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This article is the third and final part of a series of articles considering ethical issues in counseling with families and individuals within families with gay, lesbian, bisexual, and transsexual (GLBT) concerns. Conversion therapy and the ethical and practical considerations are explored in this third part. Emphasis is placed on the need for counselors to assess personal biases in the area of working with sexual minorities. A reflective exercise and case study are presented for personal exploration of awareness of biases and prejudice in working these populations.

This article examines the family roles and ethics of first-generation college students and their families through discussion of a case vignette. London's family roles applied to first-generation college students are discussed. Narrative therapy practices and an ethical model that examines the value process of counselors are explored as possible solutions.

Couples, marriage, and family counselors face unique ethical and practice challenges in their dual commitment to the positive growth and integrity of both the individual and the family system. Gay, lesbian, bisexual, and transgendered (GLBT) persons and their families present unique ethical challenges. A series of brief case vignettes touch on a range of ethical issues for couples and family counselors, including training, supervision, custody evaluation, ethical decision making, counselor bias, gender, ethnicity, and referral.

Part one of this series of two articles deals with a case study in which the family counselor addressed gender issues of communication and power differential within the couple’s interactions. The couple’s values and the counselor’s values were congruent and therefore more easily addressed. This article, part 2, addresses a more complex case in which the clients’ gender issues and values differ with the counselor’s values and theoretical orientation. An awareness and knowledge of gender issues become more important for ethical counseling to occur when there is a clash of values between the clients and the counselor. Ethical decision making becomes essential, and in this case, a social constructivism model of ethical decision making is applied.