Abstract All school counselors are considered mandated reporters. 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 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. I encourage you to review our web site. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. What steps does the psychologist need to take? How would you feel if you were the consultant? hasContentIssue true, The Author(s), 2022. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Plenty lives and practices psychotherapy in a rural area. . Dilemma 20: Has the Therapist Done Too Much? Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. The treating therapist is questioning what to do. Standards of Practice, B. Counselling Relationships, Confidentiality. Divide and Rule? The main therapeutic issues are depression and loneliness. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Does the therapist who hears this information have any legal obligations? Dan explained to Dr. Crane that this group would be student-led and meet on campus. 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. 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. View all Google Scholar citations What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? He does not view it as a therapy group. Menu. 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. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 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 The client is feeling very helpless and vulnerable about this bind. A court appointed custody evaluator performed a child custody evaluation. The patient repeated this line of questioning during the first face-to-face session. << /Length 5 0 R /Filter /FlateDecode >> 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. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. endobj *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp What do you believe is the best course of action? of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. After some other small talk, Dr. Smith leaves to mingle with other friends. Patient contact information will be part of the administration process. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Widely adopted as a textbook in graduate psychology courses in ethics and continuing education development, this innovative volume presents readers with over 100 different perspectives on crucial ethical issues and offers possible solutions from an expert ethics educator, psychologist, and former APA general counsel. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. He will likely need to go into an assisted living facility. One day, Dr. Bishop receives a phone call from his contact at the institution. How would you advise Dr. Thomas to handle them? What are the potential ethical issues in this case? She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Programs that do not qualify for NBCC credit are clearly identified. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 Content may require purchase if you do not have access. The therapist feels stuck and overwhelmed by her present situation. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. The PASS-2 is administered online, from any computer, iPad, or iPhone. V;J/$"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* We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. The days allocated for her stay by her insurance are ending in two days. What are potential advantages in this scenario? Approaching ethical dilemmas. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. Encourage the client to file a complaint with the State Board of Psychology. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . He also divulged that his risk-taking behavior has increased as well, such as speeding. 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. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. His impairment is noticeable by Dr. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. Mr. Tellanyone is feeling quite guilty about his mother. His family lives at a distance and provides minimal help. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD The therapist screens the potential patient and believes that she can help him. It then provides six vignettes where supervisors are faced with ethical dilemmas. He also indicated that the relationship is taking on a more serious tone. What are the ethical issues involved in this case? What obligations does the therapist have to the parent? When she asks about insurance, he indicates that he will pay in cash. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. A therapist is treating a client who is involved in a legal proceeding. In the code, 18VAC115-20-130. How would you feel about receiving this request? What are potential ethical issues with this invitation? Ethics and law for school psychologists . Hostname: page-component-7fc98996b9-g9qcd Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. . During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. What, if anything, should the therapist do? Others sources will also be used. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? 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. ~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! 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. 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. What would you likely do with this email solicitation? 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. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. She does not feel right taking a fee larger than her usual and customary rate. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. Contemplate these 16 conundrums. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. 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. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? What are some of the suggestions that you may have for the therapist about accepting or declining the referral? adapted and used used with consent from a state psychological association. How easy or how difficult would it be to take those steps? He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Has data issue: true "useRatesEcommerce": false endobj 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. The clients boyfriend expressed that she should never discuss this with anyone. 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. Your browser either does not support scripting or you have turned scripting off. And, how would you, as the treating therapist, deal with those emotions? However, she begins to feel uncomfortable as she feels like they are spending too much time together. Close this message to accept cookies or find out how to manage your cookie settings. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. A psychologist works in an outpatient substance abuse treatment facility. Results will be available to you and the patient online. It was revealed that counsellors prioritise the students benefit and respect students privacy. She recalled that he agreed that it could make a good book. Dr. Smith is now worried about the entire situation. Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Dr. Jordan calls you on the phone for an ethics consultation. Prior to their next session, Dr. Smith calls you for a consultation. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Buddy also shares that he has been short tempered with his wife and kids. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. DILEMMA ONE The executor is Mr. Palmers brother, who lives in a different state. The therapist, her husband, and his ex-wife are on good terms. endstream 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. At that time, Dr. Miller not only wanted to evaluate the marriage, but to evaluate how impaired the husband was, and to decide whether Mrs. Drapier had assessed her husbands depression and the marriage accurately. : ethical dilemmas, burnout, stress, practicing counselors. 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. Bishop calls you for a consult about this situation. The therapist does not dwell on the situation with the patient. Regulatory boards are the final authority on courses accepted for continuing education credit. With whom does the therapist discuss the multiple roles? The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Tara was offered this position after successfully completing both her practicum and her internship at the center. They start spending more time together. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. 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 survey consisted of 10 vignettes based on the above ethical issues in. 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. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. 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. An important factor is that there is no cost to you, as the therapist. Therapy lasted about a year and focused on depression and relationship issues. What suggestions or recommendations would you offer to the therapist? 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. ethical dilemmas in counseling vignetteswvu mechanical engineering research. A psychologist receives a phone call from a well-known internist in her area. What are the ethical issues involved in this scenario? Part of her struggle is that she sees her husband as more depressed now than when he started treatment. If you were Dr. Goodfriend, how do you feel about the phone call? Total loading time: 0 5 0 obj Address the matter with the other therapist directly. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Can the client contact Child Protective Services anonymously in this case? School counsellors often encounter ethically challenging situations due to contradictory values and roles. 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. What are the potential ethical concerns about this scenario, if any? Buddy states that he has been feeling stressed over the last month. 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. Should Dr. Goodfriend call Buddy and offer a few referrals? 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. 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 ex-wife moved back to the area about six months ago. 14 March 2022. T2 0#8r\ Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. What emotional reactions may occur for the therapist? In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Mr. Biggy and Dr. Smith meet in an unplanned social venue. You are a therapist in a busy acute care hospital where you receive. While Chuck now lives in an apartment in town, she remembers him well. Dr. Smith is a therapist who has worked with a young woman for about 9 months. The ICU staff asks for your input. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . 7 0 obj What are some potential responses that you could offer Dr. Bishop? To use suggested categories to consider options for ethical response to the dilemma. 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. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. The Clear Answers and Start Over feature requires scripting to function. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. Workers Compensation refuses to pay for the case management services of an independent social worker. What are the ethical issues for this scenario?