New York: John Wiley & Sons, Inc. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. The therapist knows her new boss, Mr. Biggy. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. 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. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. 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. Dr. Tell allowed several moments to pass before asking the patient what was happening. 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. Contemplate these 16 conundrums. 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. . At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. This workshopis based on discussion of ethical issues The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. 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. Just as he is about to hang up, Buddy says, Thanks. for this article. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. There were contentious issues dealing with the custody arrangements of the children. 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. The therapist and the young man have been engaged in psychotherapy for the past 2 years. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Along with. 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. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Both therapists are of the same profession. What would you likely do with this email solicitation? 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 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. What are other steps that the therapist may want to take in this situation? By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. With whom does the therapist discuss the multiple roles? She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. 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. Group of answer choices Growth in . DILEMMA ONE Are there competing ethical principles? 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. The ex-wife moved back to the area about six months ago. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. xVN0}-m8 Therapy lasted about a year and focused on depression and relationship issues. Your browser either does not support scripting or you have turned scripting off. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Ethical dilemmas. During the current session, the confides that he has made a new female friend. << /Length 5 0 R /Filter /FlateDecode >> However, the attorney has little awareness about how impaired Mr. DiMencha is. Jacob-Timm,S. What are some likely emotional reactions would you have in this situation? Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. One day, Dr. Bishop receives a phone call from his contact at the institution. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What are the possible downsides to entering the dual relationship? The client continued to struggle. 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 treating therapist is questioning what to do. 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. I encourage you to review our web site. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. While it is not a complete assessment, it can guide patients to you for further psychological consultation. After reiterating the purpose of the session (which was to assess the marital situation and not to assess his current treatment), Dr. Miller states that she feels uncomfortable with the request, although she is concerned about the therapists reported behavior. 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. She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. What clinical concerns arise for you in this scenario? Simultaneously, the religious institution is adamant about this requirement. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. Ethics and law for school psychologists . PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. 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. 2 0 obj
ethical dilemmas in counseling vignetteswvu mechanical engineering research. Dr. Jordan is a therapist who typically works with a wide variety of patients. 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. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. The therapist remembers the former patient as a likeable person. 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.. Currently, the patient is denying the fact that she has made past threats toward her neighbor. She calls you for an ethics consult. Attempts to find social service agencies able to help him have not been successful. Prior to providing extra-therapy support, Dr. 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. The therapist expresses her concerns about working with a patient whose father is prescribing medication. They developed a good therapeutic alliance. Programs that do not qualify for NBCC credit are clearly identified. 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. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. After six sessions, Mr. DiMencha suffered a significant concussion while at work. endobj
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. She does not feel right taking a fee larger than her usual and customary rate. Plenty lives and practices psychotherapy in a rural area. He also divulged that his risk-taking behavior has increased as well, such as speeding. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. The following email catches your attention. <>
What are some recommendations that you would make to the psychologist? mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. Dan explained to Dr. Crane that this group would be student-led and meet on campus. This has caused both his physical and Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics What are the potential ethical issues in this case? B) =AiV5bAqUKxs#6{pA :)B'5-a* Sci Rep 12, 22416 (2022). Uncertain, she calls you for an ethics consultation. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. 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. His impairment is noticeable by Dr. } The therapist has not worked with the patient for about two years. Most issues do not produce ethical dilemmas, but some do. What are potential ethical issues with this invitation? Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Among other things, the report contained a psychological evaluation of the 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. 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. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. What problems may occur as a function of Dr. When asked about the reason for the referral, she said that her physician had referred her for anxiety. 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. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. After the phone call, the therapist checks the waiting room and sees the patient there. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. 1 0 obj
Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. endobj
Plenty without any type of testing. Dr. Thomas wants him to come in immediately for a more indepth evaluation. 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. ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7
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nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! What are potential advantages in this scenario? 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. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. While Chuck now lives in an apartment in town, she remembers him well. First, these vignettes are meant to be teaching tools. 2 Print version: page 62 6 min read 0 She actually attended his graduation party briefly and hired him to cut her lawn for two years. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . 3 0 obj
What obligations does the therapist have to the parent? Published online by Cambridge University Press: During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). For example, the first vignette, which The survey consisted of 10 vignettes based on the above ethical issues in. She recently received an offer to become a sales representative for a pharmaceutical company. Others sources will also be used. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Dr. Goodfriend receives a call from Buddy, his very close high school friend. His mother had suffered from a combination of severe respiratory problems and Alzheimers. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. The lawyerpatient comments that this seems low. Dr. Jordan calls you on the phone for an ethics consultation. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. They have dinner as couples several times per year. 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. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. The therapist and the attorney-patient meet for the initial session. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. His father has declined rapidly since the death of his wife and now requires total care. 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. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. : ethical dilemmas, burnout, stress, practicing counselors. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Learning Objectives: When dealing with the EAP program, she thinks her title of doctor might put people off, so she announces herself as Sue when dealing with EAP clients. What emotional reactions may occur for the therapist? Identifying, addressing, and resolving ethical dilemmas is a dynamic process that requires counseling professionals to do more than simplistically apply the codes with respect for the uniqueness of each situation or circumstance. Dan asked a number of faculty members to be the faculty advisor of this group. He complains loudly about his parents and his girlfriend. He is marginally coherent and unable to give any consistent responses. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. How would you feel if you were the consultant? iRE]7*ZG;
K5|h{. She recalled that he agreed that it could make a good book. 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. The days allocated for her stay by her insurance are ending in two days. (1998). Ethical Vignette Paper.docx. . (Log in options will check for institutional or personal access. At the end of the session, the therapist asks for the requisite fee as stated on the phone. A therapist had an intake appointment with a new client.
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