What clinical concerns arise for you in this scenario? endstream 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. They start spending more time together. The counsellor is also conscious. You are checking your email after a busy day. Standards of Practice, B. Counselling Relationships, Confidentiality. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Ethical Vignette Paper.docx. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. A psychologist receives a phone call from a well-known internist in her area. 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. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. Currently, the patient is denying the fact that she has made past threats toward her neighbor. The executor is Mr. Palmers brother, who lives in a different state. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. The therapist cannot remember many details about the patient. When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. Buddy states that he has been feeling stressed over the last month. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. 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. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. What problems may occur as a function of Dr. (1993). After the session is over, the therapist has time to reflect on her concerns. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 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 is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q If you were a co-owner of the business, how would you feel about this situation? Menu. frequent consultation requests by the trauma service. In fact, the patient has made no such comments to anyone else other than to Dr. Solomon and has been a model patient on the unit. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Next, most vignettes have more than one ethical issue that can be addressed. During the current session, the confides that he has made a new female friend. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Therapy lasted about a year and focused on depression and relationship issues. What are some actions that you, as the treating therapist, may have done differently? Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. For example, the psychologist might have to evict his client for failing to pay rent--or he might . While it is not a complete assessment, it can guide patients to you for further psychological consultation. What are the potential ethical concerns about this scenario, if any? Simultaneously, he strongly believes he made the right decision. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. However, the police report indicated she has made such verbal threats in the past but also, on several occasions, has damaged her neighbors property including scratching the paint on their car and throwing rocks at their house. The therapist does not dwell on the situation with the patient. stream Dr. Smith is now worried about the entire situation. (Log in options will check for institutional or personal access. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. The therapist and the attorney-patient meet for the initial session. 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. P. (1996). The therapist ignores the comment and finishes by setting their initial appointment. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. A therapist is treating a client who is involved in a legal proceeding. 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. << /Length 5 0 R /Filter /FlateDecode >> Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. endobj It may rather be a sign that one is fully engaged in the life of a community. 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. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. What are some of the potential ethical pitfalls in this scenario? In the code, 18VAC115-20-130. What are the potential ethical issues with this case? Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? 1 pages. With her husband, the patient and the ex-wife? : ethical dilemmas, burnout, stress, practicing counselors. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. of family ties, but counselors in many other specialties will run into these issues too. } As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? During the interview, she was told that she would need to work independently, with only limited supervision. Dr. Smith decided to review the report. He asked the attorney if anyone is contesting the will. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. Prior to their next session, Dr. Smith calls you for a consultation. He confides that he would like to have an affair with her. What are potential advantages in this scenario? 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. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. (1998). Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . %PDF-1.5 The client is feeling very helpless and vulnerable about this bind. hasContentIssue true, The Author(s), 2022. The mother further reports that the patients cousin has been driving the patient around town. How would you feel if you were the consultant? A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Of course, they exist in all forms of counseling, from short-term advising . The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. ethical dilemmas in counseling vignetteswvu mechanical engineering research. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. She recalled that he agreed that it could make a good book. Qualitative content analysis in practice. After the phone call, the therapist checks the waiting room and sees the patient there. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. The physician wants the psychologist to treat his 17-year-old daughter . From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. ), 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. 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. 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. What are the ethical issues, if any, involved in this case? You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. She does not feel right taking a fee larger than her usual and customary rate. DILEMMA ONE What are some of the suggestions that you may have for the therapist about accepting or declining the referral? The patient has never met the attorney face-to-face, only by email and phone contacts. Should Dr. Goodfriend call Buddy and offer a few referrals? The patient was in therapy for approximately one year. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp An important factor is that there is no cost to you, as the therapist. While discussing these issues, the patient suddenly stopped talking. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. What would you need from the attorney? 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. A court appointed custody evaluator performed a child custody evaluation.
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