Both therapists are of the same profession. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. 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. What are Dr. Millers potential ethical issues in this situation? What problems may occur as a function of Dr. 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. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. How would you advise Dr. Thomas to handle them? First, these vignettes are meant to be teaching tools. Group of answer choices Growth in . Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Standards of practice, part B.9 states that . Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. What are some actions that you, as the treating therapist, may have done differently? ethical dilemmas in counseling vignettes - stmatthewsbc.org What are some potential responses that you could offer Dr. Bishop? Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. What obligations does the therapist have to the parent? Ethical dilemmas in clinical supervision. 1: Need for guidelines What are the potential ethical issues with this case? PDF Trainee Psychological Counselors' Understanding of Ethics - ed 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. 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. Dilemma 35: Initial Telepsychology Session for Free? It was revealed that counsellors prioritise the students' benefit and respect students' privacy. Jacob-Timm,S. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. What factors make this situation potentially easy for you as a therapist? She recalled that he agreed that it could make a good book. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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. What are the ethical issues for this scenario? 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. The days allocated for her stay by her insurance are ending in two days. 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. Counseling Ethics Code: 10 Common Ethical Issues & Studies To create paragraphs in your essay response, type
at the beginning of the paragraph, and
at the end. Dilemma 6: Referral and Treatment Boundaries. A therapist receives a phone message from a former patient. Prior to returning the call, Dr. Jordan reviews the patients chart. Learning From Ethical Vignettes - Center for Ethical Practice The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Workers Compensation refuses to pay for the case management services of an independent social worker. (Log in options will check for institutional or personal access. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. What are the potential pitfalls in the scenario? As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dan asked a number of faculty members to be the faculty advisor of this group. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. 3 0 obj The therapist pulls the former patients chart. My company has developed a unique opportunity for you and your associates. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q After the session is over, the therapist has time to reflect on her concerns. The therapist remembers the former patient as a likeable person. 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. 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 Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. The therapist screens the potential patient and believes that she can help him. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. Total loading time: 0 The mother further reports that the patients cousin has been driving the patient around town. What are some of the potential ethical pitfalls in this scenario? 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. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. stream Running Head: ETHICAL VIGNETTE. If you were Dr. Goodfriend, how do you feel about the phone call? What factors make this situation potentially difficult for you as a therapist? What should you do with this email solicitation? During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The treating therapist is questioning what to do. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? If you were a co-owner of the business, how would you feel about this situation? Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. The test usually takes approximately 40 to 60 minutes to administer. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. There were contentious issues dealing with the custody arrangements of the children. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? After the phone call, the therapist checks the waiting room and sees the patient there. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. 1 0 obj 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. Along with. During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. << /Length 5 0 R /Filter /FlateDecode >> Of course, they exist in all forms of counseling, from short-term advising . He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Abstract All school counselors are considered mandated reporters. If you were the psychologist, what would be your emotion response to this situation? Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. endobj %PDF-1.3 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. PDF Supervision Long Ethics Vignettes - CCFAM The Center maintains responsibility for this program and its content. 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. How would you feel about receiving this request? 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. stream Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. 8 0 obj Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. The ICU staff asks for your input. While it is not a complete assessment, it can guide patients to you for further psychological consultation. 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. 4 0 obj Feature Flags: { 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. At the end of the session, the therapist asks for the requisite fee as stated on the phone. Dr. Jordan returns the phone call. A female therapist in a suburban area has worked with a male patient for about one year. Most issues do not produce ethical dilemmas, but some do. : Ethical and Legal Ramifications of Documentation Decisions. The client continued to struggle. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Is Dr. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? An ongoing theme in therapy revolves around his sexual orientation. He also indicated that the relationship is taking on a more serious tone. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. The therapist ignores the comment and finishes by setting their initial appointment. Next, most vignettes have more than one ethical issue that can be addressed. What, if anything, should the therapist do? Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. 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 With whom does the therapist discuss the multiple roles? The therapist, her husband, and his ex-wife are on good terms. a73D%IhCTHA&:L0iAq(*p For example, the psychologist might have to evict his client for failing to pay rent--or he might . Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Harry is a school guidance counselor who is just got a job at a large public high school. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. If you decide to provide information, would you consider communicating with the prior patients attorney? There is nothing unusual that stands out about their therapeutic relationship. What clinical concerns arise for you in this scenario? COUC 501 Ethical and Legal Issues in Counseling - Course Hero They have dinner as couples several times per year. stream endobj Ethical dilemmas of school counsellors: A vignette study American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Plenty acting beyond the limits of her competency? 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. <> 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. ; & Hartshorne,T.S. PDF Becoming A Helper 6th Edition By Corey Pdf / Richard Nelson-Jones She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. Among other things, the report contained a psychological evaluation of the patient. Case Vignettes for Review They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA endobj Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. 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. Dr. Goodfriend receives a call from Buddy, his very close high school friend. image.jpg Liberty University Ethical and Legal Issues in Counseling . From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. What are some possible suggestions for Dr. Jordan? If you were Dr. Miller, what are your emotional reactions to this situation? The Experience of Ethical Dilemmas, Burnout, and Stress Among To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. His father has declined rapidly since the death of his wife and now requires total care. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. 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. What would you likely do with this email solicitation? February 27, 2023 . cn]JlmQSMDM>pEm+gxMU]``tQqKF DILEMMA ONE Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics 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. What are potential ethical issues with this invitation? Dr. Thomas wants him to come in immediately for a more indepth evaluation. 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