英文原文
Exploring self-reflection in dual relationship decision-making
Abstract: Social workers practicing in small rural towns regularly encounter overlapping or dual relationships with clients. This can lead to boundary crossing and conflicts of interest that require an ethical decision. Previous research on how rural social workers approach ethical decision-making in these situations has suggested that while they might draw on ethical codes, many rely on intuitive or personal viewpoints rather than systematic decision-making processes. Although social workers are often trained to engage in self-reflection when faced with the complexities of practice and the possibilities of personal biases, the role of systematic self-reflection in personal decision-making about dual relationships has not been sufficiently documented in the literature. Using qualitative inquiry, this study explored the lived experiences with dual relationships reported by 44 practitioners working in small towns in rural Canada.
Key words: Social work; Ethics; Ethical decision-making; Rural social work; Ethics and values; Professional boundaries
Introduction
Personal and professional boundaries are central to the idea of what is acceptable or unacceptable in social work relationships (Doel et al., 2010; Karpetis, 2014). The importance of maintaining appropriate boundaries has been well documented in the social work literature (Reamer, 2012) and reinforced by the codes of ethics of national and international social work associations (Dolgoff, Loewenberg, amp; Harrington, 2011; International Federation of Social Workers and International Association of Schools of Social Work, 2004). These boundary concerns include non-sexual dual relationships, which are situations wherein addition to a professional relationship between a worker and client there is another meaningful relationship that is non-sexual in nature (Reamer, 2012). Despite ethical guidelines cautioning social workers against engaging in dual relationships, complaints related to non-sexual dual relationships are a frequent reason for disciplinary action by many regulatory bodies (Strom-Gottfried, 2000). Yet, social workers living and practicing in small towns regularly encounter dual relationships (Halverson amp; Brownlee, 2010; Halverson, Brownlee, amp; Delaney, 2009) and may have no choice but to work with clients who they will inevitably encounter in various community contexts (Brownlee, 1996; Piche, Brownlee, amp; Halverson, 2015; Pugh, 2006). For example, a social worker may have children who associate with a clientrsquo;s child, particularly when there is only one school in the region.It is a situation that often leads to ethical predicaments, challenges in decisionmaking, and a need to consider the ethical risks for both the social worker and the client.
Despite the importance of boundary issues to social work, the role of personal decision-making about dual relationships for rural social work practice has not received adequate empirical examination. Rural and remote communities included in the study met Statistics Canadarsquo;s (2012, p. 125) definition of lsquo;rural arearsquo; for the
purposes of the national census; that lsquo;Rural areas (RAs) include all territory lying outside population centres (POPCTRs)rsquo;. The present study, therefore, is an attempt to contribute to the body of social work knowledge addressing dual relationships in rural and remote practice. We first review the guidelines offered by Canadian and international codes of ethics on the topic, then we consider the responsibility placed on individual social workers in the decision process including the expectation for self-reflection followed by the details of a qualitative study on the experiences reported by social workers practicing in rural and remote areas. Finally, we offer some recommendations that emerge from the data for addressing the decision-making process in the event of a dual relationship.
1.Materials and Methods
Through the use of qualitative inquiry, descriptive phenomenological methods, and open-ended questions, the lived professional experience of the 44 participants was explored as it related to dual relationship decision-making. Interviews were conducted in-person (n frac14; 41) and by telephone (n frac14; 3), and recorded for transcription and analysis. Data analysis was completed using accepted phenomenological methods (Moustakas, 1994) using a combination of hand coding and computerassisted data analysis software (NVivo 8). Analysis was inductive with the goal of generating overarching themes from the individual participant data. In addition to primary data analysis exploring workersrsquo; lived experiences with dual relationships, a secondary analysis was conducted to expand on themes related to self-reflection.
2.Research Results
From the 44 participant interviews a number of themes emerged regarding decision-making and the use of self-reflection in the decision-making process.
-Extent of dual relationship:
Consistent with the existing literature, participants reported that no matter how their affiliation with their community began, whether they grew up in the community or moved to the community to work, dual relationships were seen by 90% of the participants as inevitable and common. Also, consist
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目录
引言 10
结论 14
英文原文
Exploring self-reflection in dual relationship decision-making
Abstract: Social workers practicing in small rural towns regularly encounter overlapping or dual relationships with clients. This can lead to boundary crossing and conflicts of interest that require an ethical decision. Previous research on how rural social workers approach ethical decision-making in these situations has suggested that while they might draw on ethical codes, many rely on intuitive or personal viewpoints rather than systematic decision-making processes. Although social workers are often trained to engage in self-reflection when faced with the complexities of practice and the possibilities of personal biases, the role of systematic self-reflection in personal decision-making about dual relationships has not been sufficiently documented in the literature. Using qualitative inquiry, this study explored the lived experiences with dual relationships reported by 44 practitioners working in small towns in rural Canada.
Key words: Social work; Ethics; Ethical decision-making; Rural social work; Ethics and values; Professional boundaries
Introduction
Personal and professional boundaries are central to the idea of what is acceptable or unacceptable in social work relationships (Doel et al., 2010; Karpetis, 2014). The importance of maintaining appropriate boundaries has been well documented in the social work literature (Reamer, 2012) and reinforced by the codes of ethics of national and international social work associations (Dolgoff, Loewenberg, amp; Harrington, 2011; International Federation of Social Workers and International Association of Schools of Social Work, 2004). These boundary concerns include non-sexual dual relationships, which are situations wherein addition to a professional relationship between a worker and client there is another meaningful relationship that is non-sexual in nature (Reamer, 2012). Despite ethical guidelines cautioning social workers against engaging in dual relationships, complaints related to non-sexual dual relationships are a frequent reason for disciplinary action by many regulatory bodies (Strom-Gottfried, 2000). Yet, social workers living and practicing in small towns regularly encounter dual relationships (Halverson amp; Brownlee, 2010; Halverson, Brownlee, amp; Delaney, 2009) and may have no choice but to work with clients who they will inevitably encounter in various community contexts (Brownlee, 1996; Piche, Brownlee, amp; Halverson, 2015; Pugh, 2006). For example, a social worker may have children who associate with a clientrsquo;s child, particularly when there is only one school in the region.It is a situation that often leads to ethical predicaments, challenges in decisionmaking, and a need to consider the ethical risks for both the social worker and the client.
Despite the importance of boundary issues to social work, the role of personal decision-making about dual relationships for rural social work practice has not received adequate empirical examination. Rural and remote communities included in the study met Statistics Canadarsquo;s (2012, p. 125) definition of lsquo;rural arearsquo; for the
purposes of the national census; that lsquo;Rural areas (RAs) include all territory lying outside population centres (POPCTRs)rsquo;. The present study, therefore, is an attempt to contribute to the body of social work knowledge addressing dual relationships in rural and remote practice. We first review the guidelines offered by Canadian and international codes of ethics on the topic, then we consider the responsibility placed on individual social workers in the decision process including the expectation for self-reflection followed by the details of a qualitative study on the experiences reported by social workers practicing in rural and remote areas. Finally, we offer some recommendations that emerge from the data for addressing the decision-making process in the event of a dual relationship.
1.Materials and Methods
Through the use of qualitative inquiry, descriptive phenomenological methods, and open-ended questions, the lived professional experience of the 44 participants was explored as it related to dual relationship decision-making. Interviews were conducted in-person (n frac14; 41) and by telephone (n frac14; 3), and recorded for transcription and analysis. Data analysis was completed using accepted phenomenological methods (Moustakas, 1994) using a combination of hand coding and computerassisted data analysis software (NVivo 8). Analysis was inductive with the goal of generating overarching themes from the individual participant data. In addition to primary data analysis exploring workersrsquo; lived experiences with dual relationships, a secondary analysis was conducted to expand on themes related to self-reflection.
2.Re
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