Ethical dilemmas. The physician wants the psychologist to treat his 17-year-old daughter . Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. 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? Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics What would you need from the attorney? The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. 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. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. He thinks that she is young and impressionable. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Can the client contact Child Protective Services anonymously in this case? 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. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. After the session is over, the therapist has time to reflect on her concerns. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. Your browser either does not support scripting or you have turned scripting off. Dr. Has data issue: true frequent consultation requests by the trauma service. 2 0 obj During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Hostname: page-component-7fc98996b9-g9qcd What steps does the psychologist need to take? Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. iRE]7*ZG; K5|h{. Plenty without any type of testing. The therapist cannot remember many details about the patient. To create paragraphs in your essay response, type
at the beginning of the paragraph, and
at the end. endobj . The executor is Mr. Palmers brother, who lives in a different state. Dr. Thomas wants him to come in immediately for a more indepth evaluation. What are the potential ethical issues with this case? During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. 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. A therapist is treating a client who is involved in a legal proceeding. 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. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Regulatory boards are the final authority on courses accepted for continuing education credit. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Refer the matter to the State Board of Psychology. If you decide to provide information, would you consider communicating with the prior patients attorney? ACE provider approval period: 3/21/2021-3/21/2024. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. 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. 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. 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. 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. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. outside her scope of practice? What are some potential responses that you could offer Dr. Bishop? From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. 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. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. My company has developed a unique opportunity for you and your associates. What, if anything, should the therapist do? Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. He is marginally coherent and unable to give any consistent responses. What are the ethical issues involved in this scenario? ), 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. 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. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. His father has declined rapidly since the death of his wife and now requires total care. A therapist receives a phone message from a former patient. They have dinner as couples several times per year. During the current session, the confides that he has made a new female friend. for this article. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K 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. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What suggestions or recommendations would you offer to the therapist? His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Others sources will also be used. 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. Are there any ethical considerations in this dilemma? 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. <>>> 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. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. When asked about the reason for the referral, she said that her physician had referred her for anxiety. (1993). Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. What are potential ethical issues with this invitation? During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. An important factor is that there is no cost to you, as the therapist. <> Dr. Ron Popeil, a local therapist, is upgrading his web site. She recalled that he agreed that it could make a good book. <> Mr. Tellanyone is feeling quite guilty about his mother. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. If you have further questions, feel free to contact me. She has been doing much of the case management work, e.g. What clinical concerns arise for you in this scenario? 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. endobj In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Glover, J. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? What are some of the suggestions that you may have for the therapist about accepting or declining the referral? What are some recommendations that you would make to the psychologist? He will likely need to go into an assisted living facility. 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. Dilemma 20: Has the Psychologist Done Too Much? Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Harry is a school guidance counselor who is just got a job at a large public high school. There is nothing unusual that stands out about their therapeutic relationship. This vignette poses several ethical dilemmas for counselors. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. The patient has never met the attorney face-to-face, only by email and phone contacts. His attorney believes that some good, written character references will really help out with the case. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. : ethical dilemmas, burnout, stress, practicing counselors. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. How easy or how difficult would it be to take those steps? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. To use suggested categories to consider options for ethical response to the dilemma. 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. What are the possible downsides to entering the dual relationship? Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. What are some actions that you, as the treating therapist, may have done differently? The results and implications for counsellors, counsellor educators and researchers are discussed. How would you feel if you were the consultant? She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? 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. What are other steps that the therapist may want to take in this situation? 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 actually attended his graduation party briefly and hired him to cut her lawn for two years. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Dr. Smith decided to review the report. The position pays much more than shes making at the community agency, and is within ten minutes of her home. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Workers Compensation refuses to pay for the case management services of an independent social worker. What would you likely do with this email solicitation? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. The PASS-2 is administered online, from any computer, iPad, or iPhone. A psychologist works in an outpatient substance abuse treatment facility. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. x#86h)Ppcc0F( k/ These issues included a. dual relationships, b. competence, c. informed consent, d. due process. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. Along with. 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. 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. Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. Does the therapist who hears this information have any legal obligations? The clients boyfriend expressed that she should never discuss this with anyone. Prior to returning the call, Dr. Jordan reviews the patients chart. The treating therapist is questioning what to do. Dan explained to Dr. Crane that this group would be student-led and meet on campus. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. The following email catches your attention. Are there competing ethical principles? A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? While it is not a complete assessment, it can guide patients to you for further psychological consultation. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Dr. Popeil thinks these ideas are good. Menu. Approaching ethical dilemmas. The therapist expresses her concerns about working with a patient whose father is prescribing medication. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Patient contact information will be part of the administration process. What are the ethical issues for this scenario? a73D%IhCTHA&:L0iAq(*p 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. While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. How would you advise Dr. Thomas to handle them? 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. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Are there any other concerns about the web developer/consultants strategies? 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. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* Attempts to find social service agencies able to help him have not been successful. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. The therapist ignores the comment and finishes by setting their initial appointment. Can the therapist continue the treatment relationship with the patient? However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Simultaneously, he strongly believes he made the right decision. Feature Flags: { If you were Dr. Jordan, how would you feel about this request? While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. However, she begins to feel uncomfortable as she feels like they are spending too much time together. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. are You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) What would be your emotional response to this situation? Render date: 2023-03-04T21:33:13.444Z / ethical dilemmas in counseling vignettes. Would your answer differ if there were no advanced directives? The therapist then phones you for an informal consultation. 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 ex-wife moved back to the area about six months ago. The Center maintains responsibility for this program and its content. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Learning Objectives:Atom Henares And Ronnie Henares,
How Do The Angels Appear In Stanza Xi?,
Why Did Jamie Vardy Change His Name,
Articles E