Hostname: page-component-7fc98996b9-g9qcd Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. Ethical dilemmas. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. The therapist screens the potential patient and believes that she can help him. When dealing with the EAP program, she thinks her title of doctor might put people off, so she announces herself as Sue when dealing with EAP clients. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. 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? Sci Rep 12, 22416 (2022). Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. In a therapy session in an outpatient substance abuse treatment facility, a patient reveals that an agency staff person another therapist in a different department has paid to have sex with another patient in the treatment facility Lyla, who is a prostitute. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. Plenty without any type of testing. 8 0 obj 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. Continuing Education & Ethical Resources For Mental Health Professionals. Prior to providing extra-therapy support, Dr. for this article. What are other steps that the therapist may want to take in this situation? Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 hasContentIssue true, The Author(s), 2022. Simultaneously, the religious institution is adamant about this requirement. The treating therapist is questioning what to do. Among other things, the report contained a psychological evaluation of the patient. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Mr. DiMencha demonstrates a variety of cognitive deficits. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Tara was offered this position after successfully completing both her practicum and her internship at the center. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. <> Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. During the last two years, she required total care. What are the ethical issues involved in this scenario? Most issues do not produce ethical dilemmas, but some do. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Close this message to accept cookies or find out how to manage your cookie settings. The mother explains that the child has run away and the mother has reported the child missing to the police. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. The therapist has not worked with the patient for about two years. 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. What emotional reactions may occur for the therapist? endobj From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. 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. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA 6 0 obj xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. Are there competing ethical principles? The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. Can the therapist continue the treatment relationship with the patient? Ethical Vignette Paper.docx. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Is Dr. The patient had been in treatment for about 10 months on a weekly basis. What concrete steps might be important before calling the physician back? She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. ocuk Koruma Kanunu [Child Protection Law]. What are potential advantages in this scenario? He thinks that she is young and impressionable. Plenty lives and practices psychotherapy in a rural area. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. School Law for counselors, psychologists, and social workers . The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. A psychologist receives a phone call from a well-known internist in her area. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? A psychologist works in an outpatient substance abuse treatment facility. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. What are the potential ethical issues in this case? Would your answer differ if the advanced directive was created 7 years ago or greater? In fact, the patient has made no such comments to anyone else other than to Dr. Solomon and has been a model patient on the unit. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. 2. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. 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. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. The Submit Answers for Grading feature requires scripting to function. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. For example, the first vignette, which A therapist is treating a client who is involved in a legal proceeding. 7 0 obj iRE]7*ZG; K5|h{. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. What are the ethical issues, if any, involved in this case? Just as he is about to hang up, Buddy says, Thanks. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. He complains loudly about his parents and his girlfriend. Dr. Jordan is a therapist who typically works with a wide variety of patients. After the phone call, the therapist checks the waiting room and sees the patient there. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. ; & Hartshorne,T.S. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. However, she begins to feel uncomfortable as she feels like they are spending too much time together. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. Harry is a school guidance counselor who is just got a job at a large public high school. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. The ICU staff asks for your input. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. What are the ethical issues involved in this case? frequent consultation requests by the trauma service. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Contemplate these 16 conundrums. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. Content may require purchase if you do not have access. . The Center maintains responsibility for this program and its content. February 27, 2023 . stream 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 Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. . While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. 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. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Mr. Biggy indicates that he wants to talk more about his feelings. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. During the current session, the confides that he has made a new female friend. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. This particular vignette, Swenson said, may well fail the two-prong test. This has caused both his physical and You are checking your email after a busy day. 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 treating therapist believes the options are: What are the possible emotional reactions to this situation? As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. Refer the matter to the State Board of Psychology. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? 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. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. 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. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Can the client contact Child Protective Services anonymously in this case? At that time, Dr. Miller not only wanted to evaluate the marriage, but to evaluate how impaired the husband was, and to decide whether Mrs. Drapier had assessed her husbands depression and the marriage accurately. a73D%IhCTHA&:L0iAq(*p The Clear Answers and Start Over feature requires scripting to function. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. x#86h)Ppcc0F( k/ While it is not a complete assessment, it can guide patients to you for further psychological consultation. (1998). Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. xVN0}-m8 What are the ethical issues involved in this situation? In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. 1 pages. He recalled that he was an older person with significant depression who eventually became better. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. When she asks about insurance, he indicates that he will pay in cash. 2 0 obj Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) She went on to detail how her boyfriend described how his uncle was involved in collecting and distributing child pornography but remained faithful to his aunt. DILEMMA ONE After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. What factors make this situation potentially difficult for you as a therapist? What would you need from the attorney? 1. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Dilemma 20: Has the Therapist Done Too Much? Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. The therapist knows her new boss, Mr. Biggy. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Therapist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. The executor is Mr. Palmers brother, who lives in a different state. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Approaching ethical dilemmas. First, these vignettes are meant to be teaching tools. P. (1996). mh:/lIk[ R#ig#hJh@xVSP~~NPHC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 mH7 x6}K It may rather be a sign that one is fully engaged in the life of a community. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. The results and implications for counsellors, counsellor educators and researchers are discussed. While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. A therapist receives a phone call from a well-known internist in her area. It then provides six vignettes where supervisors are faced with ethical dilemmas. To use suggested categories to consider options for ethical response to the dilemma. 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. One day, Dr. Bishop receives a phone call from his contact at the institution. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. 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. They have dinner as couples several times per year. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. The client then asked if she could invite her boyfriend to the next session so that they could all discuss the information and the best way to handle the situation. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Dr. Jordan returns the phone call. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. The therapist cannot remember many details about the patient. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. His mother had suffered from a combination of severe respiratory problems and Alzheimers. She does not feel right taking a fee larger than her usual and customary rate. However, after the session, the therapist feels uneasy about what his patient revealed. <> <> His impairment is noticeable by Dr. Dr. Thomas wants him to come in immediately for a more indepth evaluation. If you were Dr. Jordan, how would you feel about this request? Are there any ethical considerations in this dilemma? (1993). Both therapists are of the same profession. Are there additional considerations for how to approach the referring physician when calling back? Dilemma6: Referral and Treatment Boundaries, Dilemma9: Psychologist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. ~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! To create paragraphs in your essay response, type
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at the end. endstream Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. There is nothing unusual that stands out about their therapeutic relationship. Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. Dr. Jordan calls you on the phone for an ethics consultation. While he did complete his Legal and Ethical Issues in Counseling class while working on his masters degree, he feels that now that he working in the real world, he should review and discuss the Code of Ethics and the Standards of Practice with his peers. He is talking with a young man, most likely his cousin. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. : Ethical and Legal Ramifications of Documentation Decisions. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. A court appointed custody evaluator performed a child custody evaluation. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. For example, the psychologist might have to evict his client for failing to pay rent--or he might . Therapy lasted about a year and focused on depression and relationship issues. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. In hindsight, what triggered some possible difficulties in this situation? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Running Head: ETHICAL VIGNETTE. 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. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . Does the therapist who hears this information have any legal obligations? adapted and used used with consent from a state psychological association. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> And, how would you, as the treating therapist, deal with those emotions? How would you advise Dr. Thomas to handle them? The therapist, her husband, and his ex-wife are on good terms. Standards of practice, part B.9 states that . The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. 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. Patient contact information will be part of the administration process. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. %PDF-1.5 What do you believe is the best course of action? American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . 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. 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. What problems may occur as a function of Dr. 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. Are there any other concerns about the web developer/consultants strategies? Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. 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. The therapist obtains the keys and title for the vehicle.Warhammer 40k Dreadnought Datasheet,
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