Part of her struggle is that she sees her husband as more depressed now than when he started treatment. She mentions that she is still in communication with her ex-husband because they share three children. 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. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. 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* Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. How would you feel about receiving this request? As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. What are some actions that you, as the treating therapist, may have done differently? During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. 6768). <> He asked the attorney if anyone is contesting the will. View all Google Scholar citations hasContentIssue true, The Author(s), 2022. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. There were contentious issues dealing with the custody arrangements of the children. The counsellor is also conscious. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Most issues do not produce ethical dilemmas, but some do. Continuing Education & Ethical Resources For Mental Health Professionals. Dilemma 35: Initial Telepsychology Session for Free? The position pays much more than shes making at the community agency, and is within ten minutes of her home. : Ethical and Legal Ramifications of Documentation Decisions. What are the possible downsides to entering the dual relationship? . The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. 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 survey consisted of 10 vignettes based on the above ethical issues in. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. My name is Dr. Dr. Popeil thinks these ideas are good. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. If you have further questions, feel free to contact me. What are some possible suggestions for Dr. Jordan? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. %PDF-1.3 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. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. The therapist has not worked with the patient for about two years. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. ACE provider approval period: 3/21/2021-3/21/2024. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. The main therapeutic issues are depression and loneliness. 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. In the code, 18VAC115-20-130. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. 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. Are there any other concerns about the web developer/consultants strategies? / ethical dilemmas in counseling vignettes. endobj 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. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. 2. 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. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. 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. 1LzLxG`kvP@>. What are some recommendations that you would make to the psychologist? 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. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? You are a therapist in a busy acute care hospital where you receive. 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. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Refer the matter to the State Board of Psychology. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). The cost of the online administration is $25, to be paid by the patient. Regulatory boards are the final authority on courses accepted for continuing education credit. Sue schedules the appointment for early in the evening. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. Group of answer choices Growth in . The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. What factors make this situation potentially difficult for you as a therapist? Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Therapist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. endobj Jacob-Timm,S. ~Bi"$\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! Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Contemplate these 16 conundrums. ocuk Koruma Kanunu [Child Protection Law]. The patient has never met the attorney face-to-face, only by email and phone contacts. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . 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. What would be your emotional response to this situation? ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Standards of practice, part B.9 states that . During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. 7 0 obj The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Simultaneously, he strongly believes he made the right decision. Prior to providing extra-therapy support, Dr. adapted and used used with consent from a state psychological association. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. 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. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. The patient was in therapy for approximately one year. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. 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. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. endobj His mother had suffered from a combination of severe respiratory problems and Alzheimers. What are potential ethical issues with this invitation? Patient contact information will be part of the administration process. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. If you decide to provide information, would you consider communicating with the prior patients attorney? Dr. Goodfriend receives a call from Buddy, his very close high school friend. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. What are the ethical issues, if any, involved in this case? At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? 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.. White Plains, NY: Longman. This has caused both his physical and What are some of the potential ethical pitfalls in this scenario? He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. Running Head: ETHICAL VIGNETTE. 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. She recently received an offer to become a sales representative for a pharmaceutical company. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. % *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp 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? 6 0 obj image.jpg Liberty University Ethical and Legal Issues in Counseling . A court appointed custody evaluator performed a child custody evaluation. The therapist cannot remember many details about the patient. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 3 0 obj If you were Dr. Jordan, how would you feel about this request? 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. He confides that he would like to have an affair with her. 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. When asked about the reason for the referral, she said that her physician had referred her for anxiety. 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. Buddy states that he has been feeling stressed over the last month. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. They developed a good therapeutic alliance. 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. After reiterating the purpose of the session (which was to assess the marital situation and not to assess his current treatment), Dr. Miller states that she feels uncomfortable with the request, although she is concerned about the therapists reported behavior. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. The test usually takes approximately 40 to 60 minutes to administer. 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 psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Next, most vignettes have more than one ethical issue that can be addressed. A therapist receives a phone message from a former patient. If you were the psychologist, how would you feel about the situation? She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. 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? It may rather be a sign that one is fully engaged in the life of a community. How would you advise Dr. Thomas to handle them? The PASS-2 is administered online, from any computer, iPad, or iPhone. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. At the end of the session, the therapist asks for the requisite fee as stated on the phone. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. << /Length 5 0 R /Filter /FlateDecode >> The results and implications for counsellors, counsellor educators and researchers are discussed. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. 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. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. 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. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. 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? 2 0 obj Dr. Ron Popeil, a local therapist, is upgrading his web site. Dilemma 20: Has the Therapist Done Too Much? Tara was offered this position after successfully completing both her practicum and her internship at the center. The Center is solely responsible for all aspects of the programs. Are there competing ethical principles? endobj 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. Address the matter with the other therapist directly. The mother further reports that the patients cousin has been driving the patient around town. The therapist and the attorney-patient meet for the initial session. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. The treating therapist believes the options are: What are the possible emotional reactions to this situation? Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. How easy or how difficult would it be to take those steps? Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. Dr. Jordan is a therapist who typically works with a wide variety of patients. A female therapist in a suburban area has worked with a male patient for about one year. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. And, how would you, as the treating therapist, deal with those emotions? In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. For example, the psychologist might have to evict his client for failing to pay rent--or he might . He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. The client continued to struggle. The Submit Answers for Grading feature requires scripting to function. 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. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Abstract All school counselors are considered mandated reporters. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. She stated that Dr. Jordan recommended that she write down her memories. Are there additional considerations for how to approach the referring physician when calling back? 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. 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. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. Plenty acting beyond the limits of her competency? Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. He would like help to work through the issues. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. endstream endobj Does the therapist who hears this information have any legal obligations? She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. February 27, 2023 . What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Mr. DiMencha demonstrates a variety of cognitive deficits. Is Dr. Tell a mandated reporter in this situation? The therapist obtains the keys and title for the vehicle. 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.