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3. When she asks about insurance, he indicates that he will pay in cash. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. 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. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. What are the ethical issues, if any, involved in this case? Ethical dilemmas of school counsellors: A vignette study She recalled that he agreed that it could make a good book. Glover, J. Ethics and law for school psychologists . Sue schedules the appointment for early in the evening. 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. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Buddy also shares that he has been short tempered with his wife and kids. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Does the therapist who hears this information have any legal obligations? During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Render date: 2023-03-04T21:33:13.444Z She stated that Dr. Jordan recommended that she write down her memories. The therapist and the young man have been engaged in psychotherapy for the past 2 years. The following email catches your attention. The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. Hostname: page-component-7fc98996b9-g9qcd Just as he is about to hang up, Buddy says, Thanks. His father has declined rapidly since the death of his wife and now requires total care. 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. <> 7 0 obj What are the potential pitfalls in the scenario? She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Would your answer differ if there were no advanced directives? A therapist receives a phone message from a former patient. 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. 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. With her husband, the patient and the ex-wife? The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. What do you believe is the best course of action? If you were Dr. Jordan, how would you feel about this request? What are some of the suggestions that you may have for the therapist about accepting or declining the referral? Most issues do not produce ethical dilemmas, but some do. 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. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. The treating therapist believes the options are: What are the possible emotional reactions to this situation? 4 0 obj These issues included a. dual relationships, b. competence, c. informed consent, d. due process. What are the ethical concerns in this scenario? While discussing these issues, the patient suddenly stopped talking. 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. At the end of the session, the therapist asks for the requisite fee as stated on the phone. 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. 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. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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. 2. raised by clinical vignettes such as those below, She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Your browser either does not support scripting or you have turned scripting off. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. image.jpg Liberty University Ethical and Legal Issues in Counseling . At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Is Dr. Tell a mandated reporter in this situation? The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. What are the possible downsides to entering the dual relationship? 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. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay 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 therapist, her husband, and his ex-wife are on good terms. 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. Common Ethical Issues: Case Studies and Test Your Knowledge What problems may occur as a function of Dr. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. New York: John Wiley & Sons, Inc. Group of answer choices Growth in . What factors make this situation potentially easy for you as a therapist? Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. What concrete steps might be important before calling the physician back? A therapist is treating a client who is involved in a legal proceeding. xVN0}-m8 While it is not a complete assessment, it can guide patients to you for further psychological consultation. 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. The patient has never met the attorney face-to-face, only by email and phone contacts. 5 0 obj She does not feel right taking a fee larger than her usual and customary rate. 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. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. You are a therapist in a busy acute care hospital where you receive. 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. Ethics Vignette #2 A local psychiatrist is referred by his attorney for neuropsychological evaluation related to possible mild head injury ( traumatic brain injury) from a MVA. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Case Vignettes for Review Your browser either does not support scripting or you have turned scripting off. It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Encourage the client to file a complaint with the State Board of Psychology. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Running Head: ETHICAL VIGNETTE. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Workers Compensation refuses to pay for the case management services of an independent social worker. Dr. Smith is now worried about the entire situation. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. Would your answer differ if the advanced directive was created 7 years ago or greater? endobj To use suggested categories to consider options for ethical response to the dilemma. ethical dilemmas in counseling vignettes - stmatthewsbc.org "useRatesEcommerce": false Dilemma 6: Referral and Treatment Boundaries. Feature Flags: { Dr. Tell allowed several moments to pass before asking the patient what was happening. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Both therapists are of the same profession. 2 Print version: page 62 6 min read 0 What are the possible steps Dr. Crane can take to mitigate any potential difficulties? He recalled that he was an older person with significant depression who eventually became better. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. What are other steps that the therapist may want to take in this situation? The PASS-2 is administered online, from any computer, iPad, or iPhone. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. His attorney believes that some good, written character references will really help out with the case. She recently received an offer to become a sales representative for a pharmaceutical company. stream The therapist cannot remember many details about the patient. ETHICAL DILEMMAS IN COUNSELING - LinkedIn First, these vignettes are meant to be teaching tools. Dr. Jordan is a therapist who typically works with a wide variety of patients. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics 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.. 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. He does not view it as a therapy group. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. x#86h)Ppcc0F( k/ What obligations does the therapist have to the parent? 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. His family lives at a distance and provides minimal help. How are the clients emotional and interpersonal issues related to the therapists dilemma? What would you need from the attorney? Ethical Vignette Paper.docx. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. February 27, 2023 . They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. An important factor is that there is no cost to you, as the therapist. 14 March 2022. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Simultaneously, he strongly believes he made the right decision. What clinical concerns arise for you in this scenario? Plenty without any type of testing. Dr. Jordan returns the phone call. Apparently, no one is. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. My name is Dr. Patient contact information will be part of the administration process. T2 0#8r\ During the next session, Mr. and Mrs. Drapier arrive separately, but on time. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG (1993). Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. This has caused both his physical and Out of options, Dan is asking Dr. Crane to be the faculty advisor. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. 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. PDF Supervision Long Ethics Vignettes - CCFAM 6 0 obj Mock Ethics Vignettes - BRAIN She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. However, after the session, the therapist feels uneasy about what his patient revealed. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Standards of Practice, B. Counselling Relationships, Confidentiality. stream 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 you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. endobj (PDF) Ethical Issues in Counseling Supervision - ResearchGate Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. Ethical Conflicts In Psychology Book Pdf Download During the interview, she was told that she would need to work independently, with only limited supervision. If you were the psychologist, what would be your emotion response to this situation? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. Plenty lives and practices psychotherapy in a rural area. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. 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. 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. Case Vignettes for Review 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. ; & Hartshorne,T.S. 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. If you were Dr. Miller, what are your emotional reactions to this situation? During the current session, the confides that he has made a new female friend. stream Dr. Tell contacts you with the above scenario. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. The clients boyfriend expressed that she should never discuss this with anyone. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. If you were the psychologist, how would you feel about the situation? Refer the matter to the State Board of Psychology. Ethics and Psychology: Vignette Warehouse (39) Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. Contemplate these 16 conundrums. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Dr. Thomas wants him to come in immediately for a more indepth evaluation. 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. 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. Dr. Popeil thinks these ideas are good. The Center maintains responsibility for this program and its content. The mother further reports that the patients cousin has been driving the patient around town. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. 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. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? After the session is over, the therapist has time to reflect on her concerns. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. The treating therapist is questioning what to do. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to .