Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. The therapist knows her new boss, Mr. Biggy. B) =AiV5bAqUKxs#6{pA :)B'5-a* Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. School Law for counselors, psychologists, and social workers . Dilemma 6: Referral and Treatment Boundaries. What should you do with this email solicitation? Both therapists are of the same profession. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. What are the ethical issues involved in this scenario? This workshopis based on discussion of ethical issues 8 0 obj Review each of the scenarios and indicate whether you agree or disagree with the counselors action. The main therapeutic issues are depression and loneliness. She calls you for an ethics consult. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). 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. Running Head: ETHICAL VIGNETTE. <>>> 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. Workers Compensation refuses to pay for the case management services of an independent social worker. The physician wants the psychologist to treat his 17-year-old daughter . The patient repeated this line of questioning during the first face-to-face session. An important factor is that there is no cost to you, as the therapist. (1998). After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. 1 pages. You are checking your email after a busy day. 1. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. The patient was in therapy for approximately one year. Content may require purchase if you do not have access. 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. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. 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. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . He is marginally coherent and unable to give any consistent responses. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? What clinical concerns arise for you in this scenario? Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. 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. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Dilemma 35: Initial Telepsychology Session for Free? The counsellor is also conscious. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? What are the ethical issues involved in this case? Dr. Smith decided to review the report. 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. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Standards of practice, part B.9 states that . Simultaneously, he strongly believes he made the right decision. What are potential ethical issues with this invitation? raised by clinical vignettes such as those below, The therapist and the attorney-patient meet for the initial session. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. He thinks that she is young and impressionable. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Mr. DiMencha demonstrates a variety of cognitive deficits. If you were a co-owner of the business, how would you feel about this situation? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. The therapist remembers the former patient as a likeable person. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. ocuk Koruma Kanunu [Child Protection Law]. <> The Submit Answers for Grading feature requires scripting to function. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. A therapist had an intake appointment with a new client. Dr. Jordan returns the phone call. endobj The therapist feels stuck and overwhelmed by her present situation. During the last two years, she required total care. What are the possible downsides to entering the dual relationship? 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. Buddy states that he has been feeling stressed over the last month. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. She mentions that she is still in communication with her ex-husband because they share three children. To use suggested categories to consider options for ethical response to the dilemma. What are the potential ethical issues in this case? What, if anything, should the therapist do? During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Among other things, the report contained a psychological evaluation of the patient. What concrete steps might be important before calling the physician back? (Log in options will check for institutional or personal access. Hostname: page-component-7fc98996b9-g9qcd Are there competing ethical principles? She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. 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. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. endobj Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. 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. 5 0 obj Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. After the session is over, the therapist has time to reflect on her concerns. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. After six sessions, Mr. DiMencha suffered a significant concussion while at work. She recently received an offer to become a sales representative for a pharmaceutical company. 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 . What obligations does the therapist have to the parent? 2 Print version: page 62 6 min read 0 He recalled that he was an older person with significant depression who eventually became better. Along with. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. 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. How would you feel if you were the consultant? They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Dr. Thomas is a mental health professional who is a part owner of a private group practice, some members of which offer Employee Assistance Program (EAP) services. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. 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. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Dilemma 20: Has the Therapist Done Too Much? Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. xVN0}-m8 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. / ethical dilemmas in counseling vignettes. 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. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. A psychologist works in an outpatient substance abuse treatment facility. 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. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. While Chuck now lives in an apartment in town, she remembers him well. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. 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. The therapist then phones you for an informal consultation. Are there any ethical considerations in this dilemma? 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 cost of the online administration is $25, to be paid by the patient. 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. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Dr. Ron Popeil, a local therapist, is upgrading his web site. 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. Next, most vignettes have more than one ethical issue that can be addressed. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. What are some recommendations that you would make to the psychologist? A therapist receives a phone message from a former patient. How would you advise Dr. Thomas to handle them? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. What suggestions or recommendations would you offer to the therapist? Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. What are the ethical concerns in this scenario? Dr. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. The treating therapist is questioning what to do. Dr. Jordan is a therapist who typically works with a wide variety of patients. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. 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. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. % Prior to providing extra-therapy support, Dr. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. What are the potential ethical concerns about this scenario, if any? Dr. Tell contacts you with the above scenario. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. For example, the first vignette, which Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. At the end of the session, the therapist asks for the requisite fee as stated on the phone. How easy or how difficult would it be to take those steps? The patient has never met the attorney face-to-face, only by email and phone contacts. This particular vignette, Swenson said, may well fail the two-prong test. Has data issue: true Address the matter with the other therapist directly. . Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. New York: John Wiley & Sons, Inc. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. The client continued to struggle. endobj The client is feeling very helpless and vulnerable about this bind. Ethics and law for school psychologists . A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Currently, the patient is denying the fact that she has made past threats toward her neighbor. endobj He is talking with a young man, most likely his cousin. 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. 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. Would your answer differ if the advanced directive was created 7 years ago or greater? 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. Are there additional considerations for how to approach the referring physician when calling back? Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 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. P. (1996). Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. 7 0 obj 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). Continuing Education & Ethical Resources For Mental Health Professionals. Dr. Smith is now worried about the entire situation. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. 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. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. In the code, 18VAC115-20-130. Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. 4 0 obj *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? A court appointed custody evaluator performed a child custody evaluation. 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. To create paragraphs in your essay response, type
at the beginning of the paragraph, and
at the end. This vignette poses several ethical dilemmas for counselors. 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. If you were Dr. Jordan, how would you feel about this request? Are there any other concerns about the web developer/consultants strategies? stream 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 The Center maintains responsibility for this program and its content. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Hence, the admission is voluntary. 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. The survey consisted of 10 vignettes based on the above ethical issues in. 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. 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. Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. His mother had suffered from a combination of severe respiratory problems and Alzheimers. The position pays much more than shes making at the community agency, and is within ten minutes of her home. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* Total loading time: 0 Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. The lawyerpatient comments that this seems low. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. The patient had been in treatment for about 10 months on a weekly basis. Prior to returning the call, Dr. Jordan reviews the patients chart. 2. What do you believe is the best course of action? Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. What are some actions that you, as the treating therapist, may have done differently? Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. 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. His father has declined rapidly since the death of his wife and now requires total care. What are the ethical issues, if any, involved in this case? She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. What problems may occur as a function of Dr. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Others sources will also be used. Mr. Biggy and Dr. Smith meet in an unplanned social venue. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Sci Rep 12, 22416 (2022). What would be your emotional response to this situation? In the context of counseling, family includes people related through . << /Length 5 0 R /Filter /FlateDecode >> 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. It may rather be a sign that one is fully engaged in the life of a community. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? If you were the psychologist, what would be your emotion response to this situation? 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. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. First, these vignettes are meant to be teaching tools. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. stream Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. The executor is Mr. Palmers brother, who lives in a different state. If you have further questions, feel free to contact me. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Just as he is about to hang up, Buddy says, Thanks. Plenty lives and practices psychotherapy in a rural area. 3. Your browser either does not support scripting or you have turned scripting off. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. 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 therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. <> 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. I encourage you to review our web site. <> February 27, 2023 . 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. 2 0 obj Learning Objectives: The therapist pulls the former patients chart. Regulatory boards are the final authority on courses accepted for continuing education credit. During the interview, she was told that she would need to work independently, with only limited supervision. What steps does the psychologist need to take?