He does not view it as a therapy group. He is talking with a young man, most likely his cousin. 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. He is marginally coherent and unable to give any consistent responses. If you were Dr. Jordan, how would you feel about this request? His mother had suffered from a combination of severe respiratory problems and Alzheimers. ETHICAL DILEMMAS IN COUNSELING - LinkedIn After some other small talk, Dr. Smith leaves to mingle with other friends. 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. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. 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. Jordan calls you on the phone for an ethics consultation. After the session is over, the therapist has time to reflect on her concerns. What concrete steps might be important before calling the physician back? are Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? 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. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. 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. endobj PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. What would you need from the attorney? Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. The therapist cannot remember many details about the patient. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. PDF ETHICAL DILEMMAS - SAGE Publications Inc xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. Dr. Bishop calls you for a consult about this situation. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. The therapist remembers the former patient as a likeable person. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Prior to returning the call, Dr. Jordan reviews the patients chart. %PDF-1.5 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. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 5 0 obj ACE provider approval period: 3/21/2021-3/21/2024. Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay What are the ethical issues involved in this situation? Dr. Thomas wants him to come in immediately for a more indepth evaluation. Most issues do not produce ethical dilemmas, but some do. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. It may rather be a sign that one is fully engaged in the life of a community. A psychologist works in an outpatient substance abuse treatment facility. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. stream Uncertain, she calls you for an ethics consultation. The clients boyfriend expressed that she should never discuss this with anyone. 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? However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The results and implications for counsellors, counsellor educators and researchers are discussed. What are the possible downsides to entering the dual relationship? Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. 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. Contemplate these 16 conundrums. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< His father has declined rapidly since the death of his wife and now requires total care. 7 0 obj When asked about the reason for the referral, she said that her physician had referred her for anxiety. What are some possible suggestions for Dr. Jordan? What are some recommendations that you would make to the psychologist? Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. (PDF) Ethical Issues in Counseling Supervision - ResearchGate 3 0 obj His family lives at a distance and provides minimal help. locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. 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. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG My company has developed a unique opportunity for you and your associates. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. And, how would you, as the treating therapist, deal with those emotions? A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. T2 0#8r\ Dr. Popeil thinks these ideas are good. The Center is solely responsible for all aspects of the programs. 6768). The therapist and the young man have been engaged in psychotherapy for the past 2 years. He also wondered if he should contact the patients lawyer, with her permission, to disclose his perceptions about the quality of the report and his perceptions about the conclusions. Published online by Cambridge University Press: 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. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. 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. Of course, they exist in all forms of counseling, from short-term advising . The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Workers Compensation refuses to pay for the case management services of an independent social worker. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Abstract All school counselors are considered mandated reporters. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Are there competing ethical principles? 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. cn]JlmQSMDM>pEm+gxMU]``tQqKF They have dinner as couples several times per year. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. What are potential ethical issues with this invitation? Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. 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. 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. endobj Ethical Vignette Paper # Jodi Walters Liberty University. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. The test usually takes approximately 40 to 60 minutes to administer. raised by clinical vignettes such as those below, Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. Ethical dilemmas of school counsellors: A vignette study 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. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? The physician wants the psychologist to treat his 17-year-old daughter . During the next session, Mr. and Mrs. Drapier arrive separately, but on time. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. After six sessions, Mr. DiMencha suffered a significant concussion while at work. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . / ethical dilemmas in counseling vignettes. First, these vignettes are meant to be teaching tools. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Dr. Tell contacts you with the above scenario. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Dilemma 20: Has the Psychologist Done Too Much? The lawyerpatient comments that this seems low. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). adapted and used used with consent from a state psychological association. The Submit Answers for Grading feature requires scripting to function. The therapist has not worked with the patient for about two years. Is Dr. The therapist obtains the keys and title for the vehicle. The therapist ignores the comment and finishes by setting their initial appointment. Would your answer differ if there were no advanced directives? The survey consisted of 10 vignettes based on the above ethical issues in. Dilemma 35: Initial Telepsychology Session for Free? Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. The therapist feels stuck and overwhelmed by her present situation. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. 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. 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. Dr. Ron Popeil, a local therapist, is upgrading his web site. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. endobj Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Refer the matter to the State Board of Psychology. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . 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. The client is feeling very helpless and vulnerable about this bind. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. This workshopis based on discussion of ethical issues They see her regularly for informal family events and do holidays together with their adult children and grandchildren. A psychologist receives a phone call from a well-known internist in her area. What emotional reactions may occur for the therapist? However, the attorney has little awareness about how impaired Mr. DiMencha is. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. Sue schedules the appointment for early in the evening. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. She stated that Dr. Jordan recommended that she write down her memories. 4 0 obj 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. Are there any ethical considerations in this dilemma? He asked the attorney if anyone is contesting the will. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. Would your answer differ if the advanced directive was created 7 years ago or greater? Counseling Ethics Code: 10 Common Ethical Issues & Studies Standards of practice, part B.9 states that . To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Tara was offered this position after successfully completing both her practicum and her internship at the center. DILEMMA ONE Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. The mother further reports that the patients cousin has been driving the patient around town. One day, Dr. Bishop receives a phone call from his contact at the institution. A therapist receives a phone call from a well-known internist in her area. ethical dilemmas in counseling vignetteswvu mechanical engineering research. The therapist screens the potential patient and believes that she can help him. 6 0 obj She told the student that she would think about the request prior to answering. View all Google Scholar citations What are the potential pitfalls in the scenario? Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Ethics and Psychology: Vignette Warehouse (39) 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. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? What are other steps that the therapist may want to take in this situation? What should you do with this email solicitation? What are some likely emotional reactions would you have in this situation? For example, the psychologist might have to evict his client for failing to pay rent--or he might . Therapy lasted about a year and focused on depression and relationship issues. A court appointed custody evaluator performed a child custody evaluation. The main therapeutic issues are depression and loneliness. "useRatesEcommerce": false Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. How would you feel about receiving this request? He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. 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. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. New York: John Wiley & Sons, Inc. Render date: 2023-03-04T21:33:13.444Z These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Encourage the client to file a complaint with the State Board of Psychology. She recently received an offer to become a sales representative for a pharmaceutical company. If you were Dr. Miller, what are your emotional reactions to this situation? My name is Dr. 2 Print version: page 62 6 min read 0 The patient presents with a history of rejection and abandonment as well as being abused by persons of power. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Apparently, no one is. 2 0 obj Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Buddy states that he has been feeling stressed over the last month. Others sources will also be used. Group of answer choices Growth in . He is also very concerned about confidentiality and wants assurances from Dr. Solomon. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full . The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. What are some potential responses that you could offer Dr. Bishop? There is nothing unusual that stands out about their therapeutic relationship. 1. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. How would you advise Dr. Thomas to handle them? PDF Trainee Psychological Counselors' Understanding of Ethics - ed There were contentious issues dealing with the custody arrangements of the children.
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