Examine cultural competencies when working with people of who have different socioeconomic status or religious and spiritual beliefs. You will also examine possible ethical dilemmas when working with these populations and how to overcome them.
Select one of the codes of ethics: Ethical Principles of Psychologists
Ethical principles of psychologists and code of conduct (apa.org)
In your initial discussion forum post,
• Discuss at least one ethical or legal dilemma you could face when working with culturally diverse spiritual
• Discuss at least one ethical or legal dilemma you could face when working with culturally diverse socioeconomic
• Identify the ethical codes your dilemmas would address, using one of the codes of ethics listed above.
• Describe how you can resolve the ethical dilemma in a sensitive and appropriate manner.
• Identify at least one new idea or concept you learned about spirituality and social class and how you will apply that to your work as a human service professional.
Full Answer Section
Ethical considerations:
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Confidentiality vs. Duty to Report: Respecting client confidentiality is paramount, but the potential for harm through the illegal activity creates a conflict.
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Cultural Competence: Understanding the systemic factors driving the client's financial hardship and exploring non-criminal solutions with them is crucial.
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Resourcefulness: Connecting the client to social services or legal aid to address the underlying issues without compromising their safety or confidentiality.
Resolution: The therapist could discuss their legal obligation to report while upholding confidentiality by:
- Emphasizing harm reduction: Focusing on preventing immediate danger to self or others while addressing the root causes of the client's actions.
- Exploring alternatives: Collaboratively searching for legal support systems, financial assistance programs, or medication cost reduction options.
- Providing safe communication: Offering ways for the client to reach out if they feel their actions escalate the risk of harm.
2. Spiritual Diversity:
Dilemma: A therapist's religious beliefs clash with a client's spiritual practices, which involve rituals perceived as harmful by the therapist. The therapist feels obligated to intervene based on personal values, potentially risking cultural disrespect and undermining the client's autonomy.
Ethical considerations:
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Respect for Autonomy: The therapist must prioritize the client's right to self-determination and cultural expression, even if they disagree with their practices.
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Cultural Competence: Understanding the context and purpose of the client's spiritual practices, seeking informed consent, and avoiding imposing personal beliefs.
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Non-judgmental Approach: Focusing on the client's goals and well-being within their cultural framework, without imposing cultural biases or attempting to "convert" them.
Resolution: The therapist could navigate this conflict by:
- Open communication: Engaging in respectful dialogue to understand the client's beliefs and the significance of their practices.
- Exploring alternatives: If the client's actions pose genuine harm, seek solutions within their cultural framework, collaborating with spiritual leaders or community resources.
- Seeking supervision: Consulting with colleagues or supervisors holding cultural expertise to gain perspective and avoid personal bias influencing intervention.
These are just examples, and the specific dilemmas encountered will vary depending on individual backgrounds and professional contexts. However, by upholding the principles of the Ethical Principles of Psychologists, particularly:
- Respect for Human Dignity and Worth: Recognizing the inherent value and unique experiences of every individual.
- Competence: Providing services based on recognized professional standards and cultural awareness.
- Ethical Principles and Standards: Maintaining ethical integrity and navigating conflicts between personal values and professional obligations.
We can strive to provide culturally competent and ethically appropriate support, regardless of a client's socioeconomic or spiritual background. By combining critical thinking, cultural sensitivity, and ethical awareness, we can navigate these dilemmas and empower individuals to improve their well-being while respecting their diverse identities.
Sample Answer
Working with people who hold diverse socioeconomic and spiritual beliefs requires both cultural competence and ethical awareness. While offering support and guidance, ethical dilemmas can arise as we navigate contrasting values, biases, and legal considerations. Let's explore one challenge for each population:
1. Socioeconomic Diversity:
Dilemma: A low-income client, struggling to afford medication, confides in their therapist about selling prescription drugs to make ends meet. The therapist is bound by confidentiality but also obligated to report if the client poses a danger to themselves or others.