Clinical Dilemmas are Everywhere

For this course, here’s what we mean by the ethical realm: behavior that has consequences for the welfare of others. It’s about how we affect others, and in particular the dilemma of balancing self-interest when doing so could harm others.

When we listen for ethical challenges in clients’ lives, they come up everywhere. 

Here’s a partial list:

  • Whether to divorce or keep working on a marriage
  • Whether to cut off from a toxic parent
  • How to treat adult siblings who side with that difficult parent
  • Whether to pursue a secret relationship that is becoming an emotional affair
  • What to do with a family secret held for many years
  • How honest to be with children about the actions of their parent, your ex-spouse
  • What do when obligations to one’s children and a new spouse collide
  • How truthful to be with an ex about what the children are experiencing
  • How to set up inheritances when one offspring has been close and supportive and the other distant and difficult

Now of course these scenarios involve lots of good, traditional clinical material. But they also have an ethical dimension in which clients deliberate and sometimes agonize about what this the right thing to do.

Ethical issues are not a separate category or issue in therapy: they are baked into what clients bring.