There is nothing unusual that stands out about their therapeutic relationship. Plenty lives and practices psychotherapy in a rural area. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. DILEMMA ONE P. (1996). What would be your emotional response to this situation? . Are there competing ethical principles? You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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. A female therapist in a suburban area has worked with a male patient for about one year. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U The patient presents with a history of rejection and abandonment as well as being abused by persons of power. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). 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. What are the ethical issues involved in this scenario? Among other things, the report contained a psychological evaluation of the patient. The cost of the online administration is $25, to be paid by the patient. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. The Clear Answers and Start Over feature requires scripting to function. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. Dr. Tell contacts you with the above scenario. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. endobj Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. 6768). She mentions that she is still in communication with her ex-husband because they share three children. Dr. Popeil thinks these ideas are good. She does not feel right taking a fee larger than her usual and customary rate. The counsellor is also conscious. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Should Dr. Goodfriend call Buddy and offer a few referrals? While Chuck now lives in an apartment in town, she remembers him well. 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. 1LzLxG`kvP@>. What are potential advantages in this scenario? The Submit Answers for Grading feature requires scripting to function. Total loading time: 0 Encourage the client to file a complaint with the State Board of Psychology. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. What problems may occur as a function of Dr. 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. Menu. She calls you for an ethics consult. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. After the phone call, the therapist checks the waiting room and sees the patient there. Both therapists are of the same profession. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD The following email catches your attention. Ethical Vignette Paper.docx. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . 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. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Attempts to find social service agencies able to help him have not been successful. The therapist remembers the former patient as a likeable person. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. You are checking your email after a busy day. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. B) =AiV5bAqUKxs#6{pA :)B'5-a* For example, the psychologist might have to evict his client for failing to pay rent--or he might . Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Your browser either does not support scripting or you have turned scripting off. They start spending more time together. 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. Has data issue: true The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. 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. 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. 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. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. My company has developed a unique opportunity for you and your associates. 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. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. 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. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Dr. Ron Popeil, a local therapist, is upgrading his web site. What are other steps that the therapist may want to take in this situation? If you were Dr. Goodfriend, how do you feel about the phone call? 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. Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. What clinical concerns arise for you in this scenario? Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. . After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. What factors make this situation potentially difficult for you as a therapist? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. 2 Print version: page 62 6 min read 0 Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. endstream Plenty engaging in a multiple relationship role in Mr. DiMenchas care? The therapist obtains the keys and title for the vehicle. She was surprised to find that most of the clients who came to see her were young women who suffered primarily from eating disorders and relationship problems. Standards of practice, part B.9 states that . Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. Dilemma 35: Initial Telepsychology Session for Free? Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Can the client contact Child Protective Services anonymously in this case? The results and implications for counsellors, counsellor educators and researchers are discussed. In the context of counseling, family includes people related through . When asked about the reason for the referral, she said that her physician had referred her for anxiety. iRE]7*ZG; K5|h{. After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. He also indicated that the relationship is taking on a more serious tone. Programs that do not qualify for NBCC credit are clearly identified. He complains loudly about his parents and his girlfriend. A court appointed custody evaluator performed a child custody evaluation. What are some actions that you, as the treating therapist, may have done differently? The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . February 27, 2023 . Dr. Jordan is a therapist who typically works with a wide variety of patients. Close this message to accept cookies or find out how to manage your cookie settings. Dilemma 20: Has the Therapist Done Too Much? What are Dr. Millers potential ethical issues in this situation? A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. To use suggested categories to consider options for ethical response to the dilemma. 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? / ethical dilemmas in counseling vignettes. The Center is solely responsible for all aspects of the programs. 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. 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. The patient repeated this line of questioning during the first face-to-face session. The treating therapist believes the options are: What are the possible emotional reactions to this situation? Next, most vignettes have more than one ethical issue that can be addressed. hasContentIssue true, The Author(s), 2022. 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. (Log in options will check for institutional or personal access. Mr. Biggy and Dr. Smith meet in an unplanned social venue. The therapist pulls the former patients chart. Can the therapist continue the treatment relationship with the patient? %PDF-1.3 Published online by Cambridge University Press: Apparently, no one is. endobj A psychologist receives a phone call from a well-known internist in her area. What are the potential pitfalls in the scenario? 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. 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 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. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Buddy states that he has been feeling stressed over the last month. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. What are the ethical concerns in this scenario? With whom does the therapist discuss the multiple roles? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. What are some possible suggestions for Dr. Jordan? Approaching ethical dilemmas. He would like help to work through the issues. What are some potential responses that you could offer Dr. Bishop? By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Dilemma 6: Referral and Treatment Boundaries. What are some recommendations that you would make to the psychologist? Most issues do not produce ethical dilemmas, but some do. of family ties, but counselors in many other specialties will run into these issues too. endobj The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Results will be available to you and the patient online. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. 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). Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 He is also very concerned about confidentiality and wants assurances from Dr. Solomon. This has caused both his physical and Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. His mother had suffered from a combination of severe respiratory problems and Alzheimers. What are the ethical issues involved in this situation? He does not view it as a therapy group. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. After some other small talk, Dr. Smith leaves to mingle with other friends. 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. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. frequent consultation requests by the trauma service. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. The ICU staff asks for your input. The treating therapist is questioning what to do. If you were Dr. Miller, what are your emotional reactions to this situation? What, if anything, should the therapist do? Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. 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. After six sessions, Mr. DiMencha suffered a significant concussion while at work. The physician wants the psychologist to treat his 17-year-old daughter . Is Dr. The main therapeutic issues are depression and loneliness. Are there any other concerns about the web developer/consultants strategies? The therapist knows her new boss, Mr. Biggy. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Tara was offered this position after successfully completing both her practicum and her internship at the center. What are the possible downsides to entering the dual relationship? 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 . 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. 6 0 obj Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work.
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