T2 0#8r\ Abstract All school counselors are considered mandated reporters. 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. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Mr. Biggy indicates that he wants to talk more about his feelings. How would you advise Dr. Thomas to handle them? Dr. Popeil thinks these ideas are good. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . x#86h)Ppcc0F( k/ Review each of the scenarios and indicate whether you agree or disagree with the counselors action. image.jpg Liberty University Ethical and Legal Issues in Counseling . 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). Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? << /Length 5 0 R /Filter /FlateDecode >> If you were Dr. Goodfriend, how do you feel about the phone call? endobj She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. 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. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. 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. 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. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. The cost of the online administration is $25, to be paid by the patient. Workers Compensation refuses to pay for the case management services of an independent social worker. The therapist remembers the former patient as a likeable person. It may rather be a sign that one is fully engaged in the life of a community. a73D%IhCTHA&:L0iAq(*p Published online by Cambridge University Press: While it is not a complete assessment, it can guide patients to you for further psychological consultation. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. The therapist feels stuck and overwhelmed by her present situation. The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. ~Bi"$\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! What are the ethical concerns in this scenario? Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Dr. Goodfriend speaks with Buddy about once every six to nine months. 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. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. ; & Hartshorne,T.S. Content may require purchase if you do not have access. (Log in options will check for institutional or personal access. 4 0 obj However, the attorney has little awareness about how impaired Mr. DiMencha is. 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. 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 Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. 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. The main therapeutic issues are depression and loneliness. He also indicated that the relationship is taking on a more serious tone. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. 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? He will likely need to go into an assisted living facility. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Standards of practice, part B.9 states that . Is Dr. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. The days allocated for her stay by her insurance are ending in two days. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. 4 0 obj DILEMMA ONE Most issues do not produce ethical dilemmas, but some do. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . While Chuck now lives in an apartment in town, she remembers him well. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. Dr. Smith decided to review the report. Results will be available to you and the patient online. Dr. Ron Popeil, a local therapist, is upgrading his web site. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. 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. As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. 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. Has data issue: true 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 . 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.. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. raised by clinical vignettes such as those below, Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. A female therapist in a suburban area has worked with a male patient for about one year. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. <>>> The mother explains that the child has run away and the mother has reported the child missing to the police. What are the ethical issues involved in this scenario? It was revealed that counsellors prioritise the students' benefit and respect students' privacy. 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. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. Are there additional considerations for how to approach the referring physician when calling back? ethical dilemmas in counseling vignettes. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Dr. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. He asked the attorney if anyone is contesting the will. The patient repeated this line of questioning during the first face-to-face session. 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* Dr. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Can the client contact Child Protective Services anonymously in this case? His mother had suffered from a combination of severe respiratory problems and Alzheimers. Approaching ethical dilemmas. endobj Running Head: ETHICAL VIGNETTE. 6 0 obj She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. They start spending more time together. What are the possible downsides to entering the dual relationship? The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. <> When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. What should you do with this email solicitation? 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. 8 0 obj After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality.

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