As the theoretical and professional foundations of multicultural counseling have progressed, a natural evolution has been the development of ethical standards to help regulate the practice of multicultural counseling. Ibrahim and Arredondo (1986) authored a proposal to develop specific ethical standards regarding multicultural counseling in the areas of education, research, assessment, and practice. LaFromboise and Foster (1989) also discussed this by bringing attention to other issues related to ethics in multicultural counseling that involved participants in research and right to treatment.

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As a preamble to Table 2, counselors need certain attitudes (or virtues) that will provide a framework for engaging in ethical decision making under the proposed model. These include reflection, attention to context, balance, collaboration, and tolerance (Tarvydas, 1998). Reflection concerns counselors' awareness of their own feelings, values, and skills, as well as understanding those of the other stakeholders involved in the situation. Attention to context involves being attentive to the factors that may play a role in the situation, namely the team, institutional policy, society, and culture. Counselors maintain balance by weighing each of the issues and perspectives presented by all individuals involved. Collaboration means that counselors must maintain the attitude of inviting all parties to participate in the decision to whatever extent possible. Counselors display tolerance by being accepting of the diverse worldviews, perspectives, and philosophies of the different stakeholders (Welfel, 2002).

Providing an extensive case illustration of the use of the Transcultural Integrative Model exceeds the scope of this article. However, a point can be made about its potential applicability in a variety of settings. Garcia et al. (1999) conducted a confirmatory factor analysis study that showed the complexity of ethical dilemmas faced by counselors working with HIV/AIDS populations. They found that counselor ratings of the dilemmas loaded onto eight categories, namely, disclosure, family/social, legal, health, death, vocational, sexual, and counselor/client relationship issues. This study also examined demographic characteristics of counselors that could predict their ratings of the extent to which they face those dilemmas. Three predictors were found to be significant: previous training in HIV/AIDS, age, and sexual orientation. An argument can be made that the latter two variables involve culture as a source of variability. The authors of this study concluded that counselors addressing dilemmas encountered in their work with this population need to be competent in dealing with the cultural aspects involved.

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