What decision criteria or framework could Debra use to resolve this dilemma?

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.


Several decision criteria might be applied to the alternative courses of action in the case to compare their relative value. Debra might base her decision on which alternative offered the least harm to Stephanie. Debra could also conduct a cost-benefit analysis, seeking a utilitarian solution that would provide the greatest good while incurring the least cost. Debra might consider using the Ethical Principles Screen outlined by Dolgoff, Harrington, and Loewenberg (2000) to help her resolve this dilemma. A worker might also select a number of the primary ethical values and principles involved in the case and then rank order each potential course of action as to how consistent the alternative is with that value or principle (a decision matrix).

Social Work & Human Services

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