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Dr. Rodriguez faces a challenging decision balancing confidentiality, ethical duties, and the potential impact on the therapeutic relationship and the clients’ well-being. Consulting ethical guidelines, legal requirements, and professional advice will be crucial in navigating this situation

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As a therapist the ethical thing to do is tell the wife because the therapist is working with both of them and has a duty to the couple as one not only individually

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I believe Dr. Rodriguez should maintain confidentiality, however, tell Mark that ethically she cannot engage in a successful therapeutic relationship if he choses to be dishonest.

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I wonder if the therapist has a secrets or no secrets policy. During my Sexuality course our professor mentioned that therapists working with couples can add this policy to their therapeutic contracts.

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In chapter 1 of the textbook, one of the concepts/considerations that stood out to me was the power of bringing the client into the ethical dilemma. This could be an instance where this may have a practical and therapeutic benefit by honestly sharing that you are feeling torn and why. Talking through this with the client will help him understand your course of action, whichever way you choose. Additionally, this may allow the client to see the situation from a fresh perspective. Who knows, this discussion with the therapist may move Mark to tell Lisa directly.

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For Dr. Rodriguez, some ethical considerations to keep in mind are telling the husband that there are some limits to confidentiality as the couple is being treated in therapy which means the best interest of each person is the fore front. I think also reminding Mark of some of the consequences that can arise and the difficult position the therapist has been put in. It puts a strain on the therapeutic relationship.

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I could understand the ideas of wanting to tell the other partner, on a personal level; however doing so would break down the structure on both sides. On one hand you'd like to maintain a therapeutic relationship with both parts, with one keeping confidentiality but if the other person finds out that the therapist knew may be an issue as well. Something to look over are the agreements of their agreements concerning no secrets and secrets type of therapist. If this was not discussed early on then the default should be to maintain confidentiality.

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Among other considerations, if the therapist has a no-secrets policy, an ethical course of action is to remind the husband of this policy. If the husband is unwilling to tell the wife, Dr. Rodriguez would need to refer out. It would not be wise for her to tell the wife.

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Dr. Rodriquez should find out if he plans on continuing to have the affair or not. If not, and Mark doesn't want to share, then I would imagine it would be best to keep his secret. If he states that he will continue, then, that is where it gets tricky with the ethical boundaries.

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Boundaries is one that needs establishing and maintaining appropriate boundaries is crucial in therapy to ensure a professional and therapeutic relationship. Therapists should avoid dual relationships, conflicts of interest, and any behavior that may compromise the therapeutic relationship. Clear boundaries help create a safe and respectful environment for clients. Also, Competence, therapists are ethically obligated to provide competent and effective therapy based on their education, training, and experience.

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Initially as a therapist stating your ethical duty of being a no secrets therapist or not would be helpful. In this instance you can refer them out. Yet you can work within a one on one session to get Mark to work on coming out to his wife that he is cheating in the couples session.

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In my opinion, as the therapist, a private session should be held to discuss the necessity of sharing the infidelity. Ethically, the therapist cannot share with the spouse. In my opinion, if the partner refuses to share the infidelity, as a therapist, I would refer them to another therapist.

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The therapist is in a hard position as they are required to keep confidentiality but try to convince Mark to talk about the affair with Lisa. Whether the therapist tells Lisa or not also depends on whether Lisa is her client too or only Mark. Morally, it would be understandable for the therapist to tell Lisa. The law may require confidentiality unless this is harming Lisa, such as Mark contracting an STD from the affair.