You are a therapist in a busy acute care hospital where you receive. Dilemma 20: Has the Psychologist Done Too Much? Dr. Goodfriend receives a call from Buddy, his very close high school friend. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. 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 . Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. He also divulged that his risk-taking behavior has increased as well, such as speeding. adapted and used used with consent from a state psychological association. His impairment is noticeable by Dr. The therapist cannot remember many details about the patient. Regulatory boards are the final authority on courses accepted for continuing education credit. Dr. Goodfriend is unclear whether Buddy is serious or joking. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. ocuk Koruma Kanunu [Child Protection Law]. 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. (1993). She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. << /Length 5 0 R /Filter /FlateDecode >> The ex-wife moved back to the area about six months ago. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. My name is Dr. 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. Most issues do not produce ethical dilemmas, but some do. The cost of the online administration is $25, to be paid by the patient. Both therapists are of the same profession. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? outside her scope of practice? He is talking with a young man, most likely his cousin. frequent consultation requests by the trauma service. Cynthia had already invested quite a bit of money into her private practice, and was determined to make it work, regardless of the type of clients she had to treat. <> The treatment notes indicate that she dropped out of therapy about one year ago. 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. This has caused both his physical and However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. DILEMMA ONE / ethical dilemmas in counseling vignettes. 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. 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. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Can the therapist continue the treatment relationship with the patient? 6768). What are some likely emotional reactions would you have in this situation? Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 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. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. What are the ethical issues involved in this case? Render date: 2023-03-04T21:33:13.444Z Just as he is about to hang up, Buddy says, Thanks. The therapist, her husband, and his ex-wife are on good terms. The client continued to struggle. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. She does not feel right taking a fee larger than her usual and customary rate. What would you likely do with this email solicitation? 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. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> The executor is Mr. Palmers brother, who lives in a different state. 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. After the phone call, the therapist checks the waiting room and sees the patient there. 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 Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Can the client contact Child Protective Services anonymously in this case? Dr. Jordan calls you on the phone for an ethics consultation. With whom does the therapist discuss the multiple roles? By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. 2. 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. 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. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. 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. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Prior to providing extra-therapy support, Dr. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Ethical Vignette Paper.docx. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Dr. Apparently, no one is. P. (1996). What are some of the potential ethical pitfalls in this scenario? From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. stream The survey consisted of 10 vignettes based on the above ethical issues in. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Harry then decides to attend a conference hosted by the ACA which will address the Code of the Ethics and the Standards of Practice in detail. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. 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. 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. 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. 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. Dr. Jordan returns the phone call. 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. Standards of Practice, B. Counselling Relationships, Confidentiality. What do you believe is the best course of action? After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. 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. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. 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. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. During the interview, she was told that she would need to work independently, with only limited supervision. A therapist receives a phone call from a well-known internist in her area. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. : Ethical and Legal Ramifications of Documentation Decisions. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. 4 0 obj Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics The treating therapist believes the options are: What are the possible emotional reactions to this situation? He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. However, the police report indicated she has made such verbal threats in the past but also, on several occasions, has damaged her neighbors property including scratching the paint on their car and throwing rocks at their house. 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. What are Dr. Millers potential ethical issues in this situation? The therapist obtains the keys and title for the vehicle. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. If you were the psychologist, how would you feel about the situation? 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 Submit Answers for Grading feature requires scripting to function. What are potential ethical issues with this invitation? A therapist receives a phone message from a former patient. Prior to returning the call, Dr. Jordan reviews the patients chart. 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. Are there any ethical considerations in this dilemma? As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? 1 pages. 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 therapist screens the potential patient and believes that she can help him. for this article. Dr. Popeil thinks these ideas are good. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. The patient repeated this line of questioning during the first face-to-face session. She calls you for an ethics consult. 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. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. 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. The Center maintains responsibility for this program and its content. <> Plenty acting beyond the limits of her competency? 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. White Plains, NY: Longman. What are other steps that the therapist may want to take in this situation? Does the therapist who hears this information have any legal obligations? The therapist expresses her concerns about working with a patient whose father is prescribing medication. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Dilemma 6: Referral and Treatment Boundaries. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. A court appointed custody evaluator performed a child custody evaluation. 5 0 obj Would your answer differ if there were no advanced directives? 2 Print version: page 62 6 min read 0 Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. The following email catches your attention. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. She told the student that she would think about the request prior to answering. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. His mother had suffered from a combination of severe respiratory problems and Alzheimers. It was revealed that counsellors prioritise the students benefit and respect students privacy. What clinical concerns arise for you in this scenario? 14 March 2022. endobj xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. of family ties, but counselors in many other specialties will run into these issues too. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. One day, Dr. Bishop receives a phone call from his contact at the institution. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. cn]JlmQSMDM>pEm+gxMU]``tQqKF Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. There were contentious issues dealing with the custody arrangements of the children. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. ACE provider approval period: 3/21/2021-3/21/2024. 4 0 obj 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 Ethical dilemmas. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. School Law for counselors, psychologists, and social workers . Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. % How easy or how difficult would it be to take those steps? What are the potential ethical issues with this case? To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. endstream Currently, the patient is denying the fact that she has made past threats toward her neighbor. Dr. Jordan is a therapist who typically works with a wide variety of patients. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. 7 0 obj Several weeks after beginning to go on sales calls, your patient reports that Mr. Biggy is complimenting her on the way she looks and her ability to make the sale. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? A therapist had an intake appointment with a new client. She has been doing much of the case management work, e.g. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. They have dinner as couples several times per year. 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. He confides that he would like to have an affair with her. 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. Cynthia, a counselor who had been successfully working as an AIDS and substance abuse counselor in a large city for several years, recently moved to a very affluent suburb and decided to open a private practice. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. 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. endobj A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. 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. What would be your emotional response to this situation? 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. While Chuck now lives in an apartment in town, she remembers him well. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD 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? xVN0}-m8 Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. How would you feel about receiving this request? Encourage the client to file a complaint with the State Board of Psychology. The therapist then phones you for an informal consultation. What are the potential ethical concerns about this scenario, if any? The results and implications for counsellors, counsellor educators and researchers are discussed. The test usually takes approximately 40 to 60 minutes to administer. While discussing these issues, the patient suddenly stopped talking. The patient has trust issues with his parents, especially his father. View all Google Scholar citations 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. She actually attended his graduation party briefly and hired him to cut her lawn for two years. 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?
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