Ethical Considerations Article Critique

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Ethical Implications of Nonmaleficence

As a professional counselor, one is in a unique position to influence the mental health and emotional well-being of one's clients. Indeed, the profession places the individual in direct contact with highly vulnerable subjects, creating a great opportunity for the provision of meaningful psychological care. However, this same capacity for influence can be problematic if not checked by a proper degree of ethical control. This is especially well demonstrated through the concept of nonmaleficence, which denotes the ethical responsibility of the counselor to refrain from any influence that might compromise the rights of or cause harm to the subject.

The two scholarly articles considered here help to broaden our understanding of this concept and the expectations which it imposes upon the professional mental health counselor. To this end, the text by Zur (2010) offers a precise understanding of nonmaleficence as a counseling concept.
According to Zur, the responsibility of the counselor not to inflict harm on the subject emerges from the unique power dynamics in the patient-counselor relationship. According to Zur, "Clinicians tend to ignore the issue of power that is a reflection of the culture at large that often associates power with coercion, abuse, or injustice, in order not be perceived by themselves or others as controlling and dominating (Proctor, 2002). (The exceptions to the rule have been some feminist, humanist, narrative and postmodern psychotherapists.) As a result, the discussion of power has been primarily confined to ethics and risk management classes, licensing boards and court hearings. In these settings the emphasis has been on harm and on the supposed vulnerability of clients to therapists' immense power and influence." (p. 1)

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