I have the following case:
John Smith, M.D., is a psychiatrist with a private practice. He has been extremely successful in helping child-abusing parents. Many of his clients have sent him others; at present, nearly seventy per cent of his clients are people who have physically, mentally, or sexually abused their children.
Dr. Smith's provision of effective therapy is not the only reason for his exceptional concentration on child-abusing clients. He also systematically refuses to report child-abuse cases to the authorities, and he includes no mention of child abuse in his clients' files. Because of this, a number of his clients are serious abusers who have not previously sought counselling and who will not take their abused children to physicians because of their fear of being reported to authorities. Dr. Smith believes that by rigorously protecting confidentiality, he is able to help precisely those people who are most likely to injure their children.
Now I have to use the Act-Utilitarianism and define in which way Dr. Smith action is affecting the people affected by his action. Now my instructor told me to use numbers in terms of the amount of happiness that either created or lost. For instance, Dr. Smith action creates 5 point happiness for the parents but -6 for the affected children. Now I could just randomly assign numbers to those cases, but that does not seem right. So I am asking you guys how you would approach this case by using numbers to define the amount of happiness. Thank you.