ETHICAL DILEMMA

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ETHICAL DILEMMA by Mind Map: ETHICAL DILEMMA

1. Tommy is a 12 year old boy who has been going to an occupational therapist for a couple years now because does have difficulty with motor plannig. He has become very close with his OT. He has opened up to his OT about the bullying he goes through at school, and has come to trust his OT with almost anything.

2. DILEMMA AT HAND/BACKGROUND

2.1. Tommy, a child that you have been working with has recently come out as gay to his family and friends and would like you to know. You provide him with various LGBTQ organizations in his community so he can get involved and possibly meet people who have gone through the same thing. But at the end of the session his parents have asked you not to share information about the LGBTQ community to their child. They wish for you to try and convert him back to straight. If you do not obey by their rules they will take Tommy somehwere that will fullfill their wishes.

3. WHO MIGHT THIS IMPACT

3.1. Tommy

3.2. The relationship between Tommy and his family

3.3. Relationship between Tommy and his OT

4. CORE VALUES

4.1. Freedom

4.1.1. This was Tommys choice, and that surpases anything including what his parents want.

4.1.1.1. Tommy should still be allowed to be given the best care no matter his sexual orientation

4.2. Equality

4.2.1. No matter the sexual orientation of someone, as OT's we must provide the best care for ALL

4.2.1.1. As an OT you must provide someone who has recently come out with all that you can. So they means informing them of groups and events in their community. Because at the end we are here to help the patient, not change or take away from them.

5. ETHICAL PRINCIPLE

5.1. Beneficence

5.1.1. Must take away harm

5.1.1.1. By Tommys parents asking this of you, this can bring mental and social harm to Tommy. Its our responsibility as OT's to have out patients best interest at heart

5.2. Nonmaleficence

5.2.1. Refrain from causing harm

5.2.1.1. If you agree to the demands of Tommys parents, you can be creating a lot of harm to Tommy mentally and socially. He trust in you, and you don't want to break something that was so hard to get in the first place.

5.3. Autonomy

5.3.1. self-determination

5.3.1.1. This is Tommy's choice, but he is till technically a child, so his parenst do have rights when deciding where is recieves care and the type he recieves

6. COURSES OF ACTION

6.1. Sitting parents down to explain the effects they could be having on Tommy

6.2. PROS

6.2.1. -Possibly make Tommy's parents understand the difficulty of coming out and needing support from the family

6.2.2. -Help strengthn the relationship between the OT and Tommy's family

6.2.3. -Sticking up for Tommy and his wants

6.3. CONS

6.3.1. -Make Tommys parents angry that you have not done what they asked

6.3.2. -Tommys parents might feel that you are attacking their parenting styles and weaken the relationship you have with them

6.3.3. -Impulsivly Bring Tommy elsewhere for treatment which can negatively effect him

6.4. Bring in a therapist to talk to Tommy's parents and have the attend a support group with other parents who have shared the same feelings as them. You ask that they try this for at least two weeks

6.5. PROS

6.5.1. -Get adive from parents who have felt the same way (help minimize the risk of feeling lectured or attacked on parenting styles)

6.5.2. -With group therapy, Tommy can express his thoughts to his parents and be able to show the negative impacts this can cause him which can turn their decision

6.5.3. -Be able to express why they want to turn their son back to someone, without affecting the relationship between the OT and patient

6.5.4. -All voices and sides are heard

6.6. CONS

6.6.1. -Ruin relationship between Tommy and his family, which will effect other occupations

6.6.2. -Tommys family refuses to speak with the therpaist or attend group therpay

6.6.3. -At the end of therpay they feel the same way

7. BEST COURSE OF ACTION

7.1. Option Number 2 serves as the best option

8. QUESTIONS?