Portfolio Competency 1, Ethics

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    Running Head: PORTFOLIO COMPETENCY #1 1

    Portfolio Competency #1:

    Ethics, Multicultural Competence, and Wellness

    Mickinzie Lopez

    Bastyr University

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    Abstract

    The microskills hierarchy model presented in Essentials of Intentional Interviewingpresents

    a pyramidal structure designed to illustrate the basic skills required for mastering the art of

    effective counseling (Ivey, Ivey, & Zalaquett, 2012). The foundation of the pyramid rests on

    three competencies: Ethics, Multicultural Competence, and Wellness. For the purpose of this

    paper, I will be focusing on the ethics microskill.

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    Portfolio Competency #1:

    Ethics, Multicultural Competence, and Wellness

    Ethical counseling is defined as observing and following professional standards, and

    practicing ethically in order to provide responsible client treatment that serves to protect

    and uphold the interest of the client (Ivey, et al., 2012). Components of this particular topic

    include competence, confidentiality, informed consent, power, and social justice.

    The purpose of mastering this micrsoskill is to build a foundation for trust between

    counselor and client. As a future dietitian, my role as a nutrition counselor assumes the

    responsibility of upholding the components encompassed by ethical behavior. I will be

    expected to practice within the limits of my education and understand when it is

    appropriate to refer my client to another professional. For example, if my client shows signs

    of deep psychological concerns, I may recommend that he or she speak with an experienced

    therapist in order to resolve underlying issues regarding his or her relationship with food.

    Other responsibilities I will uphold as a dietetic counselor include keeping personal client

    health information confidential and obtaining informed consent from patients. As a student,

    I am expected to adhere to these policies in all instances of counseling and may provide my

    supervisors name and contact information as a source of further professional assurance to

    the client. Additionally, in keeping in line with ethical professionalism, I should always

    recognize the boundaries of the relationship in regards to power balance and avoid dual

    relationships in most instances of counseling in order to avoid conflicts of interest. Doing so

    will maintain a professional and comfortable environment for both the counselor and client,

    and any concerns regarding power imbalance should be stated and discussed rather than

    avoided. Lastly, as a counselor I will undeniably face issues of social injustice, especially in

    the areas of food security and community nutrition. I have the opportunity as a dietitian to

    work with clients facing these issues both in the interview, and out in the community.

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    Dietitians have many roles and opportunities for providing social change, such as educating

    adolescents in educational institutions, working at local WIC centers and homeless shelters,

    and acting as board members on a multitude of food and social-service counsels. Overall,

    dietitians have a responsibility to improve the health and nutritional status of our

    population.

    As a current student in a didactic program of dietetics, I will continue to develop

    these skills over the course of my education and throughout my career. My current

    strengths include understanding the importance of ethical counseling and recognizing the

    evolving boundaries of my roles from student to dietitian. With practice and experience, I

    expect to develop each of the microskills so that my communication with clients is

    seamlessly effective and respectful in ways that allow me to build a trusting relationship

    that is capable of influencing lifestyle change.

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    Works Cited

    Ivey, A., Ivey, M., & Zalaquett, C. (2012). Essentials of Intentional Interviewing: Counseling in

    a Multicultural World. Belmont, CA: Brooks/Cole.