Key issues analyzed include confidentiality, informed consent, end of life, research design, conflict of interest, vulnerable populations, and vaccine research. Although many examples are drawn from the United States, these issues are also explored from a global perspective. Overview of Ethical Principles There are three widely recognized principles in American bioethics that apply to both clinical and research ethics: It also imposes an obligation to treat persons with respect by maintaining confidences and keeping promises.
Legal and Ethical Issues V. The issues addressed here are competence in treating HIV and issues of confidentiality versus the duty to warn. The obligation of all social workers to provide necessary services to the above people is comparable to the ethical obligation to provide service to people regardless of their sexual orientation, race, color, country of origin, creed, gender, age and disability.
Social workers in all practice settings and different levels of authority are obligated to become knowledgeable about transmission of HIV and the disease process and be prepared to educate and counsel peers, other professionals and clients. All social workers are obligated to update continually both their scientific knowledge about HIV disease and their skills in effectively working with people with HIV infection, their family members, friends and others.
If this is the case, then the practitioner should seek consultation with an experienced person or refer the client to somebody with the expertise. Confidentiality and Reporting Issues As with all clients, those who are HIV positive have the right to confidentiality and privacy.
This is due in large part to the stigma associated with the disease. However, issues of when to break confidentiality can come up if the HIV positive person continues to have unprotected sexual relations with others who are not aware of the disease.
The clients refusal to inform sexual partners creates a dilemma between their right to privacy and their actions which place the safety of the public at risk. The physician has a responsibility to inform the spouse or known partners. This is more than an option.
This is a professional responsibility. Exceptions to the legal and ethical obligation to maintain the confidentiality of HIV-related information exist. For example, health care providers in the U. The benefits to the public health of this reporting are felt to outweigh the risk to individuals.
Lo, Reporting of AIDS cases has always included the patient's name and other identifying information. Although reporting of HIV infections initially was not done by name, there has been a recent and controversial movement in the U.
It is important to consult with an attorney regarding laws that have to do with the duty to warn. It is best if the healthcare practitioner can persuade the client to inform their partners.
Support providers often experience anxiety and turmoil when they have ongoing interactions with someone who is under stress, chronically ill, or bereaved Greene, Derlega, Yep, and Petronio p.
Sometimes there is a lot of complaining about situations out of the therapist's control whether it be present circumstances, family relationships or even transference causing the client to have angry feelings towards the therapist. The therapist who becomes too emotionally involved or wants to be always pleasing can be taken for an emotional roller coaster and get "burned out.
A heterosexual therapist needs to be aware of his or her feelings towards a person who has same sex attraction and who has participated in homosexual behaviors which have resulted in the contracting of the disease.
The therapist must maintain an awareness of whatever feelings that might be brought into the therapeutic relationship. Another source of potential emotional overload for the therapist is for those who work with AIDS who are close to dying and eventually die while still meeting with the therapist.
This clientele can be both challenging and draining. Engaging clients and allowing them to express their feelings at their pace is important. Being with them and supporting that expression of feeling, and working with their families can be a very difficult, but also uplifting experience.
When a client and their loved ones are able to move through the steps of dying, and find acceptance of death and peace. Again, it is difficult to keep that balance of engaging and supporting the client through the process, and maintaining appropriate emotional detachment or renewal to continue working with this clientele.
Not every process will go well. In fact if they are seeing a therapist, chances are there will be quite a roller coaster of emotions. One help mentioned earlier to to help the patient grow their positive support system.
This way there will be others the patient can go to for support.As with all clients, those who are HIV positive have the right to confidentiality and privacy.
The right to privacy of those who are HIV, or even take an HIV test, is strictly enforced. Working with HIV patience can be very emotionally draining and time consuming. Legal and Ethical Issues.
Page Last Modified On: April 29, , PM. Essay Ethical Dilemma. Ethical dilemma 2 Abstract Ethical dilemmas are prevalent in all areas of life. In each helping profession, ethical guidelines and codes require that professionals act morally and in the best interest of the client.
HIV and Disclosure: A Doctor’s Moral Dilemma. Twitter; learned she was HIV positive. she realized this would create additional ethical dilemmas and a series of untruths and dishonesty.
Psychotherapists working with individuals who are considering HIV testing need also to maintain an awareness of the major psychological issues surrounding taking the antibody test.
Research has identified three major reasons that individuals refrained from testing: (a) anxiety about taking the test, (b) fear of loss of confidentiality, and (c.
Introduction: This chapter examines ethical issues related to HIV/AIDS testing, treatment, and research. Key issues analyzed include confidentiality, informed consent, end of life, research design, conflict of interest, vulnerable populations, and vaccine research.
The Canadian Association of Social Workers’ Code of Ethics () provide the ethical foundation for crafting a response and intervention in this particular case, but the legal stipulations related to HIV reporting in Canada must be taken into account as well.