How are the clients emotional and interpersonal issues related to the therapists dilemma? If you decide to provide information, would you consider communicating with the prior patients attorney? 8 0 obj
If you were Dr. Jordan, how would you feel about this request? 1 pages. %
A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. 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. 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. 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. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Next, most vignettes have more than one ethical issue that can be addressed. 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. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. endobj
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. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. What, if anything, should the therapist do? Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Would your answer differ if the advanced directive was created 7 years ago or greater? What are the ethical issues for this scenario? The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. The therapist feels stuck and overwhelmed by her present situation. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . There is nothing unusual that stands out about their therapeutic relationship. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Would your answer differ if there were no advanced directives? After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. After some other small talk, Dr. Smith leaves to mingle with other friends. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Contemplate these 16 conundrums. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. 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. xVN0}-m8 The EAP service provides a solution-focused, three-session benefit for companies within Virginia. What are some potential responses that you could offer Dr. Bishop? Dilemma 20: Has the Therapist Done Too Much? Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Prior to their next session, Dr. Smith calls you for a consultation. The clients boyfriend expressed that she should never discuss this with anyone. DILEMMA ONE We use cookies to distinguish you from other users and to provide you with a better experience on our websites. What are Dr. Millers potential ethical issues in this situation? 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. The patient repeated this line of questioning during the first face-to-face session. The therapist screens the potential patient and believes that she can help him. 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. Qualitative content analysis in practice. Just as he is about to hang up, Buddy says, Thanks. 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; Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Dr. Jordan calls you on the phone for an ethics consultation. He also indicated that the relationship is taking on a more serious tone. He would like help to work through the issues. stream
Dr. Tell allowed several moments to pass before asking the patient what was happening. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. The days allocated for her stay by her insurance are ending in two days. 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. 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 However, the attorney has little awareness about how impaired Mr. DiMencha is. He will likely need to go into an assisted living facility. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901
What suggestions or recommendations would you offer to the therapist? Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. 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. Buddy also shares that he has been short tempered with his wife and kids. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. stream 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. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Running Head: ETHICAL VIGNETTE. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . If you were Dr. Goodfriend, how do you feel about the phone call? Published online by Cambridge University Press: 2. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. His family lives at a distance and provides minimal help. The treating therapist is questioning what to do. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. Standards of practice, part B.9 states that . What should you do with this email solicitation? Is Dr. Tell a mandated reporter in this situation? Dr. Ron Popeil, a local therapist, is upgrading his web site. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. A psychologist works in an outpatient substance abuse treatment facility. Your browser either does not support scripting or you have turned scripting off. 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. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. Along with. 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. The mother explains that the child has run away and the mother has reported the child missing to the police. 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. Buddy states that he has been feeling stressed over the last month. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. White Plains, NY: Longman. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. <>>>
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. She told the student that she would think about the request prior to answering. Simultaneously, he strongly believes he made the right decision. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. Ethical Dilemmas in Counseling: A Case Study Examination The American Counseling Association (ACA) Code of Ethics was amended in 2014 to reflect the ever-changing social, political, and technological landscape which clinicians must navigate. 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. 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. 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. Dr. For example, the first vignette, which 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. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? 4 0 obj
What are the potential pitfalls in the scenario? 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. What are some possible suggestions for Dr. Jordan? Continuing Education & Ethical Resources For Mental Health Professionals. 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? The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. 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. Both therapists are of the same profession. An important factor is that there is no cost to you, as the therapist. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. What are other steps that the therapist may want to take in this situation? Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. 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. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. If you were a co-owner of the business, how would you feel about this situation? The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. 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. What are the ethical concerns in this scenario? They start spending more time together. If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma Ethical dilemmas. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. After reiterating the purpose of the session (which was to assess the marital situation and not to assess his current treatment), Dr. Miller states that she feels uncomfortable with the request, although she is concerned about the therapists reported behavior. How would you feel about receiving this request? endobj
Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Are there any ethical considerations in this dilemma? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Uncertain, she calls you for an ethics consultation. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. The client continued to struggle. The ex-wife moved back to the area about six months ago. 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? Should Dr. Goodfriend call Buddy and offer a few referrals? of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. New York: John Wiley & Sons, Inc. Others sources will also be used. Your browser either does not support scripting or you have turned scripting off. He also divulged that his risk-taking behavior has increased as well, such as speeding. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. 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. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. 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. 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. (1993). However, after the session, the therapist feels uneasy about what his patient revealed. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Apparently, no one is. The mother further reports that the patients cousin has been driving the patient around town. A therapist receives a phone call from a well-known internist in her area. 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. 5 0 obj
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. What are the ethical issues, if any, involved in this case? 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. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. image.jpg Liberty University Ethical and Legal Issues in Counseling . Simultaneously, the religious institution is adamant about this requirement. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. 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. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. 1 0 obj
Approaching ethical dilemmas. Of course, they exist in all forms of counseling, from short-term advising . View all Google Scholar citations 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. During the current session, the confides that he has made a new female friend. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. 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. After six sessions, Mr. DiMencha suffered a significant concussion while at work. She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. When asked about the reason for the referral, she said that her physician had referred her for anxiety. 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. What are the potential ethical concerns about this scenario, if any? x#86h)Ppcc0F( k/ Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . 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. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. 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. While it is not a complete assessment, it can guide patients to you for further psychological consultation. for this article. adapted and used used with consent from a state psychological association. Has data issue: true ethical dilemmas in counseling vignettes. Jacob-Timm,S. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Address the matter with the other therapist directly.