Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. The Submit Answers for Grading feature requires scripting to function. 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. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Patient contact information will be part of the administration process. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. She stated that Dr. Jordan recommended that she write down her memories. For example, the psychologist might have to evict his client for failing to pay rent--or he might . 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp What problems may occur as a function of Dr. endstream 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. What are other steps that the therapist may want to take in this situation? 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. 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 pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. Mr. Biggy indicates that he wants to talk more about his feelings. The treating therapist is questioning what to do. Harry is a school guidance counselor who is just got a job at a large public high school. What obligations does the therapist have to the parent? hasContentIssue true, The Author(s), 2022. The physician wants the psychologist to treat his 17-year-old daughter . : ethical dilemmas, burnout, stress, practicing counselors. An important factor is that there is no cost to you, as the therapist. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. 3. 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. Dilemma 35: Initial Telepsychology Session for Free? The executor is Mr. Palmers brother, who lives in a different state. 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. He thinks that she is young and impressionable. What, if anything, should the therapist do? A therapist had an intake appointment with a new client. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Are there competing ethical principles? However, the attorney has little awareness about how impaired Mr. DiMencha is. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. 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. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. The client continued to struggle. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. What are some possible suggestions for Dr. Jordan? Simultaneously, the religious institution is adamant about this requirement. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. How would you advise Dr. Thomas to handle them? 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. Dr. Ron Popeil, a local therapist, is upgrading his web site. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. When she asks about insurance, he indicates that he will pay in cash. of family ties, but counselors in many other specialties will run into these issues too. 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. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. 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. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Would your answer differ if there were no advanced directives? He recalled that he was an older person with significant depression who eventually became better. He will likely need to go into an assisted living facility. 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. It may rather be a sign that one is fully engaged in the life of a community. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? A female therapist in a suburban area has worked with a male patient for about one year. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Dilemma 20: Has the Therapist Done Too Much? 2 0 obj Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. The patient was in therapy for approximately one year. What emotional reactions may occur for the therapist? If you decide to provide information, would you consider communicating with the prior patients attorney? Dr. Goodfriend is unclear whether Buddy is serious or joking. Sue schedules the appointment for early in the evening. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. 1. Dr. Tell allowed several moments to pass before asking the patient what was happening. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. stream While it is not a complete assessment, it can guide patients to you for further psychological consultation. Total loading time: 0 What are some likely emotional reactions would you have in this situation? Sci Rep 12, 22416 (2022). 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. The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. / ethical dilemmas in counseling vignettes. 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. Approaching ethical dilemmas. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . However, she begins to feel uncomfortable as she feels like they are spending too much 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 They start spending more time together. He complains loudly about his parents and his girlfriend. 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. %PDF-1.3 The supervisee is very worried and afraid to tell Prior to providing extra-therapy support, Dr. endobj He asked the attorney if anyone is contesting the will. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. 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 They have dinner as couples several times per year. Attempts to find social service agencies able to help him have not been successful. A psychologist receives a phone call from a well-known internist in her area. Standards of practice, part B.9 states that . 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. 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? Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. 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. Mr. Tellanyone is feeling quite guilty about his mother. Hostname: page-component-7fc98996b9-g9qcd He would like help to work through the issues. 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. Hence, the admission is voluntary. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. Should Dr. Goodfriend call Buddy and offer a few referrals? The therapist and the attorney-patient meet for the initial session. (1998). My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. 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 patient repeated this line of questioning during the first face-to-face session. Most issues do not produce ethical dilemmas, but some do. What are the potential ethical issues with this case? for this article. 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. 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 clients boyfriend expressed that she should never discuss this with anyone. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. The therapist, her husband, and his ex-wife are on good terms. Ethical dilemmas. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Contemplate these 16 conundrums. New York: John Wiley & Sons, Inc. Group of answer choices Growth in . What are some actions that you, as the treating therapist, may have done differently? 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 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. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. I encourage you to review our web site. He also indicated that the relationship is taking on a more serious tone. 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 What factors make this situation potentially difficult for you as a therapist? After some other small talk, Dr. Smith leaves to mingle with other friends. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> His father has declined rapidly since the death of his wife and now requires total care. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Tara was offered this position after successfully completing both her practicum and her internship at the center. Dr. Tell contacts you with the above scenario. 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. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Among other things, the report contained a psychological evaluation of the patient. 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. Are there any other concerns about the web developer/consultants strategies? Standards of Practice, B. Counselling Relationships, Confidentiality. What are the ethical concerns in this scenario? Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? x#86h)Ppcc0F( k/ After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. stream You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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; The ex-wife moved back to the area about six months ago. xVN0}-m8 Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. The Center maintains responsibility for this program and its content. The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. 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. 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 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. View all Google Scholar citations The test usually takes approximately 40 to 60 minutes to administer. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. 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. 1 0 obj She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). Dr. Goodfriend receives a call from Buddy, his very close high school friend. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. If you were the psychologist, what would be your emotion response to this situation? 8 0 obj A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. The therapist remembers the former patient as a likeable person. The client is feeling very helpless and vulnerable about this bind. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. A therapist is treating a client who is involved in a legal proceeding. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. With her husband, the patient and the ex-wife? Uncertain, she calls you for an ethics consultation. 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. <> 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. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. The therapist and the young man have been engaged in psychotherapy for the past 2 years. Plenty without any type of testing. Running Head: ETHICAL VIGNETTE. He confides that he would like to have an affair with her. What are the potential ethical concerns about this scenario, if any? What are the ethical issues involved in this situation? The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. 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. 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. Mr. DiMencha demonstrates a variety of cognitive deficits. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. The therapist pulls the former patients chart. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. This workshopis based on discussion of ethical issues Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? The treating therapist believes the options are: What are the possible emotional reactions to this situation? A therapist receives a phone call from a well-known internist in her area. 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. Others sources will also be used. iRE]7*ZG; K5|h{. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. The following email catches your attention. 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. While discussing these issues, the patient suddenly stopped talking. While Chuck now lives in an apartment in town, she remembers him well. 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. The ICU staff asks for your input.
ethical dilemmas in counseling vignettes