What ethical principle in trauma work specifically requires obtaining a client's voluntary agreement to services after providing full information about risks and benefits?

The ethical principle in trauma work that specifically requires obtaining a client's voluntary agreement to services after providing full information about risks and benefits is called Informed Consent. Informed Consent is a fundamental ethical and legal concept ensuring that individuals have the right to make autonomous decisions about their care. It mandates that a client freely agrees to participate in a therapeutic process only after receiving and understanding comprehensive information about that process. "Voluntary agreement" means the client's decision is made without any form of coercion, undue influence, or pressure, ensuring they genuinely choose to engage or not engage with the services. "Full information" refers to the comprehensive disclosure of all relevant details concerning the proposed treatment. This includes explaining the nature of the specific therapeutic techniques or interventions, such as discussing how certain trauma-focused therapies might involve recalling distressing memories. It requires clearly outlining potential risks, which could include experiencing temporary emotional distress, increased anxiety, or a temporary worsening of symptoms as traumatic material is processed. Simultaneously, it involves explaining the anticipated benefits, such as reduced post-traumatic stress symptoms, improved coping mechanisms, or enhanced emotional regulation. Furthermore, "full information" encompasses discussing alternative treatment options available, the limits of confidentiality, the therapist's qualifications, and practical aspects like fees or session duration. A crucial aspect of Informed Consent, especially pertinent in trauma work, is the client's "capacity" to understand the information and make a rational decision. The professional must assess the client's ability to comprehend the provided details, particularly when trauma symptoms like dissociation or severe emotional distress might temporarily impair cognitive processing, and present the information in an accessible way. This principle respects client autonomy, empowers the client by giving them control over their healing journey, and fosters a trusting therapeutic relationship.