The client continued to struggle. What are potential advantages in this scenario? As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. View all Google Scholar citations What are the potential ethical concerns about this scenario, if any? 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. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Plenty acting beyond the limits of her competency? 8 0 obj PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG <> The therapist has not worked with the patient for about two years. 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. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. My name is Dr. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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. Approaching ethical dilemmas. His impairment is noticeable by Dr. Results will be available to you and the patient online. Legal Issues In Counselling Psychotherapy (Ethics In Practice Series) The ex-wife moved back to the area about six months ago. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Dr. Popeil thinks these ideas are good. The Center maintains responsibility for this program and its content. Can the client contact Child Protective Services anonymously in this case? His family lives at a distance and provides minimal help. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. She actually attended his graduation party briefly and hired him to cut her lawn for two years. COUC 501 Ethical and Legal Issues in Counseling - Course Hero While discussing these issues, the patient suddenly stopped talking. 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. iRE]7*ZG; K5|h{. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling 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? How would you feel if you were the consultant? What do you believe is the best course of action? (Log in options will check for institutional or personal access. 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. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. What are the potential ethical issues with this case? Ethical Dilemmas in Counseling | Psychology Today United Kingdom The days allocated for her stay by her insurance are ending in two days. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. School Counselors' Experiences With Ethical Decision Making It may rather be a sign that one is fully engaged in the life of a community. She recalled that he agreed that it could make a good book. ethical dilemmas in counseling vignettes - laoiscivildefence.org 1 0 obj 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. 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. frequent consultation requests by the trauma service. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. What are the ethical issues involved in this case? Render date: 2023-03-04T21:33:13.444Z 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. Uncertain, she calls you for an ethics consultation. Ethical dilemmas in clinical supervision. 1: Need for guidelines How easy or how difficult would it be to take those steps? Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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. 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. The therapist and the young man have been engaged in psychotherapy for the past 2 years. of family ties, but counselors in many other specialties will run into these issues too. Prior to providing extra-therapy support, Dr. 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. They developed a good therapeutic alliance. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. Would your answer differ if there were no advanced directives? The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. The position pays much more than shes making at the community agency, and is within ten minutes of her home. What would you need from the attorney? After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Ethics Rounds--Multiple relationships: A vignette He also divulged that his risk-taking behavior has increased as well, such as speeding. Attempts to find social service agencies able to help him have not been successful. Dr. Smith is a therapist who has worked with a young woman for about 9 months. cn]JlmQSMDM>pEm+gxMU]``tQqKF The therapist ignores the comment and finishes by setting their initial appointment. Dr. Thomas wants him to come in immediately for a more indepth evaluation. 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. Patient contact information will be part of the administration process. His attorney believes that some good, written character references will really help out with the case. How would you advise Dr. Thomas to handle them? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The therapist cannot remember many details about the patient. What are some likely emotional reactions would you have in this situation? The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. What clinical concerns arise for you in this scenario? White Plains, NY: Longman. The Clear Answers and Start Over feature requires scripting to function. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. 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. 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. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. 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. The patient has trust issues with his parents, especially his father. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Mock Ethics Vignettes - BRAIN 1LzLxG`kvP@>. : ethical dilemmas, burnout, stress, practicing counselors. His father has declined rapidly since the death of his wife and now requires total care. The therapist knows her new boss, Mr. Biggy. 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. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Workers Compensation refuses to pay for the case management services of an independent social worker. The test usually takes approximately 40 to 60 minutes to administer. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) The therapist then phones you for an informal consultation. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. He asked the attorney if anyone is contesting the will. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. B) =AiV5bAqUKxs#6{pA :)B'5-a* 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. She calls you for an ethics consult. 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. endstream When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. (1993). You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. He promised to call her back within a week. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Ethical dilemmas of school counsellors: A vignette study The physician wants the psychologist to treat his 17-year-old daughter . Dr. Ron Popeil, a local therapist, is upgrading his web site. For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. Of course, they exist in all forms of counseling, from short-term advising . ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! PDF Supervision Long Ethics Vignettes - CCFAM As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Can the therapist continue the treatment relationship with the patient? Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. The therapist expresses her concerns about working with a patient whose father is prescribing medication. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? He complains loudly about his parents and his girlfriend. The PASS-2 is administered online, from any computer, iPad, or iPhone. 1. stream Jacob-Timm,S. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. It then provides six vignettes where supervisors are faced with ethical dilemmas. If you have further questions, feel free to contact me. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Harry is a school guidance counselor who is just got a job at a large public high school. He is marginally coherent and unable to give any consistent responses. When asked about the reason for the referral, she said that her physician had referred her for anxiety. 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. 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. The following email catches your attention. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Mr. Tellanyone is feeling quite guilty about his mother. He confides that he would like to have an affair with her. 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. What are some actions that you, as the treating therapist, may have done differently? Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Tara was offered this position after successfully completing both her practicum and her internship at the center. 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. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. The main therapeutic issues are depression and loneliness. Mr. Biggy indicates that he wants to talk more about his feelings. PDF Becoming A Helper 6th Edition By Corey Pdf / Richard Nelson-Jones 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. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Should Dr. Goodfriend call Buddy and offer a few referrals? In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. The therapist and the attorney-patient meet for the initial session. 3 0 obj She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. Common Ethical Issues: Case Studies and Test Your Knowledge This vignette poses several ethical dilemmas for counselors. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Therapist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Prior to returning the call, Dr. Jordan reviews the patients chart. I encourage you to review our web site. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. % Continuing Education & Ethical Resources For Mental Health Professionals. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. What are the potential ethical issues in this case? The patient was in therapy for approximately one year. With her husband, the patient and the ex-wife? 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. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? 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. He will likely need to go into an assisted living facility. However, after the session, the therapist feels uneasy about what his patient revealed. 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. A therapist had an intake appointment with a new client. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>>
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