ethical dilemmas in counseling vignettes

hasContentIssue true, The Author(s), 2022. His father has declined rapidly since the death of his wife and now requires total care. 2 0 obj Dr. Jordan returns the phone call. : Ethical and Legal Ramifications of Documentation Decisions. 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 attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Dan asked a number of faculty members to be the faculty advisor of this group. The client continued to struggle. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. Close this message to accept cookies or find out how to manage your cookie settings. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. 6 0 obj The treatment notes indicate that she dropped out of therapy about one year ago. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Dr. Jordan calls you on the phone for an ethics consultation. Dr. Goodfriend is unclear whether Buddy is serious or joking. The Center maintains responsibility for this program and its content. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. My name is Dr. Patient contact information will be part of the administration process. After some other small talk, Dr. Smith leaves to mingle with other friends. The therapist pulls the former patients chart. iRE]7*ZG; K5|h{. 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. How would you feel if you were the consultant? A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. Dilemma 6: Referral and Treatment Boundaries. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. For example, the first vignette, which They start spending more time together. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . The patient repeated this line of questioning during the first face-to-face session. 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. endobj 1LzLxG`kvP@>. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. 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. The therapist cannot remember many details about the patient. You are a therapist in a busy acute care hospital where you receive. 1 pages. If you have further questions, feel free to contact me. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. % Buddy also shares that he has been short tempered with his wife and kids. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. . He thinks that she is young and impressionable. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. He is marginally coherent and unable to give any consistent responses. 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 patient had been in treatment for about 10 months on a weekly basis. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. The therapist does not dwell on the situation with the patient. for this article. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What are the ethical issues involved in this scenario? 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. 2. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. It then provides six vignettes where supervisors are faced with ethical dilemmas. Mr. Biggy and Dr. Smith meet in an unplanned social venue. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Encourage the client to file a complaint with the State Board of Psychology. The therapist then phones you for an informal consultation. frequent consultation requests by the trauma service. There were contentious issues dealing with the custody arrangements of the children. Both therapists are of the same profession. 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. ethical dilemmas in counseling vignetteswvu mechanical engineering research. 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. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Published online by Cambridge University Press: What are the potential ethical issues with this case? Ethics and law for school psychologists . Are there competing ethical principles? During the last two years, she required total care. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. What clinical concerns arise for you in this scenario? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. stream If you were Dr. Jordan, how would you feel about this request? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. B) =AiV5bAqUKxs#6{pA :)B'5-a* 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. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. With her husband, the patient and the ex-wife? endobj Sue schedules the appointment for early in the evening. Most issues do not produce ethical dilemmas, but some do. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. What are some recommendations that you would make to the psychologist? Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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? Out of options, Dan is asking Dr. Crane to be the faculty advisor. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Harry is a school guidance counselor who is just got a job at a large public high school. %PDF-1.3 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. 2 Print version: page 62 6 min read 0 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) image.jpg Liberty University Ethical and Legal Issues in Counseling . During the interview, she was told that she would need to work independently, with only limited supervision. Plenty without any type of testing. 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. She calls you for an ethics consult. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? 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. A psychologist works in an outpatient substance abuse treatment facility. ethical dilemmas in counseling vignettes. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Dilemma 20: Has the Therapist Done Too Much? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Dr. Goodfriend receives a call from Buddy, his very close high school friend. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. He promised to call her back within a week. Continuing Education & Ethical Resources For Mental Health Professionals. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. An important factor is that there is no cost to you, as the therapist. (1998). The position pays much more than shes making at the community agency, and is within ten minutes of her home. Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. The treating therapist believes the options are: What are the possible emotional reactions to this situation? 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. 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. 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 also indicated that the relationship is taking on a more serious tone. A therapist receives a phone call from a well-known internist in her area. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Are there additional considerations for how to approach the referring physician when calling back? He also divulged that his risk-taking behavior has increased as well, such as speeding. What do you believe is the best course of action? 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. The cost of the online administration is $25, to be paid by the patient. 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. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. 1 0 obj Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. The test usually takes approximately 40 to 60 minutes to administer. With whom does the therapist discuss the multiple roles? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. 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.. His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. 6768). The days allocated for her stay by her insurance are ending in two days. Ethical Vignette Paper # Jodi Walters Liberty University. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. The therapist feels stuck and overwhelmed by her present situation. Results will be available to you and the patient online. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. 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. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. 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. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death.