Glover, J. The therapist remembers the former patient as a likeable person. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. She recently received an offer to become a sales representative for a pharmaceutical company. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. Sue schedules the appointment for early in the evening. Regulatory boards are the final authority on courses accepted for continuing education credit. A therapist is treating a client who is involved in a legal proceeding. Prior to their next session, Dr. Smith calls you for a consultation. In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. Next, most vignettes have more than one ethical issue that can be addressed. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. 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. 2. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Therapy lasted about a year and focused on depression and relationship issues. A therapist receives a phone message from a former patient. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. What obligations does the therapist have to the parent? 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. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness ; & Hartshorne,T.S. If you were Dr. Miller, what are your emotional reactions to this situation? What would you need from the attorney? PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Others sources will also be used. "useRatesEcommerce": false Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. 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. B) =AiV5bAqUKxs#6{pA :)B'5-a* 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. Would your answer differ if the advanced directive was created 7 years ago or greater? New York: John Wiley & Sons, Inc. He is talking with a young man, most likely his cousin. 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. hasContentIssue true, The Author(s), 2022. Dilemma 20: Has the Psychologist Done Too Much? After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. His father has declined rapidly since the death of his wife and now requires total care. endobj
Buddy states that he has been feeling stressed over the last month. Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. Is Dr. Tell a mandated reporter in this situation? Both therapists are of the same profession. He does not view it as a therapy group. 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. DILEMMA ONE 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) What, if anything, should the therapist do? 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. endobj
Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. The therapist then phones you for an informal consultation. I encourage you to review our web site. 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. 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. What would be your emotional response to this situation? What are some likely emotional reactions would you have in this situation? During the last two years, she required total care. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. The test usually takes approximately 40 to 60 minutes to administer. Uncertain, she calls you for an ethics consultation. Render date: 2023-03-04T21:33:13.444Z However, the police report indicated she has made such verbal threats in the past but also, on several occasions, has damaged her neighbors property including scratching the paint on their car and throwing rocks at their house. And, how would you, as the treating therapist, deal with those emotions? Most issues do not produce ethical dilemmas, but some do. 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. If you have further questions, feel free to contact me. iRE]7*ZG;
K5|h{. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. The therapist ignores the comment and finishes by setting their initial appointment. Standards of practice, part B.9 states that . are 4 0 obj The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Running Head: ETHICAL VIGNETTE. Group of answer choices Growth in . Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. 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. 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. 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. The survey consisted of 10 vignettes based on the above ethical issues in. Ethical dilemmas. 14 March 2022. Ethics and law for school psychologists . Can the client contact Child Protective Services anonymously in this case? Results will be available to you and the patient online. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. He will likely need to go into an assisted living facility. The Center is solely responsible for all aspects of the programs. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. endobj
Tara was offered this position after successfully completing both her practicum and her internship at the center. / ethical dilemmas in counseling vignettes. It then provides six vignettes where supervisors are faced with ethical dilemmas. Dilemma 6: Referral and Treatment Boundaries. In the context of counseling, family includes people related through . However, she begins to feel uncomfortable as she feels like they are spending too much time together. What are the potential ethical issues in this case? The executor is Mr. Palmers brother, who lives in a different state. <>>>
ethical dilemmas in counseling vignettes. The ICU staff asks for your input. 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. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. After six sessions, Mr. DiMencha suffered a significant concussion while at work. She recalled that he agreed that it could make a good book. xVN0}-m8 The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. 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 therapist and the young man have been engaged in psychotherapy for the past 2 years. You are checking your email after a busy day. First, these vignettes are meant to be teaching tools. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. What are the ethical issues involved in this scenario? He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. The Submit Answers for Grading feature requires scripting to function. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Of course, they exist in all forms of counseling, from short-term advising . The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. However, after the session, the therapist feels uneasy about what his patient revealed. The patient repeated this line of questioning during the first face-to-face session. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. The therapist cannot remember many details about the patient. } The therapist and the attorney-patient meet for the initial session. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Address the matter with the other therapist directly. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. What are some of the potential ethical pitfalls in this scenario? There is nothing unusual that stands out about their therapeutic relationship. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. 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. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. . They developed a good therapeutic alliance. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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. He complains loudly about his parents and his girlfriend. 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 cost of the online administration is $25, to be paid by the patient. 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. stream
What are the ethical issues for this scenario? 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. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. The mother explains that the child has run away and the mother has reported the child missing to the police. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. A therapist receives a phone call from a well-known internist in her area. White Plains, NY: Longman. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp
My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD %PDF-1.3 The physician wants the psychologist to treat his 17-year-old daughter . mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K The therapist, her husband, and his ex-wife are on good terms. She actually attended his graduation party briefly and hired him to cut her lawn for two years. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. What are the potential ethical issues with this case? Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. While it is not a complete assessment, it can guide patients to you for further psychological consultation. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. endobj
At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. A psychologist works in an outpatient substance abuse treatment facility. ACE provider approval period: 3/21/2021-3/21/2024. 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. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. Menu. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. What are the ethical issues involved in this case? Harry then decides to attend a conference hosted by the ACA which will address the Code of the Ethics and the Standards of Practice in detail. You are a therapist in a busy acute care hospital where you receive. 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. Just as he is about to hang up, Buddy says, Thanks. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics This particular vignette, Swenson said, may well fail the two-prong test. 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. x#86h)Ppcc0F( k/ There were contentious issues dealing with the custody arrangements of the children. cn]JlmQSMDM>pEm+gxMU]``tQqKF The treating therapist is questioning what to do. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Buddy also shares that he has been short tempered with his wife and kids. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. <>
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. The client continued to struggle. The therapist does not dwell on the situation with the patient. image.jpg Liberty University Ethical and Legal Issues in Counseling . If you were Dr. Jordan, how would you feel about this request? What would you likely do with this email solicitation? What do you believe is the best course of action? Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. Close this message to accept cookies or find out how to manage your cookie settings. She told the student that she would think about the request prior to answering.