Ethical Dilemma Working with Hiv Positive Client - 923 Words

Reconstruction of scenario for case No. 4: Assuming that I am a registered counsellor working in a hospital in Malaysia. The client has been referred by doctor in order for him to go through counselling. Recently he came to hospital to carry yearly medical check-up for various tests including HIV test. Results showed all tests carried out are in good condition except the HIV test result is positive. From the counselling intake session, I also know that he is sexually active and has not told any of his partners about this. Isn’t it my ethical responsibility to inform someone that he is, in effect, dangerous to others? Selected Ethical Decision Making Model – Forester-Miller and Davis (1996) Step 1: Identify the Problem - (1) client may†¦show more content†¦- According to UNAIDS (2000), â€Å"the fear and taboos associated with these subjects lead to the denial, stigma and discrimination that surround HIV/AIDS, and breed the secrecy that hinder private and community discussion about the issues and behaviour involved.†, Step 6: Evaluate the Selected Course of Action - I would begin counselling session for him by understanding his response and concerns in knowing his HIV status. Then I will choose the course of action as stated in item (4) in step 5. Step 7: Implement the Course of Action - It is counsellor duty to protect and according to UNAIDS (2000) guideline, in cases where the client refuses to notify, following repeated efforts to persuade him to do so, and where the failure to notify creates a danger to a partner (an identifiable third party), I should be authorized to counsel the partner(s) without the consent of the client. However, it also states that in making this decision, I should ensure that the following factors are present: (1) Client has been thoroughly counselled as to the need for partner notification/counselling; (2) The counselling has failed to achieve the appropriate behavioural changes, including the practice of safe sex; (3) The client refused to notify, or consent to the counselling, of his partner(s); (4) A real risk of HIV transmission to the identifiable partner(s) exists; (5) The client is given reasonable advance notice of theShow MoreRelatedCounseling: An Ethical Dilemma with HIV/AIDS Essay examp le2398 Words   |  10 Pagesfor clients to trust the therapist and be able to disclose sensitive information about themselves. Many times when a person is coming in for counseling the individual is vulnerable and looking to improve the quality of life. This is the reason why confidentiality is highly important in therapy. 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