What ethical principles were involved in this case?

Debra Masters, a social worker in private practice, conducted an initial interview with Stephanie Railsback, a young woman also working in the helping professions, who was conflicted about her sexual orientation. Debra was a lesbian herself, open, but discreetly so. As the interview proceeded Debra was increasingly distracted by the question of whether she should disclose her sexual orientation to this client and, if so, when. Her anxiety intensified to such a degree that she had to leave the interview to compose herself and decide what to do to resolve this dilemma.


The principles include least harm, truthfulness and full disclosure (integrity), primacy of client needs, social workers behave in a trustworthy manner (integrity), competence, beneficence, autonomy, and centrality of human relationships (as the NASW Code states, “Social workers engage people as partners in the helping process,“ NASW Code, Ethical Principles).

Social Work & Human Services

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