What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. 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. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. ~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! White Plains, NY: Longman. It then provides six vignettes where supervisors are faced with ethical dilemmas. The therapist cannot remember many details about the patient. Prior to providing extra-therapy support, Dr. Are there any ethical considerations in this dilemma?
Counseling Ethics Code: 10 Common Ethical Issues & Studies What are the possible downsides to entering the dual relationship? From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Approaching ethical dilemmas. He complains loudly about his parents and his girlfriend. Your browser either does not support scripting or you have turned scripting off. 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. 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. 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. 5 0 obj
She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. They have dinner as couples several times per year. Dr. Goodfriend is unclear whether Buddy is serious or joking. 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. of family ties, but counselors in many other specialties will run into these issues too. One day, Dr. Bishop receives a phone call from his contact at the institution. 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. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days.
PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG 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. However, the attorney has little awareness about how impaired Mr. DiMencha is. Out of options, Dan is asking Dr. Crane to be the faculty advisor.
PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement.
Ethical Conflicts In Psychology Book Pdf Download The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. It may rather be a sign that one is fully engaged in the life of a community.
Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. How would you advise Dr. Thomas to handle them? 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. Should Dr. Goodfriend call Buddy and offer a few referrals? They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. 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. . 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. This workshopis based on discussion of ethical issues She mentions that she is still in communication with her ex-husband because they share three children. xVN0}-m8 Just as he is about to hang up, Buddy says, Thanks. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. A therapist receives a phone call from a well-known internist in her area. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. : ethical dilemmas, burnout, stress, practicing counselors. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. Along with. 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. <>
In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife.
PDF American Counseling Association Ethical Dilemma Julia Coley, Ammi Part of her struggle is that she sees her husband as more depressed now than when he started treatment. The following email catches your attention. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. She calls you for an ethics consult. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. The therapist, her husband, and his ex-wife are on good terms. What are some actions that you, as the treating therapist, may have done differently? Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . An important factor is that there is no cost to you, as the therapist. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. iRE]7*ZG;
K5|h{. What are potential ethical issues with this invitation? 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. 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. Close this message to accept cookies or find out how to manage your cookie settings.
Common Ethical Issues: Case Studies and Test Your Knowledge Currently, the patient is denying the fact that she has made past threats toward her neighbor. Ethical dilemmas. Dan explained to Dr. Crane that this group would be student-led and meet on campus. Simultaneously, he strongly believes he made the right decision. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Dr. Ron Popeil, a local therapist, is upgrading his web site. 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. 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. There were contentious issues dealing with the custody arrangements of the children. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. 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.
ethical dilemmas in counseling vignettes - helpfulmechanic.com The patient has trust issues with his parents, especially his father. The treating therapist is questioning what to do.
Approaching ethical dilemmas - American Psychological Association Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics
Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette The PASS-2 is administered online, from any computer, iPad, or iPhone. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. What are some of the potential ethical pitfalls in this scenario? The Center is solely responsible for all aspects of the programs. frequent consultation requests by the trauma service. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics.
Case Vignettes for Review 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. Dilemma 35: Initial Telepsychology Session for Free? 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 Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. 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. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? 3. Dr. Goodfriend speaks with Buddy about once every six to nine months. Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use.
(PDF) Ethical Issues in Counseling Supervision - ResearchGate Dilemma6: Referral and Treatment Boundaries, Dilemma9: Psychologist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. Uncertain, she calls you for an ethics consultation. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse.
Ethics and Psychology: Vignette Warehouse (39) At the end of the day, the therapist reflects on the interaction her new lawyer-patient. The executor is Mr. Palmers brother, who lives in a different state. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Menu. What emotional reactions may occur for the therapist? Of course, they exist in all forms of counseling, from short-term advising . Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Dr. Tell contacts you with the above scenario. locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. 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. How are the clients emotional and interpersonal issues related to the therapists dilemma? View all Google Scholar citations The therapist remembers the former patient as a likeable person. Others sources will also be used. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD He is talking with a young man, most likely his cousin. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. He confides that he would like to have an affair with her. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. He also indicated that the relationship is taking on a more serious tone. The therapist obtains the keys and title for the vehicle. Buddy also shares that he has been short tempered with his wife and kids. Dilemma 6: Referral and Treatment Boundaries. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. 1 0 obj
They start spending more time together. What suggestions or recommendations would you offer to the therapist? When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. The clients boyfriend expressed that she should never discuss this with anyone.
The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Hostname: page-component-7fc98996b9-g9qcd What concrete steps might be important before calling the physician back?
PDF Trainee Psychological Counselors' Understanding of Ethics - ed 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? Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. However, she begins to feel uncomfortable as she feels like they are spending too much time together. (1993). Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? endobj
The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. %
Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The Center maintains responsibility for this program and its content. Results will be available to you and the patient online. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. She has been doing much of the case management work, e.g. Not knowing what to do, and realizing that the next patient is in the waiting room, the therapist takes the cash and sets up another appointment. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? Contemplate these 16 conundrums. What obligations does the therapist have to the parent? How easy or how difficult would it be to take those steps? 1 pages. The therapist feels stuck and overwhelmed by her present situation. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. 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. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. 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. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< 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. Learning Objectives: are During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). He thinks that she is young and impressionable.
Legal Issues In Counselling Psychotherapy (Ethics In Practice Series) She told the student that she would think about the request prior to answering. endobj
The results and implications for counsellors, counsellor educators and researchers are discussed. In the context of counseling, family includes people related through . Can the therapist continue the treatment relationship with the patient? What are the ethical issues involved in this scenario? When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. An ongoing theme in therapy revolves around his sexual orientation. Published online by Cambridge University Press: Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce.
PDF Becoming A Helper 6th Edition By Corey Pdf / Richard Nelson-Jones The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. 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. What would be your emotional response to this situation? << /Length 5 0 R /Filter /FlateDecode >> They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. The therapist has not worked with the patient for about two years. stream
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.
ethical dilemmas in counseling vignettes - stmatthewsbc.org You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. 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. 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. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . 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. What, if anything, should the therapist do? 6 0 obj
Several weeks after beginning to go on sales calls, your patient reports that Mr. Biggy is complimenting her on the way she looks and her ability to make the sale. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. 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. The physician wants the psychologist to treat his 17-year-old daughter . The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Both therapists are of the same profession. Are there competing ethical principles? A therapist had an intake appointment with a new client. Continuing Education & Ethical Resources For Mental Health Professionals. Has data issue: true The treating therapist believes the options are: What are the possible emotional reactions to this situation? 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. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. What are some recommendations that you would make to the psychologist? For example, the first vignette, which ; & Hartshorne,T.S. ), 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. Simultaneously, the religious institution is adamant about this requirement. He promised to call her back within a week. a73D%IhCTHA&:L0iAq(*p Dilemma 20: Has the Psychologist Done Too Much? However, the police report indicated she has made such verbal threats in the past but also, on several occasions, has damaged her neighbors property including scratching the paint on their car and throwing rocks at their house. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? If you were a co-owner of the business, how would you feel about this situation? A psychologist receives a phone call from a well-known internist in her area. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. If you have further questions, feel free to contact me. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Can the client contact Child Protective Services anonymously in this case? 3 0 obj
Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. The ex-wife moved back to the area about six months ago. If you were the psychologist, how would you feel about the situation? 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. 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.
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* Programs that do not qualify for NBCC credit are clearly identified. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. The test usually takes approximately 40 to 60 minutes to administer. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. There is nothing unusual that stands out about their therapeutic relationship. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend.
Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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 .
PDF Family ties: Tackling issues of objectivity and boundaries in counseling 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.