In this t, you will apply the SLEEPP systemic decision-making model from Chapter 23 of The Handbook of Systemic Family TherapyLinks to an external site. to this vignette. Then, you will following the instructions provided.

Vignette

Jim has been a marriage and family therapist for 10 years working mostly with couples. Recently, he began work with a new couple, John and Sally. During John's initial session with the couple, he noticed bruises on John's neck. Prior to the first session, all necessary consent forms were completed and reviewed by Jim. The couple identifies themselves as being in a dominant-submissive relationship in which Sally is dominant and John is submissive. John is a 35-year-old divorcee and self-proclaimed heterosexual who likes to explore bondage sexually. Sally is 23 years old and identifies as bisexual. Although John identifies as a submissive, Sally does not identify as a sadomasochist.

Although Jim has treated hundreds of couples, including sexual intimacy issues, he has never dealt with BDSM sexual preferences. Jim asks to meet with each partner alone for 10 minutes. During that time, he inquiries about John's safety. John assures Jim that he has consented to the physical intimacy actions and that he feels safe. Later, Jim attends his normal Al-Anon meeting, which he has attended for years due to sibling addiction issues. There at the meeting John shows up for the first time. After the meeting, John approaches Jim and asks if they can talk privately about some issues he did not share at the session in the couple's first visit. Although Jim disagrees with this lifestyle choice, Jim wonders what his ethical responsibilities are pertaining to treating John and Sally.

Instructions You will wri that addresses each of the following:

• Who would you consult with in making your decision?
• Using the SLEEPP model, identify each step you would take with an explanation of how your action for each step relates to ethical imperatives in the AAMFT Code of EthicsLinks to an external site. and applicable standards and sub-standards.
• Which legal implication, if any, did you identify and consider?
  • Be sure to identify in each step the feedback from each client (enhance this step), which led to you reevaluating the ethical decision.
• What sociocultural factors did you identify?
• How did the concept of power play into the process?
• How did you consider principles that led you to consider the decision from opposing points of view?
• What is your conclusion of the ethical decision in this case study?