ethical dilemmas in counseling vignettes

Refer the matter to the State Board of Psychology. The survey consisted of 10 vignettes based on the above ethical issues in. Close this message to accept cookies or find out how to manage your cookie settings. : Ethical and Legal Ramifications of Documentation Decisions. After the session is over, the therapist has time to reflect on her concerns. In the code, 18VAC115-20-130. 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. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. My name is Dr. 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Hence, the admission is voluntary. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. What are some actions that you, as the treating therapist, may have done differently? The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. Mr. DiMencha demonstrates a variety of cognitive deficits. hasContentIssue true, The Author(s), 2022. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. What are Dr. Millers potential ethical issues in this situation? She actually attended his graduation party briefly and hired him to cut her lawn for two years. Harry is a school guidance counselor who is just got a job at a large public high school. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Encourage the client to file a complaint with the State Board of Psychology. 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 patient presents with a history of rejection and abandonment as well as being abused by persons of power. Can the therapist continue the treatment relationship with the patient? The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. Therapy lasted about a year and focused on depression and relationship issues. What would you likely do with this email solicitation? Standards of Practice, B. Counselling Relationships, Confidentiality. An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? What are the possible downsides to entering the dual relationship? 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. 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. ethical dilemmas in counseling vignettes. iRE]7*ZG; K5|h{. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Dr. Goodfriend is unclear whether Buddy is serious or joking. Dr. Goodfriend speaks with Buddy about once every six to nine months. 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. What are some possible suggestions for Dr. Jordan? Your browser either does not support scripting or you have turned scripting off. Feature Flags: { 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. The following email catches your attention. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. 1 pages. . 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? White Plains, NY: Longman. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? She does not feel right taking a fee larger than her usual and customary rate. If you were Dr. Miller, what are your emotional reactions to this situation? The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. 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. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Total loading time: 0 What are the ethical issues for this scenario? This has caused both his physical and After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. 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? Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. adapted and used used with consent from a state psychological association. Attempts to find social service agencies able to help him have not been successful. Are there competing ethical principles? << /Length 5 0 R /Filter /FlateDecode >> Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. } Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. . With whom does the therapist discuss the multiple roles? What are some of the potential ethical pitfalls in this scenario? What are the potential ethical concerns about this scenario, if any? Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. He is marginally coherent and unable to give any consistent responses. She stated that Dr. Jordan recommended that she write down her memories. Dr. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. of family ties, but counselors in many other specialties will run into these issues too. 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 are the ethical issues involved in this scenario? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. <>>> What are the possible steps Dr. Crane can take to mitigate any potential difficulties? What would be your emotional response to this situation? ~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! 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. What do you believe is the best course of action? When she asks about insurance, he indicates that he will pay in cash. How are the clients emotional and interpersonal issues related to the therapists dilemma? She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. This vignette poses several ethical dilemmas for counselors. The therapist has not worked with the patient for about two years. The therapist feels stuck and overwhelmed by her present situation. ; & Hartshorne,T.S. Are there additional considerations for how to approach the referring physician when calling back? stream 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. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Is Dr. Tell a mandated reporter in this situation? <> The treating therapist believes the options are: What are the possible emotional reactions to this situation? As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. Mr. Tellanyone is feeling quite guilty about his mother. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. What are some recommendations that you would make to the psychologist? 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. They developed a good therapeutic alliance. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wifes death was and how he hoped for a similar passing. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. What are the ethical concerns in this scenario? Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. The therapist and the young man have been engaged in psychotherapy for the past 2 years. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Mr. Biggy indicates that he wants to talk more about his feelings. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. 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. Patient contact information will be part of the administration process. Out of options, Dan is asking Dr. Crane to be the faculty advisor. The patient repeated this line of questioning during the first face-to-face session. 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. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD 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. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. 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? 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. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. 14 March 2022. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. 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. 2. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. ACE provider approval period: 3/21/2021-3/21/2024. 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.. / ethical dilemmas in counseling vignettes. What should you do with this email solicitation? The physician wants the psychologist to treat his 17-year-old daughter . Dr. Jordan calls you on the phone for an ethics consultation.