Hence, the admission is voluntary. What suggestions or recommendations would you offer to the therapist? 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 will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. 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. 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. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. outside her scope of practice? When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. 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. While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. What are the potential ethical concerns about this scenario, if any? Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. He is marginally coherent and unable to give any consistent responses. <> What emotional reactions may occur for the therapist? Close this message to accept cookies or find out how to manage your cookie settings. raised by clinical vignettes such as those below, Dr. Smith is now worried about the entire situation. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. The therapist expresses her concerns about working with a patient whose father is prescribing medication. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . He also indicated that the relationship is taking on a more serious tone. The therapist, her husband, and his ex-wife are on good terms. endobj What factors make this situation potentially difficult for you as a therapist? Out of options, Dan is asking Dr. Crane to be the faculty advisor. Apparently, no one is. 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. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD 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. After some other small talk, Dr. Smith leaves to mingle with other friends. There were contentious issues dealing with the custody arrangements of the children. Plenty without any type of testing. If you decide to provide information, would you consider communicating with the prior patients attorney? Are there additional considerations for how to approach the referring physician when calling back? When she asks about insurance, he indicates that he will pay in cash. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. 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. Several weeks after beginning to go on sales calls, your patient reports that Mr. Biggy is complimenting her on the way she looks and her ability to make the sale. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. And, how would you, as the treating therapist, deal with those emotions? 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. 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. 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. cn]JlmQSMDM>pEm+gxMU]``tQqKF He does not view it as a therapy group. stream endobj ; & Hartshorne,T.S. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. 2 Print version: page 62 6 min read 0 stream The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. The therapist and the attorney-patient meet for the initial session. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. Therapy lasted about a year and focused on depression and relationship issues. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. A therapist is treating a client who is involved in a legal proceeding. They start spending more time together. 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. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. 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 . image.jpg Liberty University Ethical and Legal Issues in Counseling . The physician wants the psychologist to treat his 17-year-old daughter . He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? Prior to their next session, Dr. Smith calls you for a consultation. They have dinner as couples several times per year. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. The therapist ignores the comment and finishes by setting their initial appointment. Menu. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. The survey consisted of 10 vignettes based on the above ethical issues in. What do you believe is the best course of action? : Ethical and Legal Ramifications of Documentation Decisions. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Running Head: ETHICAL VIGNETTE. View all Google Scholar citations She told the student that she would think about the request prior to answering. Has data issue: true Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Divide and Rule? 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. What steps does the psychologist need to take? Contemplate these 16 conundrums. Are there any other concerns about the web developer/consultants strategies? What are some likely emotional reactions would you have in this situation? He complains loudly about his parents and his girlfriend. 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. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. 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. Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. 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. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K For example, the first vignette, which Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. 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. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. 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. 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. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. The supervisee is very worried and afraid to tell In fact, the patient has made no such comments to anyone else other than to Dr. Solomon and has been a model patient on the unit. What should you do with this email solicitation? The ex-wife moved back to the area about six months ago. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Along with. It was revealed that counsellors prioritise the students benefit and respect students privacy. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? The therapist cannot remember many details about the patient. The client is feeling very helpless and vulnerable about this bind. Dr. Tell allowed several moments to pass before asking the patient what was happening. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. 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 PASS-2 is administered online, from any computer, iPad, or iPhone. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. The therapist remembers the former patient as a likeable person. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. A court appointed custody evaluator performed a child custody evaluation. The following email catches your attention. ethical dilemmas in counseling vignettes. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. of family ties, but counselors in many other specialties will run into these issues too. The therapist does not dwell on the situation with the patient. 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. Dr. Jordan is a therapist who typically works with a wide variety of patients.
ethical dilemmas in counseling vignettes