The purpose of this study was to identify if there is an ongoing dilemma relating to the ethical core values of the current practice of clinical social work in America. The conceptual framework for this study is based on a qualitative paradigm consisting of a synthesis of existing research and the subjective data that was collected and analyzed for the purpose of this research study. This study reveals an ongoing polarized view of the perceived priorities of the ethical constructs of clinical social work as practiced in America over the last 40 years. This study reflects the need for clarification, as well as further research on the part of the National Association of Social Workers, as the NASW hopefully moves forward and provides a more comprehensive and clearly defined national policy regarding the current construct of the ethical model of clinical social work practice