ethical dilemmas in counseling vignettes

Dr. Smith decided to review the report. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Workers Compensation refuses to pay for the case management services of an independent social worker. 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 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. What would you likely do with this email solicitation? If you were Dr. Goodfriend, how do you feel about the phone call? The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. Pharapreising and interpretation due to major educational standards released by a particular educational institution as well as tailored to your educational institution if different; Based on the video Presentation, North Carolina Boards rules and regulation, and the ACA Code of Ethics I will make sure that I have an available copy of these documents near my work station and also an electronic copy on my Ipad so that I can easily reference them in counseling sessions or while talking with other colleagues. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. This paper has been peer reviewed and student received an A on it. . What are the ethical issues involved in this case? I began to change my thought process on how serious this really is. Here are some of the main areas that can bring up ethical and legal issues in counseling. Source: Zeevveez/Flickr CC 2.0. What steps does the psychologist need to take? They start spending more time together. What are the ethical issues involved in this scenario? Counseling: Ethical Issues Essay. Choose skilled expert on your subject and get original paper with free plagiarism Reaction Paper: "Ethical Dilemmas" Morality is the behavior that conforms to an accepted standard of right and wrong. What are some recommendations that you would make to the psychologist? Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. Dan asked a number of faculty members to be the faculty advisor of this group. possible consequences, e). Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. COMMENTS. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Next, most vignettes have more than one ethical issue that can be addressed. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Ethical dilemmas At stake here are several conflicting values, the concern for a fellow human being, self-preservation, success of the company and the pressure to perform. New York: John Wiley & Sons, Inc. Canadian Counselling and Psychotherapy Association. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Does the therapist who hears this information have any legal obligations? I encourage you to review our web site. What are some potential responses that you could offer Dr. Bishop? The common ethical dilemmas experienced in all institutions were found out as "limitations to privacy", "entering into multiple relations", and "transfer of competences and values". 2.) The danger of this approach would be to become too specific and to concentrate too closely to the issues of the case while forgetting the major socio-political They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Case Study: Ethical Dilemmas In School Counseling. The lawyerpatient comments that this seems low. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Can the client contact Child Protective Services anonymously in this case? She told the student that she would think about the request prior to answering. Is Dr. Tell a mandated reporter in this 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. Considering the student's chronological and developmental levels. 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. 2. The counsellor is also conscious. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. These steps are: a). 2. The patient has never met the attorney face-to-face, only by email and phone contacts. What are other steps that the therapist may want to take in this situation? View all Google Scholar citations Keep records of your communications with the ACA, as well as the ACA's responses. 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. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Results will be available to you and the patient online. Ethical Issues in Multicultural Counseling are very prevalent today. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. 2 Print version: page 62 6 min read Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Case Vignettes for Review. Jacob-Timm,S. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. She actually attended his graduation party briefly and hired him to cut her lawn for two years. What are the ethical issues involved in this situation? The ex-wife moved back to the area about six months ago. 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. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Ethical Vignette - Melanie Roudovski Ethical & Legal Issues in Counseling Liberty University - Studocu ethical vignette essay uploaded in APA format. New Therapist, 58, 18-26. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. Mr. Tellanyone is feeling quite guilty about his mother. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Abstract. For example, if the client in the vignette is a Native American who asks to participate in a healing ritual, you would research Native American ceremonies and the ethical issues relating to this. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. This workshopis based on discussion of ethical issues He thinks that she is young and impressionable. They also stated confidentiality is a right of all clients under the principles of autonomy, beneficence, and fidelity. 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. report, Ethical Vignette: Ethical Dilemma. A therapist receives a phone call from a well-known internist in her area. Better Essays. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Dr. Goodfriend speaks with Buddy about once every six to nine months. What problems may occur as a function of Dr. The cost of the online administration is $25, to be paid by the patient. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. to help you write a unique paper. Informed consent. It is important to maintain healthy boundaries to . What are some possible suggestions for Dr. Jordan? The main therapeutic issues are depression and loneliness. Encourage the client to file a complaint with the State Board of Psychology. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselors face. In general, an ethical dilemma arises when a social worker must choose between two equally valid, mutually exclusive choices of action, both of which result in some sort of harm to a person or persons. 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. Others sources will also be used. . : ethical dilemmas, burnout, stress, practicing counselors. As I began to read and listen to the material that dealt with the Ethical vignette as it dealt with confidentiality and ethical dilemmas that counselors will deal with in their day to day work environment. If you were a co-owner of the business, how would you feel about this situation? This video presentation also helped me to see that even though you might think something is right you have to make sure that the law is clear on the matter to make sure that you as a counselor will a sound decision. The therapist then phones you for an informal consultation. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. She mentions that she is still in communication with her ex-husband because they share three children. Bartering in psychotherapy & counseling: Complexities, case studies and guidelines. Ethical issues in counseling generally fall on the therapist. Should Dr. Goodfriend call Buddy and offer a few referrals? Operating those services in a LGBQT center will convey intersecting situations. us: [emailprotected]. What are potential advantages in this scenario? ), 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. The Center maintains responsibility for this program and its content. What clinical concerns arise for you in this scenario? They developed a good therapeutic alliance. Irina's parents are conservative Catholics and the culture of the school community is . Examples Of Ethical Dilemmas In Counseling - 2130 Words | Cram. It was revealed that counsellors prioritise the students benefit and respect students privacy. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. running head: ethical vignette ethical DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home At the end of the session, the therapist asks for the requisite fee as stated on the phone. 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. And needs the multicultural experience the U.S. for 5 years per month > Ethics: case vignettes for . Counselors disclose information only with appropriate consent or with sound legal or ethical justification. 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. Smith is a therapist who has worked with a young woman for about 9 months. 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. She recalled that he agreed that it could make a good book. The mother explains that the child has run away and the mother has reported the child missing to the police. Dr. Goodfriend receives a call from Buddy, his very close high school friend. After some other small talk, Dr. Smith leaves to mingle with other friends. 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. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Ethical issues in a counseling practice lay the foundation of a therapist in practice. The therapist screens the potential patient and believes that she can help him. This course introduces students to concepts regarding ethical and legal issues encountered by licensed professional counselors and marriage and family therapists, including ethical. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . What are Dr. Millers potential ethical issues in this situation? Due to their lack of knowledge in that area, ethical issues may arise. A female therapist in a suburban area has worked with a male patient for about one year. This requires counsellors to put clients first, show respect and maintain integrity. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. How would you feel about receiving this request? ACE provider approval period: 3/21/2021-3/21/2024. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Are there any ethical considerations in this dilemma? While there are many different modalities, the American Counseling Association provides an ethical decision-making model that has counselors identify a problem, apply ACA code of ethics, apply state and . He asked the attorney if anyone is contesting the will. They are not intended to be sufficient for resolving specific issues or dilemmas arising from work with clients, which are often complex. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. 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. One day, Dr. Bishop receives a phone call from his contact at the institution. Prior to providing extra-therapy support, Dr. A therapist receives a phone message from a former patient. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Prior to returning the call, Dr. Jordan reviews the patients chart. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. He complains loudly about his parents and his girlfriend. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. Ethical Dilemmas in Counseling Contemplate these 16 conundrums. As VP of the division, I am under scrutiny to deliver substantial results to my president, John Edmonds, to be seen as sensitive to my product managers needs. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. What obligations does the therapist have to the parent? 3. What concrete steps might be important before calling the physician back? The therapist knows her new boss, Mr. Biggy. . ; & Hartshorne,T.S. Copyright 2022 service.graduateway.com. These two guides offer the same basic principles for ethical counselling. Dr. Jordan calls you on the phone for an ethics consultation. Open Document. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . 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. Mr. Biggy and Dr. Smith meet in an unplanned social venue. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. "useRatesEcommerce": false In this case study we will find some ethical dilemmas that usually are encountered by counselors and supervisors (Sederer L, 2013). 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. The North Carolina Board of Licensed Professional Counselor (NCBLPC) States that, Protecting the confidentiality of clients information is a key component of the counseling professions Code of Ethics and Standards of Practice. 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 Vignette Paper 1 - ethical dilemmas in counseling vignettes Essays /a! A female psychologist works with a male patient for about one year in a suburban area. Total loading time: 0.362 of a person living in one society. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Dual Relationship A dual relationship is when there is another role in addition to the counselling relationship. Just as he is about to hang up, Buddy says, Thanks. A therapist is treating a client who is involved in a legal proceeding. He is marginally coherent and unable to give any consistent responses. 8 Pages. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. adapted and used used with consent from a state psychological association. Would your answer differ if the advanced directive was created 7 years ago or greater? What are some likely emotional reactions would you have in this situation? If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. By continuing well It is the character, decency, goodness, integrity, righteousness, virtue etc. 3. When asked about the reason for the referral, she said that her physician had referred her for anxiety. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. While Chuck now lives in an apartment in town, she remembers him well. a specific field. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. 2 Abstract It is important that when Ethical Decisions need to be made, that counselors follow a model for making the decision that best benefits a client. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. We use cookies to give you the best experience possible. Step 3: Consider ending the relationship with the client involved in the ethical dilemma. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. However, the attorney has little awareness about how impaired Mr. DiMencha is. Ethical dilemmas in psychotherapy: comparison between patients, therapists and laypersons (1) Patients have different ethical codes from therapists and laypersons regarding the issues of confidentiality. Through a series of thoughtfully analyzed case vignettes, readers will learn a template that can help them .

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