ETHICAL DILEMMAS IN COUNSELING - LinkedIn As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The treating therapist is questioning what to do. 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. The therapist feels stuck and overwhelmed by her present situation. Ethical Vignette Paper.docx. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Ethical dilemmas. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. 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. The therapist then phones you for an informal consultation. 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. outside her scope of practice? She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Continuing Education & Ethical Resources For Mental Health Professionals. After the session is over, the therapist has time to reflect on her concerns. For example, the psychologist might have to evict his client for failing to pay rent--or he might . He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. If you were the psychologist, what would be your emotion response to this situation? Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. He does not view it as a therapy group. Ethical Dilemmas - IResearchNet - Psychology Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The position pays much more than shes making at the community agency, and is within ten minutes of her home. 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. She calls you for an ethics consult. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. 7 0 obj What are potential advantages in this scenario? Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. The test usually takes approximately 40 to 60 minutes to administer. What are Dr. Millers potential ethical issues in this situation? Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. 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* The therapist expresses her concerns about working with a patient whose father is prescribing medication. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. What are the potential pitfalls in the scenario? 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. The therapist has not worked with the patient for about two years. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Does the therapist who hears this information have any legal obligations? He will likely need to go into an assisted living facility. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. What steps does the psychologist need to take? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. What, if anything, should the therapist do? 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. 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. He recalled that he was an older person with significant depression who eventually became better. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Plenty without any type of testing. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Mr. Biggy indicates that he wants to talk more about his feelings. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Is Dr. Tell a mandated reporter in this situation? Are there competing ethical principles? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. image.jpg Liberty University Ethical and Legal Issues in Counseling . 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. for this article. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. PDF ETHICAL DILEMMAS - SAGE Publications Inc And, how would you, as the treating therapist, deal with those emotions? A therapist had an intake appointment with a new client. 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. Dr. Smith is now worried about the entire situation. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. : ethical dilemmas, burnout, stress, practicing counselors. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Contemplate these 16 conundrums. After six sessions, Mr. DiMencha suffered a significant concussion while at work. The patient was in therapy for approximately one year. 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. P. (1996). You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. 1 0 obj To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . His impairment is noticeable by Dr. In the code, 18VAC115-20-130. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 The client is feeling very helpless and vulnerable about this bind. If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. 1LzLxG`kvP@>. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). Dr. Jordan returns the phone call. At the end of the session, the therapist asks for the requisite fee as stated on the phone. There is nothing unusual that stands out about their therapeutic relationship. He confides that he would like to have an affair with her. endobj My company has developed a unique opportunity for you and your associates. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. During the current session, the confides that he has made a new female friend. The PASS-2 is administered online, from any computer, iPad, or iPhone. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Dr. Jordan is a therapist who typically works with a wide variety of patients. 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. However, the attorney has little awareness about how impaired Mr. DiMencha is. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. 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.
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