Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. endobj What clinical concerns arise for you in this scenario? There is nothing unusual that stands out about their therapeutic relationship. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. What are the ethical issues for this scenario? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. 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. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. One day, Dr. Bishop receives a phone call from his contact at the institution. ethical dilemmas in counseling vignettes. Mr. Tellanyone is feeling quite guilty about his mother. 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. Continuing Education & Ethical Resources For Mental Health Professionals. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Are there any ethical considerations in this dilemma? Dr. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. DILEMMA ONE He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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. Attempts to find social service agencies able to help him have not been successful. ACE provider approval period: 3/21/2021-3/21/2024. However, after the session, the therapist feels uneasy about what his patient revealed. 2 0 obj An important factor is that there is no cost to you, as the therapist. Harry then decides to attend a conference hosted by the ACA which will address the Code of the Ethics and the Standards of Practice in detail. The therapist and the attorney-patient meet for the initial session. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. ethical dilemmas in counseling vignettes - helpfulmechanic.com endobj Does the therapist who hears this information have any legal obligations? What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Patient contact information will be part of the administration process. << /Length 5 0 R /Filter /FlateDecode >> 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. <> In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. 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. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Running Head: ETHICAL VIGNETTE. Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. Can the therapist continue the treatment relationship with the patient? She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. Mock Ethics Vignettes - BRAIN 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. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. She told the student that she would think about the request prior to answering. Ethics Rounds--Multiple relationships: A vignette . Along with. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Is Dr. Hostname: page-component-7fc98996b9-g9qcd What suggestions or recommendations would you offer to the therapist? Dilemma 20: Has the Psychologist Done Too Much? They developed a good therapeutic alliance. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. Divide and Rule? The patient had been in treatment for about 10 months on a weekly basis. 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. 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. 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. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Uncertain, she calls you for an ethics consultation. Workers Compensation refuses to pay for the case management services of an independent social worker. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. How would you feel about receiving this request? Simultaneously, the religious institution is adamant about this requirement. Most issues do not produce ethical dilemmas, but some do. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Should Dr. Goodfriend call Buddy and offer a few referrals? Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. How easy or how difficult would it be to take those steps? There were contentious issues dealing with the custody arrangements of the children. Regulatory boards are the final authority on courses accepted for continuing education credit. 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. What are some actions that you, as the treating therapist, may have done differently? Ethical Conflicts In Psychology Book Pdf Download Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Render date: 2023-03-04T21:33:13.444Z 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF Dan asked a number of faculty members to be the faculty advisor of this group. x#86h)Ppcc0F( k/ Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. Of course, they exist in all forms of counseling, from short-term advising . What emotional reactions may occur for the therapist? He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. When she asks about insurance, he indicates that he will pay in cash. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. Case Vignettes for Review PDF American Counseling Association Ethical Dilemma Julia Coley, Ammi View all Google Scholar citations The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. Ethical dilemmas in clinical supervision. 1: Need for guidelines 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? Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. Case Vignettes for Review Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. He thinks that she is young and impressionable. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. The position pays much more than shes making at the community agency, and is within ten minutes of her home. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. February 27, 2023 . To use suggested categories to consider options for ethical response to the dilemma. The patient has trust issues with his parents, especially his father. Among other things, the report contained a psychological evaluation of the patient. While it is not a complete assessment, it can guide patients to you for further psychological consultation. The supervisee is very worried and afraid to tell Programs that do not qualify for NBCC credit are clearly identified. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Dr. Goodfriend speaks with Buddy about once every six to nine months. Dr. Ron Popeil, a local therapist, is upgrading his web site. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Out of options, Dan is asking Dr. Crane to be the faculty advisor. The therapist knows her new boss, Mr. Biggy. Both therapists are of the same profession. Close this message to accept cookies or find out how to manage your cookie settings. He also indicated that the relationship is taking on a more serious tone. frequent consultation requests by the trauma service. If you were Dr. Jordan, how would you feel about this request? She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. 6768). Dr. Jordan returns the phone call. endobj <> Mr. DiMencha demonstrates a variety of cognitive deficits. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Ethical dilemmas of school counsellors: A vignette study The client is feeling very helpless and vulnerable about this bind. White Plains, NY: Longman. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> 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. cn]JlmQSMDM>pEm+gxMU]``tQqKF a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. The therapist obtains the keys and title for the vehicle. endobj Case Vignettes for Review Dr. Bishop calls you for a consult about this situation. The ex-wife moved back to the area about six months ago. School counsellors often encounter ethically challenging situations due to contradictory values and roles. stream Ethics and law for school psychologists . 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. In the context of counseling, family includes people related through . 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. What would be your emotional response to this situation? 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. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 Sue schedules the appointment for early in the evening. To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. In the code, 18VAC115-20-130. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. 1 0 obj Others sources will also be used. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. What concrete steps might be important before calling the physician back? You are checking your email after a busy day. %PDF-1.5