ethical dilemmas in counseling vignettes

Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. The therapist knows her new boss, Mr. Biggy. If you decide to provide information, would you consider communicating with the prior patients attorney? In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. She actually attended his graduation party briefly and hired him to cut her lawn for two years. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. % The physician wants the psychologist to treat his 17-year-old daughter . What should you do with this email solicitation? stream Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. endobj The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Has data issue: true Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. Glover, J. At the end of the session, the therapist asks for the requisite fee as stated on the phone. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. After the session is over, the therapist has time to reflect on her concerns. : ethical dilemmas, burnout, stress, practicing counselors. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Are there additional considerations for how to approach the referring physician when calling back? The client continued to struggle. Ethical Vignette Paper.docx. Are there any ethical considerations in this dilemma? Dr. Popeil thinks these ideas are good. 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. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. The treatment notes indicate that she dropped out of therapy about one year ago. He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? He thinks that she is young and impressionable. Dr. Thomas is a mental health professional who is a part owner of a private group practice, some members of which offer Employee Assistance Program (EAP) services. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. 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. The clients boyfriend expressed that she should never discuss this with anyone. Most issues do not produce ethical dilemmas, but some do. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Should Dr. Goodfriend call Buddy and offer a few referrals? Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. He would like help to work through the issues. There is nothing unusual that stands out about their therapeutic relationship. The executor is Mr. Palmers brother, who lives in a different state. xVN0}-m8 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. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Would your answer differ if there were no advanced directives? Jacob-Timm,S. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. The therapist and the attorney-patient meet for the initial session. Prior to providing extra-therapy support, Dr. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. An important factor is that there is no cost to you, as the therapist. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Can the client contact Child Protective Services anonymously in this case? Standards of Practice, B. Counselling Relationships, Confidentiality. The days allocated for her stay by her insurance are ending in two days. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. . endobj Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? 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. The results and implications for counsellors, counsellor educators and researchers are discussed. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. The therapist obtains the keys and title for the vehicle. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. Dr. Bishop calls you for a consult about this situation. Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Tara was offered this position after successfully completing both her practicum and her internship at the center. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. New York: John Wiley & Sons, Inc. The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. The therapist and the young man have been engaged in psychotherapy for the past 2 years. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. The Submit Answers for Grading feature requires scripting to function. The mother further reports that the patients cousin has been driving the patient around town. DILEMMA ONE By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. The patient has trust issues with his parents, especially his father. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . If you were Dr. Goodfriend, how do you feel about the phone call? The treating therapist is questioning what to do. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . A female therapist in a suburban area has worked with a male patient for about one year. When Dr. Jordan attempts to clarify the request, it becomes clear that the former patient is not asking to return to therapy, but instead is asking Dr. Jordan to become the co-author or a consultant for the book. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? ; & Hartshorne,T.S. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Dr. Ron Popeil, a local therapist, is upgrading his web site. How would you feel if you were the consultant? Dr. Smith is now worried about the entire situation. The main therapeutic issues are depression and loneliness. Dilemma 20: Has the Psychologist Done Too Much? (1993). Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. outside her scope of practice? Encourage the client to file a complaint with the State Board of Psychology. Hence, the admission is voluntary. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. Standards of practice, part B.9 states that . Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; To use suggested categories to consider options for ethical response to the dilemma. What do you believe is the best course of action? Dr. Goodfriend receives a call from Buddy, his very close high school friend. 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. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< The following email catches your attention. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. are In the context of counseling, family includes people related through . Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. When she asks about insurance, he indicates that he will pay in cash. T. he counseling field is rich with ethical issues (American Counseling Association [ACA], 2014; Bodenhorn, 2006; Herlihy & Dufrene, 2011), so counselors have to be knowledgeable about current ethical and legal topics and attentive to their day-to-day clinical work. 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? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics What are other steps that the therapist may want to take in this situation? 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. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? What would you likely do with this email solicitation? Dan asked a number of faculty members to be the faculty advisor of this group. School Law for counselors, psychologists, and social workers . She has been doing much of the case management work, e.g. For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. Uncertain, she calls you for an ethics consultation. He is marginally coherent and unable to give any consistent responses. Feature Flags: { Others sources will also be used. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Dr. The therapist ignores the comment and finishes by setting their initial appointment. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. A therapist receives a phone call from a well-known internist in her area. The therapist expresses her concerns about working with a patient whose father is prescribing medication. 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. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. (1998). Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. If you were Dr. Miller, what are your emotional reactions to this situation? ocuk Koruma Kanunu [Child Protection Law]. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. For example, the psychologist might have to evict his client for failing to pay rent--or he might . Dilemma 38: Psychotherapy without Medication, Dilemma 39: Pills, Chills, and No Thrills, Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision - 3 part series, Library: Articles & Papers Related to Ethics Education, Time pressure reduces misinformation discrimination ability but does not alter response bias, Domestic violence hotline calls will soon be invisible on your family phone plan, The danger of absolute thinking is absolutely clear. 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. endobj The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. If you were Dr. Jordan, how would you feel about this request? The EAP service provides a solution-focused, three-session benefit for companies within Virginia. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. 6 0 obj 4 0 obj As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Identifying, addressing, and resolving ethical dilemmas is a dynamic process that requires counseling professionals to do more than simplistically apply the codes with respect for the uniqueness of each situation or circumstance. Running Head: ETHICAL VIGNETTE. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The physician explains that he has been medicating her for about four months with Prozac and Klonopin, once he became aware of her eating disordered behavior. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Harry is a school guidance counselor who is just got a job at a large public high school. First, these vignettes are meant to be teaching tools. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. Therapy lasted about a year and focused on depression and relationship issues. Approaching ethical dilemmas. Mr. Tellanyone is feeling quite guilty about his mother. The Clear Answers and Start Over feature requires scripting to function. This has caused both his physical and Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. They start spending more time together. You are checking your email after a busy day. hasContentIssue true, The Author(s), 2022. Mr. DiMencha demonstrates a variety of cognitive deficits. 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. Patient contact information will be part of the administration process. Render date: 2023-03-04T21:33:13.444Z Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Plenty without any type of testing. Dilemma 35: Initial Telepsychology Session for Free? He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Close this message to accept cookies or find out how to manage your cookie settings. One afternoon Taras supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the centers other branches. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . iRE]7*ZG; K5|h{. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Attempts to find social service agencies able to help him have not been successful. Dr. Smith decided to review the report. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling.

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