Tag Archives: gifts

Gain: Ethical boundaries relating to client gifts


[note: I found this document in my Ethics course files. I think I wrote this some time ago…but I don’t remember. It is possible that I received a WORD document with this in it from someone else. If so, I apologize for posting without acknowledging the source. Ah, the joys of aging.]

Professional counseling is founded on the assumption of the patient/practitioner relationship. The practitioner/expert provides a needed and appropriate service and the patient pays a reasonable fee—or their insurance company does for them. However, the extremely personal nature of counseling work often creates strong feelings between client and therapist and consequently the client may wish to bring a token gift signifying their thankfulness for a job well done.

Gifts beyond the token category provide therapists with “gain” and likely disrupt the fee/service relationship mentioned in the previous paragraph. While gain may not cause actual harm and may be unavoidable, the wise counselor remains aware of possible sources of gain and their consequences.

Consider the following examples and check whether you think they may be problematic:

  • A Board member of the counseling center offers one of the counselors tickets to a ball game
  • A Client offers his private counselor tickets to a ball game.
  • A student offers her teacher tickets to a ball game

Should the counselor in any of these scenarios accept the tickets? Does the cost of the gift or the wealth of the person giving a gift matter? Would it change your answer if the gift were a week’s stay at a beach house? Does it matter if the student is currently in a class with the teacher or not?

Gifts are a form of gain. Others may come in other forms of benefit for the counselor. If the counselee owns a publishing company, should the counselor accept an offer to have him or her publish his next book? If the counselor has a non-profit ministry, should he or she accept client gifts to that ministry? If a client offers to sit for a testimonial ad for the counselor’s new technique, should the counselor accept?

Gifts, though, represent expressions of thankfulness and thus a policy of rejecting all gifts may bring harm to the counseling relationship.

Wise Counselors explore with their clients any possibilities of gain and their potential consequences. Counselors consider how gains may harm the client or create an indebtedness that in the future clouds clinical judgment. For example, counselors do not accept gifts or fee sharing from treatment facilities in return for referrals. On the other hand, a cup of coffee brought to the session likely is just a cup of coffee, a friendly gesture. Christmas cookies are a small but personal thank you for a job well done. But, don’t assume that small gifts can not produce a quid pro quo (this for that) interaction. So, back to our first line in this paragraph. Take the time to explore the meaning of an offered gift and be willing to talk about it with clients.

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Christmas begins today


No really, it does…at least at my house. Tomorrow we leave for points north and so instead of lugging presents we will have our family Christmas this afternoon when the kids come home from school. Not only does it mean we get to have our own little Christmas celebration but it also means the kids get 2 more Christmases (one with my wife’s family and another with mine).

So, last night I was putting together a gift my mother-in-law got for the boys: A Foosball table. Have you ever put a present together? The directions say it should have taken 2.5 hours. But it was 3.5 hours–and with my wife’s help–before I finished. Maybe I took longer because I didn’t start until 9 pm when I was already a bit tired. But, I don’t think I’m that incompetent, though I did use the wrong color screws at one point. I wonder how they test these things. How many human trials do they employ to come up with that number?

As I went to bed, satisfied but tired and sore from being bent over, I remembered a gift my father made for us when I was 3 or 4. He built a working garage for our matchbox cars. It had gas pumps and a little motor that ran a car lift to the roof of the garage. He built and painted it out of materials he had at home. My little effort to follow directions gives me renewed appreciation for that creative gift so long ago.

Do you remember a gift from your childhood?

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Merry Christmas and see you in the new year.

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