ethical dilemmas in counseling vignettes

The treating therapist is questioning what to do. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. She has been doing much of the case management work, e.g. The following email catches your attention. 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. What are some potential responses that you could offer Dr. Bishop? 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. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Dr. Goodfriend speaks with Buddy about once every six to nine months. Dr. Smith decided to review the report. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Sci Rep 12, 22416 (2022). As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? 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. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. What are potential ethical issues with this invitation? Dilemma 20: Has the Psychologist Done Too Much? 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. The therapist then phones you for an informal consultation. xVN0}-m8 When she asks about insurance, he indicates that he will pay in cash. 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. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. She calls you for an ethics consult. / ethical dilemmas in counseling vignettes. The lawyerpatient comments that this seems low. Dr. Ron Popeil, a local therapist, is upgrading his web site. 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. An ongoing theme in therapy revolves around his sexual orientation. Feature Flags: { Harry is a school guidance counselor who is just got a job at a large public high school. Dr. Bishop calls you for a consult about 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. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Hostname: page-component-7fc98996b9-g9qcd Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. 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. However, after the session, the therapist feels uneasy about what his patient revealed. Plenty lives and practices psychotherapy in a rural area. An important factor is that there is no cost to you, as the therapist. Buddy states that he has been feeling stressed over the last month. <> 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. Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. Ethical dilemmas. What steps does the psychologist need to take? Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. <> Attempts to find social service agencies able to help him have not been successful. If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma 1. He complains loudly about his parents and his girlfriend. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. What clinical concerns arise for you in this scenario? 4 0 obj 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 indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Encourage the client to file a complaint with the State Board of Psychology. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. 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. 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. 6768). endstream Prior to providing extra-therapy support, Dr. Out of options, Dan is asking Dr. Crane to be the faculty advisor. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. 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. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. endobj Ethical Vignette Paper # Jodi Walters Liberty University. Your browser either does not support scripting or you have turned scripting off. The therapist knows her new boss, Mr. Biggy. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. 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. What concrete steps might be important before calling the physician back? The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Is Dr. Approaching ethical dilemmas. Are there any other concerns about the web developer/consultants strategies? What suggestions or recommendations would you offer to the therapist? . Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Prior to their next session, Dr. Smith calls you for a consultation. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Learning Objectives: Mr. Tellanyone is feeling quite guilty about his mother. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. With her husband, the patient and the ex-wife? Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Regulatory boards are the final authority on courses accepted for continuing education credit. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. A therapist had an intake appointment with a new client. 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. How would you feel if you were the consultant? While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. 6 0 obj ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . The treatment notes indicate that she dropped out of therapy about one year ago. 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. 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. 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. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. The patient has trust issues with his parents, especially his father. 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. Contemplate these 16 conundrums. Published online by Cambridge University Press: What are some recommendations that you would make to the psychologist? During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Is Dr. Tell a mandated reporter in this situation? Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Buddy also shares that he has been short tempered with his wife and kids. The patient was in therapy for approximately one year. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. What are the ethical issues involved in this situation? In the code, 18VAC115-20-130. View all Google Scholar citations 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. The main therapeutic issues are depression and loneliness. To use suggested categories to consider options for ethical response to the dilemma. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? During the current session, the confides that he has made a new female friend. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. The patient repeated this line of questioning during the first face-to-face session. The therapist, her husband, and his ex-wife are on good terms. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Are there any ethical considerations in this dilemma? My name is Dr. If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? Divide and Rule? She mentions that she is still in communication with her ex-husband because they share three children. Mr. Biggy indicates that he wants to talk more about his feelings.

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