A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. 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. What clinical concerns arise for you in this scenario? In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. Standards of Practice, B. Counselling Relationships, Confidentiality. The Clear Answers and Start Over feature requires scripting to function. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. 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. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. What would you need from the attorney? The Center maintains responsibility for this program and its content. The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. What are potential ethical issues with this invitation? In the code, 18VAC115-20-130. 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. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. <> xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q 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. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Dr. Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. She told the student that she would think about the request prior to answering. B) =AiV5bAqUKxs#6{pA :)B'5-a* The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. You are checking your email after a busy day. 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. 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. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. 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. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. The mother further reports that the patients cousin has been driving the patient around town. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. xVN0}-m8 hasContentIssue true, The Author(s), 2022. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Results will be available to you and the patient online. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. 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. Dr. Goodfriend is unclear whether Buddy is serious or joking. 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. What do you believe is the best course of action? Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> The therapist and the attorney-patient meet for the initial session. His father has declined rapidly since the death of his wife and now requires total care. Cynthia, a counselor who had been successfully working as an AIDS and substance abuse counselor in a large city for several years, recently moved to a very affluent suburb and decided to open a private practice. The PASS-2 is administered online, from any computer, iPad, or iPhone. 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. With her husband, the patient and the ex-wife? The patient repeated this line of questioning during the first face-to-face session. 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. Is Dr. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. 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. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Divide and Rule? endobj A therapist receives a phone call from a well-known internist in her area. Dr. Ron Popeil, a local therapist, is upgrading his web site. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Others sources will also be used. image.jpg Liberty University Ethical and Legal Issues in Counseling . 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 With whom does the therapist discuss the multiple roles? Learning From Ethical Vignettes This workshop is based on discussion of ethical issues raised by clinical vignettes such as those below, adapted and used used with consent from a state psychological association. : Ethical and Legal Ramifications of Documentation Decisions. The therapist and the young man have been engaged in psychotherapy for the past 2 years. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. 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. 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 she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. The therapist knows her new boss, Mr. Biggy. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. What are the ethical concerns in this scenario? She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Sue schedules the appointment for early in the evening. 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? 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. ~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! His family lives at a distance and provides minimal help. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . What, if anything, should the therapist do? Of course, they exist in all forms of counseling, from short-term advising . It was revealed that counsellors prioritise the students benefit and respect students privacy. What are the ethical issues, if any, involved in this case? The survey consisted of 10 vignettes based on the above ethical issues in. 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. 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. Plenty lives and practices psychotherapy in a rural area. The main therapeutic issues are depression and loneliness. raised by clinical vignettes such as those below, Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. 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. View all Google Scholar citations Is Dr. Tell a mandated reporter in this situation? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 What are the potential ethical issues with this case? 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. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Can the therapist continue the treatment relationship with the patient? You are a therapist in a busy acute care hospital where you receive. Dilemma 20: Has the Psychologist Done Too Much? 1 pages. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. stream << /Length 5 0 R /Filter /FlateDecode >> Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. Dr. My company has developed a unique opportunity for you and your associates. ACE provider approval period: 3/21/2021-3/21/2024. He recalled that he was an older person with significant depression who eventually became better. for this article. Ethical dilemmas. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. A therapist receives a phone message from a former patient. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. What are the ethical issues for this scenario? The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Buddy states that he has been feeling stressed over the last month. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. endobj The lawyerpatient comments that this seems low. 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? endobj What are the ethical issues involved in this situation? He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . 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. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. 1 0 obj Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. When asked about the reason for the referral, she said that her physician had referred her for anxiety. endobj Does the therapist who hears this information have any legal obligations? The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. 14 March 2022. He would like help to work through the issues. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Published online by Cambridge University Press: Dr. Jordan returns the phone call. The therapist obtains the keys and title for the vehicle. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. Others sources will also be used. 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. He complains loudly about his parents and his girlfriend. Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. For example, the psychologist might have to evict his client for failing to pay rent--or he might . Dr. Popeil thinks these ideas are good. A therapist had an intake appointment with a new client. What are potential advantages in this scenario? / ethical dilemmas in counseling vignettes. 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. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. The therapist, her husband, and his ex-wife are on good terms. 5 0 obj The patient was in therapy for approximately one year. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. Dilemma 20: Has the Therapist Done Too Much? 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.. 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; A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . When she asks about insurance, he indicates that he will pay in cash. 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. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. Dr. Goodfriend speaks with Buddy about once every six to nine months. Next, most vignettes have more than one ethical issue that can be addressed. 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. 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. A court appointed custody evaluator performed a child custody evaluation. What are some actions that you, as the treating therapist, may have done differently? This particular vignette, Swenson said, may well fail the two-prong test. The therapist ignores the comment and finishes by setting their initial appointment. Content may require purchase if you do not have access. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? 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. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< What suggestions or recommendations would you offer to the therapist? From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The executor is Mr. Palmers brother, who lives in a different state. 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.

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