Teleological Ethics Strengths And Weaknesses, Articles E

Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< 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. What are the potential ethical issues with this case? Can the therapist continue the treatment relationship with the patient? Encourage the client to file a complaint with the State Board of Psychology. The therapist and the attorney-patient meet for the initial session. : Ethical and Legal Ramifications of Documentation Decisions. 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? This vignette poses several ethical dilemmas for counselors. Case Vignettes for Review Hostname: page-component-7fc98996b9-g9qcd What suggestions or recommendations would you offer to the therapist? Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics (Log in options will check for institutional or personal access. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. COUC 501 Ethical and Legal Issues in Counseling - Course Hero Your browser either does not support scripting or you have turned scripting off. While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. What factors make this situation potentially difficult for you as a therapist? image.jpg Liberty University Ethical and Legal Issues in Counseling . My name is Dr. Abstract All school counselors are considered mandated reporters. Most issues do not produce ethical dilemmas, but some do. Address the matter with the other therapist directly. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. Ethical Dilemmas in Counseling | Psychology Today United Kingdom %PDF-1.5 ETHICAL DILEMMAS IN COUNSELING - LinkedIn B) =AiV5bAqUKxs#6{pA :)B'5-a* DILEMMA ONE As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. His attorney believes that some good, written character references will really help out with the case. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K A court appointed custody evaluator performed a child custody evaluation. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. If you decide to provide information, would you consider communicating with the prior patients attorney? He is talking with a young man, most likely his cousin. Apparently, no one is. x#86h)Ppcc0F( k/ 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. 3. Ethical Conflicts In Psychology Book Pdf Download 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 patient has never met the attorney face-to-face, only by email and phone contacts. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. The therapist remembers the former patient as a likeable person. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. 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. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. What factors make this situation potentially easy for you as a therapist? ethical dilemmas in counseling vignettes. What are Dr. Millers potential ethical issues in this situation? One day, Dr. Bishop receives a phone call from his contact at the institution. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If you were Dr. Miller, what are your emotional reactions to this situation? Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Your browser either does not support scripting or you have turned scripting off. What are the ethical issues involved in this situation? ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Ethical dilemmas. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. 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. The Submit Answers for Grading feature requires scripting to function. cn]JlmQSMDM>pEm+gxMU]``tQqKF She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. How would you feel about receiving this request? a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. (PDF) Ethical Issues in Counseling Supervision - ResearchGate 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. While Chuck now lives in an apartment in town, she remembers him well. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. His family lives at a distance and provides minimal help. 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. In hindsight, what triggered some possible difficulties in this situation? A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. With her husband, the patient and the ex-wife? PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Is Dr. Tell a mandated reporter in this situation? 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. Dr. Jordan returns the phone call. endobj The Center maintains responsibility for this program and its content. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Dr. Smith is a therapist who has worked with a young woman for about 9 months. endobj She has been doing much of the case management work, e.g. While discussing these issues, the patient suddenly stopped talking. If you have further questions, feel free to contact me. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. What are the ethical issues involved in this scenario? Feature Flags: { (1998). (1993). Therapy lasted about a year and focused on depression and relationship issues. hasContentIssue true, The Author(s), 2022. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. The main therapeutic issues are depression and loneliness. The lawyerpatient comments that this seems low. The days allocated for her stay by her insurance are ending in two days. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. You are a therapist in a busy acute care hospital where you receive. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What are some likely emotional reactions would you have in this situation? Buddy states that he has been feeling stressed over the last month. Uncertain, she calls you for an ethics consultation. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. 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. Dr. Jordan is a therapist who typically works with a wide variety of patients. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? 7 0 obj Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Not knowing what to do, and realizing that the next patient is in the waiting room, the therapist takes the cash and sets up another appointment. They have dinner as couples several times per year. Approaching ethical dilemmas - American Psychological Association Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. How easy or how difficult would it be to take those steps? New York: John Wiley & Sons, Inc. 1LzLxG`kvP@>. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Should Dr. Goodfriend call Buddy and offer a few referrals? Just as he is about to hang up, Buddy says, Thanks. 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. 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. He does not view it as a therapy group. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. The ex-wife moved back to the area about six months ago. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. stream The therapist ignores the comment and finishes by setting their initial appointment. Both therapists are of the same profession. ERIC - ED577207 - School Counselors and Ethical Decision Making Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. Mr. Biggy and Dr. Smith meet in an unplanned social venue. 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. Dan explained to Dr. Crane that this group would be student-led and meet on campus. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). What are potential advantages in this scenario? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. It then provides six vignettes where supervisors are faced with ethical dilemmas. And, how would you, as the treating therapist, deal with those emotions? She stated that Dr. Jordan recommended that she write down her memories. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. 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. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Has data issue: true ethical dilemmas in counseling vignettes - helpfulmechanic.com 4 0 obj During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. The treatment notes indicate that she dropped out of therapy about one year ago. 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. An important factor is that there is no cost to you, as the therapist. frequent consultation requests by the trauma service. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. 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. He confides that he would like to have an affair with her. PDF Legal and Ethical Case Studies - American Counseling Association The ICU staff asks for your input. 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. ethical dilemmas in counseling vignettes - laoiscivildefence.org When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. ; & Hartshorne,T.S. Regulatory boards are the final authority on courses accepted for continuing education credit. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. She recalled that he agreed that it could make a good book. Dr. Bishop calls you for a consult about this situation. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. 5 0 obj Are there any ethical considerations in this dilemma? 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. Contemplate these 16 conundrums. a73D%IhCTHA&:L0iAq(*p The results and implications for counsellors, counsellor educators and researchers are discussed. Ethical dilemmas of school counsellors: A vignette study Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. School Law for counselors, psychologists, and social workers . The therapist expresses her concerns about working with a patient whose father is prescribing medication. Ethics and Psychology: Vignette Warehouse (39) Dr. Smith is now worried about the entire situation. 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. 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. 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. 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. Of course, they exist in all forms of counseling, from short-term advising . 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. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. xVN0}-m8 Mr. DiMencha demonstrates a variety of cognitive deficits. 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.