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. The therapist does not dwell on the situation with the patient. What suggestions or recommendations would you offer to the therapist? She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. What factors make this situation potentially difficult for you as a therapist? Does the therapist who hears this information have any legal obligations? 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. Dilemma 20: Has the Psychologist Done Too Much? Address the matter with the other therapist directly. 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. An ongoing theme in therapy revolves around his sexual orientation. : ethical dilemmas, burnout, stress, practicing counselors. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Ethical Conflicts In Psychology Book Pdf Download What would you need from the attorney? 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. While Chuck now lives in an apartment in town, she remembers him well. Dr. The mother explains that the child has run away and the mother has reported the child missing to the police. She recently received an offer to become a sales representative for a pharmaceutical company. 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF The therapist knows her new boss, Mr. Biggy. You are checking your email after a busy day. 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; Regulatory boards are the final authority on courses accepted for continuing education credit. The main therapeutic issues are depression and loneliness. 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. Mr. Biggy indicates that he wants to talk more about his feelings. Divide and Rule? For example, the first vignette, which After the session is over, the therapist has time to reflect on her concerns. 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. The counsellor is also conscious. endstream The supervisee is very worried and afraid to tell He asked the attorney if anyone is contesting the will. stream . Refer the matter to the State Board of Psychology. Prior to providing extra-therapy support, Dr. Patient contact information will be part of the administration process. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. Are there competing ethical principles? Are there any other concerns about the web developer/consultants strategies? Plenty without any type of testing. Dan explained to Dr. Crane that this group would be student-led and meet on campus. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. February 27, 2023 . The position pays much more than shes making at the community agency, and is within ten minutes of her home. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Ethics and Psychology: Vignette Warehouse (39) 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. (1998). 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. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. A therapist receives a phone message from a former patient. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Dr. Thomas wants him to come in immediately for a more indepth evaluation. The test usually takes approximately 40 to 60 minutes to administer. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Next, most vignettes have more than one ethical issue that can be addressed. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? The results and implications for counsellors, counsellor educators and researchers are discussed. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. outside her scope of practice? The executor is Mr. Palmers brother, who lives in a different state. This particular vignette, Swenson said, may well fail the two-prong test. What steps does the psychologist need to take? 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 PASS-2 is administered online, from any computer, iPad, or iPhone. } 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Render date: 2023-03-04T21:33:13.444Z PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Approaching ethical dilemmas. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 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* Ethical Vignette Paper.docx. Dr. Jordan calls you on the phone for an ethics consultation. Case Vignettes for Review What concrete steps might be important before calling the physician back? They developed a good therapeutic alliance. 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. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. 2 0 obj ethical dilemmas in counseling vignettes - laoiscivildefence.org frequent consultation requests by the trauma service. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. 4 0 obj 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. 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> ethical dilemmas in counseling vignettes. PDF ETHICAL DILEMMAS - SAGE Publications Inc 3 0 obj 1. 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. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. 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? Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. When she asks about insurance, he indicates that he will pay in cash. What are some potential responses that you could offer Dr. Bishop? Dr. Ron Popeil, a local therapist, is upgrading his web site. Dans vision is that the group would meet periodically to provide one another with support, to do problem solving, to share information and personal struggles, and perhaps to provide some psycho-educational work on campus. 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 reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. While discussing these issues, the patient suddenly stopped talking. Dilemma 20: Has the Therapist Done Too Much? However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. 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. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. How would you advise Dr. Thomas to handle them? What should you do with this email solicitation? Dr. Goodfriend speaks with Buddy about once every six to nine months. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness 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. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. <> During the current session, the confides that he has made a new female friend. He will likely need to go into an assisted living facility. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. adapted and used used with consent from a state psychological association. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Currently, the patient is denying the fact that she has made past threats toward her neighbor. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Of course, they exist in all forms of counseling, from short-term advising . Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. 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? He promised to call her back within a week. What would you likely do with this email solicitation? image.jpg Liberty University Ethical and Legal Issues in Counseling . ocuk Koruma Kanunu [Child Protection Law]. ETHICAL DILEMMAS IN COUNSELING - LinkedIn The days allocated for her stay by her insurance are ending in two days. %PDF-1.5 During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. What are some of the potential ethical pitfalls in this scenario? What are potential advantages in this scenario? Menu. a73D%IhCTHA&:L0iAq(*p The patient has trust issues with his parents, especially his father. What are the ethical issues involved in this situation? A psychologist works in an outpatient substance abuse treatment facility. 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. The therapist cannot remember many details about the patient. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. She told the student that she would think about the request prior to answering. Ethical Vignette Paper # Jodi Walters Liberty University. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 While it is not a complete assessment, it can guide patients to you for further psychological consultation. He also indicated that the relationship is taking on a more serious tone. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. What are the ethical issues for this scenario? From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. xVN0}-m8 What do you believe is the best course of action? Case Vignettes for Review Simultaneously, he strongly believes he made the right decision. Uncertain, she calls you for an ethics consultation. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . ; & Hartshorne,T.S. Harry is a school guidance counselor who is just got a job at a large public high school. Dr. Goodfriend is unclear whether Buddy is serious or joking. This vignette poses several ethical dilemmas for counselors. Standards of Practice, B. Counselling Relationships, Confidentiality. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. He would like help to work through the issues. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. To use suggested categories to consider options for ethical response to the dilemma. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. of family ties, but counselors in many other specialties will run into these issues too. And, how would you, as the treating therapist, deal with those emotions? 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. Should Dr. Goodfriend call Buddy and offer a few referrals? If you were the psychologist, how would you feel about the situation? If you were Dr. Jordan, how would you feel about this request? Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . My name is Dr. 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. "useRatesEcommerce": false What are the ethical issues involved in this scenario? Dr. Tell contacts you with the above scenario. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. What are some actions that you, as the treating therapist, may have done differently? At the end of the day, he listens to voicemail messages to learn that a former patient is reaching out to him for a request. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q Attempts to find social service agencies able to help him have not been successful. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Mr. DiMencha demonstrates a variety of cognitive deficits. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. 2. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Along with. 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. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. 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.. (Log in options will check for institutional or personal access. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. What are some likely emotional reactions would you have in this situation? The patient had been in treatment for about 10 months on a weekly basis. 3. Group of answer choices Growth in . He also divulged that his risk-taking behavior has increased as well, such as speeding. Most issues do not produce ethical dilemmas, but some do. Would your answer differ if the advanced directive was created 7 years ago or greater? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. After some other small talk, Dr. Smith leaves to mingle with other friends. The following email catches your attention. What are the potential ethical concerns about this scenario, if any?
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