The Center is solely responsible for all aspects of the programs. 6 0 obj Your browser either does not support scripting or you have turned scripting off. Are there any ethical considerations in this dilemma? From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. The therapist does not dwell on the situation with the patient. Can the therapist continue the treatment relationship with the patient? cn]JlmQSMDM>pEm+gxMU]``tQqKF They start spending more time together. The clients boyfriend expressed that she should never discuss this with anyone. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. If you have further questions, feel free to contact me. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. 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. . In hindsight, what triggered some possible difficulties in this situation? adapted and used used with consent from a state psychological association. 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. What, if anything, should the therapist do? While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. The treating therapist is questioning what to do. How would you advise Dr. Thomas to handle them? 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. He promised to call her back within a week. Encourage the client to file a complaint with the State Board of Psychology. "useRatesEcommerce": false 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. My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. The therapist obtains the keys and title for the vehicle. Most issues do not produce ethical dilemmas, but some do. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. 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. 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. endobj What would you likely do with this email solicitation? A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. 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. 1 0 obj frequent consultation requests by the trauma service. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Address the matter with the other therapist directly. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q To use provided clinical vignettes to practice how to recognize the ethical and legal issues. 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. Your browser either does not support scripting or you have turned scripting off. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. The therapist, her husband, and his ex-wife are on good terms. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. 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. Feature Flags: { 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. Dilemma 35: Initial Telepsychology Session for Free? Dr. Goodfriend receives a call from Buddy, his very close high school friend. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. 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 Tara was offered this position after successfully completing both her practicum and her internship at the center. The therapist and the attorney-patient meet for the initial session. 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. What are the potential pitfalls in the scenario? Case Vignettes for Review What concrete steps might be important before calling the physician back? xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. raised by clinical vignettes such as those below, American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . He confides that he would like to have an affair with her. You are a therapist in a busy acute care hospital where you receive. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. 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. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. The cost of the online administration is $25, to be paid by the patient. What are the ethical concerns in this scenario? Glover, J. White Plains, NY: Longman. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Regulatory boards are the final authority on courses accepted for continuing education credit. 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 ethical dilemmas in counseling vignettes. While Chuck now lives in an apartment in town, she remembers him well. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. When she asks about insurance, he indicates that he will pay in cash. 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. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. The main therapeutic issues are depression and loneliness. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . <> Plenty engaging in a multiple relationship role in Mr. DiMenchas care? If you were Dr. Miller, what are your emotional reactions to this situation? Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Next, most vignettes have more than one ethical issue that can be addressed. a73D%IhCTHA&:L0iAq(*p He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. 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. Ethical Dilemmas - IResearchNet - Psychology You are checking your email after a busy day. 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. Ethical Dilemmas in Counseling | Psychology Today United Kingdom The Experience of Ethical Dilemmas, Burnout, and Stress Among Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Ethics and Psychology: Vignette Warehouse (39) Not knowing what to do, and realizing that the next patient is in the waiting room, the therapist takes the cash and sets up another appointment. 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. The client continued to struggle. Dr. Goodfriend speaks with Buddy about once every six to nine months. The physician explains that he has been medicating her for about four months with Prozac and Klonopin, once he became aware of her eating disordered behavior. 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. What are other steps that the therapist may want to take in this situation? To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. How are the clients emotional and interpersonal issues related to the therapists dilemma? The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. The ICU staff asks for your input. What are potential ethical issues with this invitation? Is Dr. Tell a mandated reporter in this situation? When asked about the reason for the referral, she said that her physician had referred her for anxiety. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. For example, the psychologist might have to evict his client for failing to pay rent--or he might . Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? She told the student that she would think about the request prior to answering. However, the attorney has little awareness about how impaired Mr. DiMencha is. She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. 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. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. 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. Are there any other concerns about the web developer/consultants strategies? The therapist expresses her concerns about working with a patient whose father is prescribing medication. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Dr. Smith is now worried about the entire situation. With whom does the therapist discuss the multiple roles? How easy or how difficult would it be to take those steps? Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. 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? 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. Is Dr. 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. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. T2 0#8r\ You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. 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.. What steps does the psychologist need to take? 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. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. ocuk Koruma Kanunu [Child Protection Law]. Along with. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. My name is Dr. Running Head: ETHICAL VIGNETTE. The therapist knows her new boss, Mr. Biggy. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Dr. Tell allowed several moments to pass before asking the patient what was happening. The physician wants the psychologist to treat his 17-year-old daughter . What are the potential ethical concerns about this scenario, if any? Hence, the admission is voluntary. What are the potential ethical issues in this case? What are some of the suggestions that you may have for the therapist about accepting or declining the referral? The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. 4 0 obj While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Mock Ethics Vignettes - BRAIN Out of options, Dan is asking Dr. Crane to be the faculty advisor. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. With her husband, the patient and the ex-wife? 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 the session is over, the therapist has time to reflect on her concerns. A psychologist receives a phone call from a well-known internist in her area. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. 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. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Ethics Rounds--Multiple relationships: A vignette Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. What factors make this situation potentially difficult for you as a therapist? 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 stream Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Both therapists are of the same profession. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. 4 0 obj What problems may occur as a function of Dr. 1. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. % The patient presents with a history of rejection and abandonment as well as being abused by persons of power. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. %PDF-1.3 xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA The supervisee is very worried and afraid to tell New York: John Wiley & Sons, Inc. 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. <> Dilemma 20: Has the Psychologist Done Too Much? stream Should Dr. Goodfriend call Buddy and offer a few referrals? Continuing Education & Ethical Resources For Mental Health Professionals. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. endobj The therapist screens the potential patient and believes that she can help him. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> This workshopis based on discussion of ethical issues Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. 1LzLxG`kvP@>. Standards of Practice, B. Counselling Relationships, Confidentiality. Dr. Smith is a therapist who has worked with a young woman for about 9 months. To use suggested categories to consider options for ethical response to the dilemma. 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. : ethical dilemmas, burnout, stress, practicing counselors. ethical dilemmas in counseling vignettes - helpfulmechanic.com She stated that Dr. Jordan recommended that she write down her memories. The client is feeling very helpless and vulnerable about this bind. Close this message to accept cookies or find out how to manage your cookie settings. Dilemma 6: Referral and Treatment Boundaries. Attempts to find social service agencies able to help him have not been successful. The treating therapist believes the options are: What are the possible emotional reactions to this situation? Total loading time: 0 She mentions that she is still in communication with her ex-husband because they share three children. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. The survey consisted of 10 vignettes based on the above ethical issues in. ERIC - ED577207 - School Counselors and Ethical Decision Making Mr. DiMencha demonstrates a variety of cognitive deficits. 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.