ethical dilemmas in counseling vignettes

During the current session, the confides that he has made a new female friend. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. What are potential ethical issues with this invitation? They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Render date: 2023-03-04T21:33:13.444Z A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. 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. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. Mr. Tellanyone is feeling quite guilty about his mother. He does not view it as a therapy group. Dr. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. What are the potential pitfalls in the scenario? What are other steps that the therapist may want to take in this situation? The main therapeutic issues are depression and loneliness. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. What are some potential responses that you could offer Dr. Bishop? It was revealed that counsellors prioritise the students benefit and respect students privacy. What, if anything, should the therapist do? PDF Becoming A Helper 6th Edition By Corey Pdf / Richard Nelson-Jones The lawyerpatient comments that this seems low. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. outside her scope of practice? 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? Dr. Jordan is a therapist who typically works with a wide variety of patients. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. Mr. Biggy and Dr. Smith meet in an unplanned social venue. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? Dr. Goodfriend speaks with Buddy about once every six to nine months. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. First, these vignettes are meant to be teaching tools. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. 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. 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. 2. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The therapist feels stuck and overwhelmed by her present situation. Case Vignettes for Review How would you feel if you were the consultant? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. The therapist, her husband, and his ex-wife are on good terms. 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. adapted and used used with consent from a state psychological association. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. 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 use suggested categories to consider options for ethical response to the dilemma. 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 patient presents with a history of rejection and abandonment as well as being abused by persons of power. 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 Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. are 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. 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. Results will be available to you and the patient online. She actually attended his graduation party briefly and hired him to cut her lawn for two years. 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. Apparently, no one is. He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. Buddy states that he has been feeling stressed over the last month. PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay With whom does the therapist discuss the multiple roles? A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Encourage the client to file a complaint with the State Board of Psychology. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. cn]JlmQSMDM>pEm+gxMU]``tQqKF The treating therapist believes the options are: What are the possible emotional reactions to this situation? Dr. Ron Popeil, a local therapist, is upgrading his web site. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Ethics Rounds--Multiple relationships: A vignette mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K What are the ethical issues involved in this case? Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. 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. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U The PASS-2 is administered online, from any computer, iPad, or iPhone. Would your answer differ if there were no advanced directives? Dr. Goodfriend receives a call from Buddy, his very close high school friend. He asked the attorney if anyone is contesting the will. 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. 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. During the last two years, she required total care. 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. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Standards of Practice, B. Counselling Relationships, Confidentiality. Abstract All school counselors are considered mandated reporters. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. If you were Dr. Jordan, how would you feel about this request? Ethical Conflicts In Psychology Book Pdf Download Prior to providing extra-therapy support, Dr. He recalled that he was an older person with significant depression who eventually became better. Does the therapist who hears this information have any legal obligations? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? The patient was in therapy for approximately one year. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 If you were a co-owner of the business, how would you feel about this situation? During the interview, she was told that she would need to work independently, with only limited supervision. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. 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. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. 1 0 obj Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Continuing Education & Ethical Resources For Mental Health Professionals. Are there additional considerations for how to approach the referring physician when calling back? What are the possible downsides to entering the dual relationship? The results and implications for counsellors, counsellor educators and researchers are discussed. Along with. School Law for counselors, psychologists, and social workers . He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. 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. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. PDF Family ties: Tackling issues of objectivity and boundaries in counseling Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness 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. DILEMMA ONE White Plains, NY: Longman. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Menu. What factors make this situation potentially easy for you as a therapist? 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. iRE]7*ZG; K5|h{. Simultaneously, he strongly believes he made the right decision. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. 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. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. ; & Hartshorne,T.S. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. You are checking your email after a busy day. COUC 501 Ethical and Legal Issues in Counseling - Course Hero His attorney believes that some good, written character references will really help out with the case. Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Dr. Smith is now worried about the entire situation. Just as he is about to hang up, Buddy says, Thanks. 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. 4 0 obj School Counselors' Experiences With Ethical Decision Making As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. Plenty lives and practices psychotherapy in a rural area. 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. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. If you were Dr. Goodfriend, how do you feel about the phone call? He will likely need to go into an assisted living facility. What do you believe is the best course of action? The therapist does not dwell on the situation with the patient. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. He is marginally coherent and unable to give any consistent responses. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Standards of practice, part B.9 states that . Fowers and Davidov (2006) link the "multicultural movement" to classical writings about ethics in the philosophy literature,contrasting "virtue ethics"with merely following the rules. Refer the matter to the State Board of Psychology. Ethical dilemmas of school counsellors: A vignette study Ethical Dilemmas - IResearchNet - Psychology 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. 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. Harry is a school guidance counselor who is just got a job at a large public high school. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Group of answer choices Growth in . While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). The counsellor is also conscious. View all Google Scholar citations This has caused both his physical and Case Vignettes for Review ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD ethical dilemmas in counseling vignettes - helpfulmechanic.com Dr. Tell allowed several moments to pass before asking the patient what was happening. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries Attempts to find social service agencies able to help him have not been successful. stream How would you advise Dr. Thomas to handle them? In hindsight, what triggered some possible difficulties in this situation? 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. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Is Dr. What steps does the psychologist need to take? The mother explains that the child has run away and the mother has reported the child missing to the police. 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. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. A psychologist receives a phone call from a well-known internist in her area. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. ocuk Koruma Kanunu [Child Protection Law]. Among other things, the report contained a psychological evaluation of the patient. Can the therapist continue the treatment relationship with the patient? The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. Mr. DiMencha demonstrates a variety of cognitive deficits. 6768). If you were the psychologist, what would be your emotion response to this situation? At the end of the session, the therapist asks for the requisite fee as stated on the phone. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 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.

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