ethical dilemmas in counseling vignettes

Of course, they exist in all forms of counseling, from short-term advising . Address the matter with the other therapist directly. If you have further questions, feel free to contact me. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. outside her scope of practice? The counsellor is also conscious. The therapist and the young man have been engaged in psychotherapy for the past 2 years. %PDF-1.3 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. What are the potential ethical concerns about this scenario, if any? Simultaneously, he strongly believes he made the right decision. Plenty lives and practices psychotherapy in a rural area. While Chuck now lives in an apartment in town, she remembers him well. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. The following email catches your attention. She stated that Dr. Jordan recommended that she write down her memories. Dr. Tell contacts you with the above scenario. 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. <> What problems may occur as a function of Dr. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. 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. 14 March 2022. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. The patient has never met the attorney face-to-face, only by email and phone contacts. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. 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. } Running Head: ETHICAL VIGNETTE. The therapist, her husband, and his ex-wife are on good terms. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Others sources will also be used. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. How are the clients emotional and interpersonal issues related to the therapists dilemma? 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And, how would you, as the treating therapist, deal with those emotions? Standards of Practice, B. Counselling Relationships, Confidentiality. locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. for this article. You are a therapist in a busy acute care hospital where you receive. In hindsight, what triggered some possible difficulties in this situation? Is Dr. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Among other things, the report contained a psychological evaluation of the patient. A female therapist in a suburban area has worked with a male patient for about one year. 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? 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. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. A psychologist receives a phone call from a well-known internist in her area. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. 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 : Ethical and Legal Ramifications of Documentation Decisions. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. The patient has trust issues with his parents, especially his father. ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! Currently, the patient is denying the fact that she has made past threats toward her neighbor. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. If you were the psychologist, what would be your emotion response to this situation? To use provided clinical vignettes to practice how to recognize the ethical and legal issues. What concrete steps might be important before calling the physician back? Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. My name is Dr. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Jacob-Timm,S. For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. (Log in options will check for institutional or personal access. When she asks about insurance, he indicates that he will pay in cash. 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. 1 0 obj 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. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. She recalled that he agreed that it could make a good book. During the last two years, she required total care. 2 Print version: page 62 6 min read 0 During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. 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. The patient repeated this line of questioning during the first face-to-face session. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. 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. How would you feel about receiving this request? He is marginally coherent and unable to give any consistent responses. 7 0 obj For example, the first vignette, which There were contentious issues dealing with the custody arrangements of the children. The mother explains that the child has run away and the mother has reported the child missing to the police. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. The patient was in therapy for approximately one year. Dr. Ron Popeil, a local therapist, is upgrading his web site. One day, Dr. Bishop receives a phone call from his contact at the institution. 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. What are potential advantages in this scenario? Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. 4 0 obj Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? A therapist receives a phone call from a well-known internist in her area. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. The executor is Mr. Palmers brother, who lives in a different state. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). Attempts to find social service agencies able to help him have not been successful. 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. What are the ethical issues involved in this situation? His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. 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. Out of options, Dan is asking Dr. Crane to be the faculty advisor. The position pays much more than shes making at the community agency, and is within ten minutes of her home. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . His father has declined rapidly since the death of his wife and now requires total care. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. The ICU staff asks for your input. After some other small talk, Dr. Smith leaves to mingle with other friends. If you were Dr. Miller, what are your emotional reactions to this situation? 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. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. The therapist knows her new boss, Mr. Biggy. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. He promised to call her back within a week. of family ties, but counselors in many other specialties will run into these issues too. Would your answer differ if the advanced directive was created 7 years ago or greater? The therapist screens the potential patient and believes that she can help him. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. What are the potential ethical issues in this case? Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. 1. Can the therapist continue the treatment relationship with the patient? endobj She calls you for an ethics consult. The test usually takes approximately 40 to 60 minutes to administer. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. What are other steps that the therapist may want to take in this situation? She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). 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. Programs that do not qualify for NBCC credit are clearly identified. The clients boyfriend expressed that she should never discuss this with anyone. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons.

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