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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. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. During the interview, she was told that she would need to work independently, with only limited supervision. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. 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.. The Center maintains responsibility for this program and its content. 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. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Would your answer differ if the advanced directive was created 7 years ago or greater? 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
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. He asked the attorney if anyone is contesting the will. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. The therapist knows her new boss, Mr. Biggy. Just as he is about to hang up, Buddy says, Thanks. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. endobj
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2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. 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. 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. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. The client continued to struggle. 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? Tara was offered this position after successfully completing both her practicum and her internship at the center. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. She calls you for an ethics consult. Abstract All school counselors are considered mandated reporters. 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 therapist then phones you for an informal consultation. What concrete steps might be important before calling the physician back? 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. It may rather be a sign that one is fully engaged in the life of a community. Plenty without any type of testing. What are the ethical issues involved in this scenario? . Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. 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. %PDF-1.3 Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Of course, they exist in all forms of counseling, from short-term advising . (1993). Others sources will also be used. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action.
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#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* The following email catches your attention. 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. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Sci Rep 12, 22416 (2022). 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? 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. Your browser either does not support scripting or you have turned scripting off. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Contemplate these 16 conundrums. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. 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 We use cookies to distinguish you from other users and to provide you with a better experience on our websites. 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. His family lives at a distance and provides minimal help. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. <>
Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Dr. Bishop calls you for a consult about this situation. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Are there any ethical considerations in this dilemma? What obligations does the therapist have to the parent? He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Feature Flags: { What are the ethical issues involved in this case? The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. The treatment notes indicate that she dropped out of therapy about one year ago. A psychologist works in an outpatient substance abuse treatment facility. 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. 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. To use suggested categories to consider options for ethical response to the dilemma. 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. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Regulatory boards are the final authority on courses accepted for continuing education credit. What are the potential pitfalls in the scenario? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp
The client is feeling very helpless and vulnerable about this bind. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Therapy lasted about a year and focused on depression and relationship issues. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. He is talking with a young man, most likely his cousin. He also divulged that his risk-taking behavior has increased as well, such as speeding. There is nothing unusual that stands out about their therapeutic relationship. xOZo!BQf&vo$h5N
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9a0@3~q Simultaneously, he strongly believes he made the right decision. Among other things, the report contained a psychological evaluation of the patient. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Plenty lives and practices psychotherapy in a rural area. Running Head: ETHICAL VIGNETTE. 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. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. 5 0 obj
The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. image.jpg Liberty University Ethical and Legal Issues in Counseling . What are some recommendations that you would make to the psychologist? While it is not a complete assessment, it can guide patients to you for further psychological consultation. Close this message to accept cookies or find out how to manage your cookie settings. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Dr. 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. His father has declined rapidly since the death of his wife and now requires total care. Prior to returning the call, Dr. Jordan reviews the patients chart. What are the possible downsides to entering the dual relationship? Address the matter with the other therapist directly. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. 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. The Clear Answers and Start Over feature requires scripting to function. Dr. Goodfriend speaks with Buddy about once every six to nine months. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. Dr. Goodfriend receives a call from Buddy, his very close high school friend. The results and implications for counsellors, counsellor educators and researchers are discussed. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. 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. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. What are the ethical issues, if any, involved in this case? The therapist feels stuck and overwhelmed by her present situation. The days allocated for her stay by her insurance are ending in two days. After the session is over, the therapist has time to reflect on her concerns. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. The counsellor is also conscious. She told the student that she would think about the request prior to answering. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. The Submit Answers for Grading feature requires scripting to function. An important factor is that there is no cost to you, as the therapist. A psychologist receives a phone call from a well-known internist in her area. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. endobj
Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. 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. What would be your emotional response to this situation? 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.. Hostname: page-component-7fc98996b9-g9qcd I encourage you to review our web site. His attorney believes that some good, written character references will really help out with the case. 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. 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. The therapist obtains the keys and title for the vehicle. 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. 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. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. xVN0}-m8 Workers Compensation refuses to pay for the case management services of an independent social worker. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. In a therapy session in an outpatient substance abuse treatment facility, a patient reveals that an agency staff person another therapist in a different department has paid to have sex with another patient in the treatment facility Lyla, who is a prostitute. A therapist had an intake appointment with a new client. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. 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. She has been doing much of the case management work, e.g. White Plains, NY: Longman. During the last two years, she required total care. endobj
What are the potential ethical issues in this case? 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. And, how would you, as the treating therapist, deal with those emotions? Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 1LzLxG`kvP@>. Fowers and Davidov (2006) link the "multicultural movement" to classical writings about ethics in the philosophy literature,contrasting "virtue ethics"with merely following the rules. Menu. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. New York: John Wiley & Sons, Inc. Dr. Goodfriend is unclear whether Buddy is serious or joking. (Log in options will check for institutional or personal access. Dr. Jordan calls you on the phone for an ethics consultation. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Can the therapist continue the treatment relationship with the patient? Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. 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. <>
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. What factors make this situation potentially difficult for you as a therapist? What do you believe is the best course of action? Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The physician wants the psychologist to treat his 17-year-old daughter . As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. However, after the session, the therapist feels uneasy about what his patient revealed. adapted and used used with consent from a state psychological association. What are some likely emotional reactions would you have in this situation? The main therapeutic issues are depression and loneliness. 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. Patient contact information will be part of the administration process. What problems may occur as a function of Dr. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. 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; a73D%IhCTHA&:L0iAq(*p What would you need from the attorney? They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Dr. Popeil thinks these ideas are good. ACE provider approval period: 3/21/2021-3/21/2024. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. The therapist pulls the former patients chart. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. What steps does the psychologist need to take? Apparently, no one is. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. 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. Encourage the client to file a complaint with the State Board of Psychology. (1998). Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. / ethical dilemmas in counseling vignettes. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Mr. Tellanyone is feeling quite guilty about his mother. What are some potential responses that you could offer Dr. Bishop? If you have further questions, feel free to contact me.