TPC Journal V8, Issue 3- FULL ISSUE

254 The Professional Counselor | Volume 8, Issue 3 form an identity congruent with the counseling profession (D. M. Gibson, Dollarhide, & Moss, 2010; Post & Wade, 2009). The ways in which counselors integrate professional values and develop their identities depends on the culture of their training programs, professional work settings, experiences in those settings, and individual perceptions that form from those experiences (Francis & Dugger, 2014). As a result, counselors may vary in their level of support for PAD, personal conflicts related to PAD, and general beliefs and values about death and dying. Therefore, counselors must evaluate their values at a personal and professional level as they work through value conflicts and ethical dilemmas with PAD clients (Johnson, Hayes, & Wade, 2007). Ethical Decision Making and Bracketing Counselors’ abilities to resolve value conflicts are determined through ethical decision making (Cottone & Tarvydas, 2016; Kocet & Herlihy, 2014). The ACA Code of Ethics (2014) serves as a guide to counselors to uphold equitable standards of care across client populations when ethical dilemmas and value conflicts arise. According to ACA: When counselors are faced with ethical dilemmas that are difficult to resolve, they are expected to engage in a carefully considered ethical decision-making process, consulting available resources as needed. Counselors acknowledge that resolving ethical issues is a process; ethical reasoning includes consideration of professional values, professional ethical principles, and ethical standards. (ACA, 2014, p. 3) Becoming an ethical decision maker is most effectively done through practice in intentional decision-making processes (P. A. Gibson, 2008). There are many ethical decision-making models that are relevant to maintaining ethical integrity during a variety of dilemmas (Cottone & Tarvydas, 2016). Counselors most often use practice-derived models that are produced from counselors’ experiences and are intended to provide a step-by-step guide for practice (Cottone & Tarvydas, 2016). Although each model is distinct in its step-by-step process, there are common elements throughout them that highlight a standard of practice for ethical decision making. Significant commonalities include gathering information; considering the context of the situation; reviewing codes, standards, and laws; evaluating the counselor’s values or biases; consultation; developing a plan; and executing the plan. For counselors working with PAD clients, their decision-making processes will require a more in- depth exploration of the context of the situation, counselors’ values and biases, and the counseling profession’s values (Heller Levitt & Hartwig Moorhead, 2013; Kurt & Piazza, 2012). Thus, a decision- making model that carefully considers values-based conflicts is needed. Using a practice-derived framework, Kocet and Herlihy (2014) developed the counselor values- based conflict model (CVCM) to specifically address ethical dilemmas stemming from value conflicts. The model includes five steps: (1) determine nature of values-based conflict (personal or professional); (2) explore core issues and potential barriers to providing appropriate standard of care; (3) seek assistance/remediation for providing appropriate standard of care; (4) determine and evaluate possible courses of action; and (5) ensure that proposed actions promote client welfare (Kocet & Herlihy, 2014). Each step includes consideration for potential personal and professional values that may arise for counselors. A key part of resolving values-based conflicts is avoiding imposing one’s values onto the client. To address this key issue, Kocet and Herlihy (2014) also introduced the term ethical bracketing . Ethical bracketing in qualitative research is “a reflexive process [that] enables [researchers] to bracket or set