When Dr. Jordan attempts to clarify the request, it becomes clear that the former patient is not asking to return to therapy, but instead is asking Dr. Jordan to become the co-author or a consultant for the book. 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. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Dr. Tell allowed several moments to pass before asking the patient what was happening. 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. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. ; & Hartshorne,T.S. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. Currently, the patient is denying the fact that she has made past threats toward her neighbor. His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Dan asked a number of faculty members to be the faculty advisor of this group. 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. 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. 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. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. Dr. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Harry then decides to attend a conference hosted by the ACA which will address the Code of the Ethics and the Standards of Practice in detail. 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. endobj A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. 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. This particular vignette, Swenson said, may well fail the two-prong test. What are potential ethical issues with this invitation? Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. 6768). It was revealed that counsellors prioritise the students benefit and respect students privacy. 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. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. After six sessions, Mr. DiMencha suffered a significant concussion while at work. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Your browser either does not support scripting or you have turned scripting off. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. In the code, 18VAC115-20-130. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA If you decide to provide information, would you consider communicating with the prior patients attorney? What factors make this situation potentially easy for you as a therapist? What should you do with this email solicitation? ocuk Koruma Kanunu [Child Protection Law]. How would you advise Dr. Thomas to handle them? 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. With whom does the therapist discuss the multiple roles? Are there additional considerations for how to approach the referring physician when calling back? } 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.. What are some of the potential ethical pitfalls in this scenario? The client continued to struggle. Render date: 2023-03-04T21:33:13.444Z He also divulged that his risk-taking behavior has increased as well, such as speeding. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Is Dr. The therapist pulls the former patients chart. Plenty acting beyond the limits of her competency? The lawyerpatient comments that this seems low. Is Dr. Tell a mandated reporter in this situation? 4 0 obj Attempts to find social service agencies able to help him have not been successful. During the last two years, she required total care. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. 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 She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. She calls you for an ethics consult. She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. My company has developed a unique opportunity for you and your associates. What are the potential ethical concerns about this scenario, if any? What are other steps that the therapist may want to take in this situation? 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. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. She told the student that she would think about the request prior to answering. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. What are potential advantages in this scenario? What are some potential responses that you could offer Dr. Bishop? If you were Dr. Jordan, how would you feel about this request? endobj During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. During the interview, she was told that she would need to work independently, with only limited supervision. 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. 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. 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. << /Length 5 0 R /Filter /FlateDecode >> Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. 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. 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. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. When asked about the reason for the referral, she said that her physician had referred her for anxiety. Refer the matter to the State Board of Psychology. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). My name is Dr. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Programs that do not qualify for NBCC credit are clearly identified. What are the ethical concerns in this scenario? In the context of counseling, family includes people related through . What would you need from the attorney? She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. A psychologist works in an outpatient substance abuse treatment facility. 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. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. 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. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) While Chuck now lives in an apartment in town, she remembers him well. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. Prior to their next session, Dr. Smith calls you for a consultation. Dr. Goodfriend receives a call from Buddy, his very close high school friend. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. 1 0 obj : Ethical and Legal Ramifications of Documentation Decisions. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics What would be your emotional response to this situation? Can the therapist continue the treatment relationship with the patient? 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. And, how would you, as the treating therapist, deal with those emotions? The therapist, her husband, and his ex-wife are on good terms. 1. <> 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. After some other small talk, Dr. Smith leaves to mingle with other friends. The therapist remembers the former patient as a likeable person. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. What problems may occur as a function of Dr. School Law for counselors, psychologists, and social workers . Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 His mother had suffered from a combination of severe respiratory problems and Alzheimers. 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. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? If you were Dr. Miller, what are your emotional reactions to this situation? The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Regulatory boards are the final authority on courses accepted for continuing education credit. She mentions that she is still in communication with her ex-husband because they share three children. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. The therapist knows her new boss, Mr. Biggy. The mother further reports that the patients cousin has been driving the patient around town. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; How would you feel about receiving this request? Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. 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. . The therapist ignores the comment and finishes by setting their initial appointment. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Mr. Tellanyone is feeling quite guilty about his mother. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Feature Flags: { The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Total loading time: 0 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. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. %PDF-1.3 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. What are the ethical issues involved in this case? 3. 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. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 B) =AiV5bAqUKxs#6{pA :)B'5-a* Encourage the client to file a complaint with the State Board of Psychology. The therapist screens the potential patient and believes that she can help him. 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. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. His father has declined rapidly since the death of his wife and now requires total care. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. 1LzLxG`kvP@>. Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Sue schedules the appointment for early in the evening. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. 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 a co-owner of the business, how would you feel about this situation? Simultaneously, he strongly believes he made the right decision. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. What are the potential pitfalls in the scenario? 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. Standards of Practice, B. Counselling Relationships, Confidentiality. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. Identifying, addressing, and resolving ethical dilemmas is a dynamic process that requires counseling professionals to do more than simplistically apply the codes with respect for the uniqueness of each situation or circumstance. endobj T2 0#8r\ Mr. Biggy indicates that he wants to talk more about his feelings. <> The patient was in therapy for approximately one year. 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. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. However, after the session, the therapist feels uneasy about what his patient revealed. 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. Workers Compensation refuses to pay for the case management services of an independent social worker. <> She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Others sources will also be used. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. You are a therapist in a busy acute care hospital where you receive. She went on to detail how her boyfriend described how his uncle was involved in collecting and distributing child pornography but remained faithful to his aunt. 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. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. You are checking your email after a busy day.
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