Tonight is the fourth lecture on consulting ethics given by Professor Lin Jiaxing. Professor Lin elaborated on "multiple relationships and professional boundaries" from six aspects: ethical issues of multiple relationships, crossing and violating professional boundaries, labor exchange consultation, accepting gifts from cases, sexual attraction and physical contact in consultation, and sexual relationship with cases.
First, the ethical issues of multiple relationships
1. Multiple relationships refer to the development or maintenance of other relationships or roles between counselors and cases except their professional relationships, sometimes called dual relationships or non-professional relationships.
For example, doing psychological counseling at school, the counselor is both a school teacher and a counselor; Tourists are both students and tourists.
2. In the consultation relationship with unequal rights, it is immoral to take advantage of individual cases or exploit loopholes through various relationships.
Therefore, the purer the relationship between counselors and visitors, the better, and avoid multiple relationships. Because good consultation is a purely professional relationship, the more complex and diverse the relationship, the more it violates professional ethics.
One more friend and one less case. Be sure to remember not to be friends with visitors. Otherwise, the relationship between consultation and visiting should be terminated.
3. Carefully evaluate whether multiple relationships will lead to conflicts of interest, loss of objectivity and destruction of therapeutic relationships.
4. When multiple relationships or crossing boundaries are inevitable, psychological counselors should pay more attention to their own behavioral motives and intentions.
5. When we put our own interests and needs above those of individual cases, it is a sign of deviating from professional ethics.
Second, crossing and violating professional boundaries.
1, crossing the line, is the behavior of psychological counselors deviating from the general practice standards.
For example, the case is consulted outside the consultation time or outside the consultation room.
2. Crossing the border is a serious deviation from the professional standards of psychological counselors, leading to individual injuries.
For example, intimate relationship or sexual behavior with a case.
3, consulting settings, usually including the boundaries of time, space and relationship. It is through consultation and professional boundaries that we work with cases to help them improve their self-awareness and improve their problems.
4, landslide phenomenon, psychological counselors are unaware of their own cross-border behavior, from some harmless cross-border behavior, gradually slipped to the point of crossing the border.
For example, pour water into the box, take paper towels, or accept coffee from the box. Psychological counselors should keep their own boundaries and try not to help him do what a case can do.
If the visitor cries during the consultation, the consultant can put the tissue at hand and let him get it himself.
The interpersonal boundary between us and the case belongs to a professional relationship and a flowing state.
5. Assess whether multiple relationships violate three moral standards:
(1) Risk level of exploitation cases
(2) The degree to which psychological counselors lose objectivity.
(3) the degree of injury to professional relations
Third, labor exchange consultation
1, labor exchange, refers to the case of financial difficulties, choose to pay consulting fees in the form of labor or goods rather than money.
2. Because of the unequal value conversion, labor exchange is easy to hurt the consulting relationship.
3. Other alternatives: suspend psychological counseling, reduce consulting fees, or lend cases to free or low-cost consulting institutions.
Four. Accept the evaluation of personal gifts
1. What is the value of the gift?
2. What is the clinical significance of accepting or rejecting gifts? When should I give the box as a gift?
4. What is your motivation to accept or reject the gift?
5. What is the cultural meaning of accepting gifts?
If the case gives a gift to the psychological counselor, you can discuss the thoughts and feelings of giving a gift with him, but it is best not to accept any gifts from the case.
Verb (abbreviation of verb) physical contact in consultation
Whether the consultant can make physical contact with the visitors needs to consider three factors:
1, the consulting direction and theoretical school of consultants
(Generally speaking, psychoanalysis schools will not have any physical contact with cases.)
2. Consider the age of the visitor (generally speaking, children or the elderly have more physical contact).
3. Consider the functional level of visitors.
Try to avoid physical contact with the case, which is safer.
The sexual relationship between intransitive verbs and individual cases
1, having sex with the case is a serious violation of ethics.
2. In 90% cases, the consequences of having sex with a counselor are harmful, and multiple sexual relationships will last for a long time.
If the counselor meets a visitor outside the consultation room, the counselor can simply nod and say hello, don't stop, let alone ask, try to avoid meeting, and stagger the time and distance.