It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full } adapted and used used with consent from a state psychological association. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> The therapist and the attorney-patient meet for the initial session. Ethical Dilemmas - IResearchNet - Psychology She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. 1 pages. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U It was revealed that counsellors prioritise the students' benefit and respect students' privacy. : Ethical and Legal Ramifications of Documentation Decisions. 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. The ICU staff asks for your input. What are Dr. Millers potential ethical issues in this situation? raised by clinical vignettes such as those below, Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. How would you advise Dr. Thomas to handle them? a73D%IhCTHA&:L0iAq(*p Case Vignettes for Review Dr. Smith decided to review the report. 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. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. ethical dilemmas in counseling vignettes. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? During the next session, Mr. and Mrs. Drapier arrive separately, but on time. The therapist and the young man have been engaged in psychotherapy for the past 2 years. x#86h)Ppcc0F( k/ The therapist has not worked with the patient for about two years. My name is Dr. His mother had suffered from a combination of severe respiratory problems and Alzheimers. How easy or how difficult would it be to take those steps? If you were Dr. Jordan, how would you feel about this request? 8 0 obj The therapist cannot remember many details about the patient. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. stream Tara was offered this position after successfully completing both her practicum and her internship at the center. 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. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. With her husband, the patient and the ex-wife? 14 March 2022. 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. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. What emotional reactions may occur for the therapist? Glover, J. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. 6 0 obj <> Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. What are some potential responses that you could offer Dr. Bishop? 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. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. The therapist, her husband, and his ex-wife are on good terms. 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. Mr. Biggy indicates that he wants to talk more about his feelings. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. stream Dilemma 20: Has the Psychologist Done Too Much? Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. Refer the matter to the State Board of Psychology. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. 1 0 obj Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Currently, the patient is denying the fact that she has made past threats toward her neighbor. School Counselors' Experiences With Ethical Decision Making Others sources will also be used. 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 Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. Dr. Smith is now worried about the entire situation. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. School counsellors often encounter ethically challenging situations due to contradictory values and roles. She stated that Dr. Jordan recommended that she write down her memories. The treating therapist believes the options are: What are the possible emotional reactions to 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. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Counseling Ethics Code: 10 Common Ethical Issues & Studies A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. For example, the psychologist might have to evict his client for failing to pay rent--or he might . Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. The treatment notes indicate that she dropped out of therapy about one year ago. The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. image.jpg Liberty University Ethical and Legal Issues in Counseling . What are the potential ethical issues in this case? What suggestions or recommendations would you offer to the therapist? The ex-wife moved back to the area about six months ago. The patient was in therapy for approximately one year. Is Dr. 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. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. T2 0#8r\ He complains loudly about his parents and his girlfriend. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. The position pays much more than shes making at the community agency, and is within ten minutes of her home. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. 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. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. The treating therapist is questioning what to do. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. 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. Are there competing ethical principles? ACE provider approval period: 3/21/2021-3/21/2024. Buddy states that he has been feeling stressed over the last month. The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. are In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. Ethical Vignette Paper # Jodi Walters Liberty University. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Sci Rep 12, 22416 (2022). 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. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . What clinical concerns arise for you in this scenario? Your browser either does not support scripting or you have turned scripting off. 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. New York: John Wiley & Sons, Inc. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? A therapist is treating a client who is involved in a legal proceeding. 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. Dr. Smith is a therapist who has worked with a young woman for about 9 months. What are the possible downsides to entering the dual relationship? The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. A court appointed custody evaluator performed a child custody evaluation. The Submit Answers for Grading feature requires scripting to function. xVN0}-m8 You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. 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. His father has declined rapidly since the death of his wife and now requires total care. 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? How are the clients emotional and interpersonal issues related to the therapists dilemma? Ethical dilemmas in clinical supervision. 1: Need for guidelines She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. << /Length 5 0 R /Filter /FlateDecode >> 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. Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002.

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