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therapeuticservicesif rhe therapist is unableor unwillinS, for appropriatereasons,ro provide professional help. It is morelikelyrhannot thara rherapistwill .t somerim€encountera cir, cumstancewhere heor sh€comesacross som€limitarionon rheabilityroprovide professionalhelp. Thc exhortationof Subprinciplc1.l0 acknowledg€sihe realityof rhat situalionend direftsrh€ rherapist's focusio assisting rheclienrin obtainingotherappropriatcrh€rapeutic services. As a mafterof linguisticconstruction,only afier ihc clienthasbeen seento do we look at the reasonsrhe thcrapistmighrhavef€lrrhenecessity ro declineto providerherapy. The Codcsof Ethicsfor smialworkcrs,counsclors andpsychologisrs all conrainlanguagc simila.io Subprinciple I . 10 prohibitingdiscriminationon ihe basis o[ scxualorientation, sex,gender, or gendcr idcnriryOf the four Codes,howeve', only AAMFT} Cod, of Ethicsrc.ornizcsthat a iherapisrmay be unwilling io providcservices, Much is lefr ro in MFlbconscience since$e unwillingncss identificdin SubprincipleLll is supposcdto be "for.ppfopriarerssons." As a practicrlma$cr,discriminarion isalmostneverthebasisofaclientlcomplainragainsta thcrapisr.Onecansurlnisc that this is bccauserhe personal ncwclientshowsup for a firsrappointmcnt. ln complerinS thcintak€ natureof rhetherapist/clienr relarionship forms,th€ clientindicarcsa homoscxualoricnradon,alrhoughthis raiscsfla8searlyon. Thc cli€ni,sensing is not ideniificdasthc problemrheclientis cxpericncing. Thc thcr, reluctance on thc therapist!parr, simapisiprepares a list of threeothermcntalhealthprofcssionals in the ply chooscs ro find anotherrhcrapisr. In sarncbuilding.One of rhe thrceadvcrrises a specialryin sexualre- addirion,c€rrainot the identifi€dcateoricntationtherapl Thc therapistmailsthc list to the cli€ntwith a norcexplain- goriesir Subprinciple 1,10ar€not "susing that the therapisrwill be unablcro seethe clicntagain. pectcat€gories" wheresrareandfederal lawsprohibitdiscriminarion. The client Thc prefaceto Tr? Us"/'sGride to sonableeffortsto ensurethatthehsetu- could rhereforeconcluderhar filing a the AAMFTCodeof Etht s likens€rhi- i..s arc usedapprcpriately. complaint abour rh€ discrimination cal decisionmakingro a journ€yalong would benon-producive. a trail markedwirh borhclearfences and 1.10 Marriageandfamilytherapistspro- A new clientcomesto a rherapisit lessprecisesignsilluminaringrh€route. videprofessional assistance to per- office seekingreparariv€therapy to sonsdthout dis.rimination on rhe chang€sexualorienrarionfrom homoPrlnclplo I basisof race,age,erhnicity, socioe- sexualto hcrerosexual. The rherapisr's R€rpon.lblllty to Cli.nt. conomicsrarus,disabiliry,g€nder, personalbeliefis rharhomosexualiry is Manidgeard fanily tbenpistsaduafl.e heahhsrarus,religion, narionalori- wrong. Th€ therapist is willing ro the pelfarcof faniliesdnd indiuiduals. attemptto changerheclientbsexualorisin,o. sexualorienta.ion. Thqrcspe.tthe ehtsol thosepersons 1.11 Marriage and family therapists enration.If the rh€rapisrunderrakes ro seekingthei assitance,d nake rcaasshrp€rsonsin obrainingorhe. providerherapyro the clienr,thethera,
EthicalDecisionMaking in Referrals
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fi\t is.ot, trndcrrhc Co.lr of F.th i.s, tllr cri n i n u ti ng. g. ins t r hcc li e D r-H o w c v e r, oi t h c i h rr.tis r m ay be in v l ti ro . h D i S u h n ri n c if lc1. 11: M . r r r i x 8 cx n (l ( lir s n o s c , o tre .t! r ly rh e fi sr s J o not . r d vi seo r t r oblenr i ou( si d erh e re c o s nizcJh ,)und. r ic sof t he; tc o D rrc te n c i c s A n l v elient c onr c sr o r d rc r.p rts ofi i cc sc t k ir g r . f x r . t , v e rh c r.fy n r c h rn Feser ur l or ic nt r no n fro n h o mtt *ru rl ro het er r s ex ur l .Ih e th c rrp ,s t I 'tl i cre s t h, r r s o( h t hc r r ty i s n o t,, l y in e i i re ti rc , l. ut . r ls opr x t n ti rl l r h rrrn ftrl l h i \ Ih rn r i\ r is t r nNill i n sn , Pro v i J e h rl t. l ,rek ir s c ( t r lc r r i, n r,n ri n i rrg u n d . r rh .frp r\t $ su p cr.L rr l ex per ir r t c cih ilv' r,r.r l, l,n) f r c v r r ir hfl l . \ ,tr$ . lief r ( o, nf s n ) i rh c r.l p rs a s , 'r1 ,.( s((k , r S r hef . 1|rf' , ,r s )$ tr(n n \ o l J .rr."L ,rr . l) ' r r ir s t he. ( )u h co i th e ti ts t is se srrrs . r lie c lient t(!e rl s h o n l , re ru rl ,rr Lt nr , r t r n. lhc rh .rrp i s t\ f.f rrn rl b elr t i r r r I r r h, r,ro s c ru rl i ty ts s'rrn s rnJ . c onc h( l ns r h rr rh c e l i .n r rs t l e p rcss c dlt e, r ut ot s c ru rl p rc fe r(n c.," rfl( r r hc c lir nr r ,) i D (trrl .n 1 ^ ' t i()Dste .ir r liT , ngin t ef x r.rri \f rh (rrl )) lD i h i s sif t r r r idn.r h. r hc frfi \r i s u trrl ,l c y unJs. t o p n rvrl c hc lpon er r m p c rc rre s ro r r l i s rl s o unwilling r {, p f,,!(1 . h e l l l i e f. I tc,ru sco l r pet s r r r ' rbcl l n i h o s c \ iiu. r r i( nswh .rc i h e l h c r.f i \r i s trn t v illinFn' t ( ) v i( l e h (l t. w h i c h . r( rh e rf r ! nr s f ht r t ur . ' x f P n p fl .rrc ' or)(l crsul, pr iDeillel. l l ? Is . p c rs o n .l s w to t)s l e s s bcl i e {rh r r honx ) s ex uL rl iity c o mp cl h ngt h. r nr helicfth .rrr.P rrx n v t th e rrty is wr ot lg?l) of s rh e l )!l i e t d r.r I ttrc i r' ho n r)scx ur lr r y1swnm g ' ' )v e ri ,'r.fs d c . is i, nrnot n' f n )v c h e h ro ,r h o n ,o s ex ur cl lr t nt hr n rh e L ,n w i l l in s" ro r hc un, r hle"s t l e ? l h .r,r f i\ r r f t iiuJ r \ r n d b i .s ts x re in rf,)r'rx , r r hc . r t r s f t h (y .i fe c r th e prcccsso i r he py . l he i rti s r .rri tu (l $ i n cl u rl chelieis f eil. . r c J ,i c n n n i o rri l rcsp o n s c s, r nd b. hr v io r l s w c l l rs kn rxl ctls t . S ubpr nc ip l e l .l 1 rl l ttw s rh erh ri r f is r r ) r . eos Diz cl )i x s e s rn drrri trd cs rnr l t heiL f or erti i l ro .tte c t rh ( .o uns t ling r t lr t r r n rh tp . V h e th c r rn rb l e or ut r illins r o frrv rl e p rc fc s si o n rl h clp,r r r ppn4' r i rre re rs o ni n d i .rr.! r.k r i. \ t c ds . m enr o f rh e tc q u i re me n s oi r r t et hic r l pnc ti c e .
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NEWfromCPH& Associates Bulletin" - FREE "Auoiding Liabilitv a newissueavailable Richard S. Leslie,J.D.with by Aurhored legalinformation contains onlineevery2 weeks.The Bulletin relevantto mentalhealthpractitioners.
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