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In the case study of Robin, the main elements of the dilemma lie in different aspects relevant to the aspect of counselling which needs significant consideration to understand the patient's mental and Physical health and provide solutions in the counselling aspect. The first dilemma element is found in clients due to their financial limitations. In the case study, it has been found that a Trans person Robin is experiencing poor mental health, an intense exercise regime and an eating disorder. Due to this, he seeks counselling. However, Robin’s inadequate mental health limited his working opportunities and for that, he is still jobless. He relies on his parent’s financial support, which makes him depressed. For that, he is seeking a low-cost counselling service. He comes for the first session of therapy at his parent's request (Referred to case study). His financial dependency severely affects his self-ego and creates a dilemma in his mind. This gets a big picture during her last session of therapy when she fails to bring payment for her last session due to which she did not attend her next booking session.
Additionally, another essential element in the dilemma is Robbin's autonomy. A person has the right to the freedom of being autonomous. Similarly, Robin is a young person who understands self-determination as well as understanding independence. During his therapy sessions, he has the right to make his own decisions (M.A & B.A, 2021). Robin was initiated by his parents to take counselling which made other complications in his mind. This is due to his parents' willingness to join the therapeutic session suppressing his independence principle. Maintaining both the client's and his parents' desires is another challenge full element for counsellors as this needs significant balance.
A counselor's ethics rely on maintaining they are duty of care for patients and professionalism they act in their client's best interest boosting clients' goals, safeguarding clients' rights, increasing goods and reducing harm (Researchgate, 2023). Overall working honestly as a counsellor is the main ethics code. In the case of Robin, the counsellor also experienced a dilemma due to her ethics. The counsellor has the responsibility to ensure Robin’s well-being however his last session absence made him really worry about himself. Besides that, he must know about Robin's financial condition and his non-payment reason due to this he has to navigate the financial stress that can be generated by his absence and the last session's non-payment. The ethics code and professionalism also create dilemmas in counsellors' minds.
Before delving into understanding the ethical dilemma there is a need to know about actors' responsibility. It provides significant knowledge and makes it easy to understand ethical dilemmas. In this case study the whole incident revolves around Robin. As a therapeutic patient, Robin has the responsibility for understanding his parent's concerns about him. Additionally, he also has to understand that actively participating in those therapy sessions can be beneficial for him as this is heavily connected with openly talking about their dilemma and concerns and maintaining his autonomy. Additionally, he also has the responsibility to provide payment as per the payment schedule for the beauty session which hinders his self-determination.
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In this case, the next primary actor is a counsellor who has maximum responsibility toward Robin as well as the therapy centre. Maintaining the ethics code and patient and service providers' long-term relationship integrity is the primary responsibility of the counsellor (LPC et al., 2021). When Robin goes through a phase of dilemma and autonomy restriction the counselor's responsibility is to maintain her autonomy by understanding her dilemma and providing the best solutions to ensure Robin's welfare within the boundaries of professionalism. In the financial aspect, the counsellor has the responsibility to the centre to enhance its productivity with its image. Additionally, they also have a need to identify financial issues and need to develop an informed decision on maintaining both the centre's service adequacy and client health (Wootton et al., 2019).
The parents of Robin play another main role in such a dilemma. They initiated Robins therapy as they have the responsibility for taking care of their child's well-being. In the financial aspect, they provide proper financial support to Robin for his session demonstrating their mental support to Robin. Robin's parent contribution and financial support for Robin's health check-up make complications for Robin, particularly in the aspect of challenging his autonomy. For that, Robin experiences a conflict between his expectations and his family's expectations. In this aspect, the counsellor also needs to focus on this dynamic to maintain a significant equilibrium between both parents' problems and Robin's autonomy. Overall the counsellor needs to address and determine any differentiation in their relationship (Luepker, 2022). Besides that, he also needs to focus more on Robin as needs the help of a counsellor for mental support that can enhance Robin's motivation and involvement in therapeutic sessions while eliminating his dilemma for his parent's introduction. They can significantly navigate this sensitive issue while maintaining all involved actors' values and interests.
In this case study several principles need to be considered as ethics helps to maintain professionalism as well as integrity of counselling services. This principle assists counsellors in developing an informed decision that helps them maintain transparency within providing care service and ensure client well-being.
In this case study identifying ethical dilemmas provides valuable information that is beneficial for selecting appropriate action for mitigating challenges.
After analysing all three actions, it can be stated that the best suitable test action is universality as it focuses on ethics and provides effective solutions for Robin as well as Robin like others in exactly the same situation. It helps to provide value to Robin's self-determination and autonomy and it is universally accepted for its nature. Additionally, the counsellor can supply effective care through this test adaptation while maintaining integrity in their service provision.
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References
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Del Giacco, L., Anguera, M. T., & Salcuni, S. (2020). The Action of Verbal and Non-verbal Communication in the Therapeutic Alliance Construction: A Mixed Methods Approach to Assess the Initial Interactions With Depressed Patients. Frontiers in Psychology, 11(234). https://doi.org/10.3389/fpsyg.2020.00234
Forester-Miller, H., & Davis, T. E. (2020). Practitioner’s guide to ethical decision making. In American Counseling Association (pp. 1–6). https://www.counseling.org/docs/default-source/ethics/practioner-39-s-guide-to-ethical-decision-making.pdf
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LPC, R. R. C., PhD, CRC, V. M. T., PhD, & CRC, M. T. H., PhD. (2021). Ethics and Decision Making in Counseling and Psychotherapy. In Google Books. Springer Publishing Company. https://books.google.com/books?hl=en&lr=&id=-Db_DwAAQBAJ&oi=fnd&pg=PP1&dq=Maintaining+the+ethics+code+and+patient+and+service+providers%27+long-term+relationship+integrity+is+the+primary+responsibility+of+the+counselor.&ots=Ggfwq2RMG8&sig=w_PhSr1AGRNnzdGMlo0kjIUHVuM
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