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 asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. <> 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. In hindsight, what triggered some possible difficulties in this situation? What are the potential ethical issues with this case? You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. While discussing these issues, the patient suddenly stopped talking. White Plains, NY: Longman. What do you believe is the best course of action? Along with. ethical dilemmas in counseling vignettes. Plenty without any type of testing. Is Dr. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD When asked about the reason for the referral, she said that her physician had referred her for anxiety. What are other steps that the therapist may want to take in this situation? Ethical Vignette Paper # Jodi Walters Liberty University. Dan asked a number of faculty members to be the faculty advisor of this group. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. What factors make this situation potentially difficult for you as a therapist? 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. What steps does the psychologist need to take? The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. How easy or how difficult would it be to take those steps? Can the client contact Child Protective Services anonymously in this case? The therapist obtains the keys and title for the vehicle. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. 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 While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). 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. 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. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. 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. Dr. Smith is a therapist who has worked with a young woman for about 9 months. 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. Tel: 434-971-1841 E-Mail: [email protected], Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? It may rather be a sign that one is fully engaged in the life of a community. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Simultaneously, the religious institution is adamant about this requirement. endobj Abstract All school counselors are considered mandated reporters. 7 0 obj By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. 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. If you were Dr. Jordan, how would you feel about this request? The physician wants the psychologist to treat his 17-year-old daughter . The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. At the end of the session, the therapist asks for the requisite fee as stated on the phone. What are the potential pitfalls in the scenario? As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. 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. Jacob-Timm,S. What are the ethical issues involved in this case? Uncertain, she calls you for an ethics consultation. The patient has never met the attorney face-to-face, only by email and phone contacts. : Ethical and Legal Ramifications of Documentation Decisions. During the interview, she was told that she would need to work independently, with only limited supervision. He would like help to work through the issues. My name is Dr. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. His impairment is noticeable by Dr. What are some actions that you, as the treating therapist, may have done differently? Dr. Bishop calls you for a consult about this situation. The client is feeling very helpless and vulnerable about this bind. The following email catches your attention. Dilemma 38: Psychotherapy without Medication, Dilemma 39: Pills, Chills, and No Thrills, Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision - 3 part series, Library: Articles & Papers Related to Ethics Education, Time pressure reduces misinformation discrimination ability but does not alter response bias, Domestic violence hotline calls will soon be invisible on your family phone plan, The danger of absolute thinking is absolutely clear. He complains loudly about his parents and his girlfriend. The therapist cannot remember many details about the patient. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. The therapist pulls the former patients chart. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. 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. 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 This has caused both his physical and A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. (1993). And, how would you, as the treating therapist, deal with those emotions? He recalled that he was an older person with significant depression who eventually became better. 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? Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 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. Dilemma 35: Initial Telepsychology Session for Free? Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics The patient had been in treatment for about 10 months on a weekly basis. (1998). However, she begins to feel uncomfortable as she feels like they are spending too much time together. Divide and Rule? Content may require purchase if you do not have access. His family lives at a distance and provides minimal help. His attorney believes that some good, written character references will really help out with the 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.. Are there competing ethical principles? Mr. DiMencha demonstrates a variety of cognitive deficits. 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. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. 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.. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. Dr. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. 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. Sue schedules the appointment for early in the evening. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Dr. Ron Popeil, a local therapist, is upgrading his web site. Dilemma 20: Has the Psychologist Done Too Much? Apparently, no one is. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Currently, the patient is denying the fact that she has made past threats toward her neighbor. To use suggested categories to consider options for ethical response to the dilemma. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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.
ethical dilemmas in counseling vignettes
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