ethical dilemmas in counseling vignettes

What are the potential ethical issues in this case? Common Ethical Issues: Case Studies and Test Your Knowledge Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. She recalled that he agreed that it could make a good book. First, these vignettes are meant to be teaching tools. 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. 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. After six sessions, Mr. DiMencha suffered a significant concussion while at work. For example, the psychologist might have to evict his client for failing to pay rent--or he might . : ethical dilemmas, burnout, stress, practicing counselors. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Contemplate these 16 conundrums. 14 March 2022. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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. Fowers and Davidov (2006) link the "multicultural movement" to classical writings about ethics in the philosophy literature,contrasting "virtue ethics"with merely following the rules. 7 0 obj To use suggested categories to consider options for ethical response to the dilemma. She has been doing much of the case management work, e.g. After the session is over, the therapist has time to reflect on her concerns. PDF Legal and Ethical Case Studies - American Counseling Association To use provided clinical vignettes to practice how to recognize the ethical and legal issues. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Ethical dilemmas in clinical supervision. 1: Need for guidelines 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.. iRE]7*ZG; K5|h{. When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. frequent consultation requests by the trauma service. What would you need from the attorney? Content may require purchase if you do not have access. His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. DILEMMA ONE However, he researches the APA Ethics Code and believes that he may be acting inappropriately. The ICU staff asks for your input. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. What are the potential ethical concerns about this scenario, if any? 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. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. A therapist receives a phone call from a well-known internist in her area. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. endstream If you were Dr. Miller, what are your emotional reactions to this situation? The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. The ex-wife moved back to the area about six months ago. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. 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. The treating therapist believes the options are: What are the possible emotional reactions to this situation? He complains loudly about his parents and his girlfriend. The Center maintains responsibility for this program and its content. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. What factors make this situation potentially easy for you as a therapist? The therapist expresses her concerns about working with a patient whose father is prescribing medication. 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. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Counseling Ethics Code: 10 Common Ethical Issues & Studies Can the therapist continue the treatment relationship with the patient? Hence, the admission is voluntary. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. A psychologist receives a phone call from a well-known internist in her area. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. Jacob-Timm,S. Dr. Jordan returns the phone call. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Should Dr. Goodfriend call Buddy and offer a few referrals? 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. 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. 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. Are there additional considerations for how to approach the referring physician when calling back? The therapist obtains the keys and title for the vehicle. What are Dr. Millers potential ethical issues in this situation? 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? She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. 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. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? 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 Learning From Ethical Vignettes - Center for Ethical Practice 1. % <>>> You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. What emotional reactions may occur for the therapist? Plenty acting beyond the limits of her competency? "useRatesEcommerce": false 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. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . 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. B) =AiV5bAqUKxs#6{pA :)B'5-a* Dan asked a number of faculty members to be the faculty advisor of this group. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. 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. endobj I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. Dr. Jordan is a therapist who typically works with a wide variety of patients. Render date: 2023-03-04T21:33:13.444Z 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. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. If you have further questions, feel free to contact me. It then provides six vignettes where supervisors are faced with ethical dilemmas. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. A therapist receives a phone message from a former patient. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> They see her regularly for informal family events and do holidays together with their adult children and grandchildren. What are some actions that you, as the treating therapist, may have done differently? What are some likely emotional reactions would you have in this situation? 4 0 obj What are the possible steps Dr. Crane can take to mitigate any potential difficulties? What should you do with this email solicitation? Your browser either does not support scripting or you have turned scripting off. The client then asked if she could invite her boyfriend to the next session so that they could all discuss the information and the best way to handle the situation. The therapist ignores the comment and finishes by setting their initial appointment. In hindsight, what triggered some possible difficulties in this situation? The therapist, her husband, and his ex-wife are on good terms. During the current session, the confides that he has made a new female friend. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. 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. Simultaneously, he strongly believes he made the right decision. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 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. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. She stated that Dr. Jordan recommended that she write down her memories. School Law for counselors, psychologists, and social workers . When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Ethical dilemmas of school counsellors: A vignette study These issues included a. dual relationships, b. competence, c. informed consent, d. due process. What are the ethical issues involved in this case? Approaching ethical dilemmas - American Psychological Association 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 court appointed custody evaluator performed a child custody evaluation. 6768). Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. %PDF-1.5 What are the potential pitfalls in the scenario? He recalled that he was an older person with significant depression who eventually became better. He would like help to work through the issues. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. (1998). Others sources will also be used. Abstract All school counselors are considered mandated reporters. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG He does not view it as a therapy group. 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 It was revealed that counsellors prioritise the students' benefit and respect students' privacy. 8 0 obj Ethical Vignette Paper.docx. 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. 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. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 PDF Family ties: Tackling issues of objectivity and boundaries in counseling For example, the first vignette, which

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