Friday, March 15, 2013

Learning to make ethical decisions as a social worker and managing ambiguity around the NASW Code of Ethics will be a significant challenge, and will vary depending on work contexts. As I reflect on the meaning of ethical principles and practice in social work, my first question is: what is the definition of ethics, and whose definition is it? Goldberg Wood and Tully (2006) explores the complex history of ethics and the social science and philosophy of this area of study, as well as how this area relates to the National Association of Social Work (NASW) Code of Ethics. The origin of the word dates back to Greek times meaning custom or character. Ethics are tied to societal ideals, moral values, and cultural norms. Goldberg Wood and Tully’s final assessment is that societies define ethics for their own benefit, and for the purpose of controlling individuals. The NASW Code of Ethics reflects the professional values and ethics of social work as a profession and assists in communicating these cultural norms to new generations of social workers (Goldberg Wood & Tully, 2006). Ethical reasoning and decision making in a professional context can refer to utilizing theoretical principles and ethical codes of conduct as a basis for our decisions regarding policies or client treatment and access. For example, in my current internship at Hospice in bereavement services, federal regulations state that bereavement counseling must be provided for family members of hospice patients, however the federal regulations also state that bereavement services are not reimbursed by Medicare or Medicaid. Given this ‘double message’, services must be provided, but there is no monetary support for them, some organizations could take this as permission to limit bereavement services that are offered and exclude /graduate clients. Yet Hospice has been creative in how they approached this issue, given the rural area we live in, and the limited availability of bereavement supports in our community. There are two bereavement counselors to work primarily one on one with clients. In addition Hospice recruits volunteers to facilitate weekly support groups throughout the community, and recently expanded training opportunities into a local Indigenous community. At Hospice grief support services has made specific decisions around ethic practice regarding inclusive access to services, which supports the concept of social justice for the overall population of our rural community.

2 comments:

  1. John, I am glad that you took the time to explore the complexity of "ethics" and what they stem from. I found this passage particularly powerful:

    "Ethics are tied to societal ideals, moral values, and cultural norms. Goldberg Wood and Tully’s final assessment is that societies define ethics for their own benefit, and for the purpose of controlling individuals".

    Upon reflecting on this passage I am left wondering and questioning where do our ideals, morals, values and cultural norms come from? Given the diversity and complexity of our society and the idea of controlling individual's seems so oppositional to social work's ideal of empowerment. Just giving some food for thought...wondering what the answers are myself.

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  2. When you point out that “societies define ethics for their own benefit, and for the purpose of controlling individuals” it really does make one question ethical decision making in social work. It reminds me what Fook explains in her writing. The social work profession “likes to have it both ways’: protect professional boundaries and at the same time to be open to other perspectives” (Fook, 2012, pg. 43). Whose ethical decision making paradigm are we using?
    We must continue to question who is defining the ethics in use, and realize that whoever’s interpretation is used controls how it is put to use (Fook, 2012).

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