Ethical issues of counseling the case of John.

The cases of HIV became rampant since its discovery in 1985. Though there is no treatment for this deadly disease which in time will develop into full blown AIDS ( ACQUIRED IMMUNE DEFICIENCY SYNDROME, Many sexually active individuals in both men and  women engage in unprotecti8ve sexual  intercourse  Although some people are aware of the dangerous consequences of HIV, they do not seem to mind after all. All that matters to them is the sexual pleasure and the gratification that they get out of their  sex escapades.
    A case study about John who was infected with an HIV virus was conducted which had revealed that despite of the fact that he had been diagnosed with this dreading disease, Still, he continues to engage in an unprotected sexual activity to escape from depression and the anxieties in his life. This  indecent immoral practice according to him was his  coping mechanism. Also, he rationalizes that not everyone that he had sex with, will not contract HIV.  In other words, it is but a product of the mind. After all, having this is like a  death sentence  according to him. 
    This particular case study will include the following sections
Section 1   Weighing the Ethical Dilemma
Synopsis of State Laws ( Section 2
Resolution of the Ethical Dilemma
Discussion of the Case Study ( Summary)
Ethical Dilemma Decision Making Model
At the end of this case study the readers will be able to know the definition of an ethical dilemma
as well as the resolution of this  Eventually, this case study will enable the people afflicted with HIV to make the necessary adjustments not only physically but most importantly, emotionally, socially  and spiritually to live a  normal and happy life.
                       


 Weighing The Ethical Dilemma
Before going on any further with the case study, let us first take a closer look of the word  ethical dilemma  What is it in the first place An ethical dilemma according to  Answers.com.   is a complex situation that involves a mental conflict between the so called  moral imperatives . Moral imperatives are principles which emanates from a person s mind that compels an individual to act. As Emmanuel Kant had put it, An imperative is a dictate within a person based on pure reason. Moreover, it is based on practical reason too. In the later studies, it is termed as  conscience or a voice that originates from within the human spirit .  Its dictates are often morally right, thus often resisting further justification.
    This is also referred to as an  ethical paradox. However ,individuals differ in their social relationships that cannot be ignored   these relationships for example with your neighbor, will be interpreted as a result of mental disorder because despite of the above mentioned ethical social relationship, your neighbor in turn, threatens to rape you Therefore, the ethical decision of whether or not to love your neighbor remains to rely on an ethical decision that the aggrieved party has to make after weighing the circumstances that are present in a given dilemma.  On the contrary, ethical dilemmas are meant to be refuted in different ways by means of developing a mind set that a particular given ethical dilemma does not seem to exist.
    In this particular case study, the ethical dilemma here is about a patient named John who was inflicted with a deadly disease known as HIV. Having an HIV, according to him is not a major issue to deal with, because after all, his life was already sentenced the very day, he contracted the disease. Likewise, not all people can have it though he was already a  carrier  of the dreaded disease. He even manifested a rationalizing kind of behavior by saying that having sex with multiple sex partners is his  coping mechanism  with his more serious problems of anxiety and depression.  The dilemma here is not s question of ethical standards but also, of moral grounds.  Morally speaking, to have multiple sex partners is not accepted or should I say, it is not accepted by the society.  The norms of the society only provides one sex partner to every given gender either male or female, same sex or not. On the bounds of religion, sex is sacred to be shared by opposite sex bind by the sacrament of marriage meant to last for a lifetime. Ethical systems provide a frame work in the decision making process of an individual. These decisions in turn will tend to influence his behavior or predispositions in life sometime in the near future and how he will behave in the society as a citizen as a whole. 
In weighing an ethical dilemma, one has to consider also the way a society will accept the person who is in the middle of that psychological conflict. The acceptance of the society depends on various factors
The moral values of the society
The social perspective with regards to the ethical dilemma being presented,
Health issues with regards to dealing with patients having the HIV virus.
The viewpoint of the society in terms of the social and moral implications of sex especially multiple sex activities
The implications of the ethical dilemma in terms of personality growth and development of the individual concerned.
The given or presented ethical dilemma must not be viewed as a threat in relation to his adjustment with the environment where he belongs.
The role of the family is very essential in the formation of more optimistic attitudes and values that may lead to a better and positive attitude and lifestyle.
The presented ethical dilemma must be looked at with a wide and mature
perspective in order to provide the victims of HIV to realize that they can be more productive
despite of having the deadly disease.
The ethical dilemma on HIV must be able to foster unity among its victims in order to create a movement to disseminate information s with respect to this disease.
It depends also on the kind of religious upbringing of the individual. The stronger his spiritual values are the greater is his chance of winning the battle against this ethical conflict.
As a whole, weighing the ethical conflict also depends on the ability of the counselor to carry out his or her duties based on the ethical standards that go in consonance with his or her profession.  He must be able to establish rapport with his client in order to elicit a response favorable or unfavorable to be able to come up with a decision that can greatly influence the behavior of the client in relation to his environment and the people around him and most importantly to himself. Further, the proper therapeutic approach or treatment must be applied, so as to ensure the effectiveness of the psychological treatment to heal his depression and anxiety. The counselor must be able to inculcate in his mind that sex is not the solution to his more complex which decays his human nature not only physically and spiritually. Lastly, the counselor and the patient must be able to understand if not accept their own personal views to come up with a solution that will make the client to rise above the ethical dilemma and eventually become a better and productive individual.



Florida State Laws - The Synopsis
The State of Florida has several state laws in connection with sexual offenders or predators. These state laws contain the following legislative intent that the state has a compelling interest in protecting the public against sexual offenders in protecting the children first and foremost against sexual predatory sexual offenders and there is the presence of sufficient justification thus the state mandatory requires sexual predators to be registered so that their presence in the community where they belong Further, it is the purpose of their legislation to have a written court order therefore to inform the public regarding the presence of these immoral carnal predators in order to protect and safeguard the interest of the public as a whole.  However the designation,  sexual offender is not considered to be a punishment but a status resulting from the past crimes committed by the offender.
    According to their laws their criteria in classifying an individual as a sex offender, the offense was committed on or before or after October 1, 1993 and upon his conviction the offender therefore, can be called a  sexual predator . Second, the felony or offender has not received any pardon. Also, the offender must be convicted and sentenced separately, prior to the current offense regardless of the date of the offense. On the other hand they are deemed to be registered on the following grounds
If a sexual offender has been registered by the Department of Corrections or any similar agencies.
If the court has written a decision that a person is a asexual offender based on the kind of crime that he had committed under this particular offense.
The Florida State Laws also states that the State must have a verification scheme so as to properly identify the presence of these offenders in the community. Likewise, the manner by which they are being identified is according to the provisions of the federal Jacob Wetterling, as amended and any other federal verification processes These must be met in order to receive funds from the State. In addition, The Department of Corrections must be able to verify the address of these offenders who are not incarcerated, thus living in a community with ordinary people.
On the sexual predator s part, he or she must report each year during his birthday, and on the sixth month following his birthday, In connection with the sexual predator s report, it must also be the duty of the offender to inform the sheriff about the changes in his personal information if there are any, as clearly provided for by the Florida State Laws.  The Florida State Laws also states that if any offender is pursuing a higher degree of education, the State must be provided an address of this institution including the name of the campus as well as the enrolment status of the offender.   Speaking of conviction the term connotes the determination of guilt as a result of trial  A conviction can be that of a court marshal, federal tribunal and the like.
Sexual offender s mean while denote a person who has committed a crime especially against minors even after their release from personal incarceration. These offenders have often robbed of their privacy because they have been considered as threats to public safety and interests.  Moreover the release of their personal information to the people who are requesting for it, is a dangerous thing to do according to their laws since this might endanger public safety.

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