A therapist receives a phone call from a well-known internist in her area. %PDF-1.3 Are there competing ethical principles? Apparently, no one is. What do you believe is the best course of action? She does not feel right taking a fee larger than her usual and customary rate. Buddy states that he has been feeling stressed over the last month. stream Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. Standards of practice, part B.9 states that . What, if anything, should the therapist do? Dr. Smith is now worried about the entire situation. Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. 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. 1LzLxG`kvP@>. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. 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. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. 2. Along with. 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. She actually attended his graduation party briefly and hired him to cut her lawn for two years. The main therapeutic issues are depression and loneliness. What would be your emotional response to this situation? An ongoing theme in therapy revolves around his sexual orientation. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Qualitative content analysis in practice. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. 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. 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. White Plains, NY: Longman. What are some potential responses that you could offer Dr. Bishop? endobj He also divulged that his risk-taking behavior has increased as well, such as speeding. The cost of the online administration is $25, to be paid by the patient. It then provides six vignettes where supervisors are faced with ethical dilemmas. . 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) She mentions that she is still in communication with her ex-husband because they share three children. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> They have dinner as couples several times per year. 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. The survey consisted of 10 vignettes based on the above ethical issues in. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. While Chuck now lives in an apartment in town, she remembers him well. The ICU staff asks for your input. Dr. Goodfriend speaks with Buddy about once every six to nine months. Dr. Jordan is a therapist who typically works with a wide variety of patients. x#86h)Ppcc0F( k/ Total loading time: 0 The patient presents with a history of rejection and abandonment as well as being abused by persons of power. For example, the psychologist might have to evict his client for failing to pay rent--or he might . 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. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. He recalled that he was an older person with significant depression who eventually became better. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Mr. Biggy and Dr. Smith meet in an unplanned social venue. The Center maintains responsibility for this program and its content. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. 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. The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. / ethical dilemmas in counseling vignettes. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. In hindsight, what triggered some possible difficulties in this situation? What are the ethical issues involved in this situation? Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. 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. Dr. Jordan calls you on the phone for an ethics consultation. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. What are some of the potential ethical pitfalls in this scenario? ocuk Koruma Kanunu [Child Protection Law]. 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. Continuing Education & Ethical Resources For Mental Health Professionals. His mother had suffered from a combination of severe respiratory problems and Alzheimers. 6768). 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. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. While it is not a complete assessment, it can guide patients to you for further psychological consultation. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? 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. Prior to returning the call, Dr. Jordan reviews the patients chart. The therapist and the attorney-patient meet for the initial session. a73D%IhCTHA&:L0iAq(*p My company has developed a unique opportunity for you and your associates. Dr. If you have further questions, feel free to contact me. <> To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. February 27, 2023 . With whom does the therapist discuss the multiple roles? ; & Hartshorne,T.S. The therapist knows her new boss, Mr. Biggy. Patient contact information will be part of the administration process. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. 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. 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 other steps that the therapist may want to take in this situation? "useRatesEcommerce": false She stated that Dr. Jordan recommended that she write down her memories. The patient has never met the attorney face-to-face, only by email and phone contacts. The days allocated for her stay by her insurance are ending in two days. A court appointed custody evaluator performed a child custody evaluation. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. 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. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wifes death was and how he hoped for a similar passing. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. Simultaneously, the religious institution is adamant about this requirement. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. The mother further reports that the patients cousin has been driving the patient around town. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. The PASS-2 is administered online, from any computer, iPad, or iPhone. endobj 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. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. 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 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.. << /Length 5 0 R /Filter /FlateDecode >> With her husband, the patient and the ex-wife? 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. Refer the matter to the State Board of Psychology. You are a therapist in a busy acute care hospital where you receive. 6 0 obj Sue schedules the appointment for early in the evening. The mother explains that the child has run away and the mother has reported the child missing to the police. The patient had been in treatment for about 10 months on a weekly basis. Running Head: ETHICAL VIGNETTE. 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. What are some actions that you, as the treating therapist, may have done differently? Programs that do not qualify for NBCC credit are clearly identified. 4 0 obj Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? . What are potential ethical issues with this invitation? If you were a co-owner of the business, how would you feel about this situation? 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. The ex-wife moved back to the area about six months ago. Are there any ethical considerations in this dilemma? Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Buddy also shares that he has been short tempered with his wife and kids. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. The therapist ignores the comment and finishes by setting their initial appointment. 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. 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> ACE provider approval period: 3/21/2021-3/21/2024. 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. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. The therapist feels stuck and overwhelmed by her present situation. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. <> He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. A female therapist in a suburban area has worked with a male patient for about one year. He complains loudly about his parents and his girlfriend. The Clear Answers and Start Over feature requires scripting to function. Ethical Vignette Paper # Jodi Walters Liberty University. A therapist had an intake appointment with a new client. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Group of answer choices Growth in . What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? The therapist, her husband, and his ex-wife are on good terms. What are some possible suggestions for Dr. Jordan? Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Prior to their next session, Dr. Smith calls you for a consultation. The lawyerpatient comments that this seems low. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. First, these vignettes are meant to be teaching tools. 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. 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. Dr. Goodfriend is unclear whether Buddy is serious or joking. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. 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 therapist expresses her concerns about working with a patient whose father is prescribing medication. 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 client is feeling very helpless and vulnerable about this bind. 2 0 obj His father has declined rapidly since the death of his wife and now requires total care. Address the matter with the other therapist directly. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. What are the ethical issues involved in this case? The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Others sources will also be used. If you were Dr. Jordan, how would you feel about this request? He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. He would like help to work through the issues. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. This has caused both his physical and A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. During the interview, she was told that she would need to work independently, with only limited supervision. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 Dilemma 38: Psychotherapy without Medication, Dilemma 39: Pills, Chills, and No Thrills, Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision - 3 part series, Library: Articles & Papers Related to Ethics Education, Time pressure reduces misinformation discrimination ability but does not alter response bias, Domestic violence hotline calls will soon be invisible on your family phone plan, The danger of absolute thinking is absolutely clear. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. (Log in options will check for institutional or personal access. Dilemma 20: Has the Psychologist Done Too Much? As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. 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? Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. They developed a good therapeutic alliance. View all Google Scholar citations If you were Dr. Goodfriend, how do you feel about the phone call? 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Dr. Smith decided to review the report. Has data issue: true The results and implications for counsellors, counsellor educators and researchers are discussed. When she asks about insurance, he indicates that he will pay in cash. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. She has been doing much of the case management work, e.g. ethical dilemmas in counseling vignettes. What are the potential ethical concerns about this scenario, if any? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. The clients boyfriend expressed that she should never discuss this with anyone. xVN0}-m8 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. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. I encourage you to review our web site. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. What factors make this situation potentially difficult for you as a therapist? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. What obligations does the therapist have to the parent? Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. <> are The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. (1998). How would you advise Dr. Thomas to handle them? The therapist cannot remember many details about the patient. 3. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. endobj It was revealed that counsellors prioritise the students benefit and respect students privacy. Dilemma 35: Initial Telepsychology Session for Free? Review each of the scenarios and indicate whether you agree or disagree with the counselors action. 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 encourage Buddy to become involved in therapy if symptoms persist? Most issues do not produce ethical dilemmas, but some do. 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. Plenty lives and practices psychotherapy in a rural area. 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. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and .
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