The physician wants the psychologist to treat his 17-year-old daughter . After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Dr. Smith is a therapist who has worked with a young woman for about 9 months. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Hence, the admission is voluntary. What are the ethical concerns in this scenario? Sue schedules the appointment for early in the evening. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Sci Rep 12, 22416 (2022). An ethical decision-making model provides you with a set of guidelines for making ethical decisions. 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. The therapist pulls the former patients chart. An ongoing theme in therapy revolves around his sexual orientation. To use suggested categories to consider options for ethical response to the dilemma. The patient was in therapy for approximately one year. 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. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. . During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. 1 pages. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. The supervisee is very worried and afraid to tell 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. <> By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. Ethical Vignette Paper.docx. 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. Mr. Biggy indicates that he wants to talk more about his feelings. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. 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. 14 March 2022. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. What factors make this situation potentially difficult for you as a therapist? In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. Among other things, the report contained a psychological evaluation of the patient. The client is feeling very helpless and vulnerable about this bind. 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. Prior to their next session, Dr. Smith calls you for a consultation. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Dr. Goodfriend speaks with Buddy about once every six to nine months. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The main therapeutic issues are depression and loneliness. Can the therapist continue the treatment relationship with the patient? The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . 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. There is nothing unusual that stands out about their therapeutic relationship. 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. After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. "useRatesEcommerce": false Dr. Popeil thinks these ideas are good. I encourage you to review our web site. Refer the matter to the State Board of Psychology. View all Google Scholar citations 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 cost of the online administration is $25, to be paid by the patient. <> The therapist ignores the comment and finishes by setting their initial appointment. What are potential ethical issues with this invitation? 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. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . She recalled that he agreed that it could make a good book. An important factor is that there is no cost to you, as the therapist. Simultaneously, he strongly believes he made the right decision. What factors make this situation potentially easy for you as a therapist? The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. 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. endobj 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. 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. Buddy also shares that he has been short tempered with his wife and kids. Patient contact information will be part of the administration process. Address the matter with the other therapist directly. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. What are the ethical issues, if any, involved in this case? In the code, 18VAC115-20-130. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Contemplate these 16 conundrums. Apparently, no one is. / ethical dilemmas in counseling vignettes. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. How are the clients emotional and interpersonal issues related to the therapists dilemma? endobj ethical dilemmas in counseling vignetteswvu mechanical engineering research. He recalled that he was an older person with significant depression who eventually became better. . Others sources will also be used. What are the potential pitfalls in the scenario? She recently received an offer to become a sales representative for a pharmaceutical company. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Is Dr. Tell a mandated reporter in this situation? 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. Feature Flags: { stream Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. The results and implications for counsellors, counsellor educators and researchers are discussed. Others sources will also be used. After the phone call, the therapist checks the waiting room and sees the patient there. If you were a co-owner of the business, how would you feel about this situation? : ethical dilemmas, burnout, stress, practicing counselors. Dr. 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. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. 5 0 obj She mentions that she is still in communication with her ex-husband because they share three children. Dr. Goodfriend is unclear whether Buddy is serious or joking. He is marginally coherent and unable to give any consistent responses. The therapist obtains the keys and title for the vehicle. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Dr. Tell contacts you with the above scenario. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. The executor is Mr. Palmers brother, who lives in a different state. For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. The therapist knows her new boss, Mr. Biggy. The lawyerpatient comments that this seems low. Dr. Jordan calls you on the phone for an ethics consultation. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. 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. What suggestions or recommendations would you offer to the therapist? 2. 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.. Prior to providing extra-therapy support, Dr. 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. After some other small talk, Dr. Smith leaves to mingle with other friends. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. What are the ethical issues for this scenario? Part of her struggle is that she sees her husband as more depressed now than when he started treatment. A therapist is treating a client who is involved in a legal proceeding. An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child?
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