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. What do you believe is the best course of action? While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). The mother further reports that the patients cousin has been driving the patient around town. If you were Dr. Jordan, how would you feel about this request? What are some potential responses that you could offer Dr. Bishop? What are potential ethical issues with this invitation? New York: John Wiley & Sons, Inc. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. When asked about the reason for the referral, she said that her physician had referred her for anxiety. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. 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. 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. for this article. Case Vignettes for Review Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. What are some possible suggestions for Dr. Jordan? He also wondered if he should contact the patients lawyer, with her permission, to disclose his perceptions about the quality of the report and his perceptions about the conclusions. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. 14 March 2022. If you were the psychologist, how would you feel about the situation? 4 0 obj 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. a73D%IhCTHA&:L0iAq(*p When she asks about insurance, he indicates that he will pay in cash. Dr. Bishop calls you for a consult about this situation. Simultaneously, the religious institution is adamant about this requirement. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. Content may require purchase if you do not have access. He complains loudly about his parents and his girlfriend. My name is Dr. During the current session, the confides that he has made a new female friend. At the end of the session, the therapist asks for the requisite fee as stated on the phone. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes 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. } Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901
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. What clinical concerns arise for you in this scenario? After the phone call, the therapist checks the waiting room and sees the patient there. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. She told the student that she would think about the request prior to answering. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. 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? His mother had suffered from a combination of severe respiratory problems and Alzheimers. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. frequent consultation requests by the trauma service. Dr. Goodfriend is unclear whether Buddy is serious or joking. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. What are the ethical concerns in this scenario? 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. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Are there additional considerations for how to approach the referring physician when calling back? During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). Are there competing ethical principles? Most issues do not produce ethical dilemmas, but some do. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. The therapist then phones you for an informal consultation. Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. xVN0}-m8 Qualitative content analysis in practice. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. School Law for counselors, psychologists, and social workers . Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Just as he is about to hang up, Buddy says, Thanks. endobj
Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. 2 Print version: page 62 6 min read 0 The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. 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 Is Dr. Tell a mandated reporter in this situation? Should Dr. Goodfriend call Buddy and offer a few referrals? 3. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? ethical dilemmas in counseling vignettes - stmatthewsbc.org (1993). What are some recommendations that you would make to the psychologist? We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Plenty acting beyond the limits of her competency? His attorney believes that some good, written character references will really help out with the case. Currently, the patient is denying the fact that she has made past threats toward her neighbor. 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. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Dr. Jordan returns the phone call. Apparently, no one is. He also divulged that his risk-taking behavior has increased as well, such as speeding. Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Sue schedules the appointment for early in the evening. Published online by Cambridge University Press: They have dinner as couples several times per year. Ethical dilemmas of school counsellors: A vignette study Dr. Goodfriend receives a call from Buddy, his very close high school friend. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. 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. What factors make this situation potentially easy for you as a therapist? His family lives at a distance and provides minimal help. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K B) =AiV5bAqUKxs#6{pA :)B'5-a* COUC 501 Ethical and Legal Issues in Counseling - Course Hero The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. 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. Continuing Education & Ethical Resources For Mental Health Professionals. If you were a co-owner of the business, how would you feel about this situation? Dr. Popeil thinks these ideas are good. It then provides six vignettes where supervisors are faced with ethical dilemmas. Harry is a school guidance counselor who is just got a job at a large public high school. Mr. DiMencha demonstrates a variety of cognitive deficits. Can the client contact Child Protective Services anonymously in this case? endobj
View all Google Scholar citations 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. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full Running Head: ETHICAL VIGNETTE. What would be your emotional response to this situation? The therapist knows her new boss, Mr. Biggy. Therapy lasted about a year and focused on depression and relationship issues. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. With her husband, the patient and the ex-wife? PDF American Counseling Association Ethical Dilemma Julia Coley, Ammi 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. An important factor is that there is no cost to you, as the therapist. 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. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. Both therapists are of the same profession. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. outside her scope of practice? Abstract All school counselors are considered mandated reporters. His father has declined rapidly since the death of his wife and now requires total care. 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 Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. What are the potential pitfalls in the scenario? Ethical Vignette Paper # Jodi Walters Liberty University. PDF ETHICAL DILEMMAS - SAGE Publications Inc What concrete steps might be important before calling the physician back? 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? 2. He recalled that he was an older person with significant depression who eventually became better. Dr. Smith is now worried about the entire situation. Out of options, Dan is asking Dr. Crane to be the faculty advisor. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. At the end of the day, he listens to voicemail messages to learn that a former patient is reaching out to him for a request. 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. 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. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. He also indicated that the relationship is taking on a more serious tone. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Learning Objectives: The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. The lawyerpatient comments that this seems low. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD What suggestions or recommendations would you offer to the therapist? 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. 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.. What obligations does the therapist have to the parent? 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. T2 0#8r\ Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. % x#86h)Ppcc0F( k/ As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation.