Navigating Ethical Dilemmas in Counselling: A Comparative Analysis of the Welfel Linear Model and Tarvydas’s Integrative Model

Students select two different ethical decision-making
models to apply to the same ethical scenario (see below). Students
critically analyse the strengths and limitations of each model (as
applied to the scenario client) to develop advanced knowledge of
counsellor and psychotherapist responsibilities regarding ethical
decision-making models and processes. Students demonstrate applied
knowledge in how to apply both models to a case study scenario. 

  • Welfel linear model and
  • Tarvydas integrative model

Students then critically evaluate the strengths and limitations of
chosen ethical decision-making models to guide counsellors to work with
ethical, legal, and social sensitivity to meet professional
responsibilities. Students should bear in mind jurisdictional
considerations in understanding ethical and legal dimensions. 

Students
will also apply and contextualise this knowledge of each model to
consider how they respond effectively, sensitively, legally, and
ethically to the case scenario provided, and critically comment on the
applied model’s strengths and weaknesses. 

Scenario:

The
client, Sharon, is a 45-year-old woman who is seeking help for
depression. During the initial phone contact, she asked repeatedly about
privacy and wanted assurances that the information discussed in the
session was confidential. The client repeated this line of questioning
during the first face-to-face session. 

As the session progressed,
she revealed that the source of her depression was the death of her
mother one year ago. Her mother had suffered from a combination of
severe renal problems and dementia and was very difficult to care for.
Sharon had been caring for her and her father in their home for 9 years
prior to her death, putting her teaching career on hold as well as any
possible romantic relationship. During the last two years, her mother
required total care. She revealed that she had been suffering greatly
and, out of compassion for her, she gave her an excess dose of her
sleeping and pain pills. Medical personnel never questioned the death,
as the woman had been quite sick and “It was only a matter of time.” 

Sharon
goes on to explain that she is now caring for her father in similar
circumstances, although there is no dementia. Her father has declined
rapidly since the death of his wife and now requires total care. Sharon
reveals that recently she had a conversation with her father in which
the father commented on how peaceful his wife’s death was and how he
hoped for a similar passing.

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