While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. The therapist expresses her concerns about working with a patient whose father is prescribing medication. The supervisee is very worried and afraid to tell An ethical decision-making model provides you with a set of guidelines for making ethical decisions. She recalled that he agreed that it could make a good book. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Ethical Vignette Paper # Jodi Walters Liberty University. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. The executor is Mr. Palmers brother, who lives in a different state. <> Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. The therapist knows her new boss, Mr. Biggy. 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. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. 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 clinical concerns arise for you in this scenario? However, she begins to feel uncomfortable as she feels like they are spending too much time together. If you decide to provide information, would you consider communicating with the prior patients attorney? After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. 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. % Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. / ethical dilemmas in counseling vignettes. If you were the psychologist, how would you feel about the situation? The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. 5 0 obj They developed a good therapeutic alliance. stream Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . How would you feel if you were the consultant? The therapist pulls the former patients chart. Mr. Tellanyone is feeling quite guilty about his mother. If you were a co-owner of the business, how would you feel about this situation? At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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 endobj <> You are checking your email after a busy day. What are the ethical issues for this scenario? 4 0 obj Hostname: page-component-7fc98996b9-g9qcd What are some possible suggestions for Dr. Jordan? During the interview, she was told that she would need to work independently, with only limited supervision. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. How would you feel about receiving this request? 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. 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. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. 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). a73D%IhCTHA&:L0iAq(*p Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. 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. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Prior to providing extra-therapy support, Dr. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. What are the ethical issues involved in this scenario? Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. 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. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. 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. If you were Dr. Miller, what are your emotional reactions to this situation? What are some likely emotional reactions would you have in this situation? Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. 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. raised by clinical vignettes such as those below, The Center is solely responsible for all aspects of the programs. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Dr. Jordan returns the phone call. The patient had been in treatment for about 10 months on a weekly basis. Mr. DiMencha demonstrates a variety of cognitive deficits. 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. She has been doing much of the case management work, e.g. Total loading time: 0 American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . After six sessions, Mr. DiMencha suffered a significant concussion while at work. Programs that do not qualify for NBCC credit are clearly identified. 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. A psychologist receives a phone call from a well-known internist in her area. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. 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. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. He will likely need to go into an assisted living facility. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . What are the potential ethical issues in this case? What are the ethical issues involved in this case? Dr. The mother explains that the child has run away and the mother has reported the child missing to the police. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) After the phone call, the therapist checks the waiting room and sees the patient there. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. A therapist receives a phone message from a former patient. What are the potential ethical concerns about this scenario, if any? 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. Dr. Smith is a therapist who has worked with a young woman for about 9 months. stream Dilemma 38: Psychotherapy without Medication, Dilemma 39: Pills, Chills, and No Thrills, Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision - 3 part series, Library: Articles & Papers Related to Ethics Education, Time pressure reduces misinformation discrimination ability but does not alter response bias, Domestic violence hotline calls will soon be invisible on your family phone plan, The danger of absolute thinking is absolutely clear. His attorney believes that some good, written character references will really help out with the case. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. And, how would you, as the treating therapist, deal with those emotions? 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. Ethics and law for school psychologists . What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? 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. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Encourage the client to file a complaint with the State Board of Psychology. 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.
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