Trying to adjust my essay, and I am not sure where and what I need to remove or add. I know I might need to add an extra paragraph but where? Should I simplify my dilemma? Please help, I am confused. This was my draft paper.

This is my feedback from my teacher:

Ethical Bounderies

Sorry, I don't see an ethical dilemma for the counselor. This seems like an extended case study that reviews ethical issues in treatment planning, but I don't see where the counselor has a decision to make. This assignment is asking for an ethical dilemma where two codes are clashing. For example, the mother and children don't want the counselor to report the abuse to CPS, so the dilemma is keeping confidentiality vs. mandated reporting. Another example might be the counselor wanting to continue working with the family even though she knows she is unqualified to work with this type of trauma, then the dilemma is the counselor's personal desire vs. the ACA code saying you need to be qualified to treat the client or refer to a more specialized therapist. You have far too many details--you should be able to fit your scenario in half a page, and then discuss the relevant ACA codes, the decision making process and the role of supervision for the rest of the paper.

Ethical Decision Making

Again you are describing ethical treatment planning, but this is not an ethical "dilemma".

Resolve Dilemma

You need a full paragraph on the role of supervision/consultation on the decision-making process.

Evidence

good supporting information, but it is not supporting the discussion of the ethical dilemma. You need to include the ACA Code of Ethics.decision-making

Ethical Decision-Making EssayEthical DilemmaIn this case, study of ethical reasoning, a mother of two brings her daughters Alicia and Michelle into the office so they can receive therapy for the tragic events they have endured. They were subjected to physical and sexual abuse by the aunt's 20-year-old husband. These young ladies looked up to him as an uncle and trusted him never to hurt them. The girls were left physically and definitely mentally scarred by the incident. This was especially true for the oldest daughter, Alicia, who was now 14, and the mother of a child who was born as a result of the sexual abuse and was now one year old. Their mother had no idea that their family was hiding secrets from one another. These details were only revealed as a result of the incident in which he ended up molesting Michelle, the youngest sister, and sending her to the hospital. The damage he did still has an impact on the girls despite the fact that he was arrested and found guilty of sexually abusing the two sisters and their cousin. Stephen, her son, and the rest of Alicia's family appear to be the targets of Alicia's resentment and extreme hostility. She isolates herself from and maintains a distance from her family because she doesn't think she can trust them. Alicia envies her family because they never paid attention to her or her cousin when they tried to explain what was actually happening. She holds herself accountable for the abuse her younger sister Michelle suffered at the hands of her abuser. Alicia is furious with her mother and her family because she finds it unbelievable that they failed to recognize the warning signs that something was wrong for the past three years. Having a son born to her molester, she finds it difficult to relate to him because of how much he resembles him. Michelle is also hurt, angry and heartbroken over the possibility that she will never have children as a result of getting a sexually transmitted disease. The mother is aware of her daughter's suffering and observes them attempting to take the wrong path in life. Both of them are seeking therapy as a means of overcoming the evil that has affected them and preventing it from controlling their lives forever.Ethical Decision MakingThis case is exceptional and incredibly tragic due to the lack of security and supervision the girls were forced to live under. These factors could have prevented these traumatic events. Due to the evidence of vulnerability, two therapy sessions with both sisters in separate settings had to be withheld because Alicia already holds herself accountable for the molestation of her younger sister Michelle. The severity of these traumatic events shouldn't be judged at the same time, despite the fact that they were evaluated simultaneously.Alicia and Michelle CaseEthical Decision Making Multiple traumas have contributed to Alicia's predicament, making her angry and defensive toward everyone she thought was there to protect her from harm and show her love. Anyone would be traumatized by experiencing sexual abuse from their uncle, pregnancy, childbirth, and not being heard at any point in the process, but particularly a 14-year-old girl. She is dealing with a range of psychological feelings and emotions, such as guilt, depression, and even rage. Alicia, her son Stephen, and their mother Elizabeth are the people who will be impacted in Alicia's case and by the choice that will be made during this ethical decision-making process. Michelle, who is only 12 years old, was molested by her uncle, contracted an STD as a result of the event, and is now unable to even conceive children, has been suffering from severe anxiety attacks and nightmares every day. In addition, Michelle experiences nightmares, panic attacks, and psychological confusion. Michelle and Elizabeth, her mother, are the people who are impacted in this case. Both sisters have experienced numerous traumatic incidents that can result in post-traumatic stress disorder (PTSD) (Plymouth Psych Group, 2023). In patients who have been through traumatic experiences that have altered their lives both mentally and physically they are exhibiting every symptom of PTSD. Additionally, they are demonstrating the commodity of multiple psychological disorders. According to the National Association for the Education of Young Children (2011), "Code of ethics in these cases refers to ethical policies and practices that influence, directly or indirectly, the protection of children from abuse, which over time has an impact on the future of society because the children of today will be the leaders of tomorrow." The confidentiality of the abuse, the police code of ethics, and the judicial system are all crucial components of the code of ethics in this case. In order to make a suitable management plan, the social and cultural context in which child sexual abuse occurs must be thoroughly assessed(Chung, 2015). To reduce the immediate and long-term effects of child sexual abuse, appropriate intervention is required. When a child is sexually abused, Child Protective Service (CPS) or the Child Protective Unit (CPU) are encouraged to get involved in order to advance the investigation into the safety of Alicia, Michelle, and Alicia's son Stephen. The significance of calling Child Protective Services (CPU), which is required in cases of domestic sexual assault. Social workers, clinical psychologists, and pediatricians can conduct investigations into the safety and protection of a child's well-being through the therapeutic and medical service known as the Child Protection Unit. When the illegal acts were first brought up, the mothers and families of the two girls did nothing. A different approach needs to be used when dealing with child sexual abuse. According to Chung (2015), "the current adversarial approach, with its heroes, villains, and victims, hypothesis, and counterhypothesis, does not promote greater understanding and may not be in the best interests of children." Children's wellbeing and whether or not they are believed are important considerations for child sexual assault counselors. That their sense of justice for their client is being served validates and supports their moral convictions. According to research, victims' perceptions of the justice system's fairness, timeliness, and capacity for reaching a thoughtful and just conclusion are likely to be related to positive mental health outcomes.(Chung, 2015). When treating children who have experienced sexual abuse, therapeutic boundaries are crucial. Boundaries provide a solid foundation on which the client and the counselor can establish a productive and reliable working relationship. By doing so, clients are able to set boundaries and communicate deeply personal and complicated emotions. Therapeutic boundaries are particularly crucial to take into account when working with survivors of childhood sexual abuse because these individuals' personal boundaries were frequently crossed before they were old enough to comprehend the boundaries of interpersonal relationships, which limits their capacity to form accurate opinions of either themselves or other people (Harper, 2006). This will make it easier for Alicia and Michelle to talk openly about their abuse without fear of judgment or embarrassment.

To reconcile all of their feelings and emotions toward their mother, Elizabeth, the girls also require family therapy. The feelings come from not feeling like they are being protected and from not feeling like their mother and family are listening to them. The majority of child sexual abuse is committed by men against women, with step-father molestation of biological father/daughter abuse being the most prevalent type of abuse (Haverkamp, 1993). It was their uncle in the case of Alicia and Michelle. Although many meta-ethical principles are implied in this case, it is clear that justice, beneficence, self-interest, and consideration of children's rights are among them. The ethical significance of working with families where sexual abuse has occurred is the competence of therapy treatment abuse within families. For the therapist to be aware of their own personal and emotional boundaries, it is important to be mindful of the assumptions and interventions associated with various theoretical approaches. The AAMFT (1985) code is used to remind therapists not to practice outside of their scope of practice. You must have the necessary knowledge to offer these services. Alicia will receive family therapy in addition to therapeutic treatment for her PTSD related to sexual abuse to help her overcome her problems as a young mother and other issues. Additionally, she should consider the best option for the infant, whether that is to remain with his mother or be placed in foster care. A social worker is required to keep an eye on the girls' behavior and general well-being in order to determine whether or not they pose a threat to others or themselves. In order to help Michelle deal with her panic attacks and nightmares, she will receive the same treatment. Additionally, give her therapy to help her deal with the realization that she cannot have children. Change doesn't happen overnight, but getting good therapeutic support is a good place to start.