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. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. What problems may occur as a function of Dr. P. (1996). A psychologist works in an outpatient substance abuse treatment facility. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. She recently received an offer to become a sales representative for a pharmaceutical company. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Dr. Goodfriend speaks with Buddy about once every six to nine months. What are some of the potential ethical pitfalls in this scenario? Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? In the context of counseling, family includes people related through . Approaching ethical dilemmas. Others sources will also be used. 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. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. His attorney believes that some good, written character references will really help out with the case. During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. Programs that do not qualify for NBCC credit are clearly identified. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. How would you advise Dr. Thomas to handle them? adapted and used used with consent from a state psychological association. : ethical dilemmas, burnout, stress, practicing counselors. 2 Print version: page 62 6 min read 0 He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. A psychologist receives a phone call from a well-known internist in her area. 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. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. <>>> By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Dilemma 20: Has the Psychologist Done Too Much? He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. The ex-wife moved back to the area about six months ago. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. With her husband, the patient and the ex-wife? 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. Apparently, no one is. 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. Standards of Practice, B. Counselling Relationships, Confidentiality. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. The therapist knows her new boss, Mr. Biggy. To use suggested categories to consider options for ethical response to the dilemma. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Jacob-Timm,S. Address the matter with the other therapist directly. The patient has trust issues with his parents, especially his father. 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. If you were the psychologist, how would you feel about the situation? His father has declined rapidly since the death of his wife and now requires total care. Total loading time: 0 Dilemma 6: Referral and Treatment Boundaries. Would your answer differ if there were no advanced directives? endobj Dr. Jordan returns the phone call. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. The days allocated for her stay by her insurance are ending in two days. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. Dr. Goodfriend receives a call from Buddy, his very close high school friend. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. During the last two years, she required total care. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. What, if anything, should the therapist do? 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. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. 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 An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. The therapist expresses her concerns about working with a patient whose father is prescribing medication. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. However, after the session, the therapist feels uneasy about what his patient revealed. In a therapy session in an outpatient substance abuse treatment facility, a patient reveals that an agency staff person another therapist in a different department has paid to have sex with another patient in the treatment facility Lyla, who is a prostitute. The therapist cannot remember many details about the patient. The therapist and the young man have been engaged in psychotherapy for the past 2 years. He recalled that he was an older person with significant depression who eventually became better. After the phone call, the therapist checks the waiting room and sees the patient there. His impairment is noticeable by Dr. 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. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. The counsellor is also conscious. Along with. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. The ICU staff asks for your input. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Refer the matter to the State Board of Psychology. x#86h)Ppcc0F( k/ She does not feel right taking a fee larger than her usual and customary rate. What are some possible suggestions for Dr. Jordan? During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. The therapist then phones you for an informal consultation. What are the ethical concerns in this scenario? Does the therapist who hears this information have any legal obligations? From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. The therapist pulls the former patients chart. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Ethics and law for school psychologists . Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. 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 asked the attorney if anyone is contesting the will. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. 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. White Plains, NY: Longman. 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 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. 2 0 obj Dan explained to Dr. Crane that this group would be student-led and meet on campus. frequent consultation requests by the trauma service. During the current session, the confides that he has made a new female friend. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. 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. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. 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. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. 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. Learning From Ethical Vignettes This workshop is based on discussion of ethical issues raised by clinical vignettes such as those below, adapted and used used with consent from a state psychological association. Most issues do not produce ethical dilemmas, but some do. The Center is solely responsible for all aspects of the programs. An ongoing theme in therapy revolves around his sexual orientation. One day, Dr. Bishop receives a phone call from his contact at the institution. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Glover, J. A female therapist in a suburban area has worked with a male patient for about one year. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. Dr. Smith decided to review the report. Is Dr. They have dinner as couples several times per year. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) She told the student that she would think about the request prior to answering. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. It then provides six vignettes where supervisors are faced with ethical dilemmas. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. She stated that Dr. Jordan recommended that she write down her memories. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. While it is not a complete assessment, it can guide patients to you for further psychological consultation. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. The treating therapist is questioning what to do. raised by clinical vignettes such as those below, 4 0 obj 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. 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. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Dr. Tell allowed several moments to pass before asking the patient what was happening. Sci Rep 12, 22416 (2022). What are some likely emotional reactions would you have in this situation? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Can the client contact Child Protective Services anonymously in this case? Next, most vignettes have more than one ethical issue that can be addressed. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. What are the possible downsides to entering the dual relationship? Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? This has caused both his physical and Dr. Thomas is a mental health professional who is a part owner of a private group practice, some members of which offer Employee Assistance Program (EAP) services. 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. endobj He complains loudly about his parents and his girlfriend. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. 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. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Prior to their next session, Dr. Smith calls you for a consultation. During the interview, she was told that she would need to work independently, with only limited supervision. What would you need from the attorney? ACE provider approval period: 3/21/2021-3/21/2024. Learning Objectives: Widely adopted as a textbook in graduate psychology courses in ethics and continuing education development, this innovative volume presents readers with over 100 different perspectives on crucial ethical issues and offers possible solutions from an expert ethics educator, psychologist, and former APA general counsel. The Submit Answers for Grading feature requires scripting to function. %PDF-1.3 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. 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. 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. Buddy states that he has been feeling stressed over the last month. Render date: 2023-03-04T21:33:13.444Z If you were Dr. Miller, what are your emotional reactions to this situation? In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. With whom does the therapist discuss the multiple roles? The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. For example, the first vignette, which The main therapeutic issues are depression and loneliness. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. The following email catches your attention. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Mr. Tellanyone is feeling quite guilty about his mother. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. % Prior to returning the call, Dr. Jordan reviews the patients chart. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates.
Barstool Classic Gift Bag, Are Travis And Tyson Etienne Related, Articles E

ethical dilemmas in counseling vignettes 2023