ethical dilemmas in counseling vignettes ethical dilemmas in counseling vignettes

However, after the session, the therapist feels uneasy about what his patient revealed. They start spending more time together. 1. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. The PASS-2 is administered online, from any computer, iPad, or iPhone. School Counselors' Experiences With Ethical Decision Making 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. 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. The Experience of Ethical Dilemmas, Burnout, and Stress Among <> They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. What factors make this situation potentially difficult for you as a therapist? 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. Mr. Biggy indicates that he wants to talk more about his feelings. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. First, these vignettes are meant to be teaching tools. 14 March 2022. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. How are the clients emotional and interpersonal issues related to the therapists dilemma? 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. A psychologist receives a phone call from a well-known internist in her area. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . of family ties, but counselors in many other specialties will run into these issues too. Total loading time: 0 She calls you for an ethics consult. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. ethical dilemmas in counseling vignettes - helpfulmechanic.com 6768). However, she begins to feel uncomfortable as she feels like they are spending too much time together. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. 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 therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Dilemma 6: Referral and Treatment Boundaries. What are the ethical issues involved in this scenario? 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 Ethical Dilemmas in Counseling | Psychology Today United Kingdom She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Mr. Tellanyone is feeling quite guilty about his mother. 4 0 obj She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. 5 0 obj After six sessions, Mr. DiMencha suffered a significant concussion while at work. PDF Becoming A Helper 6th Edition By Corey Pdf / Richard Nelson-Jones Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Standards of practice, part B.9 states that . Dr. Tell allowed several moments to pass before asking the patient what was happening. The main therapeutic issues are depression and loneliness. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. The treatment notes indicate that she dropped out of therapy about one year ago. What are the possible downsides to entering the dual relationship? He is marginally coherent and unable to give any consistent responses. 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. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. 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. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. My company has developed a unique opportunity for you and your associates. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Hostname: page-component-7fc98996b9-g9qcd The therapist does not dwell on the situation with the patient. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Dan asked a number of faculty members to be the faculty advisor of this group. School Law for counselors, psychologists, and social workers . Jacob-Timm,S. Buddy also shares that he has been short tempered with his wife and kids. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! What are some actions that you, as the treating therapist, may have done differently? Would your answer differ if the advanced directive was created 7 years ago or greater? The therapist and the young man have been engaged in psychotherapy for the past 2 years. Are there any other concerns about the web developer/consultants strategies? 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? <>>> Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The counsellor is also conscious. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. 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. School counsellors often encounter ethically challenging situations due to contradictory values and roles. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Dr. Goodfriend receives a call from Buddy, his very close high school friend. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. There is nothing unusual that stands out about their therapeutic relationship. How would you feel about receiving this request? The therapist then phones you for an informal consultation. The therapist obtains the keys and title for the vehicle. How easy or how difficult would it be to take those steps? Attempts to find social service agencies able to help him have not been successful. The ICU staff asks for your input. Is Dr. x#86h)Ppcc0F( k/ 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. What are potential ethical issues with this invitation? What are the potential ethical issues in this case? Dr. Goodfriend speaks with Buddy about once every six to nine months. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. DILEMMA ONE In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. After some other small talk, Dr. Smith leaves to mingle with other friends. 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? A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Approaching ethical dilemmas. Ethical Dilemmas - IResearchNet - Psychology Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Menu. Ethics and Psychology: Vignette Warehouse (39) Plenty without any type of testing. What are the ethical issues, if any, involved in this case? 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. << /Length 5 0 R /Filter /FlateDecode >> % Learning From Ethical Vignettes - Center for Ethical Practice 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. Content may require purchase if you do not have access. The days allocated for her stay by her insurance are ending in two days. %PDF-1.3 Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu Are there competing ethical principles? She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. White Plains, NY: Longman. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Your browser either does not support scripting or you have turned scripting off. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. 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. Tara was offered this position after successfully completing both her practicum and her internship at the center. My name is Dr. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. : Ethical and Legal Ramifications of Documentation Decisions. It may rather be a sign that one is fully engaged in the life of a community. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. are Ethical dilemmas of school counsellors: A vignette study He asked the attorney if anyone is contesting the will. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp The patient has trust issues with his parents, especially his father. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. He complains loudly about his parents and his girlfriend. What are some potential responses that you could offer Dr. Bishop? Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. He thinks that she is young and impressionable. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. 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.. Counseling Ethics Code: 10 Common Ethical Issues & Studies I encourage you to review our web site. He recalled that he was an older person with significant depression who eventually became better. 2 0 obj Harry is a school guidance counselor who is just got a job at a large public high school. 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. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. 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 are some likely emotional reactions would you have in this situation? Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. The mother explains that the child has run away and the mother has reported the child missing to the police. 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 . A therapist had an intake appointment with a new client. Close this message to accept cookies or find out how to manage your cookie settings. cn]JlmQSMDM>pEm+gxMU]``tQqKF The Submit Answers for Grading feature requires scripting to function. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. endobj ethical dilemmas in counseling vignettes. stream He promised to call her back within a week. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Dr. Jordan is a therapist who typically works with a wide variety of patients. a73D%IhCTHA&:L0iAq(*p 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. What would you likely do with this email solicitation? 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. If you were a co-owner of the business, how would you feel about this situation? 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. Approaching ethical dilemmas - American Psychological Association ethical dilemmas in counseling vignettes - stmatthewsbc.org First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. 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. This has caused both his physical and : ethical dilemmas, burnout, stress, practicing counselors. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . 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. What are some recommendations that you would make to the psychologist? 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. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. She told the student that she would think about the request prior to answering. PDF Legal and Ethical Case Studies - American Counseling Association He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 6 0 obj 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. 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. A therapist receives a phone call from a well-known internist in her area. An important factor is that there is no cost to you, as the therapist. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? In the code, 18VAC115-20-130. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? 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. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. While discussing these issues, the patient suddenly stopped talking. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette endobj Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Buddy states that he has been feeling stressed over the last month. 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. raised by clinical vignettes such as those below, Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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 also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling 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. The results and implications for counsellors, counsellor educators and researchers are discussed. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 What steps does the psychologist need to take? % After the session is over, the therapist has time to reflect on her concerns. 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. hasContentIssue true, The Author(s), 2022. Mock Ethics Vignettes - BRAIN 3. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U 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. The therapist has not worked with the patient for about two years. The patient was in therapy for approximately one year. / ethical dilemmas in counseling vignettes. 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. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. P. (1996). Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics 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. When asked about the reason for the referral, she said that her physician had referred her for anxiety. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. <> A female therapist in a suburban area has worked with a male patient for about one year. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. 3 0 obj 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. 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. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. 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. PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 An ongoing theme in therapy revolves around his sexual orientation. <> 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. According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Dr. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. While Chuck now lives in an apartment in town, she remembers him well. Standards of Practice, B. Counselling Relationships, Confidentiality. He also divulged that his risk-taking behavior has increased as well, such as speeding. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. 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.