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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. / ethical dilemmas in counseling vignettes. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. There is nothing unusual that stands out about their therapeutic relationship. A court appointed custody evaluator performed a child custody evaluation. I encourage you to review our web site. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. 3 0 obj Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Others sources will also be used. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 A therapist receives a phone message from a former patient. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. Has data issue: true The physician wants the psychologist to treat his 17-year-old daughter . 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. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. View all Google Scholar citations While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). The survey consisted of 10 vignettes based on the above ethical issues in. This workshopis based on discussion of ethical issues What are some likely emotional reactions would you have in this situation? 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. The therapist knows her new boss, Mr. Biggy. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? What would be your emotional response to this situation? Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. image.jpg Liberty University Ethical and Legal Issues in Counseling . We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. <> She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. endobj 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. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. How would you feel about receiving this request? 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. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. Is Dr. What are some potential responses that you could offer Dr. Bishop? 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. endobj However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. <> 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. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Standards of Practice, B. Counselling Relationships, Confidentiality. Are there any ethical considerations in this dilemma? As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. . <> He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. 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. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. 1LzLxG`kvP@>. 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. 1. % A psychologist receives a phone call from a well-known internist in her area. She recently received an offer to become a sales representative for a pharmaceutical company. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. 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. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. Of course, they exist in all forms of counseling, from short-term advising . The client is feeling very helpless and vulnerable about this bind. stream 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. Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. The Center is solely responsible for all aspects of the programs. It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. Contemplate these 16 conundrums. The lawyerpatient comments that this seems low. What steps does the psychologist need to take? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. Feature Flags: { How would you advise Dr. Thomas to handle them? By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Qualitative content analysis in practice. 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. What suggestions or recommendations would you offer to the therapist? adapted and used used with consent from a state psychological association. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. The following email catches your attention. Are there additional considerations for how to approach the referring physician when calling back? Most issues do not produce ethical dilemmas, but some do. The patient had been in treatment for about 10 months on a weekly basis. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Total loading time: 0 Simultaneously, he strongly believes he made the right decision. Approaching ethical dilemmas. stream Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. 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 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. 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. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. 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. Would your answer differ if the advanced directive was created 7 years ago or greater? He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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. "useRatesEcommerce": false He does not view it as a therapy group. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. If you were a co-owner of the business, how would you feel about this situation? !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< If you decide to provide information, would you consider communicating with the prior patients attorney? Regulatory boards are the final authority on courses accepted for continuing education credit. B) =AiV5bAqUKxs#6{pA :)B'5-a* 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF After some other small talk, Dr. Smith leaves to mingle with other friends. %PDF-1.3 At the end of the day, the therapist reflects on the interaction her new lawyer-patient. Dilemma 6: Referral and Treatment Boundaries. 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. for this article. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. White Plains, NY: Longman. He recalled that he was an older person with significant depression who eventually became better. What are the potential ethical issues with this case? 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? 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. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. If you have further questions, feel free to contact me. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Programs that do not qualify for NBCC credit are clearly identified. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. The Center maintains responsibility for this program and its content. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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. Divide and Rule? The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. raised by clinical vignettes such as those below, Mr. DiMencha demonstrates a variety of cognitive deficits. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. The therapist obtains the keys and title for the vehicle. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. He promised to call her back within a week. His father has declined rapidly since the death of his wife and now requires total care. My name is Dr. He complains loudly about his parents and his girlfriend. If you were Dr. Jordan, how would you feel about this request? 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. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Dr. Popeil thinks these ideas are good. He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. 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.