An ethical issue related to human service practice is supporting client self-determination when suffering from a mental illness (client self-determination vs. mental health). Ethics is a branch of moral philosophy concerned with right (ethical) and wrong (unethical) (Dolgoff and Loewenberg, 1992). However, they can also provide dilemmas like the one discussed in this essay. Ethical dilemmas are situations in which there is a choice between equally undesirable alternatives which in turn involve moral values that appear to have equal validity (Banks, 2006). When dealing with such dilemmas it is important to refer to one of the ethical decision-making frameworks. These frameworks provide step-by-step guidance to help professionals make complex decisions. There are four key models to refer to; The feminist and reflective model, the inclusive model, the examination of ethical principles and the ETHICAL model. However, the one most suited to the current ethical dilemma is the feminist model. To choose the most appropriate model when faced with an ethical dilemma it is important to have a good understanding of the contexts. Ethical decision-making models are designed around different ethical theories. These approaches consist of the deontological approach, the consequentialist (utilitarian) approach, and the virtue approach. The virtue approach implies that an action is right if it is what a virtuous agent would do under certain circumstances. (Brown, 2001). However, the most common approach used in practice is a combination of deontological and consequentialist. Deontologists justify their decisions by claiming to choose the morally correct option. Consequentialists justify their decision... on paper... by choosing the framework best suited to the situation. This is why the feminist model was more appropriate for the ethical dilemma, client self-determination versus mental health than the other models. References: Banks, S. (2006). Ethics and values in social work (3rd ed.). Houndmills, Basingstoke: Palgrave Macmillan.Brown, C. (2001, 16 April). Ethical theories compared. Retrieved May 13, 2014, from http://www.trinity.edu/cbrown/intro/ethical_theories.htmlLoewenberg, F. M., & Dolgoff, R. (1996). Ethical decisions for social work practice (4th ed.). Itasca, Ill: F.E. Peacock Publishers.McAuliffe, D., & Chenoweth, L. (2008). Leave no stone unturned: The inclusive model of ethical decision making. Ethics and Social Welfare, 2(1), 38-49.Reamer, F. G. (1990). Ethical dilemmas in social work (2nd ed.). New York: Columbia University Press.
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