Dilemma 35: Initial Telepsychology Session for Free? Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Standards of practice, part B.9 states that . What are the potential ethical concerns about this scenario, if any? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. PDF Supervision Long Ethics Vignettes - CCFAM xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U 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. 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. How would you advise Dr. Thomas to handle them? 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. PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 The therapist pulls the former patients chart. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). She recalled that he agreed that it could make a good book. During the current session, the confides that he has made a new female friend. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. The survey consisted of 10 vignettes based on the above ethical issues in. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. What would you likely do with this email solicitation? The therapist feels stuck and overwhelmed by her present situation. What are potential ethical issues with this invitation? 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.. Mock Ethics Vignettes - BRAIN On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. Encourage the client to file a complaint with the State Board of Psychology. There is nothing unusual that stands out about their therapeutic relationship. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG Dr. Thomas wants him to come in immediately for a more indepth evaluation. After some other small talk, Dr. Smith leaves to mingle with other friends. Ethical dilemmas. Ethical dilemmas of school counsellors: A vignette study 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.. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. She mentions that she is still in communication with her ex-husband because they share three children. 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. Your browser either does not support scripting or you have turned scripting off. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? A court appointed custody evaluator performed a child custody evaluation. ethical dilemmas in counseling vignetteswvu mechanical engineering research. 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. Programs that do not qualify for NBCC credit are clearly identified. With whom does the therapist discuss the multiple roles? The treatment notes indicate that she dropped out of therapy about one year ago. 8 0 obj Ethical Dilemmas in Counseling | Psychology Today United Kingdom 2. %PDF-1.3 As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. What problems may occur as a function of Dr. If you were the psychologist, what would be your emotion response to this situation? If you have further questions, feel free to contact me. <>>> According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. Mr. Tellanyone is feeling quite guilty about his mother. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. endobj What are some actions that you, as the treating therapist, may have done differently? 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. Workers Compensation refuses to pay for the case management services of an independent social worker. Dan asked a number of faculty members to be the faculty advisor of this group. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Plenty lives and practices psychotherapy in a rural area. The therapist screens the potential patient and believes that she can help him. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. The therapist then phones you for an informal consultation. 5 0 obj Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. White Plains, NY: Longman. What are the ethical issues involved in this scenario? The therapist, her husband, and his ex-wife are on good terms. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. How are the clients emotional and interpersonal issues related to the therapists dilemma? He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Harry is a school guidance counselor who is just got a job at a large public high school. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. 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. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. If you were Dr. Miller, what are your emotional reactions to this situation? The therapist does not dwell on the situation with the patient. She actually attended his graduation party briefly and hired him to cut her lawn for two years. What are some recommendations that you would make to the psychologist? During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. What are the ethical issues involved in this situation? Ethics and Psychology: Vignette Warehouse (39) P. (1996). Along with. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. 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. 1 0 obj Tel: 434-971-1841 E-Mail: [email protected], Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. ACE provider approval period: 3/21/2021-3/21/2024. 2 0 obj Simultaneously, the religious institution is adamant about this requirement. endobj The Center maintains responsibility for this program and its content. View all Google Scholar citations His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. What are the potential ethical issues with this case? Fowers and Davidov (2006) link the "multicultural movement" to classical writings about ethics in the philosophy literature,contrasting "virtue ethics"with merely following the rules. I encourage you to review our web site. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Dr. Smith is a therapist who has worked with a young woman for about 9 months. The position pays much more than shes making at the community agency, and is within ten minutes of her home. Next, most vignettes have more than one ethical issue that can be addressed. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. cn]JlmQSMDM>pEm+gxMU]``tQqKF Case Vignettes for Review outside her scope of practice? 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. 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. Refer the matter to the State Board of Psychology. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. PDF Becoming A Helper 6th Edition By Corey Pdf / Richard Nelson-Jones Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Mr. Biggy and Dr. Smith meet in an unplanned social venue. The test usually takes approximately 40 to 60 minutes to administer. The Submit Answers for Grading feature requires scripting to function. 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? 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. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. 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. Learning From Ethical Vignettes - Center for Ethical Practice What factors make this situation potentially difficult for you as a therapist? ethical dilemmas in counseling vignettes. Ethical dilemmas of school counsellors: A vignette study How would you feel about receiving this request? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. An ongoing theme in therapy revolves around his sexual orientation. Dan explained to Dr. Crane that this group would be student-led and meet on campus. What are some of the potential ethical pitfalls in this scenario? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Both therapists are of the same profession. A psychologist receives a phone call from a well-known internist in her area. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. The patient has trust issues with his parents, especially his father. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. PDF ETHICAL DILEMMAS - SAGE Publications Inc % Render date: 2023-03-04T21:33:13.444Z The following email catches your attention. 6 0 obj (Log in options will check for institutional or personal access. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? If you were the psychologist, how would you feel about the situation? Uncertain, she calls you for an ethics consultation. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. What are the ethical issues, if any, involved in this case? During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Dr. Smith is now worried about the entire situation. 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. Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. 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. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. <> By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. The Clear Answers and Start Over feature requires scripting to function. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. The therapist and the young man have been engaged in psychotherapy for the past 2 years. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Goodfriend speaks with Buddy about once every six to nine months. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Prior to their next session, Dr. Smith calls you for a consultation. The patient has never met the attorney face-to-face, only by email and phone contacts. 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. What are some possible suggestions for Dr. Jordan? 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. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. What concrete steps might be important before calling the physician back? A psychologist works in an outpatient substance abuse treatment facility. When she asks about insurance, he indicates that he will pay in cash. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. . Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. <> Dr. Bishop calls you for a consult about this situation. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. T2 0#8r\ 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 treating therapist believes the options are: What are the possible emotional reactions to this situation? What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. You are a therapist in a busy acute care hospital where you receive. One afternoon Taras supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the centers other branches. <> ethical dilemmas in counseling vignettes - stmatthewsbc.org They see her regularly for informal family events and do holidays together with their adult children and grandchildren. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. The cost of the online administration is $25, to be paid by the patient. Standards of Practice, B. Counselling Relationships, Confidentiality. are He will likely need to go into an assisted living facility. 3 0 obj a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Ethics Rounds--Multiple relationships: A vignette
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