An ethical decision-making model provides you with a set of guidelines for making ethical decisions. : ethical dilemmas, burnout, stress, practicing counselors. If you were the psychologist, what would be your emotion response to this situation? Published online by Cambridge University Press: Patient contact information will be part of the administration process. 3. Mr. Biggy indicates that he wants to talk more about his feelings. 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. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. Render date: 2023-03-04T21:33:13.444Z ethical dilemmas in counseling vignettes. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Dr. Jordan calls you on the phone for an ethics consultation. Encourage the client to file a complaint with the State Board of Psychology. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. } The counsellor is also conscious. Your browser either does not support scripting or you have turned scripting off. She does not feel right taking a fee larger than her usual and customary rate. . The executor is Mr. Palmers brother, who lives in a different state. % Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Dilemma 6: Referral and Treatment Boundaries. Workers Compensation refuses to pay for the case management services of an independent social worker. Are there competing ethical principles? Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Dr. Tell contacts you with the above scenario. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. frequent consultation requests by the trauma service. ACE provider approval period: 3/21/2021-3/21/2024. Can the therapist continue the treatment relationship with the patient? However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. Group of answer choices Growth in . The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Dr. Goodfriend receives a call from Buddy, his very close high school friend. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. What would be your emotional response to this situation? 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. Buddy states that he has been feeling stressed over the last month. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. Continuing Education & Ethical Resources For Mental Health Professionals. The position pays much more than shes making at the community agency, and is within ten minutes of her home. He also divulged that his risk-taking behavior has increased as well, such as speeding. First, these vignettes are meant to be teaching tools. The patient has never met the attorney face-to-face, only by email and phone contacts. Ethical dilemmas. They have dinner as couples several times per year. The following email catches your attention. Both therapists are of the same profession. What concrete steps might be important before calling the physician back? To create paragraphs in your essay response, type
at the beginning of the paragraph, and
at the end. When she asks about insurance, he indicates that he will pay in cash. What are other steps that the therapist may want to take in this situation? We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. 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. Dr. 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. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. endobj This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Dr. Popeil thinks these ideas are good. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. View all Google Scholar citations Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. New York: John Wiley & Sons, Inc. After six sessions, Mr. DiMencha suffered a significant concussion while at work. How are the clients emotional and interpersonal issues related to the therapists dilemma? Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. are Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. While it is not a complete assessment, it can guide patients to you for further psychological consultation. Plenty acting beyond the limits of her competency? After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. His attorney believes that some good, written character references will really help out with the case. You are checking your email after a busy day. Dr. Jordan returns the phone call. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. He would like help to work through the issues. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. 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. endobj He thinks that she is young and impressionable. He promised to call her back within a week. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. In the code, 18VAC115-20-130. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. <> 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. What are the ethical issues, if any, involved in this case? Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Close this message to accept cookies or find out how to manage your cookie settings. The Clear Answers and Start Over feature requires scripting to function. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA "useRatesEcommerce": false The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. The patient has trust issues with his parents, especially his father. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. My name is Dr. 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. He asked the attorney if anyone is contesting the will. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. (Log in options will check for institutional or personal access. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. 8 0 obj While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. However, after the session, the therapist feels uneasy about what his patient revealed. His father has declined rapidly since the death of his wife and now requires total care. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. <> His impairment is noticeable by Dr. 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. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. When asked about the reason for the referral, she said that her physician had referred her for anxiety. Is Dr. Tell a mandated reporter in this situation? The therapist expresses her concerns about working with a patient whose father is prescribing medication. outside her scope of practice? 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. 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. 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). Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. The patient was in therapy for approximately one year. While discussing these issues, the patient suddenly stopped talking. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. 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. 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. 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. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. February 27, 2023 . Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Next, most vignettes have more than one ethical issue that can be addressed. Does the therapist who hears this information have any legal obligations? Mr. Biggy and Dr. Smith meet in an unplanned social venue. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Others sources will also be used. stream 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. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U stream His mother had suffered from a combination of severe respiratory problems and Alzheimers. A court appointed custody evaluator performed a child custody evaluation. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. The therapist ignores the comment and finishes by setting their initial appointment. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. 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. 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. Sue schedules the appointment for early in the evening. (1993). How would you feel about receiving this request? Most issues do not produce ethical dilemmas, but some do. Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? If you decide to provide information, would you consider communicating with the prior patients attorney? Mr. DiMencha demonstrates a variety of cognitive deficits. Can the client contact Child Protective Services anonymously in this case? Review each of the scenarios and indicate whether you agree or disagree with the counselors action. 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. An ongoing theme in therapy revolves around his sexual orientation. She mentions that she is still in communication with her ex-husband because they share three children. At the end of the session, the therapist asks for the requisite fee as stated on the phone. 6 0 obj The therapist and the attorney-patient meet for the initial session. 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. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. 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. What steps does the psychologist need to take? He complains loudly about his parents and his girlfriend. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. 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. 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. She recently received an offer to become a sales representative for a pharmaceutical company. The main therapeutic issues are depression and loneliness. The supervisee is very worried and afraid to tell Menu. What are some potential responses that you could offer Dr. Bishop? <> A therapist receives a phone call from a well-known internist in her area. What are the ethical issues for this scenario? The therapist, her husband, and his ex-wife are on good terms. 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. 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. of family ties, but counselors in many other specialties will run into these issues too. What are some recommendations that you would make to the psychologist? Uncertain, she calls you for an ethics consultation. Approaching ethical dilemmas. endobj Jacob-Timm,S. After some other small talk, Dr. Smith leaves to mingle with other friends. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Total loading time: 0 She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Hence, the admission is voluntary. What suggestions or recommendations would you offer to the therapist? What emotional reactions may occur for the therapist? Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. After the session is over, the therapist has time to reflect on her concerns. 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. What clinical concerns arise for you in this scenario? She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. What factors make this situation potentially difficult for you as a therapist? While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Is Dr. Dilemma 20: Has the Psychologist Done Too Much? While Chuck now lives in an apartment in town, she remembers him well. 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 interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Results will be available to you and the patient online. What would you likely do with this email solicitation? Glover, J. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. 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. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. 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. She has been doing much of the case management work, e.g. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Learning Objectives: Apparently, no one is. 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. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. iRE]7*ZG; K5|h{. 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 then phones you for an informal consultation.