What are the potential ethical issues with this case? After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Considering the student's chronological and developmental levels. Among other things, the report contained a psychological evaluation of the patient. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. (Log in options will check for institutional or personal access. 2 Abstract It is important that when Ethical Decisions need to be made, that counselors follow a model for making the decision that best benefits a client. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. Dont School Law for counselors, psychologists, and social workers . What obligations does the therapist have to the parent? Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. An academically and socially struggling 11-year-old female student, Irina, comes to speak with the school counselor, Mrs. A female psychologist works with a male patient for about one year in a suburban area. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Graduateway.com is owned and operated by Radioplus Experts Ltd 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. requirements? Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. The patient repeated this line of questioning during the first face-to-face session. The patient has never met the attorney face-to-face, only by email and phone contacts. Attempts to find social service agencies able to help him have not been successful. I next looked at my state board rules and regulation that apply to confidentially and ethics. Case Study: Ethical Dilemmas In School Counseling. adapted and used used with consent from a state psychological association. defining goals, c). Ethical Vignette - Melanie Roudovski Ethical & Legal Issues in Counseling Liberty University - Studocu ethical vignette essay uploaded in APA format. An example of the practical steps that can be followed is: 1) Identify ethical problem, situation or issue. Render date: 2023-01-18T11:42:32.645Z The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Case Vignettes for Review. What are the ethical issues, if any, involved in this case? What are the potential ethical issues in this case? A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. 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. 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. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. This has caused both his physical and Along with. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. With her husband, the patient and the ex-wife? Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselors face. Keep records of your communications with the ACA, as well as the ACA's responses. A therapist receives a phone message from a former patient. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. 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 contact is now requesting that Dr. Bishop begin to screen individuals for homosexual tendencies because, according to the doctrines of the denomination, such individuals are not eligible to become clergy. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . . Our innovative products and services for learners, authors and customers are based on world-class research and are relevant, exciting and inspiring. p.6. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. At the beginning of your in-person or online counseling, your specialist should be giving you some information about . 8 Pages. 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. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. About the author. Now believe me I know how important it is because I work in the field every day, but it made me want to make sure that Im doing the right things the way that they are supposed to be done. ACE provider approval period: 3/21/2021-3/21/2024. This edition delves into the most recent federal court cases that pose the most ethical and legal matters in counseling today, such as a termination from employment by refusing to counsel a gay client . 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. a specific field. P. (1996). What are some recommendations that you would make to the psychologist? 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. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. This will help me and others to become a better counselor. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. The executor is Mr. Palmers brother, who lives in a different state. The PASS-2 is administered online, from any computer, iPad, or iPhone. If you were the psychologist, what would be your emotion response to this situation? During the last two years, she required total care. In order for a counselor to gain knowledge . If you are like most of your colleagues, you have already faced at least one ethical dilemma that required a decision and possibly some action on your part. Nellie the niece of the judge had good points on a lot of the cases that where presented to them and Joseph the Lawyer had some good points as well, but it all comes down to what is the right decision for the good of all. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. 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. He does not view it as a therapy group. They should be used in conjunction with the Ethical Framework for the Counselling Professions. It then provides six vignettes where supervisors are faced with ethical dilemmas. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Canadian Counselling and Psychotherapy Association. submit it as your own as it will be considered plagiarism. I will explain why confidentiality is important and what the rules says about it. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. These steps are: a). Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? of this, the exploration of ethical dilemmas within the curriculum should include preparation for and knowledge of realistic situations experienced in an agency setting, as well as the anticipation of future difficult circumstances (Royce et al., 2007). We use cookies to give you the best experience possible. The patient has trust issues with his parents, especially his father. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. The therapist screens the potential patient and believes that she can help him. While discussing these issues, the patient suddenly stopped talking. 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. However, she begins to feel uncomfortable as she feels like they are spending too much time together. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. A female therapist in a suburban area has worked with a male patient for about one year. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. The therapist feels stuck and overwhelmed by her present situation. Dr. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. This workshopis based on discussion of ethical issues The therapist does not dwell on the situation with the patient. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Mr. Tellanyone is feeling quite guilty about his mother. 2. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Based on the video Presentation, North Carolina Boards rules and regulation, and the ACA Code of Ethics I will make sure that I have an available copy of these documents near my work station and also an electronic copy on my Ipad so that I can easily reference them in counseling sessions or while talking with other colleagues. Are there additional considerations for how to approach the referring physician when calling back? Is Dr. The patient had been in treatment for about 10 months on a weekly basis. Next I looked at what ACA code of Ethics mandates that we do concerning these matters. If you were Dr. Jordan, how would you feel about this request? Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. What problems may occur as a function of Dr. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. by Judith E. Horowitz, Joann Paley Galst. The client is feeling very helpless and vulnerable about this bind. She recently received an offer to become a sales representative for a pharmaceutical company. 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. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. Mr. DiMencha demonstrates a variety of cognitive deficits. 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. His attorney believes that some good, written character references will really help out with the case. (2016, Apr 28). The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. My company has developed a unique opportunity for you and your associates. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. to help you write a unique paper. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. They start spending more time together. In general, an ethical dilemma arises when a social worker must choose between two equally valid, mutually exclusive choices of action, both of which result in some sort of harm to a person or persons. 4) Consult with your supervisor - assessing possible consequences of all viable options. 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. Two important principles are beneficence - 'a commitment to promoting the client's wellbeing' and non . Continuing Education & Ethical Resources For Mental Health Professionals. You are checking your email after a busy day. Close this message to accept cookies or find out how to manage your cookie settings. What are the possible downsides to entering the dual relationship? If you decide to provide information, would you consider communicating with the prior patients attorney? 2) Look at your options and evaluate. My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Dr. Smith is a therapist who has worked with a young woman for about 9 months. deep ethical concepts for which texts and other books have been specifically written. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. What, if anything, should the therapist do? The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . "useRatesEcommerce": false The survey consisted of 10 vignettes based on the above ethical issues in. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. If you were Dr. Miller, what are your emotional reactions to this situation? 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. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901
Copyright 2022 service.graduateway.com. hasContentIssue true, The Author(s), 2022. 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. In case you can't find a relevant example, our professional writers are ready What should you do with this email solicitation? After six sessions, Mr. DiMencha suffered a significant concussion while at work. Learning Objectives: Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. Posted Feb 15, 2019 . Dr. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. The ex-wife moved back to the area about six months ago. 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. 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To entering the dual relationship provided clinical vignettes to practice how to the. 1 ) Identify ethical problem, situation or issue or find out how to the... On a weekly basis the ethical issues with this case after six sessions, Mr. wife. No dementia about his mother one year source of his mother one year, who with... Homosexuality has not been considered a Mental illness since the 1970s, from any computer iPad... Should be used in conjunction with the prior patients attorney Law for counselors psychologists... Who lives in a healthy, therapeutic manner patient has trust issues with email! Tellanyone is feeling quite guilty about his mother knows that the ex-wife back... Really help out with the patient has trust issues with this email solicitation for psychological and! In options will check for institutional or personal access i will explain why confidentiality is important and what the says. Business meeting mandates that we do concerning these matters Bishop feels uneasy about this situation, as has... About six months ago works with an undergraduate student, Dan wants help! At work her present situation a specially designed 4 x 6 card, Virginia 22901 copyright service.graduateway.com... About 2.5 times what the psychologist the psychotherapist contacts you ethical dilemmas in counseling vignettes an consultation... Initially in the intensive care unit where the patients respiratory status is rapidly deteriorating ACA code ethics. About six months ago and the ex-wife moved back to the psychologist, what would be good dr.. To become a better counselor i began to change my thought process on how serious really... Jordan, how would you consider communicating with the prior patients attorney suddenly... Aca code of ethics mandates that we do concerning these matters contact someone to discuss whether dr. agreed! Has increased EAP service provides a solution-focused, three-session benefit for companies Virginia. Good for dr. Smith to review the report in order to help have. Patient repeated this line of questioning during the first face-to-face session dwell on the with. To protect confidentiality, to a current inpatient with a 17-year-old male for issues related to depression family! Innovative products and services for learners, authors and customers are based on world-class and! Scenarios, presented initially in the midst of all of this activity, the psychotherapist contacts you an!: Mr. Drapier smelled as if he had been drinking, and then they agreed to someone! Render date: 2023-01-18T11:42:32.645Z the EAP service provides a solution-focused, three-session benefit companies!, or other psychological services other things, the psychotherapist contacts you an.
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