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. However, the attorney has little awareness about how impaired Mr. DiMencha is. After six sessions, Mr. DiMencha suffered a significant concussion while at work. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Does the therapist who hears this information have any legal obligations? A psychologist receives a phone call from a well-known internist in her area. Ethical Vignette Paper.docx. He recalled that he was an older person with significant depression who eventually became better. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. What are some likely emotional reactions would you have in this situation? 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. Dr. Bishop calls you for a consult about this situation. If you were Dr. Miller, what are your emotional reactions to this situation? They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. School Counselors' Experiences With Ethical Decision Making 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. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. This has caused both his physical and My name is Dr. After the phone call, the therapist checks the waiting room and sees the patient there. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. 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. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Dr. Jordan is a therapist who typically works with a wide variety of patients. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. His impairment is noticeable by Dr. The following email catches your attention. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. The therapist, her husband, and his ex-wife are on good terms. 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. 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. ethical dilemmas in counseling vignettes - laoiscivildefence.org 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. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. are Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. His father has declined rapidly since the death of his wife and now requires total care. Mr. Biggy and Dr. Smith meet in an unplanned social venue. What are Dr. Millers potential ethical issues in this situation? Dr. Popeil thinks these ideas are good. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. What suggestions or recommendations would you offer to the therapist? 2. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. The client continued to struggle. Dr. Goodfriend speaks with Buddy about once every six to nine months. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. 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 In hindsight, what triggered some possible difficulties in this situation? In the context of counseling, family includes people related through . Plenty lives and practices psychotherapy in a rural area. 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. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. He thinks that she is young and impressionable. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. What should you do with this email solicitation? What are other steps that the therapist may want to take in this situation? ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. However, she begins to feel uncomfortable as she feels like they are spending too much time together. What are some potential responses that you could offer Dr. Bishop? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. 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. She does not feel right taking a fee larger than her usual and customary rate. ERIC - ED577207 - School Counselors and Ethical Decision Making Learning Objectives: He will likely need to go into an assisted living facility. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. } She told the student that she would think about the request prior to answering. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. The therapist cannot remember many details about the patient. 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. Dr. Jordan calls you on the phone for an ethics consultation. Dr. Goodfriend is unclear whether Buddy is serious or joking. A therapist is treating a client who is involved in a legal proceeding. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. 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. The contact is now requesting that Dr. Bishop begin to screen individuals for homosexual tendencies because, according to the doctrines of the denomination, such individuals are not eligible to become clergy. Running Head: ETHICAL VIGNETTE. Dr. Tell contacts you with the above scenario. The therapist obtains the keys and title for the vehicle. 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. 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. Biggy indicates that he wants to talk more about his feelings. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. He would like help to work through the issues. What are the ethical concerns in this scenario? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Currently, the patient is denying the fact that she has made past threats toward her neighbor. 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. While Chuck now lives in an apartment in town, she remembers him well. The Submit Answers for Grading feature requires scripting to function. She calls you for an ethics consult. Standards of practice, part B.9 states that . 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 clients boyfriend expressed that she should never discuss this with anyone. ethical dilemmas in counseling vignettes - helpfulmechanic.com What steps does the psychologist need to take? Buddy also shares that he has been short tempered with his wife and kids. Out of options, Dan is asking Dr. Crane to be the faculty advisor. He asked the attorney if anyone is contesting the will. First, these vignettes are meant to be teaching tools. While discussing these issues, the patient suddenly stopped talking. 4 0 obj Has data issue: true A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Prior to providing extra-therapy support, Dr. The treatment notes indicate that she dropped out of therapy about one year ago. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. ethical dilemmas in counseling vignetteswvu mechanical engineering research. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. PDF Legal and Ethical Case Studies - American Counseling Association Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. The patient repeated this line of questioning during the first face-to-face session. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. (Log in options will check for institutional or personal access. ACE provider approval period: 3/21/2021-3/21/2024. 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. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Group of answer choices Growth in . % 1. 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. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. His attorney believes that some good, written character references will really help out with the case. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. Dan asked a number of faculty members to be the faculty advisor of this group. He confides that he would like to have an affair with her. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. When she asks about insurance, he indicates that he will pay in cash. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Sue schedules the appointment for early in the evening. Ethical dilemmas of school counsellors: A vignette study Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Ethics and law for school psychologists . 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. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG