She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. %PDF-1.5 The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Workers Compensation refuses to pay for the case management services of an independent social worker. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. 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. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. Cynthia had already invested quite a bit of money into her private practice, and was determined to make it work, regardless of the type of clients she had to treat. What are the ethical issues for this scenario? The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. What factors make this situation potentially difficult for you as a therapist? Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. 4 0 obj Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. How would you advise Dr. Thomas to handle them? Your browser either does not support scripting or you have turned scripting off. 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. Divide and Rule? ocuk Koruma Kanunu [Child Protection Law]. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. 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. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. Regulatory boards are the final authority on courses accepted for continuing education credit. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. How easy or how difficult would it be to take those steps? He complains loudly about his parents and his girlfriend. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. He does not view it as a therapy group. Dr. Bishop calls you for a consult about this situation. What are the potential ethical concerns about this scenario, if any? What concrete steps might be important before calling the physician back? If you were the psychologist, what would be your emotion response to this situation? After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. His attorney believes that some good, written character references will really help out with the case. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. He also indicated that the relationship is taking on a more serious tone. The results and implications for counsellors, counsellor educators and researchers are discussed. Learning Objectives: The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Published online by Cambridge University Press: a73D%IhCTHA&:L0iAq(*p A female therapist in a suburban area has worked with a male patient for about one year. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. What are the possible downsides to entering the dual relationship? After reiterating the purpose of the session (which was to assess the marital situation and not to assess his current treatment), Dr. Miller states that she feels uncomfortable with the request, although she is concerned about the therapists reported behavior. Group of answer choices Growth in . Prior to providing extra-therapy support, Dr. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. 2 0 obj School counsellors often encounter ethically challenging situations due to contradictory values and roles. The therapist cannot remember many details about the patient. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. 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 therapist feels stuck and overwhelmed by her present situation. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. . The treating therapist is questioning what to do. He asked the attorney if anyone is contesting the will. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. 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. 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. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Dan explained to Dr. Crane that this group would be student-led and meet on campus. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . The therapist has not worked with the patient for about two years. What, if anything, should the therapist do? "useRatesEcommerce": false Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. If you were Dr. Goodfriend, how do you feel about the phone call? Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? The client is feeling very helpless and vulnerable about this bind. ; & Hartshorne,T.S. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. Can the therapist continue the treatment relationship with the patient? I encourage you to review our web site. New York: John Wiley & Sons, Inc. Is Dr. Tell a mandated reporter in this situation? The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. 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. Dr. Smith also asked if it is ethical to bill the patients insurance company to review his impressions of a forensic report during a psychotherapy session. Dr. Tell allowed several moments to pass before asking the patient what was happening. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? endobj And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. What are the ethical issues involved in this case? Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Refer the matter to the State Board of Psychology. He thinks that she is young and impressionable. What are the ethical issues, if any, involved in this case? <> Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Continuing Education & Ethical Resources For Mental Health Professionals. 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. 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. 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. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. The following email catches your attention. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Are there competing ethical principles? 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. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? The executor is Mr. Palmers brother, who lives in a different state. What clinical concerns arise for you in this scenario? ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD 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? Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Mr. Biggy and Dr. Smith meet in an unplanned social venue. Your browser either does not support scripting or you have turned scripting off. Abstract All school counselors are considered mandated reporters. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Just as he is about to hang up, Buddy says, Thanks. 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. In a therapy session in an outpatient substance abuse treatment facility, a patient reveals that an agency staff person another therapist in a different department has paid to have sex with another patient in the treatment facility Lyla, who is a prostitute. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Has data issue: true While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. For example, the psychologist might have to evict his client for failing to pay rent--or he might . Dilemma 6: Referral and Treatment Boundaries. His father has declined rapidly since the death of his wife and now requires total care. 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. During the last two years, she required total care. What would be your emotional response to this situation? While it is not a complete assessment, it can guide patients to you for further psychological consultation. Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. 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. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? 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. The patient had been in treatment for about 10 months on a weekly basis. If you have further questions, feel free to contact me. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. 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 steps does the psychologist need to take? 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. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Next, most vignettes have more than one ethical issue that can be addressed. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. White Plains, NY: Longman. The treatment notes indicate that she dropped out of therapy about one year ago. Sci Rep 12, 22416 (2022). During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Ethics and law for school psychologists . With her husband, the patient and the ex-wife? Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. x#86h)Ppcc0F( k/ 1 pages. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. 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. Dr. Goodfriend speaks with Buddy about once every six to nine months. The test usually takes approximately 40 to 60 minutes to administer. 8 0 obj Dr. Jordan is a therapist who typically works with a wide variety of patients. The therapist ignores the comment and finishes by setting their initial appointment. stream Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. cn]JlmQSMDM>pEm+gxMU]``tQqKF They start spending more time together. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). He recalled that he was an older person with significant depression who eventually became better. What are the potential pitfalls in the scenario? xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q For example, the first vignette, which What would you likely do with this email solicitation? When she asks about insurance, he indicates that he will pay in cash. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. 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.. 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.
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