The therapist screens the potential patient and believes that she can help him. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. 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. Has data issue: true To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. 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. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. 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. 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. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. stream In the context of counseling, family includes people related through . The lawyerpatient comments that this seems low. If you were the psychologist, what would be your emotion response to this situation? The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. She calls you for an ethics consult. 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. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . What should you do with this email solicitation? However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. 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. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. endobj 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. Dr. Smith decided to review the report. The patient repeated this line of questioning during the first face-to-face session. 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. What are other steps that the therapist may want to take in this situation? The therapist knows her new boss, Mr. Biggy. The therapist feels stuck and overwhelmed by her present situation. With whom does the therapist discuss the multiple roles? Uncertain, she calls you for an ethics consultation. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. 7 0 obj During the current session, the confides that he has made a new female friend. 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. After the session is over, the therapist has time to reflect on her concerns. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. What are the potential ethical issues with this case? Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. 1. The therapist, her husband, and his ex-wife are on good terms. There were contentious issues dealing with the custody arrangements of the children. raised by clinical vignettes such as those below, Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. A therapist is treating a client who is involved in a legal proceeding. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. 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. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. 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. His mother had suffered from a combination of severe respiratory problems and Alzheimers. What factors make this situation potentially difficult for you as a therapist? 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. 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. 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. 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. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Would your answer differ if there were no advanced directives? Tara was offered this position after successfully completing both her practicum and her internship at the center. endobj Dr. Jordan calls you on the phone for an ethics consultation. She recently received an offer to become a sales representative for a pharmaceutical company. 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Ethical Vignette Paper # Jodi Walters Liberty University. It then provides six vignettes where supervisors are faced with ethical dilemmas. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Content may require purchase if you do not have access. << /Length 5 0 R /Filter /FlateDecode >> They have dinner as couples several times per year. Total loading time: 0 New York: John Wiley & Sons, Inc. We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. 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 . The results and implications for counsellors, counsellor educators and researchers are discussed. February 27, 2023 . 1LzLxG`kvP@>. T2 0#8r\ 5 0 obj Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. iRE]7*ZG; K5|h{. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. 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. 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. Results will be available to you and the patient online. He is marginally coherent and unable to give any consistent responses. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. B) =AiV5bAqUKxs#6{pA :)B'5-a* Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. P. (1996). endobj He is also very concerned about confidentiality and wants assurances from Dr. Solomon. 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. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. % Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? 1 pages. An ongoing theme in therapy revolves around his sexual orientation. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? For example, the first vignette, which He does not view it as a therapy group. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. First, these vignettes are meant to be teaching tools. xVN0}-m8 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. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Just as he is about to hang up, Buddy says, Thanks. With her husband, the patient and the ex-wife? They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. <>>> You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. ; & Hartshorne,T.S. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; Would your answer differ if the advanced directive was created 7 years ago or greater? To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. What are the ethical concerns in this scenario? xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q 8 0 obj <> Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? ~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! He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. The therapist remembers the former patient as a likeable person. She does not feel right taking a fee larger than her usual and customary rate. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. A psychologist receives a phone call from a well-known internist in her area. The ex-wife moved back to the area about six months ago. There is nothing unusual that stands out about their therapeutic relationship. What are potential ethical issues with this invitation? This particular vignette, Swenson said, may well fail the two-prong test. Of course, they exist in all forms of counseling, from short-term advising . Plenty without any type of testing. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Published online by Cambridge University Press: Programs that do not qualify for NBCC credit are clearly identified. x#86h)Ppcc0F( k/ Can the therapist continue the treatment relationship with the patient? He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Is Dr. Tell a mandated reporter in this situation? Can the client contact Child Protective Services anonymously in this case? Prior to their next session, Dr. Smith calls you for a consultation. A therapist had an intake appointment with a new client. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. 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. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. 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. The therapist cannot remember many details about the patient. endobj <> What, if anything, should the therapist do? After the phone call, the therapist checks the waiting room and sees the patient there. What are some likely emotional reactions would you have in this situation? The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. 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. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Refer the matter to the State Board of Psychology. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Therapy lasted about a year and focused on depression and relationship issues. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. } Abstract All school counselors are considered mandated reporters. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. 3. The therapist does not dwell on the situation with the patient. 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. White Plains, NY: Longman. Harry is a school guidance counselor who is just got a job at a large public high school. Patient contact information will be part of the administration process. The ICU staff asks for your input. Standards of practice, part B.9 states that . The therapist ignores the comment and finishes by setting their initial appointment. What are the potential pitfalls in the scenario? One afternoon Taras supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the centers other branches. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. The executor is Mr. Palmers brother, who lives in a different state. However, the attorney has little awareness about how impaired Mr. DiMencha is. What are some of the potential ethical pitfalls in this scenario? Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. The mother explains that the child has run away and the mother has reported the child missing to the police. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. stream Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Dr. Ron Popeil, a local therapist, is upgrading his web site. Glover, J. Most issues do not produce ethical dilemmas, but some do. The survey consisted of 10 vignettes based on the above ethical issues in. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. 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. 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. He will likely need to go into an assisted living facility. 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* He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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. What problems may occur as a function of Dr. Sci Rep 12, 22416 (2022). For example, the psychologist might have to evict his client for failing to pay rent--or he might . During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. He promised to call her back within a week. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. It was revealed that counsellors prioritise the students benefit and respect students privacy. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. And, how would you, as the treating therapist, deal with those emotions? Plenty lives and practices psychotherapy in a rural area. 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. are Dilemma 35: Initial Telepsychology Session for Free? Dr. Smith is a therapist who has worked with a young woman for about 9 months. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. What factors make this situation potentially easy for you as a therapist? 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. This workshopis based on discussion of ethical issues Apparently, no one is. % : Ethical and Legal Ramifications of Documentation Decisions. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. DILEMMA ONE What would you need from the attorney? 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, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. They developed a good therapeutic alliance. Others sources will also be used. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. What are the ethical issues for this scenario? The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. When she asks about insurance, he indicates that he will pay in cash. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . "useRatesEcommerce": false Part of her struggle is that she sees her husband as more depressed now than when he started treatment. He also divulged that his risk-taking behavior has increased as well, such as speeding. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Prior to providing extra-therapy support, Dr. She recalled that he agreed that it could make a good book. He is talking with a young man, most likely his cousin. She stated that Dr. Jordan recommended that she write down her memories. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. Dr. Jordan returns the phone call. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> How would you feel about receiving this request? What are the possible downsides to entering the dual relationship? 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. His impairment is noticeable by Dr. His family lives at a distance and provides minimal help.