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No profit grows where is no pleasure taken.

William Shakespeare

 

Every day do something that will inch you closer to a better tomorrow.

 

Doug Firebaugh

 

Deal with the faults of others as gently as with your own. Chinese Proverb

 

 The whole secret of life is to be interested in one thing profoundly  and in a thousand things well.  Hugh Walpole    

 

We see things not as they are, but as we are.  H. M. Tomlinson

 

Too many people don't care what happens so long as it doesn't happen to them.William Howard Taft

 

     Leadership is doing what is right when no one is watching. George Van Valkenburg

 

  You can discover more about a person in an hour of play than in a year of conversation. Plato

 

 Be like a postage stamp. Stick to one thing until you get there.  Josh Billings

 

   The brighter you are, the more you have to learn.  Don Herold  

 

 Do what you can, with what you have, where you are.  Theodore Roosevelt

 

There is more to life than increasing its speed.

Gandhi

 

And in the end it's not the years in your life that count. It's the life in your years.

Abraham Lincoln

 

 Success is that old ABC -- ability, breaks, and courage.

Charles Luckman  

 

 The price of greatness is responsibility.

Winston Churchill

 

It is not the length of life, but the depth of life. Ralph Waldo Emerson

 Wisdom begins in wonder.

 Socrates

 

Vision without action is a daydream, Action without vision is a nightmare.  Japanese Proverb

 

The beginning is the most important part of the work.
Plato

 

Courage is the mastery of fear, not the absence of fear.  

Mark Twain

 It is better to be making the news than taking it; to be an actor rather than a critic.

Winston Churchill  

 

In matter of principle, stand like a rock; in matters of taste, swim with the current.

Thomas Jefferson  

What we see depends mainly on what we look for.

John Lubbock

You gotta have goals!  Zig Ziglar

Common sense is the knack of seeing things as they are, and doing things as they ought to be done.  

Harriet Beecher Stowe

You can only live once, but if you live right, once is enough.

Joe E. Lewis

Nothing is a greater impediment to being on good terms with others than being at ill ease with yourself.  Balzac

Hope is a waking dream. Aristotle

Every day do something that will inch you closer to a better tomorrow. Doug Firebaugh  

Guide to Ethical Decision Making

Holly Forester-Miller, Ph.D. & Thomas Davis, Ph.D.

Copyright © 1996, American Counseling Association.

Moral Principles

Kitchener (1984) has identified five moral principles that are viewed as the cornerstone of our ethical guidelines.

The five principles, autonomy, justice, beneficence, nonmaleficence, and fidelity are each absolute truths in and of themselves.

  1. Autonomy is the principle that addresses the concept of independence. The essence of this principle is allowing an individual the freedom of choice and action. It addresses the responsibility of the counselor to encourage clients, when appropriate, to make their own decisions and to act on their own values. There are two important considerations in encouraging clients to be autonomous. First, helping the client to understand how their decisions and their values may or may not be received within the context of the society in which they live, and how they may impinge on the rights of others. The second consideration is related to the client's ability to make sound and rational decisions. Persons not capable of making competent choices, such as children, and some individuals with mental handicaps, should not be allowed to act on decisions that could harm themselves or others.

  2. Nonmaleficence is the concept of not causing harm to others. Often explained as "above all do no harm", this principle is considered by some to be the most critical of all the principles, even though theoretically they are all of equal weight (Kitchener, 1984; Rosenbaum, 1982; Stadler, 1986). This principle reflects both the idea of not inflicting intentional harm, and not engaging in actions that risk harming others (Forester-Miller & Rubenstein, 1992).

  3. Beneficence reflects the counselor's responsibility to contribute to the welfare of the client. Simply stated it means to do good, to be proactive and also to prevent harm when possible (Forester-Miller & Rubenstein, 1992).

  4. Justice does not mean treating all individuals the same. Kitchener (1984) points out that the formal meaning of justice is "treating equals equally and unequals unequally but in proportion to their relevant differences" . If an individual is to be treated differently, the counselor needs to be able to offer a rationale that explains the necessity and appropriateness of treating this individual differently.

  5. Fidelity involves the notions of loyalty, faithfulness, and honoring commitments. Clients must be able to trust the counselor and have faith in the therapeutic relationship if growth is to occur. Therefore, the counselor must take care not to threaten the therapeutic relationship nor to leave obligations unfulfilled.

Ethical Decision Making Model

We have incorporated the work of Van Hoose and Paradise (1979), Kitchener (1984), Stadler (1986), Haas and Malouf (1989), Forester-Miller and Rubenstein (1992), and Sileo and Kopala (1993) into a practical, sequential, seven step, ethical decision making model. A description and discussion of the steps follows.

  1. Identify the Problem.
    Gather as much information as you can that will illuminate the situation. In doing so, it is important to be as specific and objective as possible. Writing ideas on paper may help you gain clarity. Outline the facts, separating out innuendos, assumptions, hypotheses, or suspicions. There are several questions you can ask yourself: Is it an ethical, legal, professional, or clinical problem? Is it a combination of more than one of these? If a legal question exists, seek legal advice.

    Other questions that it may be useful to ask yourself are: Is the issue related to me and what I am or am not doing? Is it related to a client and/or the client's significant others and what they are or are not doing? Is it related to the institution or agency and their policies and procedures? If the problem can be resolved by implementing a policy of an institution or agency, you can look to the agency's guidelines. It is good to remember that dilemmas you face are often complex, so a useful guideline is to examine the problem from several perspectives and avoid searching for a simplistic solution.
  2. Apply the ACA Code of Ethics.
    After you have clarified the problem, refer to the Code of Ethics (ACA, 2005) to see if the issue is addressed there. If there is an applicable standard or several standards and they are specific and clear, following the course of action indicated should lead to a resolution of the problem. To be able to apply the ethical standards, it is essential that you have read them carefully and that you understand their implications.
    If the problem is more complex and a resolution does not seem apparent, then you probably have a true ethical dilemma and need to proceed with further steps in the ethical decision making process.
  3. Determine the nature and dimensions of the dilemma.
    There are several avenues to follow in order to ensure that you have examined the problem in all its various dimensions.
    • Consider the moral principles of autonomy, nonmaleficence, beneficence, justice, and fidelity. Decide which principles apply to the specific situation, and determine which principle takes priority for you in this case. In theory, each principle is of equal value, which means that it is your challenge to determine the priorities when two or more of them are in conflict.
    • Review the relevant professional literature to ensure that you are using the most current professional thinking in reaching a decision.
    • Consult with experienced professional colleagues and/or supervisors. As they review with you the information you have gathered, they may see other issues that are relevant or provide a perspective you have not considered. They may also be able to identify aspects of the dilemma that you are not viewing objectively.
    • Consult your state or national professional associations to see if they can provide help with the dilemma.
  4. Generate potential courses of action.
    Brainstorm as many possible courses of action as possible. Be creative and consider all options. If possible, enlist the assistance of at least one colleague to help you generate options.
  5. Consider the potential consequences of all options and determine a course of action.Considering the information you have gathered and the priorities you have set, evaluate each option and assess the potential consequences for all the parties involved. Ponder the implications of each course of action for the client, for others who will be effected, and for yourself as a counselor. Eliminate the options that clearly do not give the desired results or cause even more problematic consequences. Review the remaining options to determine which option or combination of options best fits the situation and addresses the priorities you have identified.
  6. Evaluate the selected course of action.
    Review the selected course of action to see if it presents any new ethical considerations. Stadler (1986) suggests applying three simple tests to the selected course of action to ensure that it is appropriate. In applying the test of justice, assess your own sense of fairness by determining whether you would treat others the same in this situation. For the test of publicity, ask yourself whether you would want your behavior reported in the press. The test of universality asks you to assess whether you could recommend the same course of action to another counselor in the same situation.

    If the course of action you have selected seems to present new ethical issues, then you'll need to go back to the beginning and reevaluate each step of the process. Perhaps you have chosen the wrong option or you might have identified the problem incorrectly.

    If you can answer in the affirmative to each of the questions suggested by Stadler (thus passing the tests of justice, publicity, and universality) and you are satisfied that you have selected an appropriate course of action, then you are ready to move on to implementation.
  7. Implement the course of action.
    Taking the appropriate action in an ethical dilemma is often difficult. The final step involves strengthening your ego to allow you to carry out your plan. After implementing your course of action, it is good practice to follow up on the situation to assess whether your actions had the anticipated effect and consequences.

The Ethical Decision Making Model at a Glance

  1. Identify the problem.
  2. Apply the ACA Code of Ethics.
  3. Determine the nature and dimensions of the dilemma.
  4. Generate potential courses of action.
  5. Consider the potential consequences of all options, choose a course of action.
  6. Evaluate the selected course of action.
  7. Implement the course of action.

It is important to realize that different professionals may implement different courses of action in the same situation. There is rarely one right answer to a complex ethical dilemma. However, if you follow a systematic model, you can be assured that you will be able to give a professional explanation for the course of action you chose. Van Hoose and Paradise (1979) suggest that a counselor "is probably acting in an ethically responsible way concerning a client if (1) he or she has maintained personal and professional honesty, coupled with (2) the best interests of the client, (3) without malice or personal gain, and (4) can justify his or her actions as the best judgment of what should be done based upon the current state of the profession" (p.58). Following this model will help to ensure that all four of these conditions have been met.

References

American Counseling Association (2005). Code of Ethics. Alexandria, VA: Author.

Forester-Miller, H. & Rubenstein, R.L. (1992). Group Counseling: Ethics and Professional Issues. In D. Capuzzi & D. R. Gross (Eds.) Introduction to Group Counseling (307-323). Denver, CO: Love Publishing Co.

Haas, L.J. & Malouf, J.L. (1989). Keeping up the good work: A practitioner's guide to mental health ethics. Sarasota, FL: Professional Resource Exchange, Inc.

Kitchener, K. S. (1984). Intuition, critical evaluation and ethical principles: The foundation for ethical decisions in counseling psychology. Counseling Psychologist, 12(3), 43-55.

Rosenbaum, M. (1982). Ethical problems of Group Psychotherapy. In M. Rosenbaum (Ed.), Ethics and values in psychotherapy: A guidebook (237-257). New York: Free Press.

Sileo, F. & Kopala, M. (1993). An A-B-C-D-E worksheet for promoting beneficence when considering ethical issues. Counseling and Values, 37, 89-95.

Stadler, H. A. (1986). Making hard choices: Clarifying controversial ethical issues. Counseling & Human Development, 19, 1-10.

Van Hoose, W.H. (1980). Ethics and counseling. Counseling & Human Development, 13(1), 1-12.

Van Hoose, W.H. & Paradise, L.V. (1979). Ethics in counseling and psychotherapy: Perspectives in issues and decision-making. Cranston, RI: Carroll Press.

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Counseling will assist you in developing strategies for obtaining what is meaningful to you, and  develop the skills needed to accomplish your goals.
 

 

Paola Bonavolontà

 

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Consultant in Marketing and Personal Growth with experience in managerial area, individual counselling, groups facilitation, training courses.

Born in Naples, Italy. Graduated cum laude in Economics and Business Administration at 21, I left my native town to work for  multinational companies.

Before turning 33 I was Global Marketing Director in New York.

After that, I felt compelled to change something, keeping what I loved about my job, creativity, team work, cooperation.

I began my entrepreneurial career facilitating  individuals and organizations with seminars  and consultancy.

Combining Counseling & Marketing

Marketing is about raising awareness or creating the desire for something - including you, your services, skills and experience.

Counseling can assist you in identifying skills, interests, needs and values that matter to you and develop the skills needed to accomplish your goals.

Because of my marketing expertise and as a councelor I may help you in improving your behavioral approach, to implement your strategies, to achieve your personal and professional objectives.

If you desire to reach a goal, improve your awareness, your relationship, your business standard, reassess your ambitions, and major sources of professional and personal satisfaction.

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First 50-minutes session is complimentary so that you and I will have a chance to learn more about each other to determine if my services can be helpful for you. Contact me

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