A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. 2 0 obj
), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. 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. Dilemma 35: Initial Telepsychology Session for Free? Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. << /Length 5 0 R /Filter /FlateDecode >> During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Dr. Goodfriend is unclear whether Buddy is serious or joking. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. They developed a good therapeutic alliance. (1998). The ex-wife moved back to the area about six months ago. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. 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. Attempts to find social service agencies able to help him have not been successful. If you were a co-owner of the business, how would you feel about this situation? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. The therapist and the attorney-patient meet for the initial session. The therapist ignores the comment and finishes by setting their initial appointment. 14 March 2022. 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. They have dinner as couples several times per year. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. The Center maintains responsibility for this program and its content. 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. He is talking with a young man, most likely his cousin. What are potential advantages in this scenario? Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. 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. To use suggested categories to consider options for ethical response to the dilemma. 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. A court appointed custody evaluator performed a child custody evaluation. 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. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. 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? The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Are there competing ethical principles? 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. Continuing Education & Ethical Resources For Mental Health Professionals. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. And, how would you, as the treating therapist, deal with those emotions? In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. While discussing these issues, the patient suddenly stopped talking. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. She actually attended his graduation party briefly and hired him to cut her lawn for two years. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. 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. What factors make this situation potentially easy for you as a therapist? Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Out of options, Dan is asking Dr. Crane to be the faculty advisor. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. However, the attorney has little awareness about how impaired Mr. DiMencha is. Dr. Jordan returns the phone call. 4 0 obj ocuk Koruma Kanunu [Child Protection Law]. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. She stated that Dr. Jordan recommended that she write down her memories. In the context of counseling, family includes people related through . This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. 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. Has data issue: true School counsellors often encounter ethically challenging situations due to contradictory values and roles. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. Plenty acting beyond the limits of her competency? Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. After the session is over, the therapist has time to reflect on her concerns. There were contentious issues dealing with the custody arrangements of the children. 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. Along with. outside her scope of practice? American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. The Center is solely responsible for all aspects of the programs. The Clear Answers and Start Over feature requires scripting to function. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. "useRatesEcommerce": false The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. Hostname: page-component-7fc98996b9-g9qcd The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. View all Google Scholar citations Buddy states that he has been feeling stressed over the last month. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The survey consisted of 10 vignettes based on the above ethical issues in. The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. 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. 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. 1. Refer the matter to the State Board of Psychology. What steps does the psychologist need to take? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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. Your browser either does not support scripting or you have turned scripting off. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Contemplate these 16 conundrums. 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. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. 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? 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. %
The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. raised by clinical vignettes such as those below, are His impairment is noticeable by Dr. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. Programs that do not qualify for NBCC credit are clearly identified. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. She has been doing much of the case management work, e.g. 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. What are the ethical issues involved in this case? Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. At the end of the session, the therapist asks for the requisite fee as stated on the phone. of family ties, but counselors in many other specialties will run into these issues too. Learning Objectives: What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Published online by Cambridge University Press: What are some recommendations that you would make to the psychologist? While it is not a complete assessment, it can guide patients to you for further psychological consultation. Is Dr. Tell a mandated reporter in this situation? ethical dilemmas in counseling vignetteswvu mechanical engineering research. How easy or how difficult would it be to take those steps? 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 . What clinical concerns arise for you in this scenario? Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Content may require purchase if you do not have access. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. 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 indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. What obligations does the therapist have to the parent? Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. stream
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? 1 0 obj
The therapist remembers the former patient as a likeable person. for this article. 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. endobj
Of course, they exist in all forms of counseling, from short-term advising . 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. Goodfriend receives a call from Buddy, his very close high school friend. What are the potential ethical issues in this case? Standards of Practice, B. Counselling Relationships, Confidentiality. 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.. Plenty lives and practices psychotherapy in a rural area. A psychologist receives a phone call from a well-known internist in her area. The therapist feels stuck and overwhelmed by her present situation. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. P. (1996). The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. endobj
Simultaneously, he strongly believes he made the right decision. : Ethical and Legal Ramifications of Documentation Decisions. What are the potential ethical concerns about this scenario, if any? 1LzLxG`kvP@>. White Plains, NY: Longman. The following email catches your attention. If you were the psychologist, what would be your emotion response to this situation? Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. 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. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. He is marginally coherent and unable to give any consistent responses. An ongoing theme in therapy revolves around his sexual orientation. To create paragraphs in your essay response, type at the beginning of the paragraph, and
at the end. The PASS-2 is administered online, from any computer, iPad, or iPhone. Next, most vignettes have more than one ethical issue that can be addressed. endobj
He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. This has caused both his physical and 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. How would you advise Dr. Thomas to handle them? 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. 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. In hindsight, what triggered some possible difficulties in this situation? The cost of the online administration is $25, to be paid by the patient. What emotional reactions may occur for the therapist? 2 Print version: page 62 6 min read 0 It then provides six vignettes where supervisors are faced with ethical dilemmas. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . She recently received an offer to become a sales representative for a pharmaceutical company. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Just as he is about to hang up, Buddy says, Thanks. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. What do you believe is the best course of action? My company has developed a unique opportunity for you and your associates. His family lives at a distance and provides minimal help. The results and implications for counsellors, counsellor educators and researchers are discussed. B) =AiV5bAqUKxs#6{pA :)B'5-a* Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. The therapist obtains the keys and title for the vehicle. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. %PDF-1.3 What are the potential pitfalls in the scenario? Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Dr. Ron Popeil, a local therapist, is upgrading his web site. The patient was in therapy for approximately one year. (Log in options will check for institutional or personal access. 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. 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. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. 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. 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. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. 4 0 obj
Uncertain, she calls you for an ethics consultation. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. ; & Hartshorne,T.S. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. 6 0 obj
Jacob-Timm,S. She calls you for an ethics consult. 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 therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. What would be your emotional response to this situation? The position pays much more than shes making at the community agency, and is within ten minutes of her home. 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 During the current session, the confides that he has made a new female friend.