ethical dilemmas in counseling vignettes ethical dilemmas in counseling vignettes

Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Currently, the patient is denying the fact that she has made past threats toward her neighbor. 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. ), 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. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. Dilemma 35: Initial Telepsychology Session for Free? Divide and Rule? During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Of course, they exist in all forms of counseling, from short-term advising . The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Regulatory boards are the final authority on courses accepted for continuing education credit. Glover, J. 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. With whom does the therapist discuss the multiple roles? Most issues do not produce ethical dilemmas, but some do. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. 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. Dr. Smith also asked if it is ethical to bill the patients insurance company to review his impressions of a forensic report during a psychotherapy session. School counsellors often encounter ethically challenging situations due to contradictory values and roles. 4 0 obj Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Prior to returning the call, Dr. Jordan reviews the patients chart. The therapist does not dwell on the situation with the patient. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. After the session is over, the therapist has time to reflect on her concerns. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. 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. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. 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. endobj 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Dan explained to Dr. Crane that this group would be student-led and meet on campus. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. While it is not a complete assessment, it can guide patients to you for further psychological consultation. Refer the matter to the State Board of Psychology. 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. An important factor is that there is no cost to you, as the therapist. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Learning Objectives: His impairment is noticeable by Dr. The Submit Answers for Grading feature requires scripting to function. stream Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. x#86h)Ppcc0F( k/ 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. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Workers Compensation refuses to pay for the case management services of an independent social worker. What are the ethical concerns in this scenario? The ICU staff asks for your input. His attorney believes that some good, written character references will really help out with the case. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. What are some likely emotional reactions would you have in this situation? 6 0 obj Tara was offered this position after successfully completing both her practicum and her internship at the center. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. What concrete steps might be important before calling the physician back? 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. Among other things, the report contained a psychological evaluation of the patient. Contemplate these 16 conundrums. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Dr. Smith is now worried about the entire situation. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. 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 suggestions or recommendations would you offer to the therapist? (1998). He also indicated that the relationship is taking on a more serious tone. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. They start spending more time together. Group of answer choices Growth in . For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. 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. What are the ethical issues involved in this situation? 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. White Plains, NY: Longman. My name is Dr. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? hasContentIssue true, The Author(s), 2022. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. 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. Is Dr. Tell a mandated reporter in this situation? How would you advise Dr. Thomas to handle them? The physician wants the psychologist to treat his 17-year-old daughter . You are a therapist in a busy acute care hospital where you receive. adapted and used used with consent from a state psychological association. Plenty acting beyond the limits of her competency? Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. COUC 501 Ethical and Legal Issues in Counseling - Course Hero ethical dilemmas in counseling vignettes - helpfulmechanic.com The days allocated for her stay by her insurance are ending in two days. Hence, the admission is voluntary. 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 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. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. The mother explains that the child has run away and the mother has reported the child missing to the police. Dan asked a number of faculty members to be the faculty advisor of this group. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. 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. 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. Your browser either does not support scripting or you have turned scripting off. 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. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. After the phone call, the therapist checks the waiting room and sees the patient there. The therapist and the attorney-patient meet for the initial session. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Your browser either does not support scripting or you have turned scripting off. It may rather be a sign that one is fully engaged in the life of a community. 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. She calls you for an ethics consult. The therapist ignores the comment and finishes by setting their initial appointment. The therapist has not worked with the patient for about two years. ethical dilemmas in counseling vignettes. Mock Ethics Vignettes - BRAIN Part of her struggle is that she sees her husband as more depressed now than when he started treatment. What are the ethical issues for this scenario? Does the therapist who hears this information have any legal obligations? New York: John Wiley & Sons, Inc. How would you feel if you were the consultant? PDF ETHICAL DILEMMAS - SAGE Publications Inc Menu. Sue schedules the appointment for early in the evening. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. The cost of the online administration is $25, to be paid by the patient. 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. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. What would you likely do with this email solicitation? View all Google Scholar citations For example, the first vignette, which During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. A therapist receives a phone call from a well-known internist in her area. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Approaching ethical dilemmas - American Psychological Association Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. <>>> 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. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Ethical dilemmas of school counsellors: A vignette study A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Dr. Ron Popeil, a local therapist, is upgrading his web site. Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Dr. Smith is a therapist who has worked with a young woman for about 9 months. What are some possible suggestions for Dr. Jordan? Common Ethical Issues: Case Studies and Test Your Knowledge What factors make this situation potentially easy for you as a therapist? stream He also divulged that his risk-taking behavior has increased as well, such as speeding. <> If you have further questions, feel free to contact me. Ethics and law for school psychologists . The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. The client continued to struggle. Encourage the client to file a complaint with the State Board of Psychology. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. DILEMMA ONE Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries Can the client contact Child Protective Services anonymously in this case? She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. He promised to call her back within a week. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. She told the student that she would think about the request prior to answering. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. The client then asked if she could invite her boyfriend to the next session so that they could all discuss the information and the best way to handle the situation. She recalled that he agreed that it could make a good book. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. What would you need from the attorney? At the end of the session, the therapist asks for the requisite fee as stated on the phone. Therapy lasted about a year and focused on depression and relationship issues. endobj The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. The survey consisted of 10 vignettes based on the above ethical issues in.