White Plains, NY: Longman. 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. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. 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. 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? First, these vignettes are meant to be teaching tools. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. It was revealed that counsellors prioritise the students benefit and respect students privacy. Next, most vignettes have more than one ethical issue that can be addressed. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. The position pays much more than shes making at the community agency, and is within ten minutes of her home. Group of answer choices Growth in . Mr. Biggy and Dr. Smith meet in an unplanned social venue. Dr. Goodfriend receives a call from Buddy, his very close high school friend. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. P. (1996). 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. If you were a co-owner of the business, how would you feel about this situation? He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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. However, she begins to feel uncomfortable as she feels like they are spending too much time together. A female therapist in a suburban area has worked with a male patient for about one year. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp
During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. 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. Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. 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. Jacob-Timm,S. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. How would you feel about receiving this request? (1998). 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. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. 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. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Dr. Bishop calls you for a consult about this situation. 6768). Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. endobj
Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Dilemma 6: Referral and Treatment Boundaries. 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. An ongoing theme in therapy revolves around his sexual orientation. While Chuck now lives in an apartment in town, she remembers him well. 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. 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. He promised to call her back within a week. Dilemma 20: Has the Psychologist Done Too Much? Dr. Popeil thinks these ideas are good. 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. Dans vision is that the group would meet periodically to provide one another with support, to do problem solving, to share information and personal struggles, and perhaps to provide some psycho-educational work on campus. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. A therapist is treating a client who is involved in a legal proceeding. 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
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If you were the psychologist, how would you feel about the situation? Currently, the patient is denying the fact that she has made past threats toward her neighbor. are The ICU staff asks for your input. He also indicated that the relationship is taking on a more serious tone. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. Simultaneously, the religious institution is adamant about this requirement. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Harry is a school guidance counselor who is just got a job at a large public high school. Would your answer differ if the advanced directive was created 7 years ago or greater? The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. What do you believe is the best course of action? : ethical dilemmas, burnout, stress, practicing counselors. 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. Glover, J. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. 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. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. 3 0 obj
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. Dr. Tell allowed several moments to pass before asking the patient what was happening. 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. What problems may occur as a function of Dr. 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. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Dr. Smith decided to review the report. What would be your emotional response to this situation? Dr. Ron Popeil, a local therapist, is upgrading his web site. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. The therapist and the young man have been engaged in psychotherapy for the past 2 years. Mr. Tellanyone is feeling quite guilty about his mother. What are the possible downsides to entering the dual relationship? The therapist feels stuck and overwhelmed by her present situation. What concrete steps might be important before calling the physician back? ethical dilemmas in counseling vignetteswvu mechanical engineering research. 2. The patient was in therapy for approximately one year. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Ethical Vignette Paper # Jodi Walters Liberty University. A therapist receives a phone call from a well-known internist in her area. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. What are potential advantages in this scenario? You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. xVN0}-m8 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. : Ethical and Legal Ramifications of Documentation Decisions. Ethics and law for school psychologists . The therapist ignores the comment and finishes by setting their initial appointment. The main therapeutic issues are depression and loneliness. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. You are a therapist in a busy acute care hospital where you receive. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Patient contact information will be part of the administration process. Dr. Smith is a therapist who has worked with a young woman for about 9 months. His impairment is noticeable by Dr. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Standards of practice, part B.9 states that . The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. The patient had been in treatment for about 10 months on a weekly basis. She actually attended his graduation party briefly and hired him to cut her lawn for two years. What are the ethical issues, if any, involved in this case? 2 Print version: page 62 6 min read 0 Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. raised by clinical vignettes such as those below, The therapist then phones you for an informal consultation. There is nothing unusual that stands out about their therapeutic relationship. What should you do with this email solicitation? 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. Results will be available to you and the patient online. Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. This particular vignette, Swenson said, may well fail the two-prong test. The therapist knows her new boss, Mr. Biggy. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. 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. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. During the interview, she was told that she would need to work independently, with only limited supervision. He confides that he would like to have an affair with her. The therapist and the attorney-patient meet for the initial session. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. What clinical concerns arise for you in this scenario? As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. 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. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Plenty lives and practices psychotherapy in a rural area. 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. Published online by Cambridge University Press: Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. 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. Tara was offered this position after successfully completing both her practicum and her internship at the center. of family ties, but counselors in many other specialties will run into these issues too. Dilemma 35: Initial Telepsychology Session for Free? Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. She does not feel right taking a fee larger than her usual and customary rate.