ERIC - ED577207 - School Counselors and Ethical Decision Making He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. Dilemma 20: Has the Psychologist Done Too Much? The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. 1LzLxG`kvP@>. What are some possible suggestions for Dr. Jordan? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U In the context of counseling, family includes people related through . 3. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 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. Results will be available to you and the patient online. ), 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. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Mock Ethics Vignettes - BRAIN 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. Prior to providing extra-therapy support, Dr. She recently received an offer to become a sales representative for a pharmaceutical company. 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 What problems may occur as a function of Dr. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Dr. Jordan calls you on the phone for an ethics consultation. Most issues do not produce ethical dilemmas, but some do. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. With her husband, the patient and the ex-wife? After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. While it is not a complete assessment, it can guide patients to you for further psychological consultation. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full Ethical Dilemmas in Counseling | Psychology Today United Kingdom It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. 6 0 obj 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. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? endobj She actually attended his graduation party briefly and hired him to cut her lawn for two years. 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 Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. A female therapist in a suburban area has worked with a male patient for about one year. The therapist pulls the former patients chart. PDF ETHICAL DILEMMAS - SAGE Publications Inc His mother had suffered from a combination of severe respiratory problems and Alzheimers. 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. White Plains, NY: Longman. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Mr. Tellanyone is feeling quite guilty about his mother. The Submit Answers for Grading feature requires scripting to function. How would you feel if you were the consultant? However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? However, after the session, the therapist feels uneasy about what his patient revealed. Therapy lasted about a year and focused on depression and relationship issues. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. What are the ethical issues involved in this situation? A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Dr. Bishop calls you for a consult about this situation. 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. 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. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette endobj During the current session, the confides that he has made a new female friend. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. 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. Along with. 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.. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. Plenty acting beyond the limits of her competency? <> The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. 4 0 obj 4 0 obj Group of answer choices Growth in . In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. The executor is Mr. Palmers brother, who lives in a different state. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? 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. What are the potential ethical concerns about this scenario, if any? After six sessions, Mr. DiMencha suffered a significant concussion while at work. What are some actions that you, as the treating therapist, may have done differently? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. 8 0 obj 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. 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. COUC 501 Ethical and Legal Issues in Counseling - Course Hero He also wondered if he should contact the patients lawyer, with her permission, to disclose his perceptions about the quality of the report and his perceptions about the conclusions. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. Sue schedules the appointment for early in the evening. Dilemma 35: Initial Telepsychology Session for Free? At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. When she asks about insurance, he indicates that he will pay in cash. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Mr. Biggy indicates that he wants to talk more about his feelings. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. They have dinner as couples several times per year. Attempts to find social service agencies able to help him have not been successful. 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. ocuk Koruma Kanunu [Child Protection Law]. outside her scope of practice? Dr. Tell contacts you with the above scenario. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. In fact, the patient has made no such comments to anyone else other than to Dr. Solomon and has been a model patient on the unit. Dr. Smith decided to review the report. Hostname: page-component-7fc98996b9-g9qcd A psychologist works in an outpatient substance abuse treatment facility. 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. 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 would be your emotional response to this situation? When dealing with the EAP program, she thinks her title of doctor might put people off, so she announces herself as Sue when dealing with EAP clients. (Log in options will check for institutional or personal access. <> Refer the matter to the State Board of Psychology. What are Dr. Millers potential ethical issues in this situation? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. 2. Does the therapist who hears this information have any legal obligations? The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Case Vignettes for Review Feature Flags: { She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. She mentions that she is still in communication with her ex-husband because they share three children. The test usually takes approximately 40 to 60 minutes to administer. What are some potential responses that you could offer Dr. Bishop? Are there any ethical considerations in this dilemma? Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. A therapist receives a phone message from a former patient. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. The client is feeling very helpless and vulnerable about this bind. PDF Becoming A Helper 6th Edition By Corey Pdf / Richard Nelson-Jones Ethical Conflicts In Psychology Book Pdf Download She was surprised to find that most of the clients who came to see her were young women who suffered primarily from eating disorders and relationship problems. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Counseling Ethics Code: 10 Common Ethical Issues & Studies It was revealed that counsellors prioritise the students benefit and respect students privacy. DILEMMA ONE Would your answer differ if there were no advanced directives? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> raised by clinical vignettes such as those below, Dr. Smith is a therapist who has worked with a young woman for about 9 months. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. What, if anything, should the therapist do? Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. What suggestions or recommendations would you offer to the therapist? Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Simultaneously, he strongly believes he made the right decision. Ethics Rounds--Multiple relationships: A vignette 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. His impairment is noticeable by Dr. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? ~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! Plenty lives and practices psychotherapy in a rural area. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. He does not view it as a therapy group. 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. (1993). 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. They developed a good therapeutic alliance. Dan explained to Dr. Crane that this group would be student-led and meet on campus. What are the ethical concerns in this scenario? After reiterating the purpose of the session (which was to assess the marital situation and not to assess his current treatment), Dr. Miller states that she feels uncomfortable with the request, although she is concerned about the therapists reported behavior. What are the possible downsides to entering the dual relationship? xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q The counsellor is also conscious. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. The treating therapist is questioning what to do. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. %PDF-1.3 She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. The therapist does not dwell on the situation with the patient. stream A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). There is nothing unusual that stands out about their therapeutic relationship. He promised to call her back within a week. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. What do you believe is the best course of action? Ethical Vignette Paper.docx. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. During the last two years, she required total care. 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. His attorney believes that some good, written character references will really help out with the case. Dr. } You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. "useRatesEcommerce": false What are some recommendations that you would make to the psychologist? What should you do with this email solicitation? The Center is solely responsible for all aspects of the programs. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. He is talking with a young man, most likely his cousin. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. PDF Supervision Long Ethics Vignettes - CCFAM Sci Rep 12, 22416 (2022). Out of options, Dan is asking Dr. Crane to be the faculty advisor. 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. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Mr. DiMencha demonstrates a variety of cognitive deficits. 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. Running Head: ETHICAL VIGNETTE. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. 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* 6768). Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. He complains loudly about his parents and his girlfriend. Abstract All school counselors are considered mandated reporters. cn]JlmQSMDM>pEm+gxMU]``tQqKF 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. 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. February 27, 2023 . During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling.
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