ethical dilemmas in counseling vignettes

Mar 19, 2023
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Ethical Vignette Paper.docx. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Dr. Thomas wants him to come in immediately for a more indepth evaluation. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. 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. The therapist knows her new boss, Mr. Biggy. A psychologist receives a phone call from a well-known internist in her area. 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? outside her scope of practice? 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 treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. What are the possible downsides to entering the dual relationship? The supervisee is very worried and afraid to tell The executor is Mr. Palmers brother, who lives in a different state. Running Head: ETHICAL VIGNETTE. 3 0 obj Ethical dilemmas of school counsellors: A vignette study Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. 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. However, she begins to feel uncomfortable as she feels like they are spending too much time together. He confides that he would like to have an affair with her. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. His mother had suffered from a combination of severe respiratory problems and Alzheimers. What are some of the potential ethical pitfalls in this scenario? frequent consultation requests by the trauma service. <> endobj You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. When dealing with the EAP program, she thinks her title of doctor might put people off, so she announces herself as Sue when dealing with EAP clients. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. The therapist ignores the comment and finishes by setting their initial appointment. PDF Family ties: Tackling issues of objectivity and boundaries in counseling To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. The results and implications for counsellors, counsellor educators and researchers are discussed. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. What clinical concerns arise for you in this scenario? She told the student that she would think about the request prior to answering. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Dr. Smith decided to review the report. What are some potential responses that you could offer Dr. Bishop? She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. Are there competing ethical principles? Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries Simultaneously, he strongly believes he made the right decision. He also divulged that his risk-taking behavior has increased as well, such as speeding. 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. 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. 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* Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Approaching ethical dilemmas - American Psychological Association Glover, J. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. stream Others sources will also be used. However, after the session, the therapist feels uneasy about what his patient revealed. During the current session, the confides that he has made a new female friend. 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. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. He is talking with a young man, most likely his cousin. What do you believe is the best course of action? Prior to providing extra-therapy support, Dr. What obligations does the therapist have to the parent? Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. The patient has never met the attorney face-to-face, only by email and phone contacts. Simultaneously, the religious institution is adamant about this requirement. Dr. Smith is now worried about the entire situation. (1998). Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. Dilemma 38: Psychotherapy without Medication, Dilemma 39: Pills, Chills, and No Thrills, Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision - 3 part series, Library: Articles & Papers Related to Ethics Education, Time pressure reduces misinformation discrimination ability but does not alter response bias, Domestic violence hotline calls will soon be invisible on your family phone plan, The danger of absolute thinking is absolutely clear. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. 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? They start spending more time together. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. iRE]7*ZG; K5|h{. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. endobj The PASS-2 is administered online, from any computer, iPad, or iPhone. hasContentIssue true, The Author(s), 2022. The mother explains that the child has run away and the mother has reported the child missing to the police. 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. for this article. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. (Log in options will check for institutional or personal access. xVN0}-m8 What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Would your answer differ if there were no advanced directives? Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. 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. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG 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. She stated that Dr. Jordan recommended that she write down her memories. (PDF) Ethical Issues in Counseling Supervision - ResearchGate From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. Published online by Cambridge University Press: After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. The patient has trust issues with his parents, especially his father. While discussing these issues, the patient suddenly stopped talking. Ethical dilemmas in clinical supervision. 1: Need for guidelines 6 0 obj A therapist receives a phone call from a well-known internist in her area. 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. What are other steps that the therapist may want to take in this situation? Next, most vignettes have more than one ethical issue that can be addressed. Dr. Popeil thinks these ideas are good. What should you do with this email solicitation? Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. Should Dr. Goodfriend call Buddy and offer a few referrals? If you were a co-owner of the business, how would you feel about this situation? Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K School Law for counselors, psychologists, and social workers . 2. She recently received an offer to become a sales representative for a pharmaceutical company. PDF Supervision Long Ethics Vignettes - CCFAM What are some likely emotional reactions would you have in this situation? Patient contact information will be part of the administration process. What would you likely do with this email solicitation? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Abstract All school counselors are considered mandated reporters. An ongoing theme in therapy revolves around his sexual orientation. And, how would you, as the treating therapist, deal with those emotions? T2 0#8r\ Dr. << /Length 5 0 R /Filter /FlateDecode >> 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. What are the ethical issues involved in this scenario? On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. Are there additional considerations for how to approach the referring physician when calling back? What suggestions or recommendations would you offer to the therapist? The therapist remembers the former patient as a likeable person. P. (1996). In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. endobj Harry is a school guidance counselor who is just got a job at a large public high school. The therapist then phones you for an informal consultation. February 27, 2023 . 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. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. For example, the psychologist might have to evict his client for failing to pay rent--or he might . stream To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. The clients boyfriend expressed that she should never discuss this with anyone. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Dr. Tell contacts you with the above scenario. What are some possible suggestions for Dr. Jordan? Among other things, the report contained a psychological evaluation of the patient. 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). He does not view it as a therapy group. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. New York: John Wiley & Sons, Inc. 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. Others sources will also be used. 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. Ethics Rounds--Multiple relationships: A vignette She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Results will be available to you and the patient online. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. 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. ethical dilemmas in counseling vignettes. He recalled that he was an older person with significant depression who eventually became better. Dan explained to Dr. Crane that this group would be student-led and meet on campus. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). While it is not a complete assessment, it can guide patients to you for further psychological consultation. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. a73D%IhCTHA&:L0iAq(*p 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. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Prior to returning the call, Dr. Jordan reviews the patients chart. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Mr. Tellanyone is feeling quite guilty about his mother. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. The physician wants the psychologist to treat his 17-year-old daughter .

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ethical dilemmas in counseling vignettes

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