Your browser either does not support scripting or you have turned scripting off. The Clear Answers and Start Over feature requires scripting to function. The therapist cannot remember many details about the patient. Mr. Tellanyone is feeling quite guilty about his mother. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. A therapist receives a phone message from a former patient. With whom does the therapist discuss the multiple roles? Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? 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. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . 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. The therapist feels stuck and overwhelmed by her present situation. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dr. Goodfriend receives a call from Buddy, his very close high school friend. 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. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Programs that do not qualify for NBCC credit are clearly identified. ocuk Koruma Kanunu [Child Protection Law]. If you have further questions, feel free to contact me. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. February 27, 2023 . Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. endobj
Are there additional considerations for how to approach the referring physician when calling back? From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. During the current session, the confides that he has made a new female friend. In the context of counseling, family includes people related through . The executor is Mr. Palmers brother, who lives in a different state. I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. Patient contact information will be part of the administration process. 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. What are some potential responses that you could offer Dr. Bishop? She told the student that she would think about the request prior to answering. What are Dr. Millers potential ethical issues in this situation? Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . 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. Are there any other concerns about the web developer/consultants strategies? What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Mr. Biggy indicates that he wants to talk more about his feelings. Dr. Smith is a therapist who has worked with a young woman for about 9 months. An important factor is that there is no cost to you, as the therapist. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. If you decide to provide information, would you consider communicating with the prior patients attorney? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. 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.. 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. A therapist receives a phone call from a well-known internist in her area. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. %PDF-1.3 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 are the potential ethical concerns about this scenario, if any? stream
The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Plenty without any type of testing. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. 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 . 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. There were contentious issues dealing with the custody arrangements of the children. Dr. Popeil thinks these ideas are good. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. raised by clinical vignettes such as those below, She stated that Dr. Jordan recommended that she write down her memories. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. 2. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . The EAP service provides a solution-focused, three-session benefit for companies within Virginia. After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. The clients boyfriend expressed that she should never discuss this with anyone. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>>
Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. What factors make this situation potentially difficult for you as a therapist? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
The therapist remembers the former patient as a likeable person. Would your answer differ if the advanced directive was created 7 years ago or greater? The therapist, her husband, and his ex-wife are on good terms. Plenty acting beyond the limits of her competency? They have dinner as couples several times per year. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. Not knowing what to do, and realizing that the next patient is in the waiting room, the therapist takes the cash and sets up another appointment. Dr. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. of family ties, but counselors in many other specialties will run into these issues too. The days allocated for her stay by her insurance are ending in two days. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Attempts to find social service agencies able to help him have not been successful. 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). At the end of the session, the therapist asks for the requisite fee as stated on the phone. xVN0}-m8 Along with. His impairment is noticeable by Dr. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. This particular vignette, Swenson said, may well fail the two-prong test. 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. The patient has trust issues with his parents, especially his father. 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. 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. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. If you were Dr. Goodfriend, how do you feel about the phone call? There is nothing unusual that stands out about their therapeutic relationship. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. The survey consisted of 10 vignettes based on the above ethical issues in. Dr. Jordan calls you on the phone for an ethics consultation. He asked the attorney if anyone is contesting the will. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. What factors make this situation potentially easy for you as a therapist? Workers Compensation refuses to pay for the case management services of an independent social worker. 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. x#86h)Ppcc0F( k/ Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. After the session is over, the therapist has time to reflect on her concerns. The therapist and the young man have been engaged in psychotherapy for the past 2 years. What are the potential ethical issues in this case? 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? During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. Regulatory boards are the final authority on courses accepted for continuing education credit. The Center maintains responsibility for this program and its content. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. ~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! 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? While it is not a complete assessment, it can guide patients to you for further psychological consultation. image.jpg Liberty University Ethical and Legal Issues in Counseling . What would you likely do with this email solicitation? 1LzLxG`kvP@>. Dr. Bishop calls you for a consult about this situation. 6768). are Dr. 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. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Dr. Tell contacts you with the above scenario. The therapist pulls the former patients chart. Dilemma 6: Referral and Treatment Boundaries. How would you advise Dr. Thomas to handle them? Dilemma 20: Has the Psychologist Done Too Much? 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. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 DILEMMA ONE What are some recommendations that you would make to the psychologist? 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. iRE]7*ZG;
K5|h{. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Encourage the client to file a complaint with the State Board of Psychology. 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. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. If you were Dr. Miller, what are your emotional reactions to this situation? By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. With her husband, the patient and the ex-wife? During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. <>>>
The counsellor is also conscious. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. He recalled that he was an older person with significant depression who eventually became better. Mr. DiMencha demonstrates a variety of cognitive deficits. What are some of the potential ethical pitfalls in this scenario? Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. <>
His mother had suffered from a combination of severe respiratory problems and Alzheimers. She recently received an offer to become a sales representative for a pharmaceutical company. 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. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. 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. frequent consultation requests by the trauma service. 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. One day, Dr. Bishop receives a phone call from his contact at the institution. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? In hindsight, what triggered some possible difficulties in this situation? In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. 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 In fact, the patient has made no such comments to anyone else other than to Dr. Solomon and has been a model patient on the unit. . Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. 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. And, how would you, as the treating therapist, deal with those emotions? Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. The position pays much more than shes making at the community agency, and is within ten minutes of her home. After six sessions, Mr. DiMencha suffered a significant concussion while at work. The therapist has not worked with the patient for about two years. The mother further reports that the patients cousin has been driving the patient around town. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. 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. Hostname: page-component-7fc98996b9-g9qcd What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public?