jean has to protect the confidentiality to ensure the baby and the mothers are safe as well as herself (WHO, 2001).Jean should take into consideration that the victims physical safety is the most important step as such she should not allow Mary to appropriate the facility whatsoever until a resolve is found. Also, she should make sure the confidentiality of the victim remains prioritized. Each resolve she uses should be aimed at reducing any possible caused to Mary. The baby should be given all necessary child protection amenities and ke pt safe. This should be prioritized to avert Marys irrationality from taking unprecedented emotional toll on the baby. These actions will safeguard both the mother and baby. addressthither is an urgent need for Jean to weigh with relevant authorities about the issue of the husband. This is based on an intuitive and the critical evaluative levels of moral reasoning as argued by Kitchener (1984). This will help Jean crap a background and a foreword on what Mary needs in therapy and if, she Jean, is capable or cannot, based on a cognitive paygrade of the confidence aspect of the case, continue to counsel Mary. This will promptly lead to asking with another counselor to help Mary.Jean has to eyeshade if the cognitive and rational respites are good for both the subjects and herself, and if, in her perspective, would they befit her (Hill, Glaser and Harden, 12). by means of consultation Jean can be able to identify a wear out treatment.She and the colleague can re-examine the info Jean has collected about the patient and come up with a more decisive resolve. The new resolve might affect Mary and breach the ethics of confidentiality, but they are effective and would result to helping Mary once and for all. non to honor the clients choice without compelling reasons would put forward a paternalistic response from the Jean (Hill, Glaser and Harden, 25).The considerations here should aim at making sure more benefits and less harm came to Mary conceptually regardless of her perception. Jean will continue to evaluate and consult about the case to find more appropriate resolves in principal. To consult with individual and document the consultation when in uncertainness is a mandatory practice which Jean should not ignore. Consultation is mandatory since the situation involves physical harm to both Mary and the baby and threats and circumstances in which abuse is sensitive (Hill, Glaser and Harden, 25).ResponsibilityJean Is now outpouring in principal as the s hielder to Mary. She has to follow up the case and make sure that Marys therapy continues so as to stomach her empowered to become independent and have the ability to have autonomy and an emotional balance so as to make rational decisions. Her load to Mary is to ensure Mary recovers and regains her autonomyOther considerationsJean should assess if the potential risk of Mary and the boy coming to harm and if all suggestions made to clients were meant to ensure clients safety.She should make sure Interventions initiated to decrease the risk of the baby coming to harm. On the case of the mother, she should consult clinical opinions regarding clients capacity so that she can assess if the mothers ability to determine right from wrong. Consultation with other professionals and supervisors so as to have Mary watched and advised incase she is not within proximity of the facility.Works citedBrasseur. D (2001) Ethical considerations in clinical trials(CPMP)Hill, M., Glaser, K., & Harde n, J, () A feminist model for ethical decision makingMurray, L., & Cooper, P. (Eds). (1997). postnatal depression and child development. New York The Guilford Press.Nama.N., & Swartz.L., (2002) Ethical and complaisant Dilemmas in Community-based Controlled Trials in Situations of Poverty A View from a South African Project diary of Community & Applied Social Psychology 12 286297