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. A female therapist in a suburban area has worked with a male patient for about one year. If you were Dr. Miller, what are your emotional reactions to this situation? The Experience of Ethical Dilemmas, Burnout, and Stress Among It may rather be a sign that one is fully engaged in the life of a community. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. A therapist receives a phone message from a former patient. 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. ethical dilemmas in counseling vignettes - helpfulmechanic.com PDF Becoming A Helper 6th Edition By Corey Pdf / Richard Nelson-Jones Case Vignettes for Review PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG 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. 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 PDF Legal and Ethical Case Studies - American Counseling Association He is talking with a young man, most likely his cousin. Dan asked a number of faculty members to be the faculty advisor of this group. Ethics Rounds--Multiple relationships: A vignette If you were Dr. Jordan, how would you feel about this request? What clinical concerns arise for you in this scenario? What are the potential ethical issues in this case? 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. There were contentious issues dealing with the custody arrangements of the children. If you were the psychologist, what would be your emotion response to this situation? ETHICAL DILEMMAS IN COUNSELING - LinkedIn (PDF) Ethical Issues in Counseling Supervision - ResearchGate From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. What are the ethical issues, if any, involved in this case? DILEMMA ONE Does the therapist who hears this information have any legal obligations? (1993). From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. 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. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. 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. 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. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. She told the student that she would think about the request prior to answering. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U %PDF-1.5 . In the context of counseling, family includes people related through . Counseling Ethics Code: 10 Common Ethical Issues & Studies What are other steps that the therapist may want to take in this situation? An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. A psychologist receives a phone call from a well-known internist in her area. She actually attended his graduation party briefly and hired him to cut her lawn for two years. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. What are the possible downsides to entering the dual relationship? of family ties, but counselors in many other specialties will run into these issues too. Sue schedules the appointment for early in the evening. 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? Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Dr. Ron Popeil, a local therapist, is upgrading his web site. Tara was offered this position after successfully completing both her practicum and her internship at the center. Both therapists are of the same profession. % He complains loudly about his parents and his girlfriend. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. After the session is over, the therapist has time to reflect on her concerns. 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. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. This has caused both his physical and endobj She mentions that she is still in communication with her ex-husband because they share three children. The therapist knows her new boss, Mr. Biggy. The Center maintains responsibility for this program and its content. Dr. Along with. How would you feel about receiving this request? They start spending more time together. 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. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. He promised to call her back within a week. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Currently, the patient is denying the fact that she has made past threats toward her neighbor. << /Length 5 0 R /Filter /FlateDecode >> Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Approaching ethical dilemmas - American Psychological Association The executor is Mr. Palmers brother, who lives in a different state. stream 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. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. 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. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. The PASS-2 is administered online, from any computer, iPad, or iPhone. What are potential advantages in this scenario? I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Content may require purchase if you do not have access. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Would your answer differ if the advanced directive was created 7 years ago or greater? If you have further questions, feel free to contact me. 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. 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. raised by clinical vignettes such as those below, 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. 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. Dr. Jordan calls you on the phone for an ethics consultation. B) =AiV5bAqUKxs#6{pA :)B'5-a* What concrete steps might be important before calling the physician back? 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. 1. 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. frequent consultation requests by the trauma service. Standards of practice, part B.9 states that . While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. P. (1996). 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* His mother had suffered from a combination of severe respiratory problems and Alzheimers. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. For example, the first vignette, which The clients boyfriend expressed that she should never discuss this with anyone. 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. What suggestions or recommendations would you offer to the therapist? His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. A therapist had an intake appointment with a new client. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. Ethical dilemmas in clinical supervision. 1: Need for guidelines Are there any other concerns about the web developer/consultants strategies? Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Dr. Jordan is a therapist who typically works with a wide variety of patients. Dr. Smith is now worried about the entire situation. 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. 1 pages. ethical dilemmas in counseling vignettes. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Regulatory boards are the final authority on courses accepted for continuing education credit. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. If you were the psychologist, how would you feel about the situation? 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 She recalled that he agreed that it could make a good book. 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. I encourage you to review our web site. for this article. 2. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. School counsellors often encounter ethically challenging situations due to contradictory values and roles. What are the ethical issues involved in this scenario? 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 . The following email catches your attention. Dr. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Therapist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. 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 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. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Dr. Smith decided to review the report. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. What are some possible suggestions for Dr. Jordan? Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. 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? Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 He also divulged that his risk-taking behavior has increased as well, such as speeding. 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. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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. What, if anything, should the therapist do? endobj 7 0 obj You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. The patient has trust issues with his parents, especially his father. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Simultaneously, the religious institution is adamant about this requirement. Attempts to find social service agencies able to help him have not been successful. My company has developed a unique opportunity for you and your associates. Prior to providing extra-therapy support, Dr. The therapist cannot remember many details about the patient. This particular vignette, Swenson said, may well fail the two-prong test. <> 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) To use suggested categories to consider options for ethical response to the dilemma. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette Most issues do not produce ethical dilemmas, but some do. Ethical Vignette Paper # Jodi Walters Liberty University. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Dans vision is that the group would meet periodically to provide one another with support, to do problem solving, to share information and personal struggles, and perhaps to provide some psycho-educational work on campus. The ICU staff asks for your input. What do you believe is the best course of action? Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Jacob-Timm,S. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. The therapist pulls the former patients chart. Hostname: page-component-7fc98996b9-g9qcd . After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. Workers Compensation refuses to pay for the case management services of an independent social worker. She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. She has been doing much of the case management work, e.g. One day, Dr. Bishop receives a phone call from his contact at the institution. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. While Chuck now lives in an apartment in town, she remembers him well. Legal Issues In Counselling Psychotherapy (Ethics In Practice Series)