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. 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. He is talking with a young man, most likely his cousin. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. My name is Dr. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. frequent consultation requests by the trauma service. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Attempts to find social service agencies able to help him have not been successful. 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. The therapist, her husband, and his ex-wife are on good terms. Dr. Tell allowed several moments to pass before asking the patient what was happening. Buddy states that he has been feeling stressed over the last month. 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. February 27, 2023 . Mr. Biggy and Dr. Smith meet in an unplanned social venue. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Prior to providing extra-therapy support, Dr. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. If you decide to provide information, would you consider communicating with the prior patients attorney? Dr. Jordan is a therapist who typically works with a wide variety of patients. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. The therapist and the young man have been engaged in psychotherapy for the past 2 years. 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. The counsellor is also conscious. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? 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. 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. Ethical Vignette Paper # Jodi Walters Liberty University. Running Head: ETHICAL VIGNETTE. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? Results will be available to you and the patient online. What are the potential ethical concerns about this scenario, if any? The patient was in therapy for approximately one year. What are the ethical issues involved in this situation? Simultaneously, he strongly believes he made the right decision. Plenty lives and practices psychotherapy in a rural area. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? The therapist cannot remember many details about the patient. Dr. Goodfriend is unclear whether Buddy is serious or joking. To use suggested categories to consider options for ethical response to the dilemma. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. What are other steps that the therapist may want to take in this situation? She recently received an offer to become a sales representative for a pharmaceutical company. Content may require purchase if you do not have access. The survey consisted of 10 vignettes based on the above ethical issues in. What do you believe is the best course of action? She actually attended his graduation party briefly and hired him to cut her lawn for two years. Dr. Bishop calls you for a consult about this situation. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. 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? "useRatesEcommerce": false Plenty without any type of testing. At the end of the session, the therapist asks for the requisite fee as stated on the phone. The therapist pulls the former patients chart. Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. cn]JlmQSMDM>pEm+gxMU]``tQqKF The patient had been in treatment for about 10 months on a weekly basis. 2 Print version: page 62 6 min read 0 Just as he is about to hang up, Buddy says, Thanks. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. Close this message to accept cookies or find out how to manage your cookie settings. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. 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 treatment notes indicate that she dropped out of therapy about one year ago. 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. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Dr. Smith is now worried about the entire situation. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Can the therapist continue the treatment relationship with the patient? How easy or how difficult would it be to take those steps? The mother further reports that the patients cousin has been driving the patient around town. What are some potential responses that you could offer Dr. Bishop? 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. If you were Dr. Miller, what are your emotional reactions to this situation? endobj
By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O
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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.. Would your answer differ if the advanced directive was created 7 years ago or greater? 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. (1998). Would your answer differ if there were no advanced directives? Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Dr. Tell contacts you with the above scenario. Are there competing ethical principles? The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Dilemma 20: Has the Therapist Done Too Much? %
He complains loudly about his parents and his girlfriend. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. %PDF-1.5
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. What clinical concerns arise for you in this scenario? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. The days allocated for her stay by her insurance are ending in two days. An ongoing theme in therapy revolves around his sexual orientation. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). adapted and used used with consent from a state psychological association. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. He will likely need to go into an assisted living facility. Does the therapist who hears this information have any legal obligations? The clients boyfriend expressed that she should never discuss this with anyone. are %PDF-1.3 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. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. His impairment is noticeable by Dr. 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. endobj
An important factor is that there is no cost to you, as the therapist. However, the attorney has little awareness about how impaired Mr. DiMencha is. When asked about the reason for the referral, she said that her physician had referred her for anxiety. Continuing Education & Ethical Resources For Mental Health Professionals. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. First, these vignettes are meant to be teaching tools. 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. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. If you were Dr. Jordan, how would you feel about this request? Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 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. What are potential advantages in this scenario? : Ethical and Legal Ramifications of Documentation Decisions. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. In hindsight, what triggered some possible difficulties in this situation? After the session is over, the therapist has time to reflect on her concerns. endobj
You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. What are the potential pitfalls in the scenario? Render date: 2023-03-04T21:33:13.444Z Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Approaching ethical dilemmas. His father has declined rapidly since the death of his wife and now requires total care. His family lives at a distance and provides minimal help. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. 4 0 obj Along with. Are there additional considerations for how to approach the referring physician when calling back? The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. <>
/ ethical dilemmas in counseling vignettes. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. The PASS-2 is administered online, from any computer, iPad, or iPhone. 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. The Submit Answers for Grading feature requires scripting to function. (Log in options will check for institutional or personal access. He asked the attorney if anyone is contesting the will. He confides that he would like to have an affair with her. 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. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). 3 0 obj
Workers Compensation refuses to pay for the case management services of an independent social worker. 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. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Simultaneously, the religious institution is adamant about this requirement. B) =AiV5bAqUKxs#6{pA :)B'5-a* 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. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. What are potential ethical issues with this invitation? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Apparently, no one is. What would you likely do with this email solicitation? PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Standards of practice, part B.9 states that . And, how would you, as the treating therapist, deal with those emotions? Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. 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. 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. One day, Dr. Bishop receives a phone call from his contact at the institution. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Menu. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. 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 ICU staff asks for your input. 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 you need from the attorney? While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Should Dr. Goodfriend call Buddy and offer a few referrals? The supervisee is very worried and afraid to tell Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. The client is feeling very helpless and vulnerable about this bind. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wifes death was and how he hoped for a similar passing. Regulatory boards are the final authority on courses accepted for continuing education credit. T2 0#8r\ xOZo!BQf&vo$h5N
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9a0@3~q She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. The therapist screens the potential patient and believes that she can help him. During the current session, the confides that he has made a new female friend. However, after the session, the therapist feels uneasy about what his patient revealed. The following email catches your attention. ; & Hartshorne,T.S. 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.) He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. 2 0 obj
As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? endobj
Buddy also shares that he has been short tempered with his wife and kids. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>>
6768). She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Dr. Smith is a therapist who has worked with a young woman for about 9 months. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . The therapist ignores the comment and finishes by setting their initial appointment. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. endobj
Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 After six sessions, Mr. DiMencha suffered a significant concussion while at work. What are the ethical issues involved in this case? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. 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. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. The executor is Mr. Palmers brother, who lives in a different state. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. 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. Your browser either does not support scripting or you have turned scripting off. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. ), 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. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. The therapist does not dwell on the situation with the patient. A psychologist works in an outpatient substance abuse treatment facility. He is marginally coherent and unable to give any consistent responses. Contemplate these 16 conundrums. 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. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. His attorney believes that some good, written character references will really help out with the case. What emotional reactions may occur for the therapist? The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. Refer the matter to the State Board of Psychology. What concrete steps might be important before calling the physician back? A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Among other things, the report contained a psychological evaluation of the patient. A therapist receives a phone call from a well-known internist in her area. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action.
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#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* In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Total loading time: 0 Both therapists are of the same profession. <>>>
Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to .