Ethical Dilemma in Hiv Counselling Cases Essay

961 Words Jun 19th, 2013 4 Pages
I have a client whom I know to be HIV positive. I also know that he is sexually active and has not told any of his partners about this. Isn’t it my ethical responsibility to inform someone that he is, in effect, dangerous to others?

Even if I am not a counselor, I would not be able to live with the fact that I have such an information and am putting some other life at risk. As a medical doctor, I was also bound by my Hippocrates oath to serve and bring no harm to others, “I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice.” (Edelstein,1967) By law I must abide by the rules set by the act and by the counseling board. There are 4 matters that I may
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(Counselors shall respect client privacy and confidentiality of all information obtained during counseling except if the information would harm the client or persons in the immediate.)
Clause 11 Dalam kes di mana jelas terbukti bahawa klien, mengikut pertimbangan kaunselor menunjukkan dengan jelas, diri klien atau orang Iain berada dalarn keadaan bahaya, kaunselor hendaklah menggunakan budi bicaranya mengambil tindakan wajar untuk menjaga kepentingan klien dan orang lain yang terlibat. (In cases where it is evident that the client, at the discretion of the counselor shows clearly, themselves or the people Iain client is in danger, the counselor should exercise its discretion to take appropriate action to protect the interests of clients and other people involved.)

By the above clauses, I am morally bound to do the right thing. But I will also analyze further the fear or reservations my client has in this matter. My client is my main focus here. Even though he or her behaviour or disease will be hazardous to the public, but I will need to know why this matter is an issue to be brought up by them.
Encouraging HIV-positive patients to disclose their status, especially to their sexual partners was an important challenge faced by the participants. They mentioned that despite the improvement in their counselling skills due to the trainings received and from their work experience, they still faced difficulties convincing some patients to voluntarily

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