image.jpg Liberty University Ethical and Legal Issues in Counseling . Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Would your answer differ if the advanced directive was created 7 years ago or greater? stream
The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. 5 0 obj
He thinks that she is young and impressionable. First, these vignettes are meant to be teaching tools. adapted and used used with consent from a state psychological association. 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? <>
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Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. Qualitative content analysis in practice. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Has data issue: true Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. COUC 501 Ethical and Legal Issues in Counseling - Course Hero 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. His impairment is noticeable by Dr. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Plenty without any type of testing. What are potential ethical issues with this invitation? What are some potential responses that you could offer Dr. Bishop? cn]JlmQSMDM>pEm+gxMU]``tQqKF 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. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Are there any other concerns about the web developer/consultants strategies? School Counselors' Experiences With Ethical Decision Making ethical dilemmas in counseling vignettes - laoiscivildefence.org Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. 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. Attempts to find social service agencies able to help him have not been successful. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. iRE]7*ZG;
K5|h{. ocuk Koruma Kanunu [Child Protection Law]. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. 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.. The Clear Answers and Start Over feature requires scripting to function. } His family lives at a distance and provides minimal help. The therapist knows her new boss, Mr. Biggy. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. 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. I encourage you to review our web site. Feature Flags: { What are the potential ethical issues in this case? What are the potential ethical concerns about this scenario, if any? The treatment notes indicate that she dropped out of therapy about one year ago. 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. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. 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. 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. 1 pages. What would you likely do with this email solicitation? However, he researches the APA Ethics Code and believes that he may be acting inappropriately. What are some likely emotional reactions would you have in this situation? 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. << /Length 5 0 R /Filter /FlateDecode >> The survey consisted of 10 vignettes based on the above ethical issues in. What steps does the psychologist need to take? The patient has never met the attorney face-to-face, only by email and phone contacts. 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. The clients boyfriend expressed that she should never discuss this with anyone. However, the attorney has little awareness about how impaired Mr. DiMencha is. B) =AiV5bAqUKxs#6{pA :)B'5-a* The therapist ignores the comment and finishes by setting their initial appointment. 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. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. It was revealed that counsellors prioritise the students benefit and respect students privacy. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. 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. 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. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. He complains loudly about his parents and his girlfriend. For example, the psychologist might have to evict his client for failing to pay rent--or he might . The therapist obtains the keys and title for the vehicle. What are the ethical issues involved in this scenario? Encourage the client to file a complaint with the State Board of Psychology. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. She calls you for an ethics consult. Can the therapist continue the treatment relationship with the patient? (PDF) Ethical Issues in Counseling Supervision - ResearchGate During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Tara was offered this position after successfully completing both her practicum and her internship at the center. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. If you decide to provide information, would you consider communicating with the prior patients attorney? Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. The therapist cannot remember many details about the patient. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Menu. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. There were contentious issues dealing with the custody arrangements of the children. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Prior to their next session, Dr. Smith calls you for a consultation. Dan explained to Dr. Crane that this group would be student-led and meet on campus. Most issues do not produce ethical dilemmas, but some do. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. 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. Of course, they exist in all forms of counseling, from short-term advising . This particular vignette, Swenson said, may well fail the two-prong test. The Center is solely responsible for all aspects of the programs. What would be your emotional response to this situation? ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7
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nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! 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. 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. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K 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. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. Dilemma 6: Referral and Treatment Boundaries. are The patient repeated this line of questioning during the first face-to-face session. Dr. Goodfriend speaks with Buddy about once every six to nine months. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. A female therapist in a suburban area has worked with a male patient for about one year. This workshopis based on discussion of ethical issues A court appointed custody evaluator performed a child custody evaluation. Mr. DiMencha demonstrates a variety of cognitive deficits. 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 . a73D%IhCTHA&:L0iAq(*p Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. He will likely need to go into an assisted living facility. Standards of Practice, B. Counselling Relationships, Confidentiality. ethical dilemmas in counseling vignettes - helpfulmechanic.com 4 0 obj 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. Dilemma 20: Has the Therapist Done Too Much? Dr. Goodfriend receives a call from Buddy, his very close high school friend. Dr. Popeil thinks these ideas are good. Would your answer differ if there were no advanced directives? P. (1996). Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. <>
Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. Your browser either does not support scripting or you have turned scripting off. In the code, 18VAC115-20-130. Buddy states that he has been feeling stressed over the last month. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. In the context of counseling, family includes people related through . School counsellors often encounter ethically challenging situations due to contradictory values and roles. Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. <>
His mother had suffered from a combination of severe respiratory problems and Alzheimers. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. This vignette poses several ethical dilemmas for counselors. She recalled that he agreed that it could make a good book. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. endobj
Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. 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. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. 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? 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? This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD 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. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. . What are some of the potential ethical pitfalls in this scenario? Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. 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. Total loading time: 0 Prior to providing extra-therapy support, Dr. Approaching ethical dilemmas - American Psychological Association Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. 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. 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. xOZo!BQf&vo$h5N
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9a0@3~q You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. School Law for counselors, psychologists, and social workers . Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. 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. Are there competing ethical principles? Prior to returning the call, Dr. Jordan reviews the patients chart. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. What suggestions or recommendations would you offer to the therapist? Identifying, addressing, and resolving ethical dilemmas is a dynamic process that requires counseling professionals to do more than simplistically apply the codes with respect for the uniqueness of each situation or circumstance. Workers Compensation refuses to pay for the case management services of an independent social worker. The test usually takes approximately 40 to 60 minutes to administer. 4 0 obj
She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. The main therapeutic issues are depression and loneliness. When she asks about insurance, he indicates that he will pay in cash. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. How would you advise Dr. Thomas to handle them? 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. Dr. Thomas wants him to come in immediately for a more indepth evaluation. New York: John Wiley & Sons, Inc. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. (1998). One day, Dr. Bishop receives a phone call from his contact at the institution. 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.. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. She told the student that she would think about the request prior to answering. The lawyerpatient comments that this seems low. 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. Harry then decides to attend a conference hosted by the ACA which will address the Code of the Ethics and the Standards of Practice in detail. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. What are some actions that you, as the treating therapist, may have done differently? Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. After some other small talk, Dr. Smith leaves to mingle with other friends. What are the potential pitfalls in the scenario? A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. 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. They developed a good therapeutic alliance. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. What emotional reactions may occur for the therapist? Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. What, if anything, should the therapist do? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Are there any ethical considerations in this dilemma? T2 0#8r\ 7 0 obj
Ethical dilemmas of school counsellors: A vignette study Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. February 27, 2023 . My name is Dr. 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. The patient has trust issues with his parents, especially his father. endobj
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. She actually attended his graduation party briefly and hired him to cut her lawn for two years. <>
Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. She stated that Dr. Jordan recommended that she write down her memories. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Group of answer choices Growth in . How would you feel if you were the consultant? With whom does the therapist discuss the multiple roles? Dilemma 20: Has the Psychologist Done Too Much? Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. For example, the first vignette, which The ex-wife moved back to the area about six months ago. How are the clients emotional and interpersonal issues related to the therapists dilemma? Learning Objectives: PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. ACE provider approval period: 3/21/2021-3/21/2024. Learning From Ethical Vignettes - Center for Ethical Practice !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< In hindsight, what triggered some possible difficulties in this situation? White Plains, NY: Longman. 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. If you were a co-owner of the business, how would you feel about this situation? Ethical Vignette Paper # Jodi Walters Liberty University. The position pays much more than shes making at the community agency, and is within ten minutes of her home. 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. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Can the client contact Child Protective Services anonymously in this case? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies.