outside her scope of practice? Part of her struggle is that she sees her husband as more depressed now than when he started treatment. 8 0 obj What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Group of answer choices Growth in . Mr. Biggy and Dr. Smith meet in an unplanned social venue. 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. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. The patient had been in treatment for about 10 months on a weekly basis. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. The lawyerpatient comments that this seems low. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Dan explained to Dr. Crane that this group would be student-led and meet on campus. The executor is Mr. Palmers brother, who lives in a different state. Plenty lives and practices psychotherapy in a rural area. Dr. Bishop calls you for a consult about this situation. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? She recently received an offer to become a sales representative for a pharmaceutical company. A court appointed custody evaluator performed a child custody evaluation. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q What suggestions or recommendations would you offer to the therapist? Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? <> What would be your emotional response to this situation? Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. 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. (1998). What are the ethical issues involved in this scenario? She calls you for an ethics consult. She does not feel right taking a fee larger than her usual and customary rate. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Abstract All school counselors are considered mandated reporters. 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. 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. This workshopis based on discussion of ethical issues The following email catches your attention. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. What are the potential pitfalls in the scenario? 3. Dr. Ron Popeil, a local therapist, is upgrading his web site. She stated that Dr. Jordan recommended that she write down her memories. The supervisee is very worried and afraid to tell 14 March 2022. Dilemma 35: Initial Telepsychology Session for Free? Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. adapted and used used with consent from a state psychological association. DILEMMA ONE From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. This vignette poses several ethical dilemmas for counselors. 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. . What are potential ethical issues with this invitation? Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. After six sessions, Mr. DiMencha suffered a significant concussion while at work. The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Standards of practice, part B.9 states that . Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. His attorney believes that some good, written character references will really help out with the case. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . She recalled that he agreed that it could make a good book. You are a therapist in a busy acute care hospital where you receive. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. How easy or how difficult would it be to take those steps? Has data issue: true A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. If you were a co-owner of the business, how would you feel about this situation? 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. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. 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. She told the student that she would think about the request prior to answering. 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. 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. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. Render date: 2023-03-04T21:33:13.444Z To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. 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. What concrete steps might be important before calling the physician back? . 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. He does not view it as a therapy group. stream Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. 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. After the session is over, the therapist has time to reflect on her concerns. 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. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. 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. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Ethical dilemmas. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. While Chuck now lives in an apartment in town, she remembers him well. frequent consultation requests by the trauma service. Others sources will also be used. Glover, J. 1 pages. Should Dr. Goodfriend call Buddy and offer a few referrals? Out of options, Dan is asking Dr. Crane to be the faculty advisor. 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. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. ~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! ethical dilemmas in counseling vignettes. 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. For example, the psychologist might have to evict his client for failing to pay rent--or he might . In hindsight, what triggered some possible difficulties in this situation? Dr. Smith is now worried about the entire situation. Dr. Popeil thinks these ideas are good. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. While discussing these issues, the patient suddenly stopped talking. (1993). 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? She has been doing much of the case management work, e.g. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< / ethical dilemmas in counseling vignettes. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Are there competing ethical principles? The test usually takes approximately 40 to 60 minutes to administer. 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 Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. Dr. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Hostname: page-component-7fc98996b9-g9qcd A therapist had an intake appointment with a new client. The clients boyfriend expressed that she should never discuss this with anyone. His impairment is noticeable by Dr. Can the therapist continue the treatment relationship with the patient? We use cookies to distinguish you from other users and to provide you with a better experience on our websites. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . An ongoing theme in therapy revolves around his sexual orientation. Plenty without any type of testing. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. If you were the psychologist, how would you feel about the situation? Results will be available to you and the patient online. Programs that do not qualify for NBCC credit are clearly identified. <> This particular vignette, Swenson said, may well fail the two-prong test. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. The mother further reports that the patients cousin has been driving the patient around town. 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. School Law for counselors, psychologists, and social workers . The main therapeutic issues are depression and loneliness. } Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 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. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. 3 0 obj The therapist, her husband, and his ex-wife are on good terms. 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. Dr. Goodfriend is unclear whether Buddy is serious or joking. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Sue schedules the appointment for early in the evening. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Prior to their next session, Dr. Smith calls you for a consultation. After the phone call, the therapist checks the waiting room and sees the patient there. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Does the therapist who hears this information have any legal obligations? After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. 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. a73D%IhCTHA&:L0iAq(*p During the interview, she was told that she would need to work independently, with only limited supervision. How would you feel about receiving this request? Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. The patient was in therapy for approximately one year. for this article. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. February 27, 2023 . Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. Ethical Vignette Paper.docx. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp If you have further questions, feel free to contact me. 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. << /Length 5 0 R /Filter /FlateDecode >> She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What clinical concerns arise for you in this scenario? The mother explains that the child has run away and the mother has reported the child missing to the police. 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. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. With whom does the therapist discuss the multiple roles? An ethical decision-making model provides you with a set of guidelines for making ethical decisions. "useRatesEcommerce": false The therapist expresses her concerns about working with a patient whose father is prescribing medication. (Log in options will check for institutional or personal access. 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. 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. <> 2. If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. 6768). Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. 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. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. of family ties, but counselors in many other specialties will run into these issues too. His father has declined rapidly since the death of his wife and now requires total care. 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. Just as he is about to hang up, Buddy says, Thanks. ethical dilemmas in counseling vignetteswvu mechanical engineering research. After some other small talk, Dr. Smith leaves to mingle with other friends. What factors make this situation potentially easy for you as a therapist? xVN0}-m8 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. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. iRE]7*ZG; K5|h{. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Next, most vignettes have more than one ethical issue that can be addressed. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> endstream endobj 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 . What are the ethical issues involved in this case? Mr. Biggy indicates that he wants to talk more about his feelings. The therapist remembers the former patient as a likeable person. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Most issues do not produce ethical dilemmas, but some do. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. For example, the first vignette, which Would your answer differ if there were no advanced directives? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. What are the ethical concerns in this scenario? Dilemma 38: Psychotherapy without Medication, Dilemma 39: Pills, Chills, and No Thrills, Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision - 3 part series, Library: Articles & Papers Related to Ethics Education, Time pressure reduces misinformation discrimination ability but does not alter response bias, Domestic violence hotline calls will soon be invisible on your family phone plan, The danger of absolute thinking is absolutely clear. 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. What do you believe is the best course of action? Is Dr. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. I encourage you to review our web site. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. The Submit Answers for Grading feature requires scripting to function. Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices.