ethical dilemmas in counseling vignetteswhat aisle are prunes in at kroger

Ethics and law for school psychologists . A court appointed custody evaluator performed a child custody evaluation. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Sue schedules the appointment for early in the evening. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? She stated that Dr. Jordan recommended that she write down her memories. 3. Dr. Smith is now worried about the entire situation. Dilemma 20: Has the Psychologist Done Too Much? Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. The supervisee is very worried and afraid to tell The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. stream 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 marital situation appears deteriorated and Mr. Drapier appears significantly depressed. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. 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. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. 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. Prior to their next session, Dr. Smith calls you for a consultation. The clients boyfriend expressed that she should never discuss this with anyone. endobj The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Out of options, Dan is asking Dr. Crane to be the faculty advisor. If you were Dr. Goodfriend, how do you feel about the phone call? During the last two years, she required total care. She mentions that she is still in communication with her ex-husband because they share three children. 4 0 obj The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. 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. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. His family lives at a distance and provides minimal help. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . During the current session, the confides that he has made a new female friend. Dr. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Both therapists are of the same profession. They have dinner as couples several times per year. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. You are a therapist in a busy acute care hospital where you receive. What problems may occur as a function of Dr. Dr. Goodfriend speaks with Buddy about once every six to nine months. What are other steps that the therapist may want to take in this situation? What suggestions or recommendations would you offer to the therapist? In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Continuing Education & Ethical Resources For Mental Health Professionals. P. (1996). <> Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? 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. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. You are checking your email after a busy day. 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. What are some possible suggestions for Dr. Jordan? At the end of the session, the therapist asks for the requisite fee as stated on the phone. 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. Among other things, the report contained a psychological evaluation of the patient. 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. 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. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? I encourage you to review our web site. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Hostname: page-component-7fc98996b9-g9qcd What would you need from the attorney? Can the therapist continue the treatment relationship with the patient? Buddy also shares that he has been short tempered with his wife and kids. The Center is solely responsible for all aspects of the programs. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. An ongoing theme in therapy revolves around his sexual orientation. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. 3 0 obj 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. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? image.jpg Liberty University Ethical and Legal Issues in Counseling . Ethical Vignette Paper.docx. What obligations does the therapist have to the parent? The Submit Answers for Grading feature requires scripting to function. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. His father has declined rapidly since the death of his wife and now requires total care. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . He also indicated that the relationship is taking on a more serious tone. 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. He does not view it as a therapy group. : ethical dilemmas, burnout, stress, practicing counselors. 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. 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. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. 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. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. 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. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. School counsellors often encounter ethically challenging situations due to contradictory values and roles. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . <> After the session is over, the therapist has time to reflect on her concerns. The physician wants the psychologist to treat his 17-year-old daughter . Standards of practice, part B.9 states that . Dilemma 35: Initial Telepsychology Session for Free? At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Jacob-Timm,S. %PDF-1.5 Mr. Tellanyone is feeling quite guilty about his mother. A female therapist in a suburban area has worked with a male patient for about one year. He would like help to work through the issues. <> They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Abstract All school counselors are considered mandated reporters. 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. 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. 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. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. What are some of the potential ethical pitfalls in this scenario? First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. If you decide to provide information, would you consider communicating with the prior patients attorney? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. Mr. Biggy and Dr. Smith meet in an unplanned social venue. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. If you were the psychologist, how would you feel about the situation? What are potential ethical issues with this invitation? At the end of the day, the therapist reflects on the interaction her new lawyer-patient. The PASS-2 is administered online, from any computer, iPad, or iPhone. The therapist and the attorney-patient meet for the initial session. 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. Dr. Jordan returns the phone call. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. He also divulged that his risk-taking behavior has increased as well, such as speeding. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. adapted and used used with consent from a state psychological association. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. He confides that he would like to have an affair with her. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. The executor is Mr. Palmers brother, who lives in a different state. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Is Dr. Tell a mandated reporter in this situation? Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. View all Google Scholar citations What are the potential pitfalls in the scenario? !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< 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 How would you feel if you were the consultant? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. How would you feel about receiving this request? While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. 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. A therapist receives a phone call from a well-known internist in her area. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. 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. If you were Dr. Miller, what are your emotional reactions to this situation? The therapist expresses her concerns about working with a patient whose father is prescribing medication. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. 6768). The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. With whom does the therapist discuss the multiple roles? Dr. Goodfriend receives a call from Buddy, his very close high school friend. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. The treating therapist believes the options are: What are the possible emotional reactions to this situation? 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. Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. Group of answer choices Growth in . iRE]7*ZG; K5|h{. Dan explained to Dr. Crane that this group would be student-led and meet on campus. %PDF-1.3 When Dr. Jordan attempts to clarify the request, it becomes clear that the former patient is not asking to return to therapy, but instead is asking Dr. Jordan to become the co-author or a consultant for the book. His mother had suffered from a combination of severe respiratory problems and Alzheimers. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. 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. Dilemma 20: Has the Therapist Done Too Much? She does not feel right taking a fee larger than her usual and customary rate. He is marginally coherent and unable to give any consistent responses. Mr. DiMencha demonstrates a variety of cognitive deficits. Encourage the client to file a complaint with the State Board of Psychology. What are the potential ethical issues in this case? There is nothing unusual that stands out about their therapeutic relationship. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. In the context of counseling, family includes people related through . 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. What are the ethical issues for this scenario? He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Harry is a school guidance counselor who is just got a job at a large public high school. Results will be available to you and the patient online. He is talking with a young man, most likely his cousin. Dr. Smith decided to review the report. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dr. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. x#86h)Ppcc0F( k/ However, after the session, the therapist feels uneasy about what his patient revealed. Plenty acting beyond the limits of her competency? He asked the attorney if anyone is contesting the will. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. What are the possible downsides to entering the dual relationship? She recently received an offer to become a sales representative for a pharmaceutical company. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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. Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation.

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