As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. His family lives at a distance and provides minimal help. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. This particular vignette, Swenson said, may well fail the two-prong test. The PASS-2 is administered online, from any computer, iPad, or iPhone. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. 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. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Published online by Cambridge University Press: Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu His impairment is noticeable by Dr. PDF Supervision Long Ethics Vignettes - CCFAM He would like help to work through the issues. 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. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? Attempts to find social service agencies able to help him have not been successful. Dr. Mr. Tellanyone is feeling quite guilty about his mother. 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 patient had been in treatment for about 10 months on a weekly basis. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. What steps does the psychologist need to take? %PDF-1.5 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. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp (1993). However, she begins to feel uncomfortable as she feels like they are spending too much time together. Learning Objectives: 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. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Apparently, no one is. 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. Running Head: ETHICAL VIGNETTE. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. Ethical dilemmas of school counsellors: A vignette study He recalled that he was an older person with significant depression who eventually became better. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. P. (1996). If you decide to provide information, would you consider communicating with the prior patients attorney? You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Most issues do not produce ethical dilemmas, but some do. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. What obligations does the therapist have to the parent? The therapist does not dwell on the situation with the patient. 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. What factors make this situation potentially difficult for you as a therapist? He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. outside her scope of practice? Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. What are the ethical concerns in this scenario? Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. 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. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. 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? 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. 4 0 obj As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Mr. Biggy and Dr. Smith meet in an unplanned social venue. 6768). 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. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. View all Google Scholar citations xVN0}-m8 Simultaneously, he strongly believes he made the right decision. The treating therapist is questioning what to do. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. A psychologist receives a phone call from a well-known internist in her area. The treatment notes indicate that she dropped out of therapy about one year ago. What concrete steps might be important before calling the physician back? Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette He does not view it as a therapy group. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Mr. Biggy indicates that he wants to talk more about his feelings. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. DILEMMA ONE Qualitative content analysis in practice. The therapist and the attorney-patient meet for the initial session. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Menu. He promised to call her back within a week. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. 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. Mock Ethics Vignettes - BRAIN During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. What are some recommendations that you would make to the psychologist? Dr. Goodfriend speaks with Buddy about once every six to nine months. A therapist receives a phone call from a well-known internist in her area. Divide and Rule? 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. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. Dr. Smith is a therapist who has worked with a young woman for about 9 months. 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 Render date: 2023-03-04T21:33:13.444Z ; & Hartshorne,T.S. The supervisee is very worried and afraid to tell Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The Clear Answers and Start Over feature requires scripting to function. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. 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. What are potential advantages in this scenario? The mother further reports that the patients cousin has been driving the patient around town. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. Are there competing ethical principles? He asked the attorney if anyone is contesting the will. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Case Vignettes for Review The cost of the online administration is $25, to be paid by the patient. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. An important factor is that there is no cost to you, as the therapist. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. 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. Others sources will also be used. She calls you for an ethics consult. Dr. Smith decided to review the report. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. (PDF) Ethical Issues in Counseling Supervision - ResearchGate Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Common Ethical Issues: Case Studies and Test Your Knowledge adapted and used used with consent from a state psychological association. 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. It then provides six vignettes where supervisors are faced with ethical dilemmas. Dilemma 20: Has the Therapist Done Too Much? 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. 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. 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. 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. Ethical Dilemmas in Counseling | Psychology Today United Kingdom 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. In hindsight, what triggered some possible difficulties in this situation? They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. While Chuck now lives in an apartment in town, she remembers him well. "useRatesEcommerce": false
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