Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. 2. Dr. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. 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. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. ocuk Koruma Kanunu [Child Protection Law]. Ethics and law for school psychologists . An important factor is that there is no cost to you, as the therapist. Menu. What are some recommendations that you would make to the psychologist? 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. The Clear Answers and Start Over feature requires scripting to function. What should you do with this email solicitation? What are the potential ethical issues in this case? What are other steps that the therapist may want to take in this situation? 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. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? The Center is solely responsible for all aspects of the programs. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. 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. Uncertain, she calls you for an ethics consultation. 3 0 obj Fowers and Davidov (2006) link the "multicultural movement" to classical writings about ethics in the philosophy literature,contrasting "virtue ethics"with merely following the rules. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. And, how would you, as the treating therapist, deal with those emotions? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. 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. What, if anything, should the therapist do? We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Render date: 2023-03-04T21:33:13.444Z 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; Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 It was revealed that counsellors prioritise the students' benefit and respect students' privacy. (Log in options will check for institutional or personal access. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. T2 0#8r\ 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. What are potential ethical issues with this invitation? 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. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Dan explained to Dr. Crane that this group would be student-led and meet on campus. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. The patient had been in treatment for about 10 months on a weekly basis. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. 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. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 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. Standards of practice, part B.9 states that . To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. The therapist ignores the comment and finishes by setting their initial appointment. If you have further questions, feel free to contact me. 4 0 obj What would you need from the attorney? To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. endobj If you were the psychologist, how would you feel about the situation? Are there any ethical considerations in this dilemma? a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. 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 physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. The patient was in therapy for approximately one year. The therapist does not dwell on the situation with the patient. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> What would be your emotional response to this situation? She was surprised to find that most of the clients who came to see her were young women who suffered primarily from eating disorders and relationship problems. The therapist feels stuck and overwhelmed by her present situation. My company has developed a unique opportunity for you and your associates. The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. 1LzLxG`kvP@>. At the end of the session, the therapist asks for the requisite fee as stated on the phone. First, these vignettes are meant to be teaching tools. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Results will be available to you and the patient online. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. If you were a co-owner of the business, how would you feel about this situation? 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The physician wants the psychologist to treat his 17-year-old daughter . 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. When she asks about insurance, he indicates that he will pay in cash. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. During the current session, the confides that he has made a new female friend. The client is feeling very helpless and vulnerable about this bind. Refer the matter to the State Board of Psychology. What are the ethical issues involved in this scenario? Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. adapted and used used with consent from a state psychological association. What are Dr. Millers potential ethical issues in this situation? What factors make this situation potentially difficult for you as a therapist? 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. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. There were contentious issues dealing with the custody arrangements of the children. Are there any other concerns about the web developer/consultants strategies? : Ethical and Legal Ramifications of Documentation Decisions. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Tara was offered this position after successfully completing both her practicum and her internship at the center. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Both therapists are of the same profession. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Dr. Tell contacts you with the above scenario. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. What are some possible suggestions for Dr. Jordan? It may rather be a sign that one is fully engaged in the life of a community. A female therapist in a suburban area has worked with a male patient for about one year. She calls you for an ethics consult. While Chuck now lives in an apartment in town, she remembers him well. 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. 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. 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. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. How would you feel if you were the consultant? Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. 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. "useRatesEcommerce": false 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. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Dilemma 6: Referral and Treatment Boundaries. Dilemma 20: Has the Psychologist Done Too Much? The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. How easy or how difficult would it be to take those steps? The EAP service provides a solution-focused, three-session benefit for companies within Virginia. My name is Dr. 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. He asked the attorney if anyone is contesting the will. Among other things, the report contained a psychological evaluation of the patient. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. 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. In hindsight, what triggered some possible difficulties in this situation? 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. 6 0 obj 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. ethical dilemmas in counseling vignettes. endobj Dr. Popeil thinks these ideas are good. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? %PDF-1.3 What are some likely emotional reactions would you have in this situation? Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. I encourage you to review our web site. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. What are the ethical issues, if any, involved in this case? Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. What obligations does the therapist have to the parent? a73D%IhCTHA&:L0iAq(*p Dr. Thomas wants him to come in immediately for a more indepth evaluation. 14 March 2022. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. When asked about the reason for the referral, she said that her physician had referred her for anxiety. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. To use suggested categories to consider options for ethical response to the dilemma. Mr. Tellanyone is feeling quite guilty about his mother. Just as he is about to hang up, Buddy says, Thanks. What are the ethical concerns in this scenario? One day, Dr. Bishop receives a phone call from his contact at the institution. Next, most vignettes have more than one ethical issue that can be addressed. endobj The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. Ethical Vignette Paper # Jodi Walters Liberty University. This has caused both his physical and He will likely need to go into an assisted living facility. How would you feel about receiving this request? Patient contact information will be part of the administration process. <> mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. 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. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. x#86h)Ppcc0F( k/ 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? Would your answer differ if there were no advanced directives? Ethics and ethical codes are bounded by the cultural contexts in which they were produced. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. The position pays much more than shes making at the community agency, and is within ten minutes of her home. What suggestions or recommendations would you offer to the therapist? What are the potential ethical concerns about this scenario, if any? Glover, J. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. 8 0 obj The lawyerpatient comments that this seems low. The survey consisted of 10 vignettes based on the above ethical issues in. The patient has never met the attorney face-to-face, only by email and phone contacts. She mentions that she is still in communication with her ex-husband because they share three children. Has data issue: true The test usually takes approximately 40 to 60 minutes to administer. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. 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 therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. 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.
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