ethical dilemmas in counseling vignettes

He does not view it as a therapy group. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. << /Length 5 0 R /Filter /FlateDecode >> 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. 1 pages. . Dan explained to Dr. Crane that this group would be student-led and meet on campus. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Running Head: ETHICAL VIGNETTE. The following email catches your attention. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. Jacob-Timm,S. She does not feel right taking a fee larger than her usual and customary rate. How easy or how difficult would it be to take those steps? ethical dilemmas in counseling vignetteswvu mechanical engineering research. <> (1998). Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. How would you advise Dr. Thomas to handle them? During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. In hindsight, what triggered some possible difficulties in this situation? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Abstract All school counselors are considered mandated reporters. The client is feeling very helpless and vulnerable about this bind. She told the student that she would think about the request prior to answering. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. The Clear Answers and Start Over feature requires scripting to function. frequent consultation requests by the trauma service. If you were Dr. Jordan, how would you feel about this request? What obligations does the therapist have to the parent? Would your answer differ if the advanced directive was created 7 years ago or greater? Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. If you have further questions, feel free to contact me. What are the potential pitfalls in the scenario? endobj 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? 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.. ; & Hartshorne,T.S. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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.. For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. B) =AiV5bAqUKxs#6{pA :)B'5-a* Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. . 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. The supervisee is very worried and afraid to tell Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. The cost of the online administration is $25, to be paid by the patient. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Patient contact information will be part of the administration process. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. What are the ethical issues for this scenario? She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. My name is Dr. <>>> What would be your emotional response to this situation? Address the matter with the other therapist directly. Mr. DiMencha demonstrates a variety of cognitive deficits. 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. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. What are some of the potential ethical pitfalls in this scenario? Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Would your answer differ if there were no advanced directives? Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. 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. Standards of practice, part B.9 states that . Content may require purchase if you do not have access. What are some potential responses that you could offer Dr. Bishop? After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. When asked about the reason for the referral, she said that her physician had referred her for anxiety. 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. 5 0 obj The therapist expresses her concerns about working with a patient whose father is prescribing medication. 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. 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. The patient had been in treatment for about 10 months on a weekly basis. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Dan asked a number of faculty members to be the faculty advisor of this group. Dr. Goodfriend speaks with Buddy about once every six to nine months. Dr. Jordan is a therapist who typically works with a wide variety of patients. <> Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. An important factor is that there is no cost to you, as the therapist. Dr. Tell allowed several moments to pass before asking the patient what was happening. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. One day, Dr. Bishop receives a phone call from his contact at the institution. Simultaneously, he strongly believes he made the right decision. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. 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. 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. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . What are the ethical concerns in this scenario? %PDF-1.5 She calls you for an ethics consult. Harry is a school guidance counselor who is just got a job at a large public high school. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. New York: John Wiley & Sons, Inc. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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. 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. Out of options, Dan is asking Dr. Crane to be the faculty advisor. With her husband, the patient and the ex-wife? What clinical concerns arise for you in this scenario? ocuk Koruma Kanunu [Child Protection Law]. The therapist obtains the keys and title for the vehicle. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. of family ties, but counselors in many other specialties will run into these issues too. The patient repeated this line of questioning during the first face-to-face session. They developed a good therapeutic alliance. The clients boyfriend expressed that she should never discuss this with anyone. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. What are the potential ethical concerns about this scenario, if any? *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp 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. Dr. Smith is a therapist who has worked with a young woman for about 9 months. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. She actually attended his graduation party briefly and hired him to cut her lawn for two years. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. What would you need from the attorney? What emotional reactions may occur for the therapist? What are the potential ethical issues in this case? A therapist receives a phone call from a well-known internist in her area. Dr. Jordan calls you on the phone for an ethics consultation. Dr. Tell contacts you with the above scenario. Dilemma 20: Has the Therapist Done Too Much? At the end of the day, the therapist reflects on the interaction her new lawyer-patient. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) The days allocated for her stay by her insurance are ending in two days. What suggestions or recommendations would you offer to the therapist? Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Most issues do not produce ethical dilemmas, but some do. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Approaching ethical dilemmas. What are some likely emotional reactions would you have in this situation? If you were Dr. Miller, what are your emotional reactions to this situation? A therapist had an intake appointment with a new client. Ethical dilemmas. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. ACE provider approval period: 3/21/2021-3/21/2024. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. 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 and law for school psychologists . Workers Compensation refuses to pay for the case management services of an independent social worker. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. (1993). Group of answer choices Growth in . The therapist screens the potential patient and believes that she can help him. are Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF 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 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 therapist pulls the former patients chart. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Contemplate these 16 conundrums. They start spending more time together. DILEMMA ONE 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. A psychologist receives a phone call from a well-known internist in her area. 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. He also divulged that his risk-taking behavior has increased as well, such as speeding. 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. Encourage the client to file a complaint with the State Board of Psychology. View all Google Scholar citations 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. Attempts to find social service agencies able to help him have not been successful. Your browser either does not support scripting or you have turned scripting off. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Is Dr. Tell a mandated reporter in this situation? Regulatory boards are the final authority on courses accepted for continuing education credit. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression.

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ethical dilemmas in counseling vignettes

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He does not view it as a therapy group. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. << /Length 5 0 R /Filter /FlateDecode >> 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. 1 pages. . Dan explained to Dr. Crane that this group would be student-led and meet on campus. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Running Head: ETHICAL VIGNETTE. The following email catches your attention. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. Jacob-Timm,S. She does not feel right taking a fee larger than her usual and customary rate. How easy or how difficult would it be to take those steps? ethical dilemmas in counseling vignetteswvu mechanical engineering research. <> (1998). Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. How would you advise Dr. Thomas to handle them? During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. In hindsight, what triggered some possible difficulties in this situation? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Abstract All school counselors are considered mandated reporters. The client is feeling very helpless and vulnerable about this bind. She told the student that she would think about the request prior to answering. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. The Clear Answers and Start Over feature requires scripting to function. frequent consultation requests by the trauma service. If you were Dr. Jordan, how would you feel about this request? What obligations does the therapist have to the parent? Would your answer differ if the advanced directive was created 7 years ago or greater? Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. If you have further questions, feel free to contact me. What are the potential pitfalls in the scenario? endobj 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? 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.. ; & Hartshorne,T.S. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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.. For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. B) =AiV5bAqUKxs#6{pA :)B'5-a* Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. . 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. The supervisee is very worried and afraid to tell Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. The cost of the online administration is $25, to be paid by the patient. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Patient contact information will be part of the administration process. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. What are the ethical issues for this scenario? She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. My name is Dr. <>>> What would be your emotional response to this situation? Address the matter with the other therapist directly. Mr. DiMencha demonstrates a variety of cognitive deficits. 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. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. What are some of the potential ethical pitfalls in this scenario? Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Would your answer differ if there were no advanced directives? Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. 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. Standards of practice, part B.9 states that . Content may require purchase if you do not have access. What are some potential responses that you could offer Dr. Bishop? After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. When asked about the reason for the referral, she said that her physician had referred her for anxiety. 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. 5 0 obj The therapist expresses her concerns about working with a patient whose father is prescribing medication. 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. 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. The patient had been in treatment for about 10 months on a weekly basis. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Dan asked a number of faculty members to be the faculty advisor of this group. Dr. Goodfriend speaks with Buddy about once every six to nine months. Dr. Jordan is a therapist who typically works with a wide variety of patients. <> Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. An important factor is that there is no cost to you, as the therapist. Dr. Tell allowed several moments to pass before asking the patient what was happening. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. One day, Dr. Bishop receives a phone call from his contact at the institution. Simultaneously, he strongly believes he made the right decision. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. 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. 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. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . What are the ethical concerns in this scenario? %PDF-1.5 She calls you for an ethics consult. Harry is a school guidance counselor who is just got a job at a large public high school. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. New York: John Wiley & Sons, Inc. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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. 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. Out of options, Dan is asking Dr. Crane to be the faculty advisor. With her husband, the patient and the ex-wife? What clinical concerns arise for you in this scenario? ocuk Koruma Kanunu [Child Protection Law]. The therapist obtains the keys and title for the vehicle. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. of family ties, but counselors in many other specialties will run into these issues too. The patient repeated this line of questioning during the first face-to-face session. They developed a good therapeutic alliance. The clients boyfriend expressed that she should never discuss this with anyone. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. What are the potential ethical concerns about this scenario, if any? *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp 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. Dr. Smith is a therapist who has worked with a young woman for about 9 months. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. She actually attended his graduation party briefly and hired him to cut her lawn for two years. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. What would you need from the attorney? What emotional reactions may occur for the therapist? What are the potential ethical issues in this case? A therapist receives a phone call from a well-known internist in her area. Dr. Jordan calls you on the phone for an ethics consultation. Dr. Tell contacts you with the above scenario. Dilemma 20: Has the Therapist Done Too Much? At the end of the day, the therapist reflects on the interaction her new lawyer-patient. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) The days allocated for her stay by her insurance are ending in two days. What suggestions or recommendations would you offer to the therapist? Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Most issues do not produce ethical dilemmas, but some do. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Approaching ethical dilemmas. What are some likely emotional reactions would you have in this situation? If you were Dr. Miller, what are your emotional reactions to this situation? A therapist had an intake appointment with a new client. Ethical dilemmas. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. ACE provider approval period: 3/21/2021-3/21/2024. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. 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 and law for school psychologists . Workers Compensation refuses to pay for the case management services of an independent social worker. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. (1993). Group of answer choices Growth in . The therapist screens the potential patient and believes that she can help him. are Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF 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 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 therapist pulls the former patients chart. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Contemplate these 16 conundrums. They start spending more time together. DILEMMA ONE 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. A psychologist receives a phone call from a well-known internist in her area. 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. He also divulged that his risk-taking behavior has increased as well, such as speeding. 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. Encourage the client to file a complaint with the State Board of Psychology. View all Google Scholar citations 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. Attempts to find social service agencies able to help him have not been successful. Your browser either does not support scripting or you have turned scripting off. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Is Dr. Tell a mandated reporter in this situation? Regulatory boards are the final authority on courses accepted for continuing education credit. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Sisters Of St Francis Of Perpetual Adoration Olpe, Germany, Alaska Property For Sale Cheap, Articles E

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