of family ties, but counselors in many other specialties will run into these issues too. While it is not a complete assessment, it can guide patients to you for further psychological consultation. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. for this article. . Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. Sue schedules the appointment for early in the evening. Results will be available to you and the patient online. Dilemma 20: Has the Therapist Done Too Much? Can the therapist continue the treatment relationship with the patient? % ethical dilemmas in counseling vignettes. Ethical Dilemmas - IResearchNet - Psychology outside her scope of practice? Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette The following email catches your attention. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. For example, the psychologist might have to evict his client for failing to pay rent--or he might . The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). 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. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. The therapist knows her new boss, Mr. Biggy. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. 2 0 obj A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? 2. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Mr. Tellanyone is feeling quite guilty about his mother. Several weeks after beginning to go on sales calls, your patient reports that Mr. Biggy is complimenting her on the way she looks and her ability to make the sale. What are the potential pitfalls in the scenario? iRE]7*ZG; K5|h{. What factors make this situation potentially easy for you as a therapist? The therapist obtains the keys and title for the vehicle. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Jacob-Timm,S. %PDF-1.3 What are the potential ethical concerns about this scenario, if any? During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. endobj Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). To use provided clinical vignettes to practice how to recognize the ethical and legal issues. 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. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. 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. 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. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. 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. 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. COUC 501 Ethical and Legal Issues in Counseling - Course Hero The patient was in therapy for approximately one year. This has caused both his physical and If you decide to provide information, would you consider communicating with the prior patients attorney? Prior to their next session, Dr. Smith calls you for a consultation. The Submit Answers for Grading feature requires scripting to function. 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. 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. What are some potential responses that you could offer Dr. Bishop? PDF American Counseling Association Ethical Dilemma Julia Coley, Ammi Can the client contact Child Protective Services anonymously in this case? Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. He promised to call her back within a week. Running Head: ETHICAL VIGNETTE. 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. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. Mr. Biggy indicates that he wants to talk more about his feelings. 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. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. endobj In the context of counseling, family includes people related through . Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. She calls you for an ethics consult. What suggestions or recommendations would you offer to the therapist? They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. If you were Dr. Miller, what are your emotional reactions to this situation? Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. 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. Dr. Goodfriend is unclear whether Buddy is serious or joking. School Counselors' Experiences With Ethical Decision Making Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. What obligations does the therapist have to the parent? Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. 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. When she asks about insurance, he indicates that he will pay in cash. At the end of the day, he listens to voicemail messages to learn that a former patient is reaching out to him for a request. Ethical Dilemmas in Counseling | Psychology Today United Kingdom In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. 1LzLxG`kvP@>. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Would your answer differ if the advanced directive was created 7 years ago or greater? Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. Ethical dilemmas in clinical supervision. 1: Need for guidelines With her husband, the patient and the ex-wife? What should you do with this email solicitation? 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. The Experience of Ethical Dilemmas, Burnout, and Stress Among Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. The treatment notes indicate that she dropped out of therapy about one year ago. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Content may require purchase if you do not have access. 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. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. February 27, 2023 . The days allocated for her stay by her insurance are ending in two days. The results and implications for counsellors, counsellor educators and researchers are discussed. What are some of the potential ethical pitfalls in this scenario? The patient has trust issues with his parents, especially his father. Dr. Ron Popeil, a local therapist, is upgrading his web site. Dr. Smith decided to review the report. Are there competing ethical principles? However, the attorney has little awareness about how impaired Mr. DiMencha is. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education.
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