After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! New York: John Wiley & Sons, Inc. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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? Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. 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. 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* What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? (Log in options will check for institutional or personal access. After some other small talk, Dr. Smith leaves to mingle with other friends. Would your answer differ if there were no advanced directives? The mother explains that the child has run away and the mother has reported the child missing to the police. Regulatory boards are the final authority on courses accepted for continuing education credit. 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. He will likely need to go into an assisted living facility. Dr. Popeil thinks these ideas are good. 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. Can the client contact Child Protective Services anonymously in this case? During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Ethics Vignette #2 A local psychiatrist is referred by his attorney for neuropsychological evaluation related to possible mild head injury ( traumatic brain injury) from a MVA. Contemplate these 16 conundrums. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. 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. Cynthia, a counselor who had been successfully working as an AIDS and substance abuse counselor in a large city for several years, recently moved to a very affluent suburb and decided to open a private practice. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. Dan explained to Dr. Crane that this group would be student-led and meet on campus. Divide and Rule? Apparently, no one is. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Has data issue: true Part of her struggle is that she sees her husband as more depressed now than when he started treatment. She went on to detail how her boyfriend described how his uncle was involved in collecting and distributing child pornography but remained faithful to his aunt. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. ), 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. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. What are the ethical issues involved in this case? Cynthia had already invested quite a bit of money into her private practice, and was determined to make it work, regardless of the type of clients she had to treat. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Ethical dilemmas. stream By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. The patient was in therapy for approximately one year. 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. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. 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. The therapist then phones you for an informal consultation. endobj As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. 1. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. What emotional reactions may occur for the therapist? And, how would you, as the treating therapist, deal with those emotions? What are potential ethical issues with this invitation? My company has developed a unique opportunity for you and your associates. What factors make this situation potentially difficult for you as a therapist? Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. She does not feel right taking a fee larger than her usual and customary rate. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. He confides that he would like to have an affair with her. Are there any ethical considerations in this dilemma? If you were Dr. Miller, what are your emotional reactions to this situation? He thinks that she is young and impressionable. 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. The therapist pulls the former patients chart. If you decide to provide information, would you consider communicating with the prior patients attorney? Dilemma 35: Initial Telepsychology Session for Free? The ICU staff asks for your input. The therapist screens the potential patient and believes that she can help him. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. With whom does the therapist discuss the multiple roles? 3 0 obj If you were Dr. Goodfriend, how do you feel about the phone call? 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 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. The patient has never met the attorney face-to-face, only by email and phone contacts. After the session is over, the therapist has time to reflect on her concerns. 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. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. 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. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Encourage the client to file a complaint with the State Board of Psychology. 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. Dr. Goodfriend is unclear whether Buddy is serious or joking. endobj x#86h)Ppcc0F( k/ His father has declined rapidly since the death of his wife and now requires total care. The client continued to struggle. 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. What clinical concerns arise for you in this scenario? Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. 14 March 2022. What are the potential ethical issues with this case? Hence, the admission is voluntary. 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. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. When she asks about insurance, he indicates that he will pay in cash. What steps does the psychologist need to take? The cost of the online administration is $25, to be paid by the patient. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. 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. 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. hasContentIssue true, The Author(s), 2022. ocuk Koruma Kanunu [Child Protection Law]. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. In hindsight, what triggered some possible difficulties in this situation? He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. } The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. How easy or how difficult would it be to take those steps? First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. Dan asked a number of faculty members to be the faculty advisor of this group. 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. A court appointed custody evaluator performed a child custody evaluation. While discussing these issues, the patient suddenly stopped talking. 2. The Submit Answers for Grading feature requires scripting to function. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. 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 Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? 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. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Dr. Jordan calls you on the phone for an ethics consultation. Mr. Biggy indicates that he wants to talk more about his feelings. Dr. of family ties, but counselors in many other specialties will run into these issues too. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. You are checking your email after a busy day. 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. The clients boyfriend expressed that she should never discuss this with anyone. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? 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 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 therapist, her husband, and his ex-wife are on good terms. The Clear Answers and Start Over feature requires scripting to function. His mother had suffered from a combination of severe respiratory problems and Alzheimers. She mentions that she is still in communication with her ex-husband because they share three children. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. 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. What are the ethical issues involved in this situation? 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? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. Next, most vignettes have more than one ethical issue that can be addressed. One day, Dr. Bishop receives a phone call from his contact at the institution. endobj Simultaneously, the religious institution is adamant about this requirement. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). Out of options, Dan is asking Dr. Crane to be the faculty advisor.
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