Running Head: ETHICAL VIGNETTE. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. While Chuck now lives in an apartment in town, she remembers him well. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. The physician wants the psychologist to treat his 17-year-old daughter . Total loading time: 0 Encourage the client to file a complaint with the State Board of Psychology. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; There is nothing unusual that stands out about their therapeutic relationship. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. The client continued to struggle. Contemplate these 16 conundrums. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. are *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp The ICU staff asks for your input. Harry is a school guidance counselor who is just got a job at a large public high school. His family lives at a distance and provides minimal help. School Law for counselors, psychologists, and social workers . Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. 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. Are there competing ethical principles? He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. 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. 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. Next, most vignettes have more than one ethical issue that can be addressed. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. If you were a co-owner of the business, how would you feel about this situation? After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. image.jpg Liberty University Ethical and Legal Issues in Counseling . I encourage you to review our web site. The patient repeated this line of questioning during the first face-to-face session. She actually attended his graduation party briefly and hired him to cut her lawn for two years. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. The clients boyfriend expressed that she should never discuss this with anyone. The therapist has not worked with the patient for about two years. He thinks that she is young and impressionable. Results will be available to you and the patient online. What are some of the potential ethical pitfalls in this scenario? Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. P. (1996). A therapist receives a phone message from a former patient. She stated that Dr. Jordan recommended that she write down her memories. %PDF-1.5 The contact is now requesting that Dr. Bishop begin to screen individuals for homosexual tendencies because, according to the doctrines of the denomination, such individuals are not eligible to become clergy. Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. 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. He would like help to work through the issues. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. What would you likely do with this email solicitation? If you have further questions, feel free to contact me. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. The cost of the online administration is $25, to be paid by the patient. Dilemma 20: Has the Therapist Done Too Much? What steps does the psychologist need to take? To use provided clinical vignettes to practice how to recognize the ethical and legal issues. It was revealed that counsellors prioritise the students benefit and respect students privacy. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. endobj Address the matter with the other therapist directly. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Out of options, Dan is asking Dr. Crane to be the faculty advisor. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Dilemma 35: Initial Telepsychology Session for Free? The following email catches your attention. The results and implications for counsellors, counsellor educators and researchers are discussed. endstream T. he counseling field is rich with ethical issues (American Counseling Association [ACA], 2014; Bodenhorn, 2006; Herlihy & Dufrene, 2011), so counselors have to be knowledgeable about current ethical and legal topics and attentive to their day-to-day clinical work. When asked about the reason for the referral, she said that her physician had referred her for anxiety. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . 3 0 obj A therapist had an intake appointment with a new client. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. %PDF-1.3 Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. 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. 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. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Therapist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. What are some actions that you, as the treating therapist, may have done differently? From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. A psychologist receives a phone call from a well-known internist in her area. Published online by Cambridge University Press: 7 0 obj He is marginally coherent and unable to give any consistent responses. To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. The patient has trust issues with his parents, especially his father. The physician explains that he has been medicating her for about four months with Prozac and Klonopin, once he became aware of her eating disordered behavior. His mother had suffered from a combination of severe respiratory problems and Alzheimers. 6 0 obj 2 0 obj : ethical dilemmas, burnout, stress, practicing counselors. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. It may rather be a sign that one is fully engaged in the life of a community. What concrete steps might be important before calling the physician back? He promised to call her back within a week. What are potential advantages in this scenario? If you were Dr. Jordan, how would you feel about this request? School counsellors often encounter ethically challenging situations due to contradictory values and roles. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. The therapist remembers the former patient as a likeable person. What are the ethical issues for this scenario? Qualitative content analysis in practice. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. Dilemma 20: Has the Psychologist Done Too Much? The main therapeutic issues are depression and loneliness. What are the potential ethical issues in this case? From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. My company has developed a unique opportunity for you and your associates. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 4 0 obj What are some potential responses that you could offer Dr. Bishop? When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. View all Google Scholar citations ACE provider approval period: 3/21/2021-3/21/2024. Dr. Smith is a therapist who has worked with a young woman for about 9 months. (Log in options will check for institutional or personal access. If you were Dr. Miller, what are your emotional reactions to this situation? She recently received an offer to become a sales representative for a pharmaceutical company. <> The mother explains that the child has run away and the mother has reported the child missing to the police. The therapist cannot remember many details about the patient. Ethical Vignette Paper # Jodi Walters Liberty University. 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. iRE]7*ZG; K5|h{. Dr. Tell allowed several moments to pass before asking the patient what was happening. The treating therapist is questioning what to do. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. In the context of counseling, family includes people related through . Uncertain, she calls you for an ethics consultation. At the end of the day, he listens to voicemail messages to learn that a former patient is reaching out to him for a request. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. She recalled that he agreed that it could make a good book. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Standards of Practice, B. Counselling Relationships, Confidentiality. While he did complete his Legal and Ethical Issues in Counseling class while working on his masters degree, he feels that now that he working in the real world, he should review and discuss the Code of Ethics and the Standards of Practice with his peers. The PASS-2 is administered online, from any computer, iPad, or iPhone. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. Plenty acting beyond the limits of her competency? What are the potential ethical concerns about this scenario, if any? 1 0 obj Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Prior to their next session, Dr. Smith calls you for a consultation. Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. My name is Dr. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Dr. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. The supervisee is very worried and afraid to tell What are the ethical issues, if any, involved in this case? To use suggested categories to consider options for ethical response to the dilemma. 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. 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. The therapist, her husband, and his ex-wife are on good terms. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. The therapist and the attorney-patient meet for the initial session. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> What are some recommendations that you would make to the psychologist? Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. The Clear Answers and Start Over feature requires scripting to function. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. An important factor is that there is no cost to you, as the therapist. 6768). The mother further reports that the patients cousin has been driving the patient around town. T2 0#8r\ How would you feel about receiving this request? (1993). Not knowing what to do, and realizing that the next patient is in the waiting room, the therapist takes the cash and sets up another appointment. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. 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. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. This particular vignette, Swenson said, may well fail the two-prong test. 8 0 obj 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.