In small groups, explore what you consider to be the main ethical issues in counseling lesbian, gay, bisexual, and transgender clients. Review the discussion of the case of Bruff v. North Mississippi Health Services on pages 127–129. What legal issues are involved in this case? What are the ethical issues in this case? To what degree do you think the counselor imposed her values on her client? Do you think counselors have a right to refuse to provide services to homosexual clients because of the counselors’ personal beliefs?

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