ethical dilemmas in counseling vignettes

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Plenty acting beyond the limits of her competency? Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. endobj Dr. Goodfriend is unclear whether Buddy is serious or joking. Of course, they exist in all forms of counseling, from short-term advising . After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. (1993). However, after the session, the therapist feels uneasy about what his patient revealed. How are the clients emotional and interpersonal issues related to the therapists dilemma? I encourage you to review our web site. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. Tara was offered this position after successfully completing both her practicum and her internship at the center. For example, the first vignette, which You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. 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. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. 1 pages. What are some possible suggestions for Dr. Jordan? A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. What do you believe is the best course of action? Buddy states that he has been feeling stressed over the last month. What problems may occur as a function of Dr. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? 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. Approaching ethical dilemmas. Hence, the admission is voluntary. ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. An ongoing theme in therapy revolves around his sexual orientation. The patient was in therapy for approximately one year. (1998). Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . What are some potential responses that you could offer Dr. Bishop? How would you feel if you were the consultant? What are the ethical issues, if any, involved in this case? He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Dr. Tell contacts you with the above scenario. adapted and used used with consent from a state psychological association. Dr. Thomas wants him to come in immediately for a more indepth evaluation. 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. 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Would your answer differ if the advanced directive was created 7 years ago or greater? endobj What factors make this situation potentially easy for you as a therapist? After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. What are the potential ethical concerns about this scenario, if any? Feature Flags: { The PASS-2 is administered online, from any computer, iPad, or iPhone. Apparently, no one is. Ethical dilemmas. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. 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. This vignette poses several ethical dilemmas for counselors. An important factor is that there is no cost to you, as the therapist. Is Dr. Tell a mandated reporter in this situation? He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. What are the ethical issues involved in this case? Dr. Popeil thinks these ideas are good. 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. She stated that Dr. Jordan recommended that she write down her memories. What, if anything, should the therapist do? If you were Dr. Miller, what are your emotional reactions to this situation? Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. After six sessions, Mr. DiMencha suffered a significant concussion while at work. : ethical dilemmas, burnout, stress, practicing counselors. What would be your emotional response to this situation? They developed a good therapeutic alliance. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Content may require purchase if you do not have access. Others sources will also be used. ACE provider approval period: 3/21/2021-3/21/2024. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. The therapist then phones you for an informal consultation. A court appointed custody evaluator performed a child custody evaluation. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. raised by clinical vignettes such as those below, She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. His family lives at a distance and provides minimal help. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. 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 factors make this situation potentially difficult for you as a therapist? Can the therapist continue the treatment relationship with the patient? Dilemma 20: Has the Psychologist Done Too Much? A female therapist in a suburban area has worked with a male patient for about one year. The Center is solely responsible for all aspects of the programs. 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. are Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. 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.. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What are some recommendations that you would make to the psychologist? The ICU staff asks for your input. Render date: 2023-03-04T21:33:13.444Z In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. He promised to call her back within a week. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 4 0 obj After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. 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. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. Are there additional considerations for how to approach the referring physician when calling back? Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. He also indicated that the relationship is taking on a more serious tone. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. What are potential advantages in this scenario? After the phone call, the therapist checks the waiting room and sees the patient there. 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. Jacob-Timm,S. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. The therapist cannot remember many details about the patient. In the context of counseling, family includes people related through . The therapist expresses her concerns about working with a patient whose father is prescribing medication. Plenty without any type of testing. Simultaneously, he strongly believes he made the right decision. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . While it is not a complete assessment, it can guide patients to you for further psychological consultation. 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. 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. 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? The patient repeated this line of questioning during the first face-to-face session. } 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. of family ties, but counselors in many other specialties will run into these issues too. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. 2 Print version: page 62 6 min read 0 Next, most vignettes have more than one ethical issue that can be addressed. 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. 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. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Results will be available to you and the patient online. 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. What are the potential ethical issues with this case? Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. image.jpg Liberty University Ethical and Legal Issues in Counseling . White Plains, NY: Longman. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Running Head: ETHICAL VIGNETTE. What would you need from the attorney? 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? Dan explained to Dr. Crane that this group would be student-led and meet on campus. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What are the potential pitfalls in the scenario? If you have further questions, feel free to contact me. The results and implications for counsellors, counsellor educators and researchers are discussed. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. 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. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. Buddy also shares that he has been short tempered with his wife and kids. First, these vignettes are meant to be teaching tools. 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. Widely adopted as a textbook in graduate psychology courses in ethics and continuing education development, this innovative volume presents readers with over 100 different perspectives on crucial ethical issues and offers possible solutions from an expert ethics educator, psychologist, and former APA general counsel. Group of answer choices Growth in . With her husband, the patient and the ex-wife? 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. Along with. Prior to their next session, Dr. Smith calls you for a consultation. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. 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. Jordan returns the phone call. Ethics and law for school psychologists . Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? ; & Hartshorne,T.S. Therapy lasted about a year and focused on depression and relationship issues. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. 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. A therapist receives a phone call from a well-known internist in her area. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. 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. The therapist and the young man have been engaged in psychotherapy for the past 2 years. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. 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. 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. My company has developed a unique opportunity for you and your associates. 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. 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; P. (1996). Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. 8 0 obj Divide and Rule? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. cn]JlmQSMDM>pEm+gxMU]``tQqKF You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. 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. 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. << /Length 5 0 R /Filter /FlateDecode >> He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Total loading time: 0 During the last two years, she required total care. The Submit Answers for Grading feature requires scripting to function. He also divulged that his risk-taking behavior has increased as well, such as speeding. How would you feel about receiving this request? The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. Uncertain, she calls you for an ethics consultation. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. 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. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. 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. stream The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. The therapist pulls the former patients chart. : Ethical and Legal Ramifications of Documentation Decisions. The patient has trust issues with his parents, especially his father. 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. Most issues do not produce ethical dilemmas, but some do. 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? "useRatesEcommerce": false Dr. Tell allowed several moments to pass before asking the patient what was happening. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. The therapist, her husband, and his ex-wife are on good terms. Mr. Tellanyone is feeling quite guilty about his mother. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Dr. Goodfriend speaks with Buddy about once every six to nine months. After some other small talk, Dr. Smith leaves to mingle with other friends. 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. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics