Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. The following email catches your attention. 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. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. 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. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Patient contact information will be part of the administration process. for this article. The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What would you likely do with this email solicitation? P. (1996). !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< 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. The therapist and the attorney-patient meet for the initial session. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. 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. Jordan returns the phone call. However, after the session, the therapist feels uneasy about what his patient revealed. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. 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. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. The mother further reports that the patients cousin has been driving the patient around town. Results will be available to you and the patient online. Ethical Vignette Paper # Jodi Walters Liberty University. A psychologist works in an outpatient substance abuse treatment facility. 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. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Render date: 2023-03-04T21:33:13.444Z Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. Simultaneously, the religious institution is adamant about this requirement. 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. image.jpg Liberty University Ethical and Legal Issues in Counseling . 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. Therapy lasted about a year and focused on depression and relationship issues. Dr. Jordan calls you on the phone for an ethics consultation. Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. While Chuck now lives in an apartment in town, she remembers him well. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. . At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. While discussing these issues, the patient suddenly stopped talking. 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. Dilemma 20: Has the Psychologist Done Too Much? He also divulged that his risk-taking behavior has increased as well, such as speeding. What are the ethical issues involved in this case? Ethical Conflicts In Psychology Book Pdf Download After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. ), 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. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Prior to their next session, Dr. Smith calls you for a consultation. With her husband, the patient and the ex-wife? His attorney believes that some good, written character references will really help out with the case. (PDF) Ethical Issues in Counseling Supervision - ResearchGate He recalled that he was an older person with significant depression who eventually became better. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. The executor is Mr. Palmers brother, who lives in a different state. . stream What factors make this situation potentially difficult for you as a therapist? To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Dilemma 35: Initial Telepsychology Session for Free? endobj 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 raised by clinical vignettes such as those below, 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. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full He promised to call her back within a week. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. During the interview, she was told that she would need to work independently, with only limited supervision. 1LzLxG`kvP@>. However, the attorney has little awareness about how impaired Mr. DiMencha is. With whom does the therapist discuss the multiple roles? Jacob-Timm,S. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. endstream He complains loudly about his parents and his girlfriend. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Continuing Education & Ethical Resources For Mental Health Professionals. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. It then provides six vignettes where supervisors are faced with ethical dilemmas. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. What are the ethical concerns in this scenario? During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? 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 A therapist had an intake appointment with a new client. What are some likely emotional reactions would you have in this situation? They have dinner as couples several times per year. What are some recommendations that you would make to the psychologist? She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Hostname: page-component-7fc98996b9-g9qcd 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. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. x#86h)Ppcc0F( k/ The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Dr. Goodfriend speaks with Buddy about once every six to nine months. You are a therapist in a busy acute care hospital where you receive. The therapist pulls the former patients chart. 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. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. What are potential advantages in this scenario? Published online by Cambridge University Press: 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. endobj 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. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Mr. Tellanyone is feeling quite guilty about his mother. She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. What are some potential responses that you could offer Dr. Bishop? He will likely need to go into an assisted living facility. My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. 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. 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. 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. Plenty acting beyond the limits of her competency? Plenty lives and practices psychotherapy in a rural area. PDF American Counseling Association Ethical Dilemma Julia Coley, Ammi This vignette poses several ethical dilemmas for counselors. The results and implications for counsellors, counsellor educators and researchers are discussed. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. 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.
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