ethical dilemmas in counseling vignettesethical dilemmas in counseling vignettes

Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. %PDF-1.5 Your browser either does not support scripting or you have turned scripting off. Regulatory boards are the final authority on courses accepted for continuing education credit. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. The position pays much more than shes making at the community agency, and is within ten minutes of her home. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Both therapists are of the same profession. 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. <> The therapist has not worked with the patient for about two years. This has caused both his physical and ethical dilemmas in counseling vignettes - laoiscivildefence.org 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. 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. In the code, 18VAC115-20-130. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. 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. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. The client continued to struggle. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? His mother had suffered from a combination of severe respiratory problems and Alzheimers. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. My name is Dr. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Others sources will also be used. Simultaneously, the religious institution is adamant about this requirement. 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. What are the ethical issues, if any, involved in this case? of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. ACE provider approval period: 3/21/2021-3/21/2024. The Center is solely responsible for all aspects of the programs. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Approaching ethical dilemmas - American Psychological Association However, the police report indicated she has made such verbal threats in the past but also, on several occasions, has damaged her neighbors property including scratching the paint on their car and throwing rocks at their house. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG View all Google Scholar citations During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. 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. 4 0 obj He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. 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. Attempts to find social service agencies able to help him have not been successful. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. He promised to call her back within a week. The following email catches your attention. Would your answer differ if the advanced directive was created 7 years ago or greater? It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. Results will be available to you and the patient online. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. Among other things, the report contained a psychological evaluation of the patient. Glover, J. Ethical Conflicts In Psychology Book Pdf Download 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. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. 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. If you were the psychologist, how would you feel about the situation? 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. During the current session, the confides that he has made a new female friend. What are some potential responses that you could offer Dr. Bishop? ; & Hartshorne,T.S. endobj For example, the psychologist might have to evict his client for failing to pay rent--or he might . Hence, the admission is voluntary. ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 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. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. An ongoing theme in therapy revolves around his sexual orientation. A psychologist receives a phone call from a well-known internist in her area. 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. She has been doing much of the case management work, e.g. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. 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. Standards of Practice, B. Counselling Relationships, Confidentiality. With her husband, the patient and the ex-wife? What would be your emotional response to this situation? As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? What should you do with this email solicitation? We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. 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. 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? (PDF) Ethical Issues in Counseling Supervision - ResearchGate 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. for this article. The treatment notes indicate that she dropped out of therapy about one year ago. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 4 0 obj The client then asked if she could invite her boyfriend to the next session so that they could all discuss the information and the best way to handle the situation. What concrete steps might be important before calling the physician back? In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. Dr. Goodfriend is unclear whether Buddy is serious or joking. 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. What are the ethical issues involved in this situation? What are some possible suggestions for Dr. Jordan? Sue schedules the appointment for early in the evening. After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. What do you believe is the best course of action? You are checking your email after a busy day. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. 1LzLxG`kvP@>. Encourage the client to file a complaint with the State Board of Psychology. outside her scope of practice? The mother explains that the child has run away and the mother has reported the child missing to the police. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Divide and Rule? 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) If you were the psychologist, what would be your emotion response to this situation? While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. 3. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Dr. Bishop calls you for a consult about this situation. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. What, if anything, should the therapist do? As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Qualitative content analysis in practice. 2. / ethical dilemmas in counseling vignettes. 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. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. P. (1996). 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. 1 pages. The supervisee is very worried and afraid to tell <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> What are some of the potential ethical pitfalls in this scenario? This particular vignette, Swenson said, may well fail the two-prong test. They developed a good therapeutic alliance. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. If you were Dr. Goodfriend, how do you feel about the phone call? 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. 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. The therapist ignores the comment and finishes by setting their initial appointment. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD What are some of the suggestions that you may have for the therapist about accepting or declining the referral? Abstract All school counselors are considered mandated reporters. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Render date: 2023-03-04T21:33:13.444Z Dr. Tell contacts you with the above scenario. endobj 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. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Refer the matter to the State Board of Psychology. What would you likely do with this email solicitation? However, she begins to feel uncomfortable as she feels like they are spending too much time together. Dr. Smith decided to review the report. What factors make this situation potentially difficult for you as a therapist? The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Dr. Goodfriend receives a call from Buddy, his very close high school friend. The results and implications for counsellors, counsellor educators and researchers are discussed. What are the possible downsides to entering the dual relationship? The therapist expresses her concerns about working with a patient whose father is prescribing medication. 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. How easy or how difficult would it be to take those steps? The patient has trust issues with his parents, especially his father. Has data issue: true The therapist obtains the keys and title for the vehicle. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. 2 0 obj You are a therapist in a busy acute care hospital where you receive. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. It may rather be a sign that one is fully engaged in the life of a community. 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. 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. First, these vignettes are meant to be teaching tools.
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