ethical dilemmas in counseling vignettes ethical dilemmas in counseling vignettes

The therapist expresses her concerns about working with a patient whose father is prescribing medication. There were contentious issues dealing with the custody arrangements of the children. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. <> Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. 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. While he did complete his Legal and Ethical Issues in Counseling class while working on his masters degree, he feels that now that he working in the real world, he should review and discuss the Code of Ethics and the Standards of Practice with his peers. 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. 14 March 2022. The patient has trust issues with his parents, especially his father. The test usually takes approximately 40 to 60 minutes to administer. After the session is over, the therapist has time to reflect on her concerns. Close this message to accept cookies or find out how to manage your cookie settings. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. 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. 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. While discussing these issues, the patient suddenly stopped talking. 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. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. His mother had suffered from a combination of severe respiratory problems and Alzheimers. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. 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. 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. 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. 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. Currently, the patient is denying the fact that she has made past threats toward her neighbor. 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. If you were Dr. Miller, what are your emotional reactions to this situation? 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. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. What factors make this situation potentially easy for you as a therapist? You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 6 0 obj 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. Just as he is about to hang up, Buddy says, Thanks. 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. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. The results and implications for counsellors, counsellor educators and researchers are discussed. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp 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. P. (1996). She recalled that he agreed that it could make a good book. 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. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. 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. The therapist and the young man have been engaged in psychotherapy for the past 2 years. White Plains, NY: Longman. 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. Simultaneously, the religious institution is adamant about this requirement. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. ACE provider approval period: 3/21/2021-3/21/2024. Are there any other concerns about the web developer/consultants strategies? Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. raised by clinical vignettes such as those below, What would you need from the attorney? A therapist had an intake appointment with a new client. Has data issue: true Continuing Education & Ethical Resources For Mental Health Professionals. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. 2. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. The treatment notes indicate that she dropped out of therapy about one year ago. 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 a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. ethical dilemmas in counseling vignetteswvu mechanical engineering research. Along with. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. My company has developed a unique opportunity for you and your associates. An important factor is that there is no cost to you, as the therapist. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. The days allocated for her stay by her insurance are ending in two days. 3 0 obj It then provides six vignettes where supervisors are faced with ethical dilemmas. / ethical dilemmas in counseling vignettes. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U However, she begins to feel uncomfortable as she feels like they are spending too much time together. An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? Hence, the admission is voluntary. (Log in options will check for institutional or personal access. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Dilemma 35: Initial Telepsychology Session for Free? 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. Menu. If you were the psychologist, how would you feel about the situation? What are some likely emotional reactions would you have in this situation? Dilemma 6: Referral and Treatment Boundaries. What would be your emotional response to this situation? Dilemma6: Referral and Treatment Boundaries, Dilemma9: Psychologist 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 marital situation appears deteriorated and Mr. Drapier appears significantly depressed. He promised to call her back within a week. outside her scope of practice? Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. At the end of the session, the therapist asks for the requisite fee as stated on the phone. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. During the current session, the confides that he has made a new female friend. When asked about the reason for the referral, she said that her physician had referred her for anxiety. A psychologist works in an outpatient substance abuse treatment facility. Attempts to find social service agencies able to help him have not been successful. 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. Prior to returning the call, Dr. Jordan reviews the patients chart. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. 8 0 obj Running Head: ETHICAL VIGNETTE. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. And, how would you, as the treating therapist, deal with those emotions? Dr. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. cn]JlmQSMDM>pEm+gxMU]``tQqKF Results will be available to you and the patient online. 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. 2 Print version: page 62 6 min read 0 are On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. I encourage you to review our web site. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? 1 pages. Out of options, Dan is asking Dr. Crane to be the faculty advisor. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Among other things, the report contained a psychological evaluation of the patient. The following email catches your attention. 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. The counsellor is also conscious. Dan asked a number of faculty members to be the faculty advisor of this group. 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. << /Length 5 0 R /Filter /FlateDecode >> She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. If you were a co-owner of the business, how would you feel about this situation? At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Apparently, no one is. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. 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 image.jpg Liberty University Ethical and Legal Issues in Counseling . 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. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . What are the potential ethical issues with this case? 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.. At the end of the day, he listens to voicemail messages to learn that a former patient is reaching out to him for a request. The cost of the online administration is $25, to be paid by the patient. During the interview, she was told that she would need to work independently, with only limited supervision. 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. Thomas wants him to come in immediately for a more indepth evaluation. Ethical Vignette Paper # Jodi Walters Liberty University. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. ; & Hartshorne,T.S. Regulatory boards are the final authority on courses accepted for continuing education credit. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Can the client contact Child Protective Services anonymously in this case? 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. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Dr. Tell contacts you with the above scenario. His attorney believes that some good, written character references will really help out with the case. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. 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 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. What are potential advantages in this scenario? Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Abstract All school counselors are considered mandated reporters. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. He complains loudly about his parents and his girlfriend. While Chuck now lives in an apartment in town, she remembers him well. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. 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. He will likely need to go into an assisted living facility. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . Dilemma 20: Has the Therapist Done Too Much? Hostname: page-component-7fc98996b9-g9qcd