Keep records of your communications with the ACA, as well as the ACA's responses. Dan explained to Dr. Crane that this group would be student-led and meet on campus. You are checking your email after a busy day. It may rather be a sign that one is fully engaged in the life of a community. Prior to their next session, Dr. Smith calls you for a consultation. What, if anything, should the therapist do? The EAP service provides a solution-focused, three-session benefit for companies within Virginia. What are Dr. Millers potential ethical issues in this situation? p.6. Does the therapist who hears this information have any legal obligations? 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. What would be your emotional response to this situation? Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. 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. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Copyright 2022 service.graduateway.com. Dr. Goodfriend is unclear whether Buddy is serious or joking. Ethical, Legal, and Professional Issues in Counseling-Theodore P. Remley, Jr. 2013-01-24 Note: This is the bound book only and does not include access to the Enhanced Pearson eText. 2.) Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. Both therapists are of the same profession. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. : ethical dilemmas, burnout, stress, practicing counselors. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. The PASS-2 is administered online, from any computer, iPad, or iPhone. 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. Ethical Issues in Multicultural Counseling are very prevalent today. White Plains, NY: Longman. He is marginally coherent and unable to give any consistent responses. 2. deep ethical concepts for which texts and other books have been specifically written. New Therapist, 58, 18-26. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Buddy states that he has been feeling stressed over the last month. After six sessions, Mr. DiMencha suffered a significant concussion while at work. implementation, and f). I will explain why confidentiality is important and what the rules says about it. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Dr. Tell contacts you with the above scenario. Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. In hindsight, what triggered some possible difficulties in this situation? 3. writing your own paper, but remember to Step 3: Consider ending the relationship with the client involved in the ethical dilemma. of a person living in one society. This qualitative research aimed to define school counsellors' ethical dilemmas and their responses to such situations. Patient contact information will be part of the administration process. (2008). of this, the exploration of ethical dilemmas within the curriculum should include preparation for and knowledge of realistic situations experienced in an agency setting, as well as the anticipation of future difficult circumstances (Royce et al., 2007). 1395 Words6 Pages. The patient has trust issues with his parents, especially his father. When asked about the reason for the referral, she said that her physician had referred her for anxiety. 4. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. The ICU staff asks for your input. evaluating the situation (Hill, 2004). While confidentiality has been preserved, the dynamics of each case are isomorphic to a real clinical situation faced by a practicing psychologist. During the last two years, she required total care. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. 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. Plenty acting beyond the limits of her competency? P. (1996). Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Among other things, the report contained a psychological evaluation of the patient. Ethical dilemma is defined as "a situation which is caused by the chaos between two values in a decision-re- quiring circumstance" or "in circumstances when two or more options are encountered and there is a difficulty in deciding about which one is better; as a result of which the existing necessities cannot be met by present alternatives". He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. Ethical issues in a counseling practice lay the foundation of a therapist in practice. . View all Google Scholar citations Many researchers have employed case vignettes (Mumford, Connelly, Murphy, Correct writing styles (it is advised to use correct citations) While discussing these issues, the patient suddenly stopped talking. (2) Patients and lay persons are less strict than therapists regarding issues of boundaries. 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. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). 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. What suggestions or recommendations would you offer to the therapist? Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. match. What are the ethical issues involved in this case? 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.. Nellie the niece of the judge had good points on a lot of the cases that where presented to them and Joseph the Lawyer had some good points as well, but it all comes down to what is the right decision for the good of all. By continuing well School Law for counselors, psychologists, and social workers . Can the client contact Child Protective Services anonymously in this case? 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. Box 9659 San Diego, CA 92169 FAX: (858) 272-5809 Phone: 1 800 281-5068 www.texcpe.com ETHICS: CASE STUDIES I Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. 4) Consult with your supervisor - assessing possible consequences of all viable options. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. His family lives at a distance and provides minimal help. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. ethical issues can be further complicated by the fact that legal, ethical, and school policy issues often conflict (Stone & Zirkel, 2010) and few resources exist to aid school counselors in making adequate ethical decisions (Remley & Herlihy, 2007). Ethical Vignette - Melanie Roudovski Ethical & Legal Issues in Counseling Liberty University - Studocu ethical vignette essay uploaded in APA format. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. 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 therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Plenty without any type of testing. Defining the problem emotionally and intellectually. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. During the course of their work, he discussed . An ongoing theme in therapy revolves around his sexual orientation. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? What are the ethical issues for this scenario? 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. They start spending more time together. What are the possible downsides to entering the dual relationship? The therapist, her husband, and his ex-wife are on good terms. She calls you for an ethics consult. Would your answer differ if there were no advanced directives? You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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. The main therapeutic issues are depression and loneliness. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Simultaneously, the religious institution is adamant about this requirement. They also stated confidentiality is a right of all clients under the principles of autonomy, beneficence, and fidelity. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. Refer the matter to the State Board of Psychology. Next I looked at what ACA code of Ethics mandates that we do concerning these matters. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. In Section B.1.c counselor has to respect the rights of all clients to confidentiality and cannot share the information without client consent or without legal or ethical justification. The treating therapist is questioning what to do. Simultaneously, he strongly believes he made the right decision. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? He promised to call her back within a week. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Dr. Goodfriend speaks with Buddy about once every six to nine months. He asked the attorney if anyone is contesting the will. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. I next looked at my state board rules and regulation that apply to confidentially and ethics. This essay was written by a fellow student. They developed a good therapeutic alliance. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Ethical dilemmas. Would your answer differ if the advanced directive was created 7 years ago or greater? 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. running head: ethical vignette ethical DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Workers Compensation refuses to pay for the case management services of an independent social worker. The patient repeated this line of questioning during the first face-to-face session. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. The video presentation made me look at the types of decisions that have to be made and the thought process of making these decisions. Ethics and law for school psychologists . The patient has never met the attorney face-to-face, only by email and phone contacts. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. (1983, c. 755, s. 2; 1993, c. 514, s. Ethical issues in counseling can occur in various cases and may be overwhelming for both the professional and the client. The survey consisted of 10 vignettes based on the above ethical issues in. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Apparently, no one is. The therapist does not dwell on the situation with the patient. The following case vignette is an example of such a circumstance: COSC 501: Professional, Ethical & Legal Issues in School Counseling. frequent consultation requests by the trauma service. The following email catches your attention. 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. This workshopis based on discussion of ethical issues Continuing Education & Ethical Resources For Mental Health Professionals. Making sure that confidentiality is at the top of the list and that my ethics are always at the forefront of my decision making. Ethicalcodes have been developed by mental health associations for the purpose of setting professional standards for appropriate behavior, definingprofessional expectations, and preventing harm to. Are there any other concerns about the web developer/consultants strategies? . The profession of counseling, and the specialization of family counseling, dedicates ongoing attention to the development and refinement of the codes of ethics that serve as guidelines for professional practice (Gergen, 2015; Kaplan et al., 2017).While prepared from an aspirational perspective, inspiring standards of excellence, as compared to a legalistic, behavior-limiting orientation, the . DILEMMA ONE Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. The therapist then phones you for an informal consultation. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Others sources will also be used. Dont (Note that choosing to not make a decision is a decision.) She has been doing much of the case management work, e.g. Better Essays. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. This will help me and others to become a better counselor. Please keep your responses focused on what is presented in the vignette. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Are there competing ethical principles? At the end of the day, the therapist reflects on the interaction her new lawyer-patient. These two guides offer the same basic principles for ethical counselling. The therapist and the attorney-patient meet for the initial session. Also in Section C.2.e and f states that the Counselors should take reasonable steps to consult with other counselors or related professionals when they have questions regarding their ethical obligations or professional practice and they must take continuing education so that they can maintain reasonable levels of awareness. Then, explain brieflyin one paragraphyour ethical rationale for your . 8 Pages. Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wifes death was and how he hoped for a similar passing. He thinks that she is young and impressionable. After the phone call, the therapist checks the waiting room and sees the patient there. What are some potential responses that you could offer Dr. Bishop? to help you write a unique paper. What are some possible suggestions for Dr. Jordan? possible consequences, e). Operating those services in a LGBQT center will convey intersecting situations. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. 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. Amazon.com: Case Studies in Multicultural Counseling and Therapy: 9781118487556: Sue, Derald Wing, Gallardo, Miguel E., Neville, . Ethical issues in counseling generally fall on the therapist. As a result, this article, written in a quiz format, offers suggestions for handling ethical . The Center maintains responsibility for this program and its content. What are some recommendations that you would make to the psychologist? What steps does the psychologist need to take? The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Talk with the attorney if anyone is contesting the will symptoms persist a new client she has just.! Then phones you for a consultation do concerning these matters the EAP service provides a solution-focused, three-session for. These matters with impulse control or antisocial tendencies and suicidal statement the referral, she required total care why. Would make to the psychologist and receives only occasional referrals from this physician and what the rules says it! Response to this situation the reason for the initial session as Janet ; responses... Have been specifically written informal family events and do holidays together with their adult children and grandchildren on! 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