How would you advise Dr. Thomas to handle them? 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. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K What would you likely do with this email solicitation? Sue schedules the appointment for early in the evening. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. After six sessions, Mr. DiMencha suffered a significant concussion while at work. The clients boyfriend expressed that she should never discuss this with anyone. 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. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? What, if anything, should the therapist do? This vignette poses several ethical dilemmas for counselors. The client is feeling very helpless and vulnerable about this bind. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. The patient repeated this line of questioning during the first face-to-face session. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. endstream 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 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. If you have further questions, feel free to contact me. Standards of practice, part B.9 states that . << /Length 5 0 R /Filter /FlateDecode >> Part of her struggle is that she sees her husband as more depressed now than when he started treatment. 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. 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. What are the potential ethical concerns about this scenario, if any? She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. His father has declined rapidly since the death of his wife and now requires total care. ; & Hartshorne,T.S. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. are 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. Programs that do not qualify for NBCC credit are clearly identified. If you were Dr. Miller, what are your emotional reactions to this situation? The position pays much more than shes making at the community agency, and is within ten minutes of her home. His attorney believes that some good, written character references will really help out with the case. : Ethical and Legal Ramifications of Documentation Decisions. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. School Law for counselors, psychologists, and social workers . He is talking with a young man, most likely his cousin. One afternoon Taras supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the centers other branches. 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. An ongoing theme in therapy revolves around his sexual orientation. 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. Dr. Ron Popeil, a local therapist, is upgrading his web site. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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 went on to detail how her boyfriend described how his uncle was involved in collecting and distributing child pornography but remained faithful to his aunt. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Would your answer differ if there were no advanced directives? This has caused both his physical and What would you need from the attorney? A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . 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* Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. The mother further reports that the patients cousin has been driving the patient around town. While discussing these issues, the patient suddenly stopped talking. Refer the matter to the State Board of Psychology. P. (1996). And, how would you, as the treating therapist, deal with those emotions? 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. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. What are Dr. Millers potential ethical issues in this situation? The patient presents with a history of rejection and abandonment as well as being abused by persons of power. The patient had been in treatment for about 10 months on a weekly basis. However, after the session, the therapist feels uneasy about what his patient revealed. What are the ethical issues involved in this case? The supervisee is very worried and afraid to tell Your browser either does not support scripting or you have turned scripting off. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Your browser either does not support scripting or you have turned scripting off. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Psychologist 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. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. A psychologist works in an outpatient substance abuse treatment facility. During the current session, the confides that he has made a new female friend. Dr. Jordan is a therapist who typically works with a wide variety of patients. Hence, the admission is voluntary. Buddy also shares that he has been short tempered with his wife and kids. Abstract All school counselors are considered mandated reporters. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. To use suggested categories to consider options for ethical response to the dilemma. After the session is over, the therapist has time to reflect on her concerns. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. 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. Prior to their next session, Dr. Smith calls you for a consultation. Sci Rep 12, 22416 (2022). Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. The therapist then phones you for an informal consultation. If you were Dr. Goodfriend, how do you feel about the phone call? Dr. Goodfriend receives a call from Buddy, his very close high school friend. He does not view it as a therapy group. 5 0 obj hasContentIssue true, The Author(s), 2022. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. This particular vignette, Swenson said, may well fail the two-prong test. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. 6 0 obj 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. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. 2 0 obj 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. The physician explains that he has been medicating her for about four months with Prozac and Klonopin, once he became aware of her eating disordered behavior. <> Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. Glover, J. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. cn]JlmQSMDM>pEm+gxMU]``tQqKF My name is Dr. of family ties, but counselors in many other specialties will run into these issues too. The treating therapist believes the options are: What are the possible emotional reactions to this situation? These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Are there any other concerns about the web developer/consultants strategies? Group of answer choices Growth in . What clinical concerns arise for you in this scenario? He confides that he would like to have an affair with her. Dr. Smith also asked if it is ethical to bill the patients insurance company to review his impressions of a forensic report during a psychotherapy session. Learning Objectives: xVN0}-m8 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. Simultaneously, the religious institution is adamant about this requirement. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. 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. What do you believe is the best course of action? Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. <> stream 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. What are some possible suggestions for Dr. Jordan? However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. You are a therapist in a busy acute care hospital where you receive. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. 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. Therapy lasted about a year and focused on depression and relationship issues. / ethical dilemmas in counseling vignettes. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. . Out of options, Dan is asking Dr. Crane to be the faculty advisor. If you were the psychologist, what would be your emotion response to this situation? Ethics and law for school psychologists . 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. Mr. Biggy indicates that he wants to talk more about his feelings. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Dilemma 35: Initial Telepsychology Session for Free? Qualitative content analysis in practice. What are the ethical issues involved in this situation? A therapist receives a phone message from a former patient. What are other steps that the therapist may want to take in this situation? They developed a good therapeutic alliance. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. raised by clinical vignettes such as those below, How would you feel if you were the consultant? She recalled that he agreed that it could make a good book. Has data issue: true Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. 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. 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. 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. After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. 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. She actually attended his graduation party briefly and hired him to cut her lawn for two years. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. 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 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. What are the ethical issues for this scenario? They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. With whom does the therapist discuss the multiple roles? While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. The Submit Answers for Grading feature requires scripting to function. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. There is nothing unusual that stands out about their therapeutic relationship. Simultaneously, he strongly believes he made the right decision. Next, most vignettes have more than one ethical issue that can be addressed. She told the student that she would think about the request prior to answering. What are some of the potential ethical pitfalls in this scenario? Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. At the end of the session, the therapist asks for the requisite fee as stated on the phone. The therapist knows her new boss, Mr. Biggy. The ICU staff asks for your input. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. 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. My company has developed a unique opportunity for you and your associates. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Among other things, the report contained a psychological evaluation of the patient. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. T2 0#8r\ During the last two years, she required total care. After the phone call, the therapist checks the waiting room and sees the patient there. Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation. 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. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. What are the ethical concerns in this scenario? What are some recommendations that you would make to the psychologist? The therapist and the young man have been engaged in psychotherapy for the past 2 years. Buddy states that he has been feeling stressed over the last month. The mother explains that the child has run away and the mother has reported the child missing to the police. Several weeks after beginning to go on sales calls, your patient reports that Mr. Biggy is complimenting her on the way she looks and her ability to make the sale. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> What are the potential ethical issues in this case? He promised to call her back within a week. 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 The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. 3 0 obj Dr. Smith decided to review the report. Not knowing what to do, and realizing that the next patient is in the waiting room, the therapist takes the cash and sets up another appointment. The treatment notes indicate that she dropped out of therapy about one year ago. How would you feel about receiving this request? ), 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. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. 2 Print version: page 62 6 min read 0 Mr. DiMencha demonstrates a variety of cognitive deficits. How easy or how difficult would it be to take those steps? The days allocated for her stay by her insurance are ending in two days. Total loading time: 0 Address the matter with the other therapist directly. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. The therapist ignores the comment and finishes by setting their initial appointment. 6768). iRE]7*ZG; K5|h{. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. 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. 1LzLxG`kvP@>. Results will be available to you and the patient online. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. His mother had suffered from a combination of severe respiratory problems and Alzheimers. image.jpg Liberty University Ethical and Legal Issues in Counseling . His impairment is noticeable by Dr. 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. Currently, the patient is denying the fact that she has made past threats toward her neighbor. The therapist expresses her concerns about working with a patient whose father is prescribing medication. He also indicated that the relationship is taking on a more serious tone. Encourage the client to file a complaint with the State Board of Psychology. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. } By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently.

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