What are the potential pitfalls in the scenario? Sue schedules the appointment for early in the evening. The executor is Mr. Palmers brother, who lives in a different state. Your browser either does not support scripting or you have turned scripting off. What are the ethical issues for this scenario? Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. 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. 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. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. 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. If you were the psychologist, what would be your emotion response to this situation? After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . 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. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. (Log in options will check for institutional or personal access. Uncertain, she calls you for an ethics consultation. Dr. Goodfriend speaks with Buddy about once every six to nine months. He promised to call her back within a week. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. What are some likely emotional reactions would you have in this situation? A therapist is treating a client who is involved in a legal proceeding. Case Vignettes for Review 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. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. xVN0}-m8 Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. What problems may occur as a function of Dr. 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. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? What are some actions that you, as the treating therapist, may have done differently? Render date: 2023-03-04T21:33:13.444Z <> 2 0 obj 4 0 obj x#86h)Ppcc0F( k/ Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? <>>> PDF Legal and Ethical Case Studies - American Counseling Association Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. (1998). The therapist and the attorney-patient meet for the initial session. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. 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. 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. ethical dilemmas in counseling vignettes - laoiscivildefence.org She has been doing much of the case management work, e.g. PDF ETHICAL DILEMMAS - SAGE Publications Inc It was revealed that counsellors prioritise the students' benefit and respect students' privacy. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? endstream 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 Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. Plenty acting beyond the limits of her competency? 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. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? What are some of the potential ethical pitfalls in this scenario? 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. When Dr. Jordan attempts to clarify the request, it becomes clear that the former patient is not asking to return to therapy, but instead is asking Dr. Jordan to become the co-author or a consultant for the book. Address the matter with the other therapist directly. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. 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? ethical dilemmas in counseling vignetteswvu mechanical engineering research. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. 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 treatment notes indicate that she dropped out of therapy about one year ago. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Simultaneously, he strongly believes he made the right decision. 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. She actually attended his graduation party briefly and hired him to cut her lawn for two years. The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. What are some possible suggestions for Dr. Jordan? Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay This workshopis based on discussion of ethical issues Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 Sci Rep 12, 22416 (2022). You are checking your email after a busy day. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. endobj Hostname: page-component-7fc98996b9-g9qcd What obligations does the therapist have to the parent? are 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. Dr. Goodfriend receives a call from Buddy, his very close high school friend. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. Group of answer choices Growth in . February 27, 2023 . ERIC - ED577207 - School Counselors and Ethical Decision Making What are the ethical issues involved in this scenario? Has data issue: true Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. 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. Is Dr. The patient repeated this line of questioning during the first face-to-face session. When she asks about insurance, he indicates that he will pay in cash. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. : ethical dilemmas, burnout, stress, practicing counselors. In the code, 18VAC115-20-130. 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. "useRatesEcommerce": false Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Running Head: ETHICAL VIGNETTE. Results will be available to you and the patient online. The PASS-2 is administered online, from any computer, iPad, or iPhone. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Your browser either does not support scripting or you have turned scripting off. The therapist screens the potential patient and believes that she can help him. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. 7 0 obj Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. 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. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. 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. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. raised by clinical vignettes such as those below, %PDF-1.5 Others sources will also be used. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Hence, the admission is voluntary. If you were Dr. Jordan, how would you feel about this request? The supervisee is very worried and afraid to tell Divide and Rule? For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. 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 iRE]7*ZG; K5|h{. 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. Mr. Biggy indicates that he wants to talk more about his feelings. Mr. Tellanyone is feeling quite guilty about his mother. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. PDF Supervision Long Ethics Vignettes - CCFAM Dr. Bishop calls you for a consult about this situation. A therapist receives a phone message from a former patient. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. If you decide to provide information, would you consider communicating with the prior patients attorney? When asked about the reason for the referral, she said that her physician had referred her for anxiety. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics 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. If you were a co-owner of the business, how would you feel about this situation? %PDF-1.3 Continuing Education & Ethical Resources For Mental Health Professionals. Dr. Jordan calls you on the phone for an ethics consultation. P. (1996). Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? 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. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. However, she begins to feel uncomfortable as she feels like they are spending too much time together. 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. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. <> For example, the first vignette, which cn]JlmQSMDM>pEm+gxMU]``tQqKF An ongoing theme in therapy revolves around his sexual orientation. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling The lawyerpatient comments that this seems low. ethical dilemmas in counseling vignettes - stmatthewsbc.org Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. 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. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. The following email catches your attention. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. 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. 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. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Dr. Smith decided to review the report. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. The therapist then phones you for an informal consultation.