The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. The Center maintains responsibility for this program and its content. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. 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. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. A therapist is treating a client who is involved in a legal proceeding. She mentions that she is still in communication with her ex-husband because they share three children. 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; xVN0}-m8 Buddy states that he has been feeling stressed over the last month. The treatment notes indicate that she dropped out of therapy about one year ago. 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. The client is feeling very helpless and vulnerable about this bind. The therapist, her husband, and his ex-wife are on good terms. What factors make this situation potentially easy for you as a therapist? <> What do you believe is the best course of action? 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. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. %PDF-1.3 Jacob-Timm,S. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. 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. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. 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. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Dr. Bishop calls you for a consult about this situation. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. 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. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. Uncertain, she calls you for an ethics consultation. Should Dr. Goodfriend call Buddy and offer a few referrals? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. With whom does the therapist discuss the multiple roles? Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Dr. Jordan is a therapist who typically works with a wide variety of patients. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. What are the potential pitfalls in the scenario? 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. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Others sources will also be used. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. 2 0 obj We use cookies to distinguish you from other users and to provide you with a better experience on our websites. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. 6768). Glover, J. What are the ethical issues for this scenario? Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. What are potential ethical issues with this invitation? In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Mr. DiMencha demonstrates a variety of cognitive deficits. The therapist does not dwell on the situation with the patient. The following email catches your attention. ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. 2 Print version: page 62 6 min read 0 Dr. Thomas wants him to come in immediately for a more indepth evaluation. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Dr. Goodfriend speaks with Buddy about once every six to nine months. for this article. . Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. 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. This vignette poses several ethical dilemmas for counselors. This has caused both his physical and What are the ethical issues, if any, involved in this case? She has been doing much of the case management work, e.g. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. A psychologist works in an outpatient substance abuse treatment facility. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. 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. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Feature Flags: { Would your answer differ if the advanced directive was created 7 years ago or greater? a73D%IhCTHA&:L0iAq(*p While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. It may rather be a sign that one is fully engaged in the life of a community. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. 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. What are the potential ethical concerns about this scenario, if any? Most issues do not produce ethical dilemmas, but some do. Published online by Cambridge University Press: Next, most vignettes have more than one ethical issue that can be addressed. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. He does not view it as a therapy group. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 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. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? 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. The lawyerpatient comments that this seems low. ~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! . The patient had been in treatment for about 10 months on a weekly basis. The therapist expresses her concerns about working with a patient whose father is prescribing medication. He recalled that he was an older person with significant depression who eventually became better. What problems may occur as a function of Dr. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. He will likely need to go into an assisted living facility. 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. << /Length 5 0 R /Filter /FlateDecode >> Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Dr. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Divide and Rule? 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. What would be your emotional response to this situation? While discussing these issues, the patient suddenly stopped talking. He promised to call her back within a week. The treating therapist is questioning what to do. Dilemma 35: Initial Telepsychology Session for Free? Dr. Tell contacts you with the above scenario. Dr. Smith decided to review the report. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. ocuk Koruma Kanunu [Child Protection Law]. endobj Dr. Ron Popeil, a local therapist, is upgrading his web site. After six sessions, Mr. DiMencha suffered a significant concussion while at work. After the session is over, the therapist has time to reflect on her concerns. 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. The executor is Mr. Palmers brother, who lives in a different state. What are the ethical concerns in this scenario? Simultaneously, the religious institution is adamant about this requirement. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. 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. Dr. Tell allowed several moments to pass before asking the patient what was happening. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. 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. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Among other things, the report contained a psychological evaluation of the 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. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . 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. 1 0 obj My name is Dr. While it is not a complete assessment, it can guide patients to you for further psychological consultation. At the end of the session, the therapist asks for the requisite fee as stated on the phone. Simultaneously, he strongly believes he made the right decision. To use suggested categories to consider options for ethical response to the dilemma. He also indicated that the relationship is taking on a more serious tone. The therapist then phones you for an informal consultation. What, if anything, should the therapist do? The ex-wife moved back to the area about six months ago. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. He thinks that she is young and impressionable. Prior to their next session, Dr. Smith calls you for a consultation. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. In hindsight, what triggered some possible difficulties in this situation? What steps does the psychologist need to take? endobj % White Plains, NY: Longman. Running Head: ETHICAL VIGNETTE. 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? She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. / ethical dilemmas in counseling vignettes. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. The clients boyfriend expressed that she should never discuss this with anyone. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Group of answer choices Growth in . How would you feel if you were the consultant? To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. She recently received an offer to become a sales representative for a pharmaceutical company. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dr. Smith is a therapist who has worked with a young woman for about 9 months. The therapist screens the potential patient and believes that she can help him. 5 0 obj For example, the first vignette, which are The Clear Answers and Start Over feature requires scripting to function. What are the potential ethical issues with this case? What are some likely emotional reactions would you have in this situation? If you decide to provide information, would you consider communicating with the prior patients attorney? During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. 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. Are there any other concerns about the web developer/consultants strategies? These issues included a. dual relationships, b. competence, c. informed consent, d. due process. % He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. Workers Compensation refuses to pay for the case management services of an independent social worker. 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. A psychologist receives a phone call from a well-known internist in her area. However, after the session, the therapist feels uneasy about what his patient revealed. Out of options, Dan is asking Dr. Crane to be the faculty advisor. Can the therapist continue the treatment relationship with the patient? His father has declined rapidly since the death of his wife and now requires total care. However, the attorney has little awareness about how impaired Mr. DiMencha is. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. } The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wifes death was and how he hoped for a similar passing. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. 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. 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. 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. T2 0#8r\ The mother explains that the child has run away and the mother has reported the child missing to the police. Close this message to accept cookies or find out how to manage your cookie settings. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. 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. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. The client continued to struggle. Sci Rep 12, 22416 (2022). As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q 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. Both therapists are of the same profession. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Would your answer differ if there were no advanced directives? If you were the psychologist, how would you feel about the situation? Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. The supervisee is very worried and afraid to tell He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. 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. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Menu. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Mr. Biggy indicates that he wants to talk more about his feelings. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. She told the student that she would think about the request prior to answering. 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. (1998). Dr. Smith is now worried about the entire situation. I encourage you to review our web site. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. What should you do with this email solicitation? The therapist and the young man have been engaged in psychotherapy for the past 2 years. 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. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Hostname: page-component-7fc98996b9-g9qcd He also divulged that his risk-taking behavior has increased as well, such as speeding. 8 0 obj Approaching ethical dilemmas. Total loading time: 0 PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. hasContentIssue true, The Author(s), 2022. He confides that he would like to have an affair with her. Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. 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. 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?

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