While Chuck now lives in an apartment in town, she remembers him well. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. They start spending more time together. 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. What are the ethical issues involved in this case? Close this message to accept cookies or find out how to manage your cookie settings. Others sources will also be used. endobj Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Are there any ethical considerations in this dilemma? Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. The patient has trust issues with his parents, especially his father. Divide and Rule? You are a therapist in a busy acute care hospital where you receive. If you were a co-owner of the business, how would you feel about this situation? xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Prior to their next session, Dr. Smith calls you for a consultation. He complains loudly about his parents and his girlfriend. 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. The therapist ignores the comment and finishes by setting their initial appointment. Simultaneously, the religious institution is adamant about this requirement. Approaching ethical dilemmas. Dilemma 20: Has the Therapist Done Too Much? 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. Ethical Vignette Paper.docx. What, if anything, should the therapist do? frequent consultation requests by the trauma service. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. The therapist then phones you for an informal consultation. Published online by Cambridge University Press: 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. 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. At the end of the session, the therapist asks for the requisite fee as stated on the phone. 1LzLxG`kvP@>. <> She actually attended his graduation party briefly and hired him to cut her lawn for two years. A psychologist works in an outpatient substance abuse treatment facility. What are some possible suggestions for Dr. Jordan? He promised to call her back within a week. Dr. Jordan returns the phone call. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? He also indicated that the relationship is taking on a more serious tone. 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. He thinks that she is young and impressionable. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? 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). As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Dr. Tell allowed several moments to pass before asking the patient what was happening. Both therapists are of the same profession. A therapist receives a phone call from a well-known internist in her area. cn]JlmQSMDM>pEm+gxMU]``tQqKF Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. 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. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. The physician wants the psychologist to treat his 17-year-old daughter . 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. The therapist remembers the former patient as a likeable person. Your browser either does not support scripting or you have turned scripting off. ACE provider approval period: 3/21/2021-3/21/2024. hasContentIssue true, The Author(s), 2022. ethical dilemmas in counseling vignettes. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. In the context of counseling, family includes people related through . Dr. Ron Popeil, a local therapist, is upgrading his web site. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. 2 Print version: page 62 6 min read 0 During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. At that time, Dr. Miller not only wanted to evaluate the marriage, but to evaluate how impaired the husband was, and to decide whether Mrs. Drapier had assessed her husbands depression and the marriage accurately. 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. 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. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Standards of Practice, B. Counselling Relationships, Confidentiality. The mother explains that the child has run away and the mother has reported the child missing to the police. This particular vignette, Swenson said, may well fail the two-prong test. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Dr. Bishop calls you for a consult about this situation. 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. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. %PDF-1.5 My name is Dr. 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 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. 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. What problems may occur as a function of Dr. <> He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. 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. What concrete steps might be important before calling the physician back? To use suggested categories to consider options for ethical response to the dilemma. Buddy states that he has been feeling stressed over the last month. ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. 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. endobj What factors make this situation potentially easy for you as a therapist? } 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. A female therapist in a suburban area has worked with a male patient for about one year. for this article. If you were the psychologist, what would be your emotion response to this situation? After the session is over, the therapist has time to reflect on her concerns. The patient repeated this line of questioning during the first face-to-face session. What emotional reactions may occur for the therapist? His family lives at a distance and provides minimal help. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. What are the potential ethical concerns about this scenario, if any? By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. The therapist screens the potential patient and believes that she can help him. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? : ethical dilemmas, burnout, stress, practicing counselors. The patient had been in treatment for about 10 months on a weekly basis. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. The main therapeutic issues are depression and loneliness. The ICU staff asks for your input. << /Length 5 0 R /Filter /FlateDecode >> Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. 4 0 obj !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< The patient was in therapy for approximately one year. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. What suggestions or recommendations would you offer to the therapist? 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. When asked about the reason for the referral, she said that her physician had referred her for anxiety. The counsellor is also conscious. How would you advise Dr. Thomas to handle them? 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. 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. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. What are the potential pitfalls in the scenario? The therapist feels stuck and overwhelmed by her present situation. This has caused both his physical and raised by clinical vignettes such as those below, The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. Standards of practice, part B.9 states that . However, after the session, the therapist feels uneasy about what his patient revealed. However, she begins to feel uncomfortable as she feels like they are spending too much time together. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Mr. Biggy indicates that he wants to talk more about his feelings. . To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Plenty acting beyond the limits of her competency? The mother further reports that the patients cousin has been driving the patient around town. 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 During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. 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 When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Address the matter with the other therapist directly. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. <> The therapist does not dwell on the situation with the patient. February 27, 2023 . The EAP service provides a solution-focused, three-session benefit for companies within Virginia. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. 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. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Dan explained to Dr. Crane that this group would be student-led and meet on campus. What are some of the potential ethical pitfalls in this scenario? Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 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. Dr. Goodfriend speaks with Buddy about once every six to nine months. What are the potential ethical issues with this case? Dilemma 35: Initial Telepsychology Session for Free? Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. What are some likely emotional reactions would you have in this situation? The survey consisted of 10 vignettes based on the above ethical issues in. adapted and used used with consent from a state psychological association. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. There were contentious issues dealing with the custody arrangements of the children. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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. 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. He also divulged that his risk-taking behavior has increased as well, such as speeding. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. What should you do with this email solicitation? Of course, they exist in all forms of counseling, from short-term advising . What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. What obligations does the therapist have to the parent? In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. If you were Dr. Goodfriend, how do you feel about the phone call? Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. New York: John Wiley & Sons, Inc. As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. Prior to returning the call, Dr. Jordan reviews the patients chart. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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. Does the therapist who hears this information have any legal obligations? stream The Center maintains responsibility for this program and its content. If you decide to provide information, would you consider communicating with the prior patients attorney? Currently, the patient is denying the fact that she has made past threats toward her neighbor. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. 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. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. What would you likely do with this email solicitation? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. It then provides six vignettes where supervisors are faced with ethical dilemmas. Just as he is about to hang up, Buddy says, Thanks. What are the ethical issues involved in this scenario? 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. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Regulatory boards are the final authority on courses accepted for continuing education credit.