Therapy lasted about a year and focused on depression and relationship issues. 7 0 obj Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. T2 0#8r\ She told the student that she would think about the request prior to answering. His family lives at a distance and provides minimal help. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. 1 0 obj 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.. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. The therapist pulls the former patients chart. For example, the psychologist might have to evict his client for failing to pay rent--or he might . 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. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. He is marginally coherent and unable to give any consistent responses. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Content may require purchase if you do not have access. <> A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. 1 pages. However, the attorney has little awareness about how impaired Mr. DiMencha is. While discussing these issues, the patient suddenly stopped talking. endobj 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. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. stream 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.. 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. It may rather be a sign that one is fully engaged in the life of a community. What are the ethical issues for this scenario? Apparently, no one is. An important factor is that there is no cost to you, as the therapist. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Ethical Vignette Paper.docx. In hindsight, what triggered some possible difficulties in this situation? A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Results will be available to you and the patient online. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. are Prior to returning the call, Dr. Jordan reviews the patients chart. Mr. Tellanyone is feeling quite guilty about his mother. 14 March 2022. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. An ongoing theme in therapy revolves around his sexual orientation. Dilemma 20: Has the Psychologist Done Too Much? 1. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. The therapist, her husband, and his ex-wife are on good terms. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The patient repeated this line of questioning during the first face-to-face session. 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. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. 4 0 obj The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. % Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. endobj This particular vignette, Swenson said, may well fail the two-prong test. 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. Workers Compensation refuses to pay for the case management services of an independent social worker. The Center maintains responsibility for this program and its content. Dr. Bishop calls you for a consult about this situation. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Dr. Tell contacts you with the above scenario. What would you need from the attorney? ethical dilemmas in counseling vignettes. What suggestions or recommendations would you offer to the therapist? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> School Law for counselors, psychologists, and social workers . xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. Dr. Smith is now worried about the entire situation. x#86h)Ppcc0F( k/ % Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. There is nothing unusual that stands out about their therapeutic relationship. endobj Dr. Tell allowed several moments to pass before asking the patient what was happening. It was revealed that counsellors prioritise the students benefit and respect students privacy. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. 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. 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. The days allocated for her stay by her insurance are ending in two days. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. DILEMMA ONE Plenty engaging in a multiple relationship role in Mr. DiMenchas care? What are the ethical issues involved in this case? Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. for this article. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. 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. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. He also divulged that his risk-taking behavior has increased as well, such as speeding. Standards of practice, part B.9 states that . She has been doing much of the case management work, e.g. 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. The following email catches your attention. A therapist receives a phone message from a former patient. 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. frequent consultation requests by the trauma service. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. stream Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Ethical dilemmas. Among other things, the report contained a psychological evaluation of the patient. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Dan asked a number of faculty members to be the faculty advisor of this group. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. What clinical concerns arise for you in this scenario? 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. <> 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. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? The ICU staff asks for your input. While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. 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. 2 Print version: page 62 6 min read 0 Qualitative content analysis in practice. Can the client contact Child Protective Services anonymously in this case? The therapist does not dwell on the situation with the patient. Is Dr. What are the ethical issues, if any, involved in this case? He confides that he would like to have an affair with her. The therapist and the attorney-patient meet for the initial session. 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. Plenty without any type of testing. Ethical Dilemmas in Counseling: A Case Study Examination The American Counseling Association (ACA) Code of Ethics was amended in 2014 to reflect the ever-changing social, political, and technological landscape which clinicians must navigate. } She recently received an offer to become a sales representative for a pharmaceutical company. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Continuing Education & Ethical Resources For Mental Health Professionals. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. 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. Ethical Vignette Paper # Jodi Walters Liberty University. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. If you were the psychologist, how would you feel about the situation? By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Others sources will also be used. : Ethical and Legal Ramifications of Documentation Decisions. The counsellor is also conscious. 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. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. There were contentious issues dealing with the custody arrangements of the children. The patient had been in treatment for about 10 months on a weekly basis. Are there additional considerations for how to approach the referring physician when calling back? Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . I encourage you to review our web site. School counsellors often encounter ethically challenging situations due to contradictory values and roles.

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