Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. image.jpg Liberty University Ethical and Legal Issues in Counseling . They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Others sources will also be used. Attempts to find social service agencies able to help him have not been successful. ; & Hartshorne,T.S. Dan asked a number of faculty members to be the faculty advisor of this group. 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. What would be your emotional response to this situation? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. (1998). This vignette poses several ethical dilemmas for counselors. of family ties, but counselors in many other specialties will run into these issues too. Close this message to accept cookies or find out how to manage your cookie settings. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Address the matter with the other therapist directly. 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.. To use suggested categories to consider options for ethical response to the dilemma. Dr. Bishop calls you for a consult about this situation. Approaching ethical dilemmas. (1993). Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. 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.. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. ethical dilemmas in counseling vignettes - helpfulmechanic.com He also divulged that his risk-taking behavior has increased as well, such as speeding. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. x#86h)Ppcc0F( k/ 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. Prior to providing extra-therapy support, Dr. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. Plenty acting beyond the limits of her competency? As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. What factors make this situation potentially difficult for you as a therapist? Continuing Education & Ethical Resources For Mental Health Professionals. While discussing these issues, the patient suddenly stopped talking. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. She actually attended his graduation party briefly and hired him to cut her lawn for two years. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Jacob-Timm,S. Your browser either does not support scripting or you have turned scripting off. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. After the phone call, the therapist checks the waiting room and sees the patient there. Plenty without any type of testing. February 27, 2023 . In the code, 18VAC115-20-130. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. She does not feel right taking a fee larger than her usual and customary rate. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. What are some actions that you, as the treating therapist, may have done differently? Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. What should you do with this email solicitation? 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. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. He also wondered if he should contact the patients lawyer, with her permission, to disclose his perceptions about the quality of the report and his perceptions about the conclusions. The treating therapist is questioning what to do. The therapist and the attorney-patient meet for the initial session. Dr. Tell allowed several moments to pass before asking the patient what was happening. ACE provider approval period: 3/21/2021-3/21/2024. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). 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. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. DILEMMA ONE What are the ethical issues involved in this situation? 2 Print version: page 62 6 min read 0 The clients boyfriend expressed that she should never discuss this with anyone. 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* She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. : Ethical and Legal Ramifications of Documentation Decisions. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Case Vignettes for Review The mother explains that the child has run away and the mother has reported the child missing to the police. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. And, how would you, as the treating therapist, deal with those emotions? Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. 4 0 obj A female therapist in a suburban area has worked with a male patient for about one year. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Dr. Goodfriend receives a call from Buddy, his very close high school friend. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. : ethical dilemmas, burnout, stress, practicing counselors. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. During the interview, she was told that she would need to work independently, with only limited supervision. Dr. Smith is now worried about the entire situation. View all Google Scholar citations 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. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. White Plains, NY: Longman. for this article. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. endobj The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. School Law for counselors, psychologists, and social workers . / ethical dilemmas in counseling vignettes. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q 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. What clinical concerns arise for you in this scenario? The physician wants the psychologist to treat his 17-year-old daughter . The EAP service provides a solution-focused, three-session benefit for companies within Virginia. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . endstream PDF Legal and Ethical Case Studies - American Counseling Association Content may require purchase if you do not have access. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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 Glover, J. Mr. DiMencha demonstrates a variety of cognitive deficits. 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. The client continued to struggle. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Out of options, Dan is asking Dr. Crane to be the faculty advisor. A therapist receives a phone call from a well-known internist in her area. What are the ethical issues involved in this case? 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. Ethical Vignette Paper.docx. The mother further reports that the patients cousin has been driving the patient around town. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. xVN0}-m8 Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Programs that do not qualify for NBCC credit are clearly identified. It may rather be a sign that one is fully engaged in the life of a community. She stated that Dr. Jordan recommended that she write down her memories. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? 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. While it is not a complete assessment, it can guide patients to you for further psychological consultation. Dr. Smith also asked if it is ethical to bill the patients insurance company to review his impressions of a forensic report during a psychotherapy session. 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. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 The therapist obtains the keys and title for the vehicle. Ethical Dilemmas - IResearchNet - Psychology 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. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. The Clear Answers and Start Over feature requires scripting to function. Case Vignettes for Review Just as he is about to hang up, Buddy says, Thanks. Regulatory boards are the final authority on courses accepted for continuing education credit. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . What, if anything, should the therapist do? 3. 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. If you were the psychologist, what would be your emotion response to this situation? You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. I encourage you to review our web site. She recalled that he agreed that it could make a good book. T2 0#8r\ Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? How are the clients emotional and interpersonal issues related to the therapists dilemma? !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< How easy or how difficult would it be to take those steps? Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. adapted and used used with consent from a state psychological association. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 The test usually takes approximately 40 to 60 minutes to administer. If you were Dr. Goodfriend, how do you feel about the phone call? She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). The therapist does not dwell on the situation with the patient. Total loading time: 0 The treating therapist believes the options are: What are the possible emotional reactions to this situation? This has caused both his physical and For example, the first vignette, which 8 0 obj cn]JlmQSMDM>pEm+gxMU]``tQqKF Ethical dilemmas of school counsellors: A vignette study You are checking your email after a busy day. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. 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. 1 0 obj In the context of counseling, family includes people related through . Dilemma 20: Has the Psychologist Done Too Much? In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. 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? raised by clinical vignettes such as those below, The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. He complains loudly about his parents and his girlfriend. Tara was offered this position after successfully completing both her practicum and her internship at the center. After some other small talk, Dr. Smith leaves to mingle with other friends. What would you need from the attorney? "useRatesEcommerce": false The therapist knows her new boss, Mr. Biggy. <> stream 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. A therapist is treating a client who is involved in a legal proceeding. hasContentIssue true, The Author(s), 2022. 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. 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. The following email catches your attention. 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.