Ethics Case Study 6th
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Feb 20, 2024
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Running Head: FREEDOM VS. DUTY IN CLINICAL SOCIAL WORK 1
Ethical Practice in Social Work
Student Name
Institutional Affiliation
FREEDOM VS DUTY IN CLINICAL SOCIAL WORK 2
FREEDOM VS DUTY IN CLINICAL SOCIAL WORK
Q1. Role Molarity in the case of Kim Davis
Role morality is not evident in the case of Kim Davis. It would manifest as adherence to
the unique set of ethical responsibilities and obligations in order to promote justice and enhance
the well-being of client (Gibson, 2003). In the aforementioned case, Kim Davis as a public
worker is entrusted with significant power and responsibility to serve clients which makes it
crucial for her to navigate complex moral dilemmas while upholding professional values and
integrity. In this light, by defying the federal court order to issue the marriage license to gay
couples, Kim Davis is unaware of or opts to overlook personal bias and stereotyping thereby
lacking integrity and shunning objective decision making. Arguably, even though gaysim may be
considered morally inappropriate, which is relative, role morality would be permissible in this
situation. This because as part of their professional practice, civil servants have a duty to
advocate on behalf of vulnerable populations who face systemic barriers. Thus, as opposed to
being biased and dwelling on personal beliefs, Kim Davis ought to have supported the gay
couple by issuing marriage license as ordered by the court. Q2. Role Morality in the case of social worker
Role morality is evident in the case of the social worker. Arguably, in the field of social
work, role morality plays a crucial role as practitioners are in a social contract whilst entrusted
with the responsibility of promoting social justice and advocating for vulnerable populations,
which requires high level of self-reflection and awareness to avoid biased decision making. In
this light, the social worker’s conscientiousness forced her to confront the ethical dilemma that
challenged her personal beliefs and values, requiring her to prioritize the well-being and rights of
FREEDOM VS DUTY IN CLINICAL SOCIAL WORK 3
the client over own desires. Accordingly, knowing that she would not be better placed to
continue serving the client, the social worker proposes an alternative to ensure that the client gets
the required services and adequately. Arguably, to effectively provide support and guidance, it
becomes essential for social workers to set aside any personal biases or judgments they may hold
individually. In this light, role morality would be ethically permissible in this case. It is through
this role morality that the social worker navigated the complex moral dilemma and ultimately
offered support to the client.
Q3. The mandate of mental health providers in serving individuals whose lifestyle they find
morally wrong
Mental health providers should not be able to decline to provide services too individuals
whose lifestyles they find morally wrong. Arguably, a key aspect or role morality within social
work is the recognition and acceptance of diverse perspectives (Gray, 1996). This is because
such care providers are constantly exposed to different cultural backgrounds, value systems, and
belief structures among their clients. Thus, to effectively provide support and guidance, it
becomes essential for mental health providers to set aside any personal biases or judgments they
may hold individually. By embracing a respectful attitude towards these diversities, they create
an environment where clients feel safe sharing their unique experiences without fear of
discrimination or alienation. This promotes inclusivity within mental health practice by ensuring
equal treatment for all individuals regardless of lifestyle, race, religion, gender identity, or
socioeconomic background.
Q4. Animosity of social workers towards mental health clients
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It is not fair to a client if mental health services are provided by a social worker who
harbors animosity or condemnation toward the client on the basis of the client’s sexual
orientation. The client would be better served by a clinician who did not harbor such beliefs. This
is because, arguably, it is dishearteningly for clients to face unfair treatment due to their sexual
orientation. Moreover, from a personal point of view, the experience not only exacerbates client’s
mental health and general wellbeing but also goes against the fundamental principles of social
work. It is important for clinicians to remember that they are there not only to offer support but
also to create a safe space where clients can be open about their experiences without fear of
judgment. When personal biases hinder these objectives, they not only compromise the trust
between client and professional but also perpetuate harmful stereotypes and stigma surrounding
diverse sexual orientations. Gay individuals should be able to seek mental health services
knowing that they will receive care free from prejudice and condemnation. Q5. Disclosure of sexual orientation
Ethical relativism holds that ethics depends entirely upon context (McDonald, 2010). As
such, given the potential adverse consequences, it s
hould be left open for clients to decide
whether they wish to identify their sexual orientation upon admission to mental health facilities.
Precisely, while it may seem logical to assume that clients should identify their sexual orientation
upon admission to mental health facilities, it is crucial to consider the ethical implications and
potential consequences. Notably, assigning providers based on sexual orientation could
inadvertently reinforce stereotypes and biases, perpetuating discrimination rather than addressing
it. Moreover, the importance of understanding a client's sexual orientation might be exaggerated
in this context. Thus, rather than focusing on assigning providers based on sexual orientation,
FREEDOM VS DUTY IN CLINICAL SOCIAL WORK 5
mental health facilities should prioritize training their staff in cultural competency and sensitivity
towards diverse populations.
If a client does not divulge that he or she is gay until treatment has begun, it does not (or
should not) risk harm to the client if a transfer to another therapist is made. This is because,
mental health professionals are trained to provide unbiased and non-discriminatory care to all
individuals, regardless of their sexual orientation. However, it does risk harm to the client to
continue working with a clinician who has antipathy toward him on the basis of his sexual
orientation. This is because the client may internalize negative messages about themselves,
leading to heightened levels of shame, self-doubt, and self-hatred. These emotions can
exacerbate existing mental health struggles or even lead to new ones. Moreover, working with an
unsupportive clinician can perpetuate feelings of isolation and invalidation in gay individuals
who already face societal prejudice and discrimination. A healthy therapeutic alliance should
provide a safe space for exploring feelings related to sexuality without fear of judgment or
rejection.
Q6. Dealing with clients
Ethical practice in mental health provision necessitates an environment of trust, respect,
and acceptance (Brennan, 2013). When a clinician holds biased views against a client's sexual
orientation, it undermines this crucial foundation and compromises the therapeutic relationship
(Brennan, 2013). As such, in cases where it is not possible to refer the client to another therapist
due to limited staffing options, it would require that available therapists address their biases and
take responsibility for their limitations whilst find alternative ways to support clients. Another
important consideration is ensuring that therapists themselves have access to regular supervision
and consultation. By seeking support from more experienced colleagues or utilizing online
FREEDOM VS DUTY IN CLINICAL SOCIAL WORK 6
forums and communities, therapists could gain fresh insights and perspectives on how best to
manage challenging situations when referral options are limited. This approach allows them to
go beyond the confines of their beliefs and immediate resources and provide effective care
within their current limitations. Q7. Religion Versus Law in the Davis case I think requirements included in the National Association of Social Workers Code of
Ethics to advocate for oppressed minority groups outweigh sincere religious objections that may
be held by some social workers. One key reason why the National Association of
Social Workers
Code of Ethics outweighs sincere religious objections is its inherent focus on empowering
marginalized communities. From a deontology perspective, the key duty of a social worker is to
promote social justice by challenging and addressing systemic oppression (Bibus, 2013). By
embracing this responsibility, they actively work towards eliminating barriers faced by oppressed
minorities and creating an inclusive society. Any conflicting religious views would run counter to
these principles and undermine the ethical foundation upon which social work stands. While
acknowledging and respecting individual faiths is important, it must not override the broader
goal of ensuring equity and fairness for all individuals irrespective of their backgrounds or
identities. Furthermore, it can be argued that the greater importance lies in upholding principles
derived from ethical codes rather than personal religious beliefs. Also, ideally, religion should
promote justice and equality for all individuals.
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References
Bibus III, A. A. (2013). Applying Approaches from Moral Philosophy, Especially Virtue Ethics,
When Facing Ethical Dilemmas in Social Work.
Czech & Slovak Social Work/Sociální
Práce/Sociálna Práca
,
13
(5).
Brennan, C. (2013). Ensuring Ethical Practice: Guidelines for Mental Health Counselors in
Private Practice.
Journal of Mental Health Counseling
,
35
(3).
Gibson, K. (2003). Contrasting role morality and professional morality: Implications for
practice.
Journal of Applied Philosophy
,
20
(1), 17-29.
Gray, M. M. A. (1996). Moral theory for social work.
Social Work-Stellenbosch-
,
32
, 289-295.
McDonald, G. (2010). Ethical relativism vs absolutism: research implications.
European
Business Review
,
22
(4), 446-464.