Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. To create paragraphs in your essay response, type
at the beginning of the paragraph, and
at the end. 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. Published online by Cambridge University Press: Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. 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. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. : Ethical and Legal Ramifications of Documentation Decisions. 2 0 obj What are the ethical issues involved in this situation? Divide and Rule? Dr. Ron Popeil, a local therapist, is upgrading his web site. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. His attorney believes that some good, written character references will really help out with the case. Legal Issues In Counselling Psychotherapy (Ethics In Practice Series) The patient was in therapy for approximately one year. Sue schedules the appointment for early in the evening. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Case Vignettes for Review While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. endobj Simultaneously, he strongly believes he made the right decision. He thinks that she is young and impressionable. Results will be available to you and the patient online. PDF ETHICAL DILEMMAS - SAGE Publications Inc What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. (PDF) Ethical Issues in Counseling Supervision - ResearchGate hasContentIssue true, The Author(s), 2022. What would you likely do with this email solicitation? 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. What factors make this situation potentially easy for you as a therapist? Ethical Dilemmas in Counseling: A Case Study Examination The American Counseling Association (ACA) Code of Ethics was amended in 2014 to reflect the ever-changing social, political, and technological landscape which clinicians must navigate. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. She calls you for an ethics consult. Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. 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. 1. School Counselors' Experiences With Ethical Decision Making To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Ethics Rounds--Multiple relationships: A vignette What are the potential ethical issues in this case? In hindsight, what triggered some possible difficulties in this situation? If you were the psychologist, how would you feel about the situation? School counsellors often encounter ethically challenging situations due to contradictory values and roles. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. How easy or how difficult would it be to take those steps? He is marginally coherent and unable to give any consistent responses. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. The Center maintains responsibility for this program and its content. 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. Common Ethical Issues: Case Studies and Test Your Knowledge Tara was offered this position after successfully completing both her practicum and her internship at the center. Approaching ethical dilemmas. The patient has never met the attorney face-to-face, only by email and phone contacts. Dr. Tell contacts you with the above scenario. In the code, 18VAC115-20-130. His family lives at a distance and provides minimal help. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. 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. T2 0#8r\ <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> With whom does the therapist discuss the multiple roles? 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.. She actually attended his graduation party briefly and hired him to cut her lawn for two years. 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. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. raised by clinical vignettes such as those below, Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Dilemma 6: Referral and Treatment Boundaries. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. He promised to call her back within a week. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K A female therapist in a suburban area has worked with a male patient for about one year. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. View all Google Scholar citations The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 What steps does the psychologist need to take? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Dilemma 20: Has the Psychologist Done Too Much? 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. What are the ethical issues for this scenario? What are some possible suggestions for Dr. Jordan? He recalled that he was an older person with significant depression who eventually became better. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Ethics and law for school psychologists . They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. of family ties, but counselors in many other specialties will run into these issues too. 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. What are Dr. Millers potential ethical issues in this situation? He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. She mentions that she is still in communication with her ex-husband because they share three children. 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. locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. 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. To use suggested categories to consider options for ethical response to the dilemma. The treating therapist believes the options are: What are the possible emotional reactions to this situation? New York: John Wiley & Sons, Inc. frequent consultation requests by the trauma service. Apparently, no one is. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA 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 . PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 The EAP service provides a solution-focused, three-session benefit for companies within Virginia. (1998). He is also very concerned about confidentiality and wants assurances from Dr. Solomon. However, she begins to feel uncomfortable as she feels like they are spending too much time together. 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. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. The Experience of Ethical Dilemmas, Burnout, and Stress Among A psychologist receives a phone call from a well-known internist in her area. During the interview, she was told that she would need to work independently, with only limited supervision. She has been doing much of the case management work, e.g. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. He does not view it as a therapy group. Dilemma 35: Initial Telepsychology Session for Free? The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. The cost of the online administration is $25, to be paid by the patient. When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. He would like help to work through the issues. stream Abstract All school counselors are considered mandated reporters. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? There is nothing unusual that stands out about their therapeutic relationship. Attempts to find social service agencies able to help him have not been successful. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. What would be your emotional response to this situation? Plenty lives and practices psychotherapy in a rural area. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. Simultaneously, the religious institution is adamant about this requirement. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< 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. Group of answer choices Growth in . <>>> 1 0 obj Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics The treating therapist is questioning what to do. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Dr. Jordan is a therapist who typically works with a wide variety of patients. Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. What are the ethical issues involved in this scenario? The counsellor is also conscious. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card.