However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. White Plains, NY: Longman. for this article. Mr. Biggy and Dr. Smith meet in an unplanned social venue. Dans vision is that the group would meet periodically to provide one another with support, to do problem solving, to share information and personal struggles, and perhaps to provide some psycho-educational work on campus. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. The therapist pulls the former patients chart. After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. 6768). It was revealed that counsellors prioritise the students benefit and respect students privacy. At the end of the day, he listens to voicemail messages to learn that a former patient is reaching out to him for a request. The therapist, her husband, and his ex-wife are on good terms. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Should Dr. Goodfriend call Buddy and offer a few referrals? And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Plenty without any type of testing. Menu. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. : ethical dilemmas, burnout, stress, practicing counselors. Ethical dilemmas in clinical supervision. 1: Need for guidelines Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Next, most vignettes have more than one ethical issue that can be addressed. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Hence, the admission is voluntary. (1998). 3. Mock Ethics Vignettes - BRAIN These issues included a. dual relationships, b. competence, c. informed consent, d. due process. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. Are there competing ethical principles? Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. stream The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. His father has declined rapidly since the death of his wife and now requires total care. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. <> Are there any other concerns about the web developer/consultants strategies? During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Glover, J. He is talking with a young man, most likely his cousin. He recalled that he was an older person with significant depression who eventually became better. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Feature Flags: { The ICU staff asks for your input. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) A female therapist in a suburban area has worked with a male patient for about one year. A therapist receives a phone message from a former patient. / ethical dilemmas in counseling vignettes. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. Dilemma 35: Initial Telepsychology Session for Free? We use cookies to distinguish you from other users and to provide you with a better experience on our websites. What are the ethical issues involved in this case? She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. The position pays much more than shes making at the community agency, and is within ten minutes of her home. The therapist and the attorney-patient meet for the initial session. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Ethics and law for school psychologists . ethical dilemmas in counseling vignettes - stmatthewsbc.org Widely adopted as a textbook in graduate psychology courses in ethics and continuing education development, this innovative volume presents readers with over 100 different perspectives on crucial ethical issues and offers possible solutions from an expert ethics educator, psychologist, and former APA general counsel. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. What are some possible suggestions for Dr. Jordan? After the phone call, the therapist checks the waiting room and sees the patient there. What emotional reactions may occur for the therapist? 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF Buddy also shares that he has been short tempered with his wife and kids. Close this message to accept cookies or find out how to manage your cookie settings. ocuk Koruma Kanunu [Child Protection Law]. are stream . He does not view it as a therapy group. They developed a good therapeutic alliance. What clinical concerns arise for you in this scenario? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. He will likely need to go into an assisted living facility. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling Patient contact information will be part of the administration process. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? A psychologist works in an outpatient substance abuse treatment facility. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. What are the potential ethical issues with this case? During the next session, Mr. and Mrs. Drapier arrive separately, but on time. ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! Your browser either does not support scripting or you have turned scripting off. The counsellor is also conscious. Programs that do not qualify for NBCC credit are clearly identified. What factors make this situation potentially difficult for you as a therapist? The PASS-2 is administered online, from any computer, iPad, or iPhone. hasContentIssue true, The Author(s), 2022. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. The therapist cannot remember many details about the patient. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. << /Length 5 0 R /Filter /FlateDecode >> Along with. The contact is now requesting that Dr. Bishop begin to screen individuals for homosexual tendencies because, according to the doctrines of the denomination, such individuals are not eligible to become clergy. An important factor is that there is no cost to you, as the therapist. The test usually takes approximately 40 to 60 minutes to administer. In the context of counseling, family includes people related through . Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. While discussing these issues, the patient suddenly stopped talking. locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. Dr. Smith also asked if it is ethical to bill the patients insurance company to review his impressions of a forensic report during a psychotherapy session. ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. Case Vignettes for Review As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K He is marginally coherent and unable to give any consistent responses. His attorney believes that some good, written character references will really help out with the case. The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. The therapist does not dwell on the situation with the patient. What, if anything, should the therapist do? Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. A psychologist receives a phone call from a well-known internist in her area. However, after the session, the therapist feels uneasy about what his patient revealed. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. The executor is Mr. Palmers brother, who lives in a different state. School counsellors often encounter ethically challenging situations due to contradictory values and roles. If you were Dr. Jordan, how would you feel about this request? Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. He thinks that she is young and impressionable. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. ACE provider approval period: 3/21/2021-3/21/2024. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Ethics Vignette #2 A local psychiatrist is referred by his attorney for neuropsychological evaluation related to possible mild head injury ( traumatic brain injury) from a MVA. What are the potential ethical concerns about this scenario, if any? Dr. Smith decided to review the report. The patient had been in treatment for about 10 months on a weekly basis. Ethical dilemmas of school counsellors: A vignette study Learning From Ethical Vignettes This workshop is based on discussion of ethical issues raised by clinical vignettes such as those below, adapted and used used with consent from a state psychological association. Most issues do not produce ethical dilemmas, but some do. A therapist receives a phone call from a well-known internist in her area. When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. Total loading time: 0 Encourage the client to file a complaint with the State Board of Psychology. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. She was surprised to find that most of the clients who came to see her were young women who suffered primarily from eating disorders and relationship problems. Workers Compensation refuses to pay for the case management services of an independent social worker. 7 0 obj He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. If you were Dr. Miller, what are your emotional reactions to this situation? Fowers and Davidov (2006) link the "multicultural movement" to classical writings about ethics in the philosophy literature,contrasting "virtue ethics"with merely following the rules. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. My company has developed a unique opportunity for you and your associates. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. What are potential advantages in this scenario? Prior to providing extra-therapy support, Dr. Hostname: page-component-7fc98996b9-g9qcd <> Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. ETHICAL DILEMMAS IN COUNSELING - LinkedIn With her husband, the patient and the ex-wife? endstream He confides that he would like to have an affair with her. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. The Clear Answers and Start Over feature requires scripting to function. We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. Dr. Goodfriend speaks with Buddy about once every six to nine months. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Dr. Jordan is a therapist who typically works with a wide variety of patients. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. He promised to call her back within a week. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? He also indicated that the relationship is taking on a more serious tone. What should you do with this email solicitation? Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. endobj Dan explained to Dr. Crane that this group would be student-led and meet on campus. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. How would you feel about receiving this request? The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. Legal Issues In Counselling Psychotherapy (Ethics In Practice Series) iRE]7*ZG; K5|h{. Dilemma 20: Has the Psychologist Done Too Much? The treatment notes indicate that she dropped out of therapy about one year ago. To use suggested categories to consider options for ethical response to the dilemma. Dr. Tell contacts you with the above scenario. Dr. Bishop calls you for a consult about this situation. Jacob-Timm,S. The patient repeated this line of questioning during the first face-to-face session. Are there additional considerations for how to approach the referring physician when calling back? During the last two years, she required total care. The Center is solely responsible for all aspects of the programs. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. You are a therapist in a busy acute care hospital where you receive. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. The therapist expresses her concerns about working with a patient whose father is prescribing medication. While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. %PDF-1.5 % However, she begins to feel uncomfortable as she feels like they are spending too much time together. % A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Prior to returning the call, Dr. Jordan reviews the patients chart. His impairment is noticeable by Dr. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. What are the potential pitfalls in the scenario? Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. What would you need from the attorney? Ethics Rounds--Multiple relationships: A vignette After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). I encourage you to review our web site. Contemplate these 16 conundrums. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. A therapist is treating a client who is involved in a legal proceeding. The cost of the online administration is $25, to be paid by the patient. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Ethical Dilemmas in Counseling | Psychology Today United Kingdom Dan asked a number of faculty members to be the faculty advisor of this group. Out of options, Dan is asking Dr. Crane to be the faculty advisor. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. cn]JlmQSMDM>pEm+gxMU]``tQqKF You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. COUC 501 Ethical and Legal Issues in Counseling - Course Hero He also wondered if he should contact the patients lawyer, with her permission, to disclose his perceptions about the quality of the report and his perceptions about the conclusions. Can the therapist continue the treatment relationship with the patient? "useRatesEcommerce": false The client continued to struggle. She stated that Dr. Jordan recommended that she write down her memories. Dr. Jordan returns the phone call. They have dinner as couples several times per year. He also divulged that his risk-taking behavior has increased as well, such as speeding. endobj The patient presents with a history of rejection and abandonment as well as being abused by persons of power. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. For example, the psychologist might have to evict his client for failing to pay rent--or he might . ethical dilemmas in counseling vignettes - laoiscivildefence.org Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program.
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