Introduction
Ethical dilemma in social case work arises when a social worker faces two or more conflicting ethical principles, making it difficult to decide the right course of action. These dilemmas test the professional’s ability to balance client rights, organizational rules, and legal obligations.
Understanding Ethical Dilemmas
Ethical dilemmas often occur in areas such as confidentiality, informed consent, client self-determination, and dual relationships. They require careful judgment to uphold social work values and ensure the client’s well-being.
Illustrations of Ethical Dilemmas
1. Confidentiality vs. Safety
A client shares with the case worker that they plan to harm themselves. While confidentiality is important, the social worker must decide whether to break it to protect the client’s life.
2. Self-Determination vs. Best Interest
A client refuses medical treatment due to personal beliefs. The worker may struggle between respecting the client’s choice and ensuring their health and safety.
3. Dual Relationship
If a client becomes personally close to the social worker, like offering gifts or friendship, it creates a conflict between professional boundaries and maintaining rapport.
4. Organizational Rules vs. Client Needs
Sometimes, agency policies may restrict certain services. The social worker has to balance following rules while advocating for the client’s needs.
Conclusion
Ethical dilemmas are common in social case work. They challenge the worker’s values and decision-making abilities. To resolve them, social workers must use ethical reasoning, consult with supervisors, and always prioritize client welfare within the boundaries of the law and professional ethics.