If you were Dr. Goodfriend, how do you feel about the phone call? She has been doing much of the case management work, e.g. Dan asked a number of faculty members to be the faculty advisor of this group. 7 0 obj What clinical concerns arise for you in this scenario? endstream When asked about the reason for the referral, she said that her physician had referred her for anxiety. Contemplate these 16 conundrums. What would you need from the attorney? What are some of the potential ethical pitfalls in this scenario? He asked the attorney if anyone is contesting the will. Dr. Smith is now worried about the entire situation. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Regulatory boards are the final authority on courses accepted for continuing education credit. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Just as he is about to hang up, Buddy says, Thanks. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Others sources will also be used. Prior to returning the call, Dr. Jordan reviews the patients chart. 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. ; & Hartshorne,T.S. His family lives at a distance and provides minimal help. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. 1 0 obj He recalled that he was an older person with significant depression who eventually became better. 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. Cynthia, a counselor who had been successfully working as an AIDS and substance abuse counselor in a large city for several years, recently moved to a very affluent suburb and decided to open a private practice. 3 0 obj are What would you likely do with this email solicitation? 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. 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. <> The mother further reports that the patients cousin has been driving the patient around town. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. 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. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Can the client contact Child Protective Services anonymously in this case? Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Prior to their next session, Dr. Smith calls you for a consultation. 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. The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. After some other small talk, Dr. Smith leaves to mingle with other friends. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. She mentions that she is still in communication with her ex-husband because they share three children. 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. Address the matter with the other therapist directly. Plenty acting beyond the limits of her competency? 14 March 2022. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Apparently, no one is. 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. It was revealed that counsellors prioritise the students benefit and respect students privacy. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. The PASS-2 is administered online, from any computer, iPad, or iPhone. The Center is solely responsible for all aspects of the programs. What factors make this situation potentially easy for you as a therapist? It may rather be a sign that one is fully engaged in the life of a community. At the end of the session, the therapist asks for the requisite fee as stated on the phone. What, if anything, should the therapist do? Plenty lives and practices psychotherapy in a rural area. An ongoing theme in therapy revolves around his sexual orientation. Approaching ethical dilemmas. As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. 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? endobj And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. endobj Dr. Jordan returns the phone call. Can the therapist continue the treatment relationship with the patient? Learning Objectives: Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. The following email catches your attention. 1LzLxG`kvP@>. outside her scope of practice? The physician wants the psychologist to treat his 17-year-old daughter . 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. 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. When Dr. Jordan attempts to clarify the request, it becomes clear that the former patient is not asking to return to therapy, but instead is asking Dr. Jordan to become the co-author or a consultant for the book. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. cn]JlmQSMDM>pEm+gxMU]``tQqKF Content may require purchase if you do not have access. 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. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? . She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. Patient contact information will be part of the administration process. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. My name is Dr. Should Dr. Goodfriend call Buddy and offer a few referrals? While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. 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. The therapist and the young man have been engaged in psychotherapy for the past 2 years. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness Would your answer differ if there were no advanced directives? The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K She told the student that she would think about the request prior to answering. 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). Review each of the scenarios and indicate whether you agree or disagree with the counselors action. What are the ethical issues involved in this case? Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. Are there competing ethical principles? Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. 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. Prior to providing extra-therapy support, Dr. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. What concrete steps might be important before calling the physician back? Menu. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. 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. 8 0 obj Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. A therapist is treating a client who is involved in a legal proceeding. A therapist receives a phone call from a well-known internist in her area. 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. To use suggested categories to consider options for ethical response to the dilemma. Dilemma 6: Referral and Treatment Boundaries. What are the ethical issues involved in this situation? During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Your browser either does not support scripting or you have turned scripting off. Dr. Smith is a therapist who has worked with a young woman for about 9 months. View all Google Scholar citations 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. 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. 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 With her husband, the patient and the ex-wife? 6 0 obj Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . She stated that Dr. Jordan recommended that she write down her memories. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. : ethical dilemmas, burnout, stress, practicing counselors. 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. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Standards of practice, part B.9 states that . Buddy also shares that he has been short tempered with his wife and kids. During the current session, the confides that he has made a new female friend. The days allocated for her stay by her insurance are ending in two days. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. The test usually takes approximately 40 to 60 minutes to administer. There is nothing unusual that stands out about their therapeutic relationship. While it is not a complete assessment, it can guide patients to you for further psychological consultation. During the last two years, she required total care. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Dr. Goodfriend speaks with Buddy about once every six to nine months. Widely adopted as a textbook in graduate psychology courses in ethics and continuing education development, this innovative volume presents readers with over 100 different perspectives on crucial ethical issues and offers possible solutions from an expert ethics educator, psychologist, and former APA general counsel. 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. And, how would you, as the treating therapist, deal with those emotions? You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Are there additional considerations for how to approach the referring physician when calling back? Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. endobj The patient had been in treatment for about 10 months on a weekly basis. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. She calls you for an ethics consult. The Submit Answers for Grading feature requires scripting to function. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. Dr. Smith decided to review the report. An important factor is that there is no cost to you, as the therapist. 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. endobj The Center maintains responsibility for this program and its content. Dr. Bishop calls you for a consult about this situation. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. iRE]7*ZG; K5|h{. 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. Harry is a school guidance counselor who is just got a job at a large public high school. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. If you were the psychologist, what would be your emotion response to this situation? This vignette poses several ethical dilemmas for counselors. My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. When she asks about insurance, he indicates that he will pay in cash. 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? %PDF-1.3 Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Ethical Vignette Paper.docx. Is Dr. Tell a mandated reporter in this situation? Dr. Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. They start spending more time together. A psychologist receives a phone call from a well-known internist in her area. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. ocuk Koruma Kanunu [Child Protection Law]. Hostname: page-component-7fc98996b9-g9qcd 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. Dr. Jordan calls you on the phone for an ethics consultation. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. 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. While discussing these issues, the patient suddenly stopped talking. With whom does the therapist discuss the multiple roles? He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. 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. 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; After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. The therapist obtains the keys and title for the vehicle. % What are the ethical issues involved in this scenario? endobj of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. His father has declined rapidly since the death of his wife and now requires total care. She recently received an offer to become a sales representative for a pharmaceutical company. There were contentious issues dealing with the custody arrangements of the children. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. 6768). In hindsight, what triggered some possible difficulties in this situation? For example, the first vignette, which He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. What are the potential ethical issues in this case? Render date: 2023-03-04T21:33:13.444Z DILEMMA ONE The counsellor is also conscious. If you were Dr. Miller, what are your emotional reactions to this situation? The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. School Law for counselors, psychologists, and social workers . Ethical Vignette Paper # Jodi Walters Liberty University. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. She does not feel right taking a fee larger than her usual and customary rate. He does not view it as a therapy group. 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 . After the session is over, the therapist has time to reflect on her concerns. Does the therapist who hears this information have any legal obligations? Feature Flags: { A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The main therapeutic issues are depression and loneliness. Among other things, the report contained a psychological evaluation of the patient. 1. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? During the next session, Mr. and Mrs. Drapier arrive separately, but on time. <> T2 0#8r\ Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue.
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