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. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. endobj What steps does the psychologist need to take? 14 March 2022. 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? First, these vignettes are meant to be teaching tools. Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. 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. Dr. Goodfriend receives a call from Buddy, his very close high school friend. << /Length 5 0 R /Filter /FlateDecode >> endobj The therapist, her husband, and his ex-wife are on good terms. The mother further reports that the patients cousin has been driving the patient around town. 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 She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? PDF Family ties: Tackling issues of objectivity and boundaries in counseling Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. 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. She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. Standards of Practice, B. Counselling Relationships, Confidentiality. My company has developed a unique opportunity for you and your associates. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. 1 pages. What would you likely do with this email solicitation? Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . 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. What are the ethical issues involved in this situation? She went on to detail how her boyfriend described how his uncle was involved in collecting and distributing child pornography but remained faithful to his aunt. Prior to their next session, Dr. Smith calls you for a consultation. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Workers Compensation refuses to pay for the case management services of an independent social worker. 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. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. The therapist and the young man have been engaged in psychotherapy for the past 2 years. 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. Menu. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. He recalled that he was an older person with significant depression who eventually became better. 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. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. ; & Hartshorne,T.S. Mr. Biggy and Dr. Smith meet in an unplanned social venue. The treating therapist believes the options are: What are the possible emotional reactions to this situation? 7 0 obj For example, the first vignette, which Next, most vignettes have more than one ethical issue that can be addressed. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. A psychologist works in an outpatient substance abuse treatment facility. 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. PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 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? After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. 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 . Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. What are the ethical issues, if any, involved in this case? 8 0 obj %PDF-1.3 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. The therapist screens the potential patient and believes that she can help him. What are some likely emotional reactions would you have in this situation? *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. 1. Dr. Ron Popeil, a local therapist, is upgrading his web site. Close this message to accept cookies or find out how to manage your cookie settings. Dr. Bishop calls you for a consult about this situation. 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. What emotional reactions may occur for the therapist? Dr. Tell allowed several moments to pass before asking the patient what was happening. 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. <> Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. During the interview, she was told that she would need to work independently, with only limited supervision. February 27, 2023 . 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. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. 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. New York: John Wiley & Sons, Inc. 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. He would like help to work through the issues. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. What are potential ethical issues with this invitation? The therapist does not dwell on the situation with the patient. What are the potential ethical issues with this case? (Log in options will check for institutional or personal access. stream Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Ethical Conflicts In Psychology Book Pdf Download During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. 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. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. 3 0 obj A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . The therapist remembers the former patient as a likeable person. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. My name is Dr. endobj Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. . 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. What are the potential ethical concerns about this scenario, if any? 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. Regulatory boards are the final authority on courses accepted for continuing education credit. The client is feeling very helpless and vulnerable about this bind. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. 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. 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. A therapist is treating a client who is involved in a legal proceeding. Dilemma 35: Initial Telepsychology Session for Free? Ethical Vignette Paper # Jodi Walters Liberty University. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. ERIC - ED577207 - School Counselors and Ethical Decision Making Just as he is about to hang up, Buddy says, Thanks. 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 A therapist had an intake appointment with a new client. 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. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? What are the ethical issues involved in this scenario? The Experience of Ethical Dilemmas, Burnout, and Stress Among 1 0 obj The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. What are Dr. Millers potential ethical issues in this situation? Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? With her husband, the patient and the ex-wife? Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. Programs that do not qualify for NBCC credit are clearly identified. How would you feel if you were the consultant? image.jpg Liberty University Ethical and Legal Issues in Counseling . 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. 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? Dr. Popeil thinks these ideas are good. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. 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. endobj Dr. Smith is a therapist who has worked with a young woman for about 9 months. Dr. Jordan calls you on the phone for an ethics consultation. Attempts to find social service agencies able to help him have not been successful. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Group of answer choices Growth in . He promised to call her back within a week. Patient contact information will be part of the administration process. Dr. Tell contacts you with the above scenario. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. 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. When she asks about insurance, he indicates that he will pay in cash. Plenty without any type of testing. The therapist knows her new boss, Mr. Biggy. 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. 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. The following email catches your attention. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. 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. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. 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. Continuing Education & Ethical Resources For Mental Health Professionals. 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.

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