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. 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. View all Google Scholar citations Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. My name is Dr. 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. Prior to returning the call, Dr. Jordan reviews the patients chart. What are some actions that you, as the treating therapist, may have done differently? Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Others sources will also be used. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 He recalled that he was an older person with significant depression who eventually became better. He does not view it as a therapy group. ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Mr. DiMencha demonstrates a variety of cognitive deficits. What are potential advantages in this scenario? 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. The ex-wife moved back to the area about six months ago. Therapy lasted about a year and focused on depression and relationship issues. The treating therapist is questioning what to do. 3 0 obj They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. 1LzLxG`kvP@>. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Approaching ethical dilemmas - American Psychological Association Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Ethical dilemmas. 7 0 obj Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. For example, the first vignette, which In the code, 18VAC115-20-130. "useRatesEcommerce": false Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. <> % Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. What are the ethical issues for this scenario? How would you feel about receiving this request? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. While discussing these issues, the patient suddenly stopped talking. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. A therapist is treating a client who is involved in a legal proceeding. The therapist has not worked with the patient for about two years. The therapist ignores the comment and finishes by setting their initial appointment. 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. Others sources will also be used. School Counselors' Experiences With Ethical Decision Making The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Would your answer differ if the advanced directive was created 7 years ago or greater? ethical dilemmas in counseling vignettes. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Dilemma 20: Has the Psychologist Done Too Much? The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. 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. A therapist receives a phone message from a former patient. During the current session, the confides that he has made a new female friend. The physician wants the psychologist to treat his 17-year-old daughter . Case Vignettes for Review <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. ocuk Koruma Kanunu [Child Protection Law]. The executor is Mr. Palmers brother, who lives in a different state. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. endobj Ethics and Psychology: Vignette Warehouse (39) 14 March 2022. He promised to call her back within a week. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. outside her scope of practice? What are Dr. Millers potential ethical issues in this situation? She has been doing much of the case management work, e.g. 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. Your browser either does not support scripting or you have turned scripting off. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Ethical Dilemmas in Counseling | Psychology Today United Kingdom Dr. What are some possible suggestions for Dr. Jordan? a73D%IhCTHA&:L0iAq(*p PDF Family ties: Tackling issues of objectivity and boundaries in counseling <> Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Dr. Goodfriend receives a call from Buddy, his very close high school friend. Dr. Goodfriend is unclear whether Buddy is serious or joking. 5 0 obj The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. A therapist had an intake appointment with a new client. 2 Print version: page 62 6 min read 0 Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. The mother explains that the child has run away and the mother has reported the child missing to the police. How would you feel if you were the consultant? Attempts to find social service agencies able to help him have not been successful. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Ethics Rounds--Multiple relationships: A vignette 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. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. The Clear Answers and Start Over feature requires scripting to function. What problems may occur as a function of Dr. Dr. Dr. Smith is a therapist who has worked with a young woman for about 9 months. What obligations does the therapist have to the parent? Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. What would you need from the attorney? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. The survey consisted of 10 vignettes based on the above ethical issues in. . Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries . raised by clinical vignettes such as those below, The therapist remembers the former patient as a likeable person. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. Dan asked a number of faculty members to be the faculty advisor of this group. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. 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. After six sessions, Mr. DiMencha suffered a significant concussion while at work. The therapist knows her new boss, Mr. Biggy. There were contentious issues dealing with the custody arrangements of the children. <> If you were Dr. Goodfriend, how do you feel about the phone call? Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Are there competing ethical principles? 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. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. 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. A therapist receives a phone call from a well-known internist in her area. 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. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. What are some likely emotional reactions would you have in this situation? Are there any other concerns about the web developer/consultants strategies? are 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. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. 4 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Workers Compensation refuses to pay for the case management services of an independent social worker. <> How would you advise Dr. Thomas to handle them? 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. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. With whom does the therapist discuss the multiple roles? 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. When she asks about insurance, he indicates that he will pay in cash. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. However, after the session, the therapist feels uneasy about what his patient revealed. While Chuck now lives in an apartment in town, she remembers him well. He is marginally coherent and unable to give any consistent responses. With her husband, the patient and the ex-wife? P. (1996). Group of answer choices Growth in . The therapist cannot remember many details about the patient. A female therapist in a suburban area has worked with a male patient for about one year. If you were the psychologist, how would you feel about the situation? What suggestions or recommendations would you offer to the therapist? The Submit Answers for Grading feature requires scripting to function. 1 0 obj Results will be available to you and the patient online. 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. A court appointed custody evaluator performed a child custody evaluation. Standards of Practice, B. Counselling Relationships, Confidentiality. While it is not a complete assessment, it can guide patients to you for further psychological consultation. x#86h)Ppcc0F( k/ (1998). After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Encourage the client to file a complaint with the State Board of Psychology. 6 0 obj Dan explained to Dr. Crane that this group would be student-led and meet on campus. And, how would you, as the treating therapist, deal with those emotions? He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. 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. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. 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. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette ethical dilemmas in counseling vignettes - laoiscivildefence.org What are the ethical issues involved in this situation? 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. endobj 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. Are there any ethical considerations in this dilemma? A psychologist works in an outpatient substance abuse treatment facility. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? If you were a co-owner of the business, how would you feel about this situation? Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. She calls you for an ethics consult. (Log in options will check for institutional or personal access. 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. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? What are the ethical issues involved in this scenario? Standards of practice, part B.9 states that . The following email catches your attention. 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. What are the potential ethical concerns about this scenario, if any? The clients boyfriend expressed that she should never discuss this with anyone. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. They have dinner as couples several times per year. At the end of the session, the therapist asks for the requisite fee as stated on the phone. What emotional reactions may occur for the therapist? The treatment notes indicate that she dropped out of therapy about one year ago. What clinical concerns arise for you in this scenario? She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. New York: John Wiley & Sons, Inc. What, if anything, should the therapist do? 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. Ethical Vignette Paper # Jodi Walters Liberty University. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Jacob-Timm,S. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Qualitative content analysis in practice. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. 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. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members.