at the beginning of the paragraph, and
at the end. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. 2 Print version: page 62 6 min read 0 An ongoing theme in therapy revolves around his sexual orientation. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. He is marginally coherent and unable to give any consistent responses. ethical dilemmas in counseling vignettes - stmatthewsbc.org The treating therapist believes the options are: What are the possible emotional reactions to this situation? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. One day, Dr. Bishop receives a phone call from his contact at the institution. Case Vignettes for Review Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. She stated that Dr. Jordan recommended that she write down her memories. The client is feeling very helpless and vulnerable about this bind. Dilemma 20: Has the Therapist Done Too Much? Group of answer choices Growth in . Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. <> ocuk Koruma Kanunu [Child Protection Law]. What, if anything, should the therapist do? White Plains, NY: Longman. Ethical Dilemmas in Counseling | Psychology Today United Kingdom Qualitative content analysis in practice. However, after the session, the therapist feels uneasy about what his patient revealed. 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. Hence, the admission is voluntary. She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. What are the ethical issues involved in this situation? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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. His mother had suffered from a combination of severe respiratory problems and Alzheimers. 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? Dilemma 20: Has the Psychologist Done Too Much? 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. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Simultaneously, he strongly believes he made the right decision. While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. What are Dr. Millers potential ethical issues in 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 . Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. He recalled that he was an older person with significant depression who eventually became better. Prior to providing extra-therapy support, Dr. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. : Ethical and Legal Ramifications of Documentation Decisions. Harry is a school guidance counselor who is just got a job at a large public high school. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. In the code, 18VAC115-20-130. A therapist had an intake appointment with a new client. What are the potential ethical concerns about this scenario, if any? Ethical Dilemmas - IResearchNet - Psychology However, he researches the APA Ethics Code and believes that he may be acting inappropriately. While discussing these issues, the patient suddenly stopped talking. At the end of the session, the therapist asks for the requisite fee as stated on the phone. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. However, she begins to feel uncomfortable as she feels like they are spending too much time together. After six sessions, Mr. DiMencha suffered a significant concussion while at work. If you were the psychologist, what would be your emotion response to this situation? 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. <> It may rather be a sign that one is fully engaged in the life of a community. The supervisee is very worried and afraid to tell Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. 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. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. The therapist and the young man have been engaged in psychotherapy for the past 2 years. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. Attempts to find social service agencies able to help him have not been successful. Divide and Rule? He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 7 0 obj The therapist, her husband, and his ex-wife are on good terms. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. Contemplate these 16 conundrums. Simultaneously, the religious institution is adamant about this requirement. Regulatory boards are the final authority on courses accepted for continuing education credit. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q The therapist expresses her concerns about working with a patient whose father is prescribing medication. The patient has never met the attorney face-to-face, only by email and phone contacts. The mother further reports that the patients cousin has been driving the patient around town. T2 0#8r\ Ethical dilemmas. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 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. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. 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. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. He confides that he would like to have an affair with her. They have dinner as couples several times per year. Results will be available to you and the patient online. For example, the psychologist might have to evict his client for failing to pay rent--or he might . PDF Family ties: Tackling issues of objectivity and boundaries in counseling Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. 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. Plenty without any type of testing. My company has developed a unique opportunity for you and your associates. . What do you believe is the best course of action? Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. endobj 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. The position pays much more than shes making at the community agency, and is within ten minutes of her home. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. With whom does the therapist discuss the multiple roles? We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. Others sources will also be used. 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. According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. The physician explains that he has been medicating her for about four months with Prozac and Klonopin, once he became aware of her eating disordered behavior. iRE]7*ZG; K5|h{. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. 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. February 27, 2023 . The ex-wife moved back to the area about six months ago. What clinical concerns arise for you in this scenario? First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. What are other steps that the therapist may want to take in this situation? Ethics and Psychology: Vignette Warehouse (39) 1 0 obj The patient repeated this line of questioning during the first face-to-face session. 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. 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 the ethical issues for this scenario? Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. How easy or how difficult would it be to take those steps? From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. endobj (PDF) Ethical Issues in Counseling Supervision - ResearchGate PDF Trainee Psychological Counselors' Understanding of Ethics - ed Standards of Practice, B. Counselling Relationships, Confidentiality. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Dr. Goodfriend is unclear whether Buddy is serious or joking. What are some potential responses that you could offer Dr. Bishop? What suggestions or recommendations would you offer to the therapist? Dr. ; & Hartshorne,T.S. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. 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. Smith is a therapist who has worked with a young woman for about 9 months. Learning From Ethical Vignettes This workshop is based on discussion of ethical issues raised by clinical vignettes such as those below, adapted and used used with consent from a state psychological association.