Learning From Ethical Vignettes - Center for Ethical Practice 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 . The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. 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. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. School Law for counselors, psychologists, and social workers . Prior to returning the call, Dr. Jordan reviews the patients chart. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. <> Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. The mother explains that the child has run away and the mother has reported the child missing to the police. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Ethics and law for school psychologists . His family lives at a distance and provides minimal help. Would your answer differ if there were no advanced directives? It was revealed that counsellors prioritise the students benefit and respect students privacy. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. There were contentious issues dealing with the custody arrangements of the children. A psychologist receives a phone call from a well-known internist in her area. A court appointed custody evaluator performed a child custody evaluation. 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. Buddy also shares that he has been short tempered with his wife and kids. Buddy states that he has been feeling stressed over the last month. adapted and used used with consent from a state psychological association. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. The therapist and the young man have been engaged in psychotherapy for the past 2 years. She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. If you were Dr. Goodfriend, how do you feel about the phone call? endstream ERIC - ED577207 - School Counselors and Ethical Decision Making Uncertain, she calls you for an ethics consultation. PDF ETHICAL DILEMMAS - SAGE Publications Inc Sue schedules the appointment for early in the evening. I encourage you to review our web site. What emotional reactions may occur for the therapist? P. (1996). PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Prior to their next session, Dr. Smith calls you for a consultation. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? A therapist is treating a client who is involved in a legal proceeding. The therapist obtains the keys and title for the vehicle. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling 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. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Part of her struggle is that she sees her husband as more depressed now than when he started treatment. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. There is nothing unusual that stands out about their therapeutic relationship. Approaching ethical dilemmas. 8 0 obj 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. The therapist and the attorney-patient meet for the initial session. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Dilemma 20: Has the Therapist Done Too Much? Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. What are some likely emotional reactions would you have in this situation? The executor is Mr. Palmers brother, who lives in a different state. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Can the therapist continue the treatment relationship with the patient? Plenty lives and practices psychotherapy in a rural area. He recalled that he was an older person with significant depression who eventually became better. The client continued to struggle. 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. Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. What are some possible suggestions for Dr. Jordan? ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. During the current session, the confides that he has made a new female friend. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. However, after the session, the therapist feels uneasy about what his patient revealed. The main therapeutic issues are depression and loneliness. 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. 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. In hindsight, what triggered some possible difficulties in this situation? 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. ocuk Koruma Kanunu [Child Protection Law]. A therapist had an intake appointment with a new client. Ethics and Psychology: Vignette Warehouse (39) Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. They have dinner as couples several times per year. 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. 5 0 obj The treatment notes indicate that she dropped out of therapy about one year ago. What problems may occur as a function of Dr. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. 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. of family ties, but counselors in many other specialties will run into these issues too. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. They start spending more time together. The therapist does not dwell on the situation with the patient. If you were Dr. Jordan, how would you feel about this request? Ethical Dilemmas in Counseling | Psychology Today United Kingdom endobj Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. If you have further questions, feel free to contact me. ethical dilemmas in counseling vignettes. (1998). They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. endobj What would you need from the attorney? Content may require purchase if you do not have access. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. 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. She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. After six sessions, Mr. DiMencha suffered a significant concussion while at work. <> What are some potential responses that you could offer Dr. Bishop? However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. He is marginally coherent and unable to give any consistent responses. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Learning From Ethical Vignettes This workshop is based on discussion of ethical issues raised by clinical vignettes such as those below, adapted and used used with consent from a state psychological association. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. 2. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The mother further reports that the patients cousin has been driving the patient around town. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. x#86h)Ppcc0F( k/ Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. What are some recommendations that you would make to the psychologist? Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. And, how would you, as the treating therapist, deal with those emotions? Case Vignettes for Review How easy or how difficult would it be to take those steps? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. What are the ethical issues, if any, involved in this case? During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Does the therapist who hears this information have any legal obligations? Approaching ethical dilemmas - American Psychological Association Published online by Cambridge University Press: The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. 1LzLxG`kvP@>. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full 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. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. The therapist pulls the former patients chart. Dilemma 35: Initial Telepsychology Session for Free? The therapist feels stuck and overwhelmed by her present situation. Are there any ethical considerations in this dilemma? Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. PDF Supervision Long Ethics Vignettes - CCFAM The following email catches your attention. Dr. Popeil thinks these ideas are good. Therapy lasted about a year and focused on depression and relationship issues. 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. Are there any other concerns about the web developer/consultants strategies? Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. % You are checking your email after a busy day. ACE provider approval period: 3/21/2021-3/21/2024. The client is feeling very helpless and vulnerable about this bind. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Ethical dilemmas of school counsellors: A vignette study Dr. Goodfriend speaks with Buddy about once every six to nine months. How would you advise Dr. Thomas to handle them? 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.. With her husband, the patient and the ex-wife? Glover, J. Legal Issues In Counselling Psychotherapy (Ethics In Practice Series) <> Along with. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. What do you believe is the best course of action? Patient contact information will be part of the administration process. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. He complains loudly about his parents and his girlfriend. What would be your emotional response to this situation? The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Ethical dilemmas. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. 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. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. 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. Dr. Bishop calls you for a consult about this situation. << /Length 5 0 R /Filter /FlateDecode >> raised by clinical vignettes such as those below, 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. ethical dilemmas in counseling vignettes - laoiscivildefence.org After some other small talk, Dr. Smith leaves to mingle with other friends. image.jpg Liberty University Ethical and Legal Issues in Counseling . <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Among other things, the report contained a psychological evaluation of the patient. For example, the first vignette, which The results and implications for counsellors, counsellor educators and researchers are discussed. %PDF-1.3 A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. During the interview, she was told that she would need to work independently, with only limited supervision. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. What are some of the potential ethical pitfalls in this scenario? 3 0 obj The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Jacob-Timm,S. During the last two years, she required total care. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Case Vignettes for Review A female therapist in a suburban area has worked with a male patient for about one year. 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. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Dr. Goodfriend is unclear whether Buddy is serious or joking. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Qualitative content analysis in practice. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. 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. 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? The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. 4 0 obj Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. endobj Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. 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. Of course, they exist in all forms of counseling, from short-term advising . He confides that he would like to have an affair with her. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. / ethical dilemmas in counseling vignettes. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 ; & Hartshorne,T.S. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. When she asks about insurance, he indicates that he will pay in cash. Just as he is about to hang up, Buddy says, Thanks. 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. Simultaneously, he strongly believes he made the right decision. 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
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