However, after the session, the therapist feels uneasy about what his patient revealed. <> She stated that Dr. Jordan recommended that she write down her memories. Sue schedules the appointment for early in the evening. Currently, the patient is denying the fact that she has made past threats toward her neighbor. At the end of the session, the therapist asks for the requisite fee as stated on the phone. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. An important factor is that there is no cost to you, as the therapist. 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. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. The therapist has not worked with the patient for about two years. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. The treating therapist is questioning what to do. 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. Has data issue: true The counsellor is also conscious. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. What, if anything, should the therapist do? He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. . A psychologist receives a phone call from a well-known internist in her area. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness ACE provider approval period: 3/21/2021-3/21/2024. <> 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. 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. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. The days allocated for her stay by her insurance are ending in two days. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. Glover, J. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. . He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. What problems may occur as a function of Dr. The therapist and the young man have been engaged in psychotherapy for the past 2 years. How easy or how difficult would it be to take those steps? Dr. Popeil thinks these ideas are good. Mr. DiMencha demonstrates a variety of cognitive deficits. <> When asked about the reason for the referral, she said that her physician had referred her for anxiety. The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. image.jpg Liberty University Ethical and Legal Issues in Counseling . Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) He will likely need to go into an assisted living facility. Uncertain, she calls you for an ethics consultation. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Dilemma 20: Has the Therapist Done Too Much? My company has developed a unique opportunity for you and your associates. The therapist does not dwell on the situation with the patient. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. I encourage you to review our web site. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. Dr. Smith is now worried about the entire situation. Dr. Jordan is a therapist who typically works with a wide variety of patients. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The therapist, her husband, and his ex-wife are on good terms. 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. T2 0#8r\ By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. If you decide to provide information, would you consider communicating with the prior patients attorney? Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. One day, Dr. Bishop receives a phone call from his contact at the institution. After reiterating the purpose of the session (which was to assess the marital situation and not to assess his current treatment), Dr. Miller states that she feels uncomfortable with the request, although she is concerned about the therapists reported behavior. 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 screens the potential patient and believes that she can help him. 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. If you were a co-owner of the business, how would you feel about this situation? She mentions that she is still in communication with her ex-husband because they share three children. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. 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. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. ocuk Koruma Kanunu [Child Protection Law]. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. 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 While discussing these issues, the patient suddenly stopped talking. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. She recalled that he agreed that it could make a good book. Jacob-Timm,S. 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 have further questions, feel free to contact me. Are there any other concerns about the web developer/consultants strategies? In the context of counseling, family includes people related through . The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. It was revealed that counsellors prioritise the students benefit and respect students privacy. Dilemma 6: Referral and Treatment Boundaries. What factors make this situation potentially easy for you as a therapist? After some other small talk, Dr. Smith leaves to mingle with other friends. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD 3 0 obj There were contentious issues dealing with the custody arrangements of the children. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. New York: John Wiley & Sons, Inc. His impairment is noticeable by Dr. ethical dilemmas in counseling vignetteswvu mechanical engineering research. The results and implications for counsellors, counsellor educators and researchers are discussed. What are some potential responses that you could offer Dr. Bishop? } Does the therapist who hears this information have any legal obligations? We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. 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. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. 2 0 obj He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Harry then decides to attend a conference hosted by the ACA which will address the Code of the Ethics and the Standards of Practice in detail. Prior to their next session, Dr. Smith calls you for a consultation. 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . The patient presents with a history of rejection and abandonment as well as being abused by persons of power. What are potential advantages in this scenario? The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. The therapist expresses her concerns about working with a patient whose father is prescribing medication. Others sources will also be used. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. 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. Address the matter with the other therapist directly. Mr. Biggy and Dr. Smith meet in an unplanned social venue. To use suggested categories to consider options for ethical response to 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. 14 March 2022. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. How would you feel if you were the consultant? Plenty without any type of testing. Running Head: ETHICAL VIGNETTE. Dr. Ron Popeil, a local therapist, is upgrading his web site. 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. A therapist receives a phone call from a well-known internist in her area. Qualitative content analysis in practice. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Attempts to find social service agencies able to help him have not been successful. : ethical dilemmas, burnout, stress, practicing counselors. He also indicated that the relationship is taking on a more serious tone. The client continued to struggle. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. He thinks that she is young and impressionable. 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. 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. What factors make this situation potentially difficult for you as a therapist? When she asks about insurance, he indicates that he will pay in cash. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? 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. a73D%IhCTHA&:L0iAq(*p What are some of the suggestions that you may have for the therapist about accepting or declining the referral? Part of her struggle is that she sees her husband as more depressed now than when he started treatment. However, the police report indicated she has made such verbal threats in the past but also, on several occasions, has damaged her neighbors property including scratching the paint on their car and throwing rocks at their house. Encourage the client to file a complaint with the State Board of Psychology. The patient has never met the attorney face-to-face, only by email and phone contacts. Just as he is about to hang up, Buddy says, Thanks. 6768). The cost of the online administration is $25, to be paid by the patient. However, she begins to feel uncomfortable as she feels like they are spending too much time together. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Group of answer choices Growth in . What are the ethical issues for this scenario? Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. What are the ethical issues involved in this scenario? Simultaneously, he strongly believes he made the right decision. However, the attorney has little awareness about how impaired Mr. DiMencha is. 2 Print version: page 62 6 min read 0 stream She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist.

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