Describe the implications of each alternative action; lay out the limitations and advantages of each alternative considered.


  • Read the case study provided and identify all three of the ethical dilemmas presented.
  • Describe the nature and all dimensions of the three ethical issues.
  • Identify the ethical code numbers and definitions of each issue presented using both the APA and ACA codes.
  • Discuss alternative courses of action that could be taken by the counselor to rectify each dilemma.
  • Describe the implications of each alternative action; lay out the limitations and advantages of each alternative considered.
  • Choose one course of action and provide a justification for this selection.
  • Describe the ethical decision-making model (from your course materials) you used throughout the process to arrive at a final decision (i.e., Forrester-Miller and Davis). Make sure you outline each step.

You will be graded on the process you used to arrive at your recommendations and the reasoning behind picking a specific recommendation (and not the actual recommendation itself).

You should utilize and cite at least two peer-reviewed journal articles to include in your research.

The body of the paper should be no less than 5 pages in length. Your paper should be double-spaced, in 12 point Times New Roman font, with normal 1-inch margins, written in APA style, and free of typographical and grammatical errors. It should include a title page with a running head, an abstract, and a reference page.

case study

James is a community counseling student who is interning with the College Counseling Center at the

local university. James is a 25 year-old Caucasian male, who attended a private high school in a small

rural town. In terms of being a counselor, James admits that one of his challenges is that he has not

experienced much diversity in his relationships. He states that this is not a significant issue because he

plans on opening a private practice in his hometown as soon as he graduates. Since he “knows the town”

he doesn’t feel that this is a big deal. Also, in terms of finding clients, James states that he is sure he will

be able to get referrals because his father works for the town newspaper and will run an ad as soon as he

moves home.

James admits he has no clinical experience but is pleased, upon arriving at his internship site, to see that

his ex-girlfriend is going to be his assigned clinical supervisor. Since they have not seen each other in

years, James figures that meeting once a week will give them a good opportunity to catch up on “old

times”. James also figures that she could continue to supervise him in private practice until he receives his

license. James is relieved because he knows she won’t mind, since he will be graduating in nine months,

if he puts her credential, Licensed Professional Counselor, after his name since she is supervising him.

After discussing private practice, James asks his ex-girlfriend if he can begin to see clients right away

because he is anxious to get experience and begin working on his practice. Since she figured he would be

a pretty good counselor, she agreed and paired him up with Lisa, a 21 year-old Latina female.

During the first session, James was running late and was unable to fully cover all of the intake

documents with Lisa. He put them aside and said, “We don’t really need to review these. It is just

paperwork required by the Center. Please sign here.” As the counseling session continued, James

thought he might have recognized symptoms associated with depression including decreased motivation,

loss of appetite and overall dissatisfaction. He thought about bringing these up with his supervisor but

forgot once he left the session.

James continued to meet with Lisa. The first few sessions focused mainly on her recent break-up with her

boyfriend and the resulting academic difficulties. She was very concerned that her career dream of

becoming a lawyer may be in jeopardy.

In the third session, Lisa casually mentioned that she began to experience depressive symptoms as a

child when her mother’s partner began to physically abuse her at the age of 5½ years. Lisa told her

mother about the abuse, but she did not intervene. Shortly after the physical abuse began, the man

began to also sexually abuse her. Once again, Lisa reported this to her mother and also to a teacher at

her school, but nothing was ever done. Lisa reported that when she was 7, she placed an unknown

prescription medication of her mother’s into this man’s alcoholic drink. Later that same day, the man

experienced a stroke and was rushed to the hospital where he later died. Lisa also reported learning that

her mother’s partner’s stroke and subsequent death were related to the combination of prescription

medication and alcohol. The client has never told anyone other than James that she had placed

medication in this man’s drink.

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