ethical dilemmas in counseling vignettes
Running Head: ETHICAL VIGNETTE. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. While Chuck now lives in an apartment in town, she remembers him well. There were contentious issues dealing with the custody arrangements of the children. 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. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. She has been doing much of the case management work, e.g. 14 March 2022. 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. T2 0#8r\ The therapist then phones you for an informal consultation. Of course, they exist in all forms of counseling, from short-term advising . endobj Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. 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. What are the potential ethical issues with this case? Among other things, the report contained a psychological evaluation of the patient. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. A therapist is treating a client who is involved in a legal proceeding. 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. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. 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 therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. 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. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Group of answer choices Growth in . A psychologist receives a phone call from a well-known internist in her area. 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. How are the clients emotional and interpersonal issues related to the therapists dilemma? of family ties, but counselors in many other specialties will run into these issues too. For example, the psychologist might have to evict his client for failing to pay rent--or he might . An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? Is Dr. The treatment notes indicate that she dropped out of therapy about one year ago. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Dr. Tell contacts you with the above scenario. When she asks about insurance, he indicates that he will pay in cash. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. Content may require purchase if you do not have access. Your browser either does not support scripting or you have turned scripting off. % While it is not a complete assessment, it can guide patients to you for further psychological consultation. In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. What problems may occur as a function of Dr. Refer the matter to the State Board of Psychology. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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. cn]JlmQSMDM>pEm+gxMU]``tQqKF They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. 2 Print version: page 62 6 min read 0 In hindsight, what triggered some possible difficulties in this situation? The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. x#86h)Ppcc0F( k/ Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. The main therapeutic issues are depression and loneliness. After some other small talk, Dr. Smith leaves to mingle with other friends. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. If you were Dr. Miller, what are your emotional reactions to this situation? One day, Dr. Bishop receives a phone call from his contact at the institution. for this article. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. The patient was in therapy for approximately one year. For example, the first vignette, which An important factor is that there is no cost to you, as the therapist. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< During the last two years, she required total care. He asked the attorney if anyone is contesting the will. 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? What are potential advantages in this scenario? Dans vision is that the group would meet periodically to provide one another with support, to do problem solving, to share information and personal struggles, and perhaps to provide some psycho-educational work on campus. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Dr. Goodfriend speaks with Buddy about once every six to nine months. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. 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. The client continued to struggle. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. 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. Patient contact information will be part of the administration process. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. endstream Jacob-Timm,S. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Is Dr. Tell a mandated reporter in this situation? A therapist receives a phone call from a well-known internist in her area. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. The therapist, her husband, and his ex-wife are on good terms. Close this message to accept cookies or find out how to manage your cookie settings. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. The following email catches your attention. It was revealed that counsellors prioritise the students benefit and respect students privacy. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. iRE]7*ZG; K5|h{. The clients boyfriend expressed that she should never discuss this with anyone. Prior to providing extra-therapy support, Dr. 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. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. ocuk Koruma Kanunu [Child Protection Law]. 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? Would your answer differ if there were no advanced directives? "useRatesEcommerce": false Dr. Goodfriend is unclear whether Buddy is serious or joking. 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. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. He is talking with a young man, most likely his cousin. Dr. Jordan is a therapist who typically works with a wide variety of patients. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. endobj Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. What are some recommendations that you would make to the psychologist? 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. They start spending more time together. Can the therapist continue the treatment relationship with the patient? Just as he is about to hang up, Buddy says, Thanks. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Address the matter with the other therapist directly. B) =AiV5bAqUKxs#6{pA :)B'5-a* 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. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. The Clear Answers and Start Over feature requires scripting to function. endobj The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. 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. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; } Are there competing ethical principles? Harry is a school guidance counselor who is just got a job at a large public high school. 3. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. Dilemma 20: Has the Therapist Done Too Much? Cynthia had already invested quite a bit of money into her private practice, and was determined to make it work, regardless of the type of clients she had to treat. How would you feel if you were the consultant? *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp The supervisee is very worried and afraid to tell She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Dr. Bishop calls you for a consult about this situation. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. What would you need from the attorney? An ethical decision-making model provides you with a set of guidelines for making ethical decisions. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. What are the ethical issues involved in this case? In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Both therapists are of the same profession. 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. She mentions that she is still in communication with her ex-husband because they share three children. This vignette poses several ethical dilemmas for counselors. 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. % Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. 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. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 What do you believe is the best course of action? Are there any other concerns about the web developer/consultants strategies? She recently received an offer to become a sales representative for a pharmaceutical company. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. 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. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Ethical Dilemmas in Counseling: A Case Study Examination The American Counseling Association (ACA) Code of Ethics was amended in 2014 to reflect the ever-changing social, political, and technological landscape which clinicians must navigate. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. 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. Therapy lasted about a year and focused on depression and relationship issues. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . The survey consisted of 10 vignettes based on the above ethical issues in. In the code, 18VAC115-20-130. What are the potential pitfalls in the scenario? As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. Menu. The physician wants the psychologist to treat his 17-year-old daughter . 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. The therapist remembers the former patient as a likeable person. What would be your emotional response to this situation? They developed a good therapeutic alliance. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Dr. Jordan returns the phone call. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. <> ; & Hartshorne,T.S. Total loading time: 0 The mother further reports that the patients cousin has been driving the patient around town. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Therapist 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. And, how would you, as the treating therapist, deal with those emotions? To use suggested categories to consider options for ethical response to the dilemma. 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 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. 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. 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. The therapist screens the potential patient and believes that she can help him. Currently, the patient is denying the fact that she has made past threats toward her neighbor. (1998). endobj xVN0}-m8 He would like help to work through the issues. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Others sources will also be used. What are some potential responses that you could offer Dr. Bishop? The results and implications for counsellors, counsellor educators and researchers are discussed. How easy or how difficult would it be to take those steps? In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. How would you advise Dr. Thomas to handle them? Ethical Vignette Paper # Jodi Walters Liberty University. He does not view it as a therapy group. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. The therapist has not worked with the patient for about two years. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? 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. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. What, if anything, should the therapist do? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Published online by Cambridge University Press: School Law for counselors, psychologists, and social workers . It may rather be a sign that one is fully engaged in the life of a community. 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. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. He also indicated that the relationship is taking on a more serious tone. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. 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. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. What are the ethical issues involved in this scenario? The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. 4 0 obj What are some possible suggestions for Dr. Jordan? Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? If you have further questions, feel free to contact me. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Render date: 2023-03-04T21:33:13.444Z We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. 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* If you were the psychologist, what would be your emotion response to this situation? / ethical dilemmas in counseling vignettes. image.jpg Liberty University Ethical and Legal Issues in Counseling . Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting.
Good Good Golf Guys Net Worth,
Articles E