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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 marital situation appears deteriorated and Mr. Drapier appears significantly depressed. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. iRE]7*ZG; K5|h{. After some other small talk, Dr. Smith leaves to mingle with other friends. The treating therapist is questioning what to do. The physician explains that he has been medicating her for about four months with Prozac and Klonopin, once he became aware of her eating disordered behavior. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. His mother had suffered from a combination of severe respiratory problems and Alzheimers. 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. Prior to their next session, Dr. Smith calls you for a consultation. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. 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 expresses her concerns about working with a patient whose father is prescribing medication. You are checking your email after a busy day. xVN0}-m8 She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . During the interview, she was told that she would need to work independently, with only limited supervision. What should you do with this email solicitation? 1 pages. ), 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. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> They developed a good therapeutic alliance. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. 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. Your browser either does not support scripting or you have turned scripting off. 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. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Harry is a school guidance counselor who is just got a job at a large public high school. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Dr. Smith is now worried about the entire situation. frequent consultation requests by the trauma service. The counsellor is also conscious. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Dr. Goodfriend is unclear whether Buddy is serious or joking. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. 1 0 obj Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 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. 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. <> How would you feel about receiving this request? 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; % The therapist then phones you for an informal consultation. How would you advise Dr. Thomas to handle them? The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. 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. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. Plenty lives and practices psychotherapy in a rural area. A female therapist in a suburban area has worked with a male patient for about one year. 14 March 2022. He confides that he would like to have an affair with her. New York: John Wiley & Sons, Inc. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. 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. Prior to providing extra-therapy support, Dr. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 2. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. After the session is over, the therapist has time to reflect on her concerns. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. 3 0 obj 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. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. for this article. When asked about the reason for the referral, she said that her physician had referred her for anxiety. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? 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. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. How easy or how difficult would it be to take those steps? In a therapy session in an outpatient substance abuse treatment facility, a patient reveals that an agency staff person another therapist in a different department has paid to have sex with another patient in the treatment facility Lyla, who is a prostitute. 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 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. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. ocuk Koruma Kanunu [Child Protection Law]. cn]JlmQSMDM>pEm+gxMU]``tQqKF Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. 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 What are the potential ethical issues in this case? 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 . Is Dr. Tell a mandated reporter in this situation? . Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Feature Flags: { Published online by Cambridge University Press: After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Dan explained to Dr. Crane that this group would be student-led and meet on campus. : Ethical and Legal Ramifications of Documentation Decisions. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. Address the matter with the other therapist directly. Both therapists are of the same profession. 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. The therapist cannot remember many details about the patient. Dilemma 20: Has the Psychologist Done Too Much? After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. A psychologist works in an outpatient substance abuse treatment facility. With her husband, the patient and the ex-wife? 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. It then provides six vignettes where supervisors are faced with ethical dilemmas. (Log in options will check for institutional or personal access. She stated that Dr. Jordan recommended that she write down her memories. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. He will likely need to go into an assisted living facility. hasContentIssue true, The Author(s), 2022. There is nothing unusual that stands out about their therapeutic relationship. 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. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. 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. The therapist knows her new boss, Mr. Biggy. My name is Dr. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Are there competing ethical principles? ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD 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. A therapist is treating a client who is involved in a legal proceeding. What do you believe is the best course of action? Dr. Thomas wants him to come in immediately for a more indepth evaluation. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. Ethical Vignette Paper # Jodi Walters Liberty University. Dr. Tell allowed several moments to pass before asking the patient what was happening. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Results will be available to you and the patient online. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . What are some actions that you, as the treating therapist, may have done differently? There were contentious issues dealing with the custody arrangements of the children. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. 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. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. My company has developed a unique opportunity for you and your associates. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q While discussing these issues, the patient suddenly stopped talking. I encourage you to review our web site. << /Length 5 0 R /Filter /FlateDecode >> endobj 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. His father has declined rapidly since the death of his wife and now requires total care. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. What are some recommendations that you would make to the psychologist? Dilemma 20: Has the Therapist Done Too Much? 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. 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. 4 0 obj 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. 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. Dilemma 35: Initial Telepsychology Session for Free? Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. The ICU staff asks for your input. She mentions that she is still in communication with her ex-husband because they share three children. An ongoing theme in therapy revolves around his sexual orientation. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Attempts to find social service agencies able to help him have not been successful. What are the ethical issues, if any, involved in this case? (1998). Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dr. Jordan calls you on the phone for an ethics consultation. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Apparently, no one is. 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. The physician wants the psychologist to treat his 17-year-old daughter . By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. 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.