Ethics PSY M2

For this assignment, you will refer to the section “Course Case Study.” Reread the case study, looking specifically at issues related to cultural competence. Examine the ACA’s and APA’s ethical guidelines related to the issue of cultural competence and respond to the following:

  • Describe the ethical issues related to cultural competence.
  • Examine the influence of your own personal values as related to the diversity issues presented in this case. Reflect on how you felt as you read the case study, how your values came into play, and how you would handle your values in a situation such as this.
  • Make recommendations based on your readings and the APA or ACA ethics codes.
  • Be sure to apply specific ethical principles.

Your response should be at least 2 pages long.

 

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 Course Case Study 

 

Joe, a thirty-five-year-old, male mental health counselor, received a client referral, thirty-five-year-old Jill, 

from a community counseling clinic. He began providing counseling services to her. Jill’s complaint was that 

she was unsatisfied with her current job as a bank teller and was experiencing mild anxiety and depression. 

Joe had been providing services to Jill for three weeks when she disclosed that she was confused about 

her sexuality because she experienced sexual attraction toward some women. Joe immediately responded 

to Jill with wide eyes and a shocked look. He told Jill that he was a traditional Catholic, who felt that this 

type of feeling was immoral and wrong. He informed her that she should avoid thinking about this and pray 

for forgiveness. He also told her that he felt uncomfortable talking about the issue any further. Jill continued 

to talk to Joe about dealing with her family issues. 

 

Joe had recently read about a new technique and immediately became excited about trying it. He explained 

to her that he had read an article in a magazine about a new technique called rebirthing. The new technique 

was being used in Europe to help people change their views about their relationships with their family. Joe 

said, “It is supposed to be really effective in almost wiping out your memory of your family; it is like 

hypnosis.” “I would really like to try it on you today, what do you think?” Jill declined his offer and continued 

to talk about her family. Joe thought to himself that even though Jill said no, he was still going to try to 

hypnotize her as they talked because he thought she could benefit from the technique. 

 

Jill disclosed that she was raised in a traditional Asian American home with many cultural influences and 

culture-specific rules and behavior. Jill was struggling with balancing her individualism and her cultural 

heritage. Joe explained to her that because he was living and working in a rural community, mostly 

consisting of people of East European descent, he could not relate to Jill’s culture and the issues with which 

she was struggling. He apologized and explained that he was not required to study these cultural issues 

because of his geographical location. 

 

Jill moved on to talk about her depression. She began talking about feeling lonely and how it contributed to 

her depression. During a counseling session several months later, she revealed that she was attracted to 

Joe and would like a closer, intimate relationship with him. Joe, aware that he was also attracted to Jill, 

talked about his feelings toward her but explained that engaging in a relationship outside the established 

counseling relationship was unethical. He informed her that because of the mutual feelings of attraction, the 

counseling relationship would be ineffective and that he would refer her to another counselor for continued 

services. Jill agreed, and they terminated the counseling relationship. Later, she contacted him to continue 

counseling and to discuss the referral. Joe agreed to meet her that evening at a restaurant and bring her 

the referral information. That night they began an intimate sexual relationship. 

 

Joe never got around to providing the referral for Jill even though he was aware of her ongoing state of 

depression and anxiety. Joe stopped seeing Jill after a month of intimate sexual encounters. Joe enjoyed 

the relationship but felt guilty due to the unethical nature of the relationship. Because of his continued 

concern about Jill’s depression, Joe considered going to his current clinical supervisor to discuss the case 

but decided against it. This was because he and his supervisor were good friends and he suspected his 

supervisor would be hurt by knowing the real reason he had been cancelling get-togethers. 

 

Joe decided to call Jill’s boss at the bank to check on her and see how she was doing. He called her boss 

 

and explained that he had been counseling her for anxiety and depression and wanted to check if she was feeling fine. Her boss informed Joe that Jill had quit her job and was in the county hospital undergoing 

treatment for severe depression. Joe quickly hung up and decided not to call or visit the bank again. After 

thinking it over, Joe decided that general counseling might not be for him. He decided to begin marriage 

and family therapy. He ordered some business cards and advertised in the yellow pages. He thought, “After 

all, I am a mental health counselor, and it can’t be hard to counsel a couple. You don’t need anything 

special. I already have one degree, and that’s enough!”

 

 
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