Encourage the client to file a complaint with the State Board of Psychology. Ethical dilemmas in clinical supervision. 1: Need for guidelines : ethical dilemmas, burnout, stress, practicing counselors. The main therapeutic issues are depression and loneliness. Apparently, no one is. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. Mr. Tellanyone is feeling quite guilty about his mother. He also divulged that his risk-taking behavior has increased as well, such as speeding. What are the potential pitfalls in the scenario? Case Vignettes for Review The counsellor is also conscious. The therapist obtains the keys and title for the vehicle. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. What would you likely do with this email solicitation? Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Are there additional considerations for how to approach the referring physician when calling back? The position pays much more than shes making at the community agency, and is within ten minutes of her home. After the session is over, the therapist has time to reflect on her concerns. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. 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. Qualitative content analysis in practice. You are a therapist in a busy acute care hospital where you receive. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. 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 some actions that you, as the treating therapist, may have done differently? endobj Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. stream 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 indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Identifying, addressing, and resolving ethical dilemmas is a dynamic process that requires counseling professionals to do more than simplistically apply the codes with respect for the uniqueness of each situation or circumstance. B) =AiV5bAqUKxs#6{pA :)B'5-a* She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. 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 recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. When Dr. Jordan attempts to clarify the request, it becomes clear that the former patient is not asking to return to therapy, but instead is asking Dr. Jordan to become the co-author or a consultant for the book. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. . In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. The therapist screens the potential patient and believes that she can help him. The ICU staff asks for your input. ethical dilemmas in counseling vignettes - helpfulmechanic.com Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu Along with. Mr. DiMencha demonstrates a variety of cognitive deficits. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. 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? After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. COUC 501 Ethical and Legal Issues in Counseling - Course Hero How are the clients emotional and interpersonal issues related to the therapists dilemma? February 27, 2023 . He promised to call her back within a week. In the context of counseling, family includes people related through . 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. During the last two years, she required total care. Ethics Rounds--Multiple relationships: A vignette Standards of Practice, B. Counselling Relationships, Confidentiality. If you were Dr. Jordan, how would you feel about this request? She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. Ethical Dilemmas in Counseling | Psychology Today United Kingdom Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. In the code, 18VAC115-20-130. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. Ethical dilemmas of school counsellors: A vignette study Are there competing ethical principles? 6 0 obj Case Vignettes for Review The supervisee is very worried and afraid to tell ethical dilemmas in counseling vignetteswvu mechanical engineering research. 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. Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. Hostname: page-component-7fc98996b9-g9qcd The therapist feels stuck and overwhelmed by her present situation. 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. Common Ethical Issues: Case Studies and Test Your Knowledge % Dr. Jordan is a therapist who typically works with a wide variety of patients. His family lives at a distance and provides minimal help. However, after the session, the therapist feels uneasy about what his patient revealed. PDF Legal and Ethical Case Studies - American Counseling Association While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). What concrete steps might be important before calling the physician back? The survey consisted of 10 vignettes based on the above ethical issues in. After the phone call, the therapist checks the waiting room and sees the patient there. 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.. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD <> Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. What steps does the psychologist need to take? What are the potential ethical concerns about this scenario, if any? Ethics and law for school psychologists . There were contentious issues dealing with the custody arrangements of the children. What are potential ethical issues with this invitation? An important factor is that there is no cost to you, as the therapist. In hindsight, what triggered some possible difficulties in this situation? Your browser either does not support scripting or you have turned scripting off. ETHICAL DILEMMAS IN COUNSELING - LinkedIn (PDF) Ethical Issues in Counseling Supervision - ResearchGate Continuing Education & Ethical Resources For Mental Health Professionals. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Dilemma 6: Referral and Treatment Boundaries. PDF Family ties: Tackling issues of objectivity and boundaries in counseling If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. The patient had been in treatment for about 10 months on a weekly basis. Dr. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The therapist and the young man have been engaged in psychotherapy for the past 2 years. Dr. Smith decided to review the report. A court appointed custody evaluator performed a child custody evaluation. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries Are there any ethical considerations in this dilemma? 8 0 obj Close this message to accept cookies or find out how to manage your cookie settings. He will likely need to go into an assisted living facility. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . The patient presents with a history of rejection and abandonment as well as being abused by persons of power. 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. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Plenty acting beyond the limits of her competency? Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. School Law for counselors, psychologists, and social workers . She recently received an offer to become a sales representative for a pharmaceutical company. endobj Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. 14 March 2022. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Published online by Cambridge University Press: Abstract All school counselors are considered mandated reporters. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. 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 are potential advantages in this scenario? of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Dilemma 35: Initial Telepsychology Session for Free? The lawyerpatient comments that this seems low. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. The contact is now requesting that Dr. Bishop begin to screen individuals for homosexual tendencies because, according to the doctrines of the denomination, such individuals are not eligible to become clergy. 1 0 obj Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. The ex-wife moved back to the area about six months 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. A therapist receives a phone message from a former patient. We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. If you were the psychologist, what would be your emotion response to this situation? } My name is Dr. 5 0 obj 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. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. The Clear Answers and Start Over feature requires scripting to function. To use suggested categories to consider options for ethical response to the dilemma. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Is Dr. 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. ERIC - ED577207 - School Counselors and Ethical Decision Making 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Content may require purchase if you do not have access. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. 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. 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. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. 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. What factors make this situation potentially difficult for you as a therapist? Mock Ethics Vignettes - BRAIN Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Approaching ethical dilemmas. 2 Print version: page 62 6 min read 0 What factors make this situation potentially easy for you as a therapist? 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. 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. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). He is also very concerned about confidentiality and wants assurances from Dr. Solomon. endobj A psychologist receives a phone call from a well-known internist in her area. 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. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. Menu. The therapist knows her new boss, Mr. Biggy. 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. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation.