For example, the first vignette, which The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Harry is a school guidance counselor who is just got a job at a large public high school. Continuing Education & Ethical Resources For Mental Health Professionals. Is Dr. : Ethical and Legal Ramifications of Documentation Decisions. Dr. Tell allowed several moments to pass before asking the patient what was happening. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. Glover, J. 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. He asked the attorney if anyone is contesting the will. 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. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. 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. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. 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. 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. Your browser either does not support scripting or you have turned scripting off. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Should Dr. Goodfriend call Buddy and offer a few referrals? 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. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. He also indicated that the relationship is taking on a more serious tone. What emotional reactions may occur for the therapist? In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. The following email catches your attention. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. 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. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Simultaneously, he strongly believes he made the right decision. 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. Group of answer choices Growth in . Contemplate these 16 conundrums. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. 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 . By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. What would you likely do with this email solicitation? Simultaneously, the religious institution is adamant about this requirement. 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. Would your answer differ if there were no advanced directives? Uncertain, she calls you for an ethics consultation. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. frequent consultation requests by the trauma service. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. They have dinner as couples several times per year. If you were Dr. Miller, what are your emotional reactions to this situation? It may rather be a sign that one is fully engaged in the life of a community. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The Center is solely responsible for all aspects of the programs. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. 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. "useRatesEcommerce": false School counsellors often encounter ethically challenging situations due to contradictory values and roles. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. 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 White Plains, NY: Longman. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. ocuk Koruma Kanunu [Child Protection Law]. This has caused both his physical and Ethical dilemmas. What are some of the potential ethical pitfalls in this scenario? She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. Attempts to find social service agencies able to help him have not been successful. What are some possible suggestions for Dr. Jordan? Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. At the end of the session, the therapist asks for the requisite fee as stated on the phone. (Log in options will check for institutional or personal access. The therapist pulls the former patients chart. While it is not a complete assessment, it can guide patients to you for further psychological consultation. What are the ethical concerns in this scenario? 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. A court appointed custody evaluator performed a child custody evaluation. Ethical Vignette Paper # Jodi Walters Liberty University. 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. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. 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. ), 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. are Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Others sources will also be used. The supervisee is very worried and afraid to tell Render date: 2023-03-04T21:33:13.444Z If you have further questions, feel free to contact me. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Dilemma 20: Has the Psychologist Done Too Much? adapted and used used with consent from a state psychological association. There is nothing unusual that stands out about their therapeutic relationship. He also divulged that his risk-taking behavior has increased as well, such as speeding. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. The patient had been in treatment for about 10 months on a weekly basis. 3 0 obj A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . If you were a co-owner of the business, how would you feel about this situation? Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? If you were the psychologist, how would you feel about the situation? Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. : ethical dilemmas, burnout, stress, practicing counselors. 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. %PDF-1.5 endobj The therapist screens the potential patient and believes that she can help him. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. stream Address the matter with the other therapist directly. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. 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? The days allocated for her stay by her insurance are ending in two days. % Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. What are the ethical issues involved in this case? When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. He does not view it as a therapy group. 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. This workshopis based on discussion of ethical issues A therapist receives a phone message from a former patient. 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. 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 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. Dr. Popeil thinks these ideas are good. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> After the session is over, the therapist has time to reflect on her concerns. Mr. Tellanyone is feeling quite guilty about his mother. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. The contact is now requesting that Dr. Bishop begin to screen individuals for homosexual tendencies because, according to the doctrines of the denomination, such individuals are not eligible to become clergy. <> While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. What are some likely emotional reactions would you have in this situation? What are potential ethical issues with this invitation? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. Close this message to accept cookies or find out how to manage your cookie settings. What would be your emotional response to this situation? Can the client contact Child Protective Services anonymously in this case? The ICU staff asks for your input. A therapist receives a phone call from a well-known internist in her area. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. However, she begins to feel uncomfortable as she feels like they are spending too much time together. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? 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. He will likely need to go into an assisted living facility. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. 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. Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Results will be available to you and the patient online. 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. Dr. Bishop calls you for a consult about this situation. Dr. Goodfriend receives a call from Buddy, his very close high school friend. 6768). Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. However, after the session, the therapist feels uneasy about what his patient revealed. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Dr. Jordan is a therapist who typically works with a wide variety of patients. While Chuck now lives in an apartment in town, she remembers him well. They developed a good therapeutic alliance. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. He confides that he would like to have an affair with her. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. 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* The therapist, her husband, and his ex-wife are on good terms. What are the ethical issues for this scenario? 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. The ex-wife moved back to the area about six months ago. ; & Hartshorne,T.S. A psychologist works in an outpatient substance abuse treatment facility. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 At the end of the day, the therapist reflects on the interaction her new lawyer-patient. . What are some recommendations that you would make to the psychologist? She told the student that she would think about the request prior to answering. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. The therapist and the young man have been engaged in psychotherapy for the past 2 years. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? What are the potential ethical issues in this case? What do you believe is the best course of action? His mother had suffered from a combination of severe respiratory problems and Alzheimers. Are there additional considerations for how to approach the referring physician when calling back? She stated that Dr. Jordan recommended that she write down her memories. Prior to providing extra-therapy support, Dr. How easy or how difficult would it be to take those steps? / ethical dilemmas in counseling vignettes. Workers Compensation refuses to pay for the case management services of an independent social worker. What are the ethical issues, if any, involved in this case? When she asks about insurance, he indicates that he will pay in cash. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. What are Dr. Millers potential ethical issues in this situation? The cost of the online administration is $25, to be paid by the patient. My name is Dr. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Plenty without any type of testing. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Prior to returning the call, Dr. Jordan reviews the patients chart. What steps does the psychologist need to take? During the last two years, she required total care. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. 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. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. She actually attended his graduation party briefly and hired him to cut her lawn for two years. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Are there competing ethical principles? As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Qualitative content analysis in practice. First, these vignettes are meant to be teaching tools. P. (1996). Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Refer the matter to the State Board of Psychology. Feature Flags: { Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression.