The contact is now requesting that Dr. Bishop begin to screen individuals for homosexual tendencies because, according to the doctrines of the denomination, such individuals are not eligible to become clergy. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. 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 You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. P. (1996). The main therapeutic issues are depression and loneliness. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . 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 suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. T. he counseling field is rich with ethical issues (American Counseling Association [ACA], 2014; Bodenhorn, 2006; Herlihy & Dufrene, 2011), so counselors have to be knowledgeable about current ethical and legal topics and attentive to their day-to-day clinical work. 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. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Regulatory boards are the final authority on courses accepted for continuing education credit. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. 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. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. 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. The cost of the online administration is $25, to be paid by the patient. 4 0 obj He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. She has been doing much of the case management work, e.g. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. ethical dilemmas in counseling vignettes - stmatthewsbc.org 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? What factors make this situation potentially difficult for you as a therapist? Standards of Practice, B. Counselling Relationships, Confidentiality. Prior to providing extra-therapy support, Dr. Ethical Dilemmas - IResearchNet - Psychology ERIC - ED577207 - School Counselors and Ethical Decision Making For example, the first vignette, which What would be your emotional response to this situation? What are Dr. Millers potential ethical issues in this situation? They start spending more time together. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Learning Objectives: What, if anything, should the therapist do? First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Patient contact information will be part of the administration process. It was revealed that counsellors prioritise the students benefit and respect students privacy. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Out of options, Dan is asking Dr. Crane to be the faculty advisor. 3 0 obj Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. %PDF-1.3 Results will be available to you and the patient online. 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. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. 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. Contemplate these 16 conundrums. He promised to call her back within a week. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. 1. He also indicated that the relationship is taking on a more serious tone. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness 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. What are other steps that the therapist may want to take in this situation? She was surprised to find that most of the clients who came to see her were young women who suffered primarily from eating disorders and relationship problems. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. B) =AiV5bAqUKxs#6{pA :)B'5-a* Approaching ethical dilemmas. Ethical dilemmas. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. PDF ETHICAL DILEMMAS - SAGE Publications Inc While he did complete his Legal and Ethical Issues in Counseling class while working on his masters degree, he feels that now that he working in the real world, he should review and discuss the Code of Ethics and the Standards of Practice with his peers. 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. How would you feel if you were the consultant? Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. What would you need from the attorney? Jacob-Timm,S. 1 pages. 1 0 obj 6 0 obj At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. stream a73D%IhCTHA&:L0iAq(*p After the phone call, the therapist checks the waiting room and sees the patient there. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. The Center maintains responsibility for this program and its content. Dr. Jordan calls you on the phone for an ethics consultation. %PDF-1.5 In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. The Experience of Ethical Dilemmas, Burnout, and Stress Among Sci Rep 12, 22416 (2022). She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. PDF Family ties: Tackling issues of objectivity and boundaries in counseling Case Vignettes for Review xVN0}-m8 Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. What are some possible suggestions for Dr. Jordan? The counsellor is also conscious. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. ethical dilemmas in counseling vignetteswvu mechanical engineering research. My company has developed a unique opportunity for you and your associates. 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu Address the matter with the other therapist directly. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. are Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U 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. While discussing these issues, the patient suddenly stopped talking. 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. PDF Supervision Long Ethics Vignettes - CCFAM PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling ACE provider approval period: 3/21/2021-3/21/2024. The ex-wife moved back to the area about six months ago. February 27, 2023 . What steps does the psychologist need to take? Case Vignettes for Review What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Dilemma 20: Has the Psychologist Done Too Much? raised by clinical vignettes such as those below, An ethical decision-making model provides you with a set of guidelines for making ethical decisions. If you were the psychologist, how would you feel about the situation? If you were Dr. Miller, what are your emotional reactions to this situation? As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Group of answer choices Growth in . Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. (1993). His father has declined rapidly since the death of his wife and now requires total care. Can the client contact Child Protective Services anonymously in this case? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Apparently, no one is. What are the ethical issues involved in this case? 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. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) What problems may occur as a function of Dr. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. One day, Dr. Bishop receives a phone call from his contact at the institution. What are the ethical concerns in this scenario? 5 0 obj A therapist is treating a client who is involved in a legal proceeding. The Submit Answers for Grading feature requires scripting to function. Running Head: ETHICAL VIGNETTE. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Dr. Tell contacts you with the above scenario. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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? Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Ethics and Psychology: Vignette Warehouse (39) 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. Others sources will also be used. 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. The clients boyfriend expressed that she should never discuss this with anyone. Ethical dilemmas in clinical supervision. 1: Need for guidelines Qualitative content analysis in practice. A psychologist receives a phone call from a well-known internist in her area. A female therapist in a suburban area has worked with a male patient for about one year. What are the ethical issues involved in this scenario? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Mr. Biggy and Dr. Smith meet in an unplanned social venue. 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. After six sessions, Mr. DiMencha suffered a significant concussion while at work. This particular vignette, Swenson said, may well fail the two-prong test. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. 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.

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