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Course Code: MANCH 1 A Name: Phone No: Email: Zoe Stux 07801 733775 zoestux@hotmail.com

Title:

³Why is the initial consultation so important? What factors will an ethical therapist cover at this time?

Word Count: 2000

Zoe Stux Year 1 Chrysalis Counselling and Psychotherapy

protection. This said the relationships people form are largely based on their individual personality types (Ewan. Corey. 2008). At the same time the assessment will identify and debate the ethics and code of conduct standards the therapist is bound by in order to protect both the client and the therapist which are often covered in the initial consultation. It is suggested a person is drawn to another because they offer them something emotionally. 2008). 1993). 2008). 2003). That said it is important to note there are two primary individuals within the therapy situation and both will differ from each other (Gold. knowing and understanding (Downing. 2008). Zoe Stux Year 1 Chrysalis Counselling and Psychotherapy . 2003). One would argue within the therapy relationship that both aspects rely on learning. From the therapists view point there is a duty of care to not endanger the client knowingly. and friendship. Strickler. Moreover these emotional and functional elements will only complete once initial contact has been made and the two personalities conclude if they are drawn to each other (Downing. The aim of this assessment will be to determine the usefulness of an initial consultation in order to evaluate the importance of full and disclosed understanding. There are implications to lack of understanding from both sides of the relationship. love. However in as much as people are complex the degree of this is varied from individual to individual and no two people are identical in both physical and psychological manner (Ewan.2 People are complex beings who illustrate complicated intelligence and behaviour patterns which in turn provide a convoluted element to the individual and the choices they make (Ewan. However the therapy relationship is conflicted as there exists an illusion of power balance. it will not be until the relationship is fully formed that the opportunity to contrast the preconceptions they hold of each other will be enabled (Gold. 1993). Strickler. In the case of the client a lack of understanding and full disclosure has the ability to place their physical and mental health in danger. Thus the dangers from a lack of understanding and unknowing can lead both the client and therapist into perilous grounds whereby more damage than good can be achieved (Corey.

An example of this can be seen within organisational structures when individuals take part in annual appraisal processes. However there are contrasting cases whereby the individual may be acutely self aware and able to make accepted judgements about their attitudes or behaviours to result in driving a degree of change required (Corey. The focus on negativity results in a pessimistic view of the issues or personality as opposed to a realistic or necessarily accurate view of the individual. With an understanding of change therapy the importance of language is understood. Research indicates the primary focus on negativity is proven (Ewen. Whilst the use of negative language provides a negative connotation it is important to consider the individual as they will consider themselves. Corey. Corey. Research indicates there is a pattern which aligns some personality types who tend to score themselves lower than their manager because their view of their own ability is impaired (Mullins. or alternatively provides mis-direction for the change required (Ewen. This can be supported with primary evidence from the author who recently in a performance review meeting spent an hour talking about all the problems and mistakes that had been made in a recent project. in their primary state people tend to adopt the negative connotations over the positive reaffirming actions as a preference (Ewen. Therefore the level of mis-direction from the role of the client would have provided a learning curve as the therapist identified the more accurate view. 2008). 2008). If this were applied to a therapy situation it would indicate the self assessment of the individual was inaccurate. 2007). This implies a link to people¶s perceptions when they make decisions about changing aspects of their life through self analysis. 2008). 2008). In contrast the focus should have been on the positive actions that had followed the errors as a result of the individuals follow through. Thus one might argue in some cases the self analysis may be unfounded with little basis in the reality of the individuals need for change. 2008). In essence the individual must accept there is a defect within their personal physical or psychological makeup that requires changing. Zoe Stux Year 1 Chrysalis Counselling and Psychotherapy . however.3 Personal change is described as an enormous undertaking for an individual to process (Corey.

Through training and knowledge the therapist will be able to assess the client¶s needs and desires as two separate issues therefore identifying the best therapy method for the client. One might argue the sincerity of the therapist to explain the µwhat happens next¶ stage to the client would reduce the potential for this obligated feeling provided rapport has been build to a suitable level between the two individuals. Whilst for the client the initial consultation is a learning experience and an opportunity to grown a potentially important relationship for the therapist there are ethical considerations to be undertaken which place paramount importance on this initial session. Zoe Stux Year 1 Chrysalis Counselling and Psychotherapy . Many therapists manage this through the offer of a free of charge initial consultation as it only takes at most forty five minutes. The individual is unique as is their specific situation thus should be accorded the respect as such. On the other hand this can be neither proved nor disproved. For the therapist there is an expectation of their role as the carer and a degree of personal or previous case detachment is required prior to the initial consultation beginning. However whilst the argument would imply value for the client and long term objectivity for the therapist there is a counter argument to suggest the offer of free time provides a dishonest hook to the client implying they would feel obliged to pursue therapy further.4 As a therapist therefore one would argue it is essential to observe and interact with your client prior to starting any basis of change therapy. There is a vast amount of assimilation for the client and therapist within a short time of building this relationship and is relatively intense. However the therapist faces an ethical dilemma from the start as the session qualifies as working time thus the debate becomes one of commerciality over ethical consideration. In relative terms there is no actual therapy being practised within the initial consultation which is ethically correct as the assessment will determine suitability to therapy for the client. Important factors to consider here are how the therapist manages the initial consultation theory.

In essence as long as the therapist is able to ascertain the same degree of information the benefits of this methodology can aid the client as the rapport and relationship with the therapist is less formalised in their perception which can lead to a relaxed state of mind which aids the hypnosis method (Stone. Personal information regards the individual are important to provide help with identifying their personality type. likes or dislikes.5 However it is fundamental to the evaluation of the client and therapist relationship that the initial induction is carried out regardless of funding and financial consideration. 2002). initially the therapist may seem like an interviewer asking a series of questions. 2007). Vasquez. The basis of the initial consultation will follow both personal and medical pathways. If for the purpose of this assessment the assumption that the offer of a free initial consultation meets ethical requirements is accepted the debate is free to further assess the ethical considerations the therapist must consider. 2002). This will be linked to the personal information in order to build a picture of the client that the therapist can work with. The collection of personal information will also enable the therapist to identify other underlying issues the client is not consciously aware of. 2000). Vasquez. However this should change with time and exposure to become more like an informal conversation (Stone. As such the initial consult with the client provides the therapist with the opportunity to fulfil their duty of care and understand the client before they begin any work with them (Pope. As previously stated therapists are bound through their actions by a code of conduct driven by a degree of ethics and standards (Pope. Zoe Stux Year 1 Chrysalis Counselling and Psychotherapy . They are also looking to confirm the details of the specific problem and how the client is looking to resolve to a solution. 2007). In terms of information assessment the therapist is looking to ascertain specific kinds of information. important people within their lives and fears which will enable the therapist to tailor and personalise a therapy session thus adding validity for the client (Palmer.

In contrast it could be argued the ethics are clear and well documented and it should be unlikely the therapist is not conversant with the framework (Pope. If there is a suspicion of such mental health issues the therapist holds a duty of care to seek the client¶s medical doctor¶s feedback on their proposed work together before commencement (Stone. 2007). one would assume a client with genuine interest to pursue would agree whilst if a client becomes agitated there become further ethical considerations for pursuing the therapy. If the therapist is feeling fatigue or their own independent stress the lack of concentration provides the distraction. 2002). Vasquez. the consequences of such actions can result in long term harm to the client even though the therapists intentions are good (Stone. One would infer from this that should the therapist¶s judgement be impaired there is a potential risk to unethical actions even if the therapist does not realise they have been negligent. Vasquez.6 From a medical view point there are two aspects for consideration. the therapist needs to be aware of medical conditions that may be heightened and cause complications under hypnosis. 2002). Assuming rapport has been created and a trust exists between the two it is the therapists role to explain this is not sinister simply precautionary. As stated previously each individual is unique thus the ethical considerations may be unapparent. Ethically the therapist cannot pursue with a client if they are aware or suspect the client is seriously ill. Likewise a sense of routine can result in complacency and the therapist may miss something within the initial consultation which would indicate a conflict within the ethical framework (Pope. Zoe Stux Year 1 Chrysalis Counselling and Psychotherapy . 2007). 2002). In the case of finding something potentially harmful ethically the therapist would explain the issue and ask for consent to speak to the client¶s doctor for their approval. Vasquez. However ethics are often linked to the specifics of the individual case and herein lays associated issues of judgement (Pope. 2002). However there are several impacts to the therapist that can cause compliancy within the consideration of ethics. 2007). Furthermore the therapist is looking for the client to demonstrate sound mind and objectivity in order to discount serious mental illness or psychosis (Stone. These can be known to the client or found within the client¶s family history (Stone.

2007). Thus in conclusion. The therapist must ensure from their own view point they are fair and open to the individual with no attached bias and no sense of compliancy which can result in dulled awareness.7 Furthermore the ideology of perception from the therapist provides a link. These assumptions were then supported through further probing questions aligned to the clients family. The therapist must ensure they advocate their duty of care to the client and assess for ethical issues which would prevent therapy from proceeding. Therefore suggesting the therapist needs to understand and apply self questioning throughout the initial interview. The lack of an open mind and assuming associated behaviours or actions provides the potential to find one¶s self focusing on the merits of a previous client and the similarities without providing the individual in question with the attention they require (Pope. For example when using an interview structure to develop questioning skills the author developed associated medical feelings with the sense of smoking to support assumptions made about the clients lifestyle. However it can be argued as a professional therapist there is a duty of care prior to any contractual obligations from in which if there is a prognosis which requires additional help there should be aid to find this for the client. it is fair to assert from the information and research the initial consultation holds a high degree of importance from the view point it provides both people embarking on a new relationship chance to meet each other and ascertain if a relationship can be bonded. This seeks to ascertain their own perceptions and validate their theories with supporting evidence and not assumptions. Ethics and responsibility are closely linked together and the therapist is ethically responsible for the client once a contract is agreed. in the main these will be serious medical problems or extreme mental health issues. Zoe Stux Year 1 Chrysalis Counselling and Psychotherapy . Vasquez.

Strickler G. Cengage Learning Downing JN. Comprehensive Handbook of Psychotherapy Integration. (2008). (2003). Pitman Palmer S. the essential guide. An Ethical Framework for Complementary and Alternative Therapists. (2007). Corey G. Sage Stone J. Routledge Zoe Stux Year 1 Chrysalis Counselling and Psychotherapy . Routledge Taylor and Francis Group Gold JR. Management and Organisational Behaviour. Introduction to Counselling and Psychotherapy. Plenum Press Mullins LJ. SUNY Press Ewen RB. (2000). (2002). I Never Knew I Had a Choice. (2008). philosophical guidelines for the practising psychotherapist. Explorations in personal growth.8 Bibliography Corey MS. Between Conviction and Uncertainty. (1993). An Introduction to Theories of Personality.

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