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Attempts to find social service agencies able to help him have not been successful. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. She has been doing much of the case management work, e.g. The therapist screens the potential patient and believes that she can help him. Dr. Goodfriend receives a call from Buddy, his very close high school friend. He is marginally coherent and unable to give any consistent responses. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Identifying, addressing, and resolving ethical dilemmas is a dynamic process that requires counseling professionals to do more than simplistically apply the codes with respect for the uniqueness of each situation or circumstance. Both therapists are of the same profession. What problems may occur as a function of Dr. 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. 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. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. His impairment is noticeable by Dr. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. The physician wants the psychologist to treat his 17-year-old daughter . Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? He thinks that she is young and impressionable. 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. Learning Objectives: hasContentIssue true, The Author(s), 2022. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. What emotional reactions may occur for the therapist? We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. What are some possible suggestions for Dr. Jordan? Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. 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. 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. He also wondered if he should contact the patients lawyer, with her permission, to disclose his perceptions about the quality of the report and his perceptions about the conclusions. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD 1 0 obj
His family lives at a distance and provides minimal help. Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? How would you advise Dr. Thomas to handle them? Contemplate these 16 conundrums. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Total loading time: 0 Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. 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. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. P. (1996). Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. The main therapeutic issues are depression and loneliness. The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. ; & Hartshorne,T.S. He does not view it as a therapy group. 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. of family ties, but counselors in many other specialties will run into these issues too. Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. During the current session, the confides that he has made a new female friend. The therapist has not worked with the patient for about two years. Your browser either does not support scripting or you have turned scripting off. 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. 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. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. She stated that Dr. Jordan recommended that she write down her memories. Simultaneously, he strongly believes he made the right decision. What clinical concerns arise for you in this scenario? 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 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. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. Are there competing ethical principles? He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. My name is Dr. White Plains, NY: Longman. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. You are checking your email after a busy day. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. 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. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. She recalled that he agreed that it could make a good book. Refer the matter to the State Board of Psychology. A psychologist works in an outpatient substance abuse treatment facility. 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. It then provides six vignettes where supervisors are faced with ethical dilemmas. He recalled that he was an older person with significant depression who eventually became better. After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. Dr. Goodfriend is unclear whether Buddy is serious or joking. Dr. Tell allowed several moments to pass before asking the patient what was happening. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. He also divulged that his risk-taking behavior has increased as well, such as speeding. Among other things, the report contained a psychological evaluation of the patient. <>>>
Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. If you were a co-owner of the business, how would you feel about this situation? Dr. Ron Popeil, a local therapist, is upgrading his web site. In the code, 18VAC115-20-130. 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. image.jpg Liberty University Ethical and Legal Issues in Counseling . The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. What factors make this situation potentially difficult for you as a therapist? What would you need from the attorney? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>>
Next, most vignettes have more than one ethical issue that can be addressed. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? She was surprised to find that most of the clients who came to see her were young women who suffered primarily from eating disorders and relationship problems. Can the client contact Child Protective Services anonymously in this case? He would like help to work through the issues. 8 0 obj
!!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< What are the ethical issues involved in this scenario? Would your answer differ if there were no advanced directives? What are the possible downsides to entering the dual relationship? What factors make this situation potentially easy for you as a therapist? What concrete steps might be important before calling the physician back? A therapist receives a phone message from a former patient. 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. After some other small talk, Dr. Smith leaves to mingle with other friends. 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. ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. When she asks about insurance, he indicates that he will pay in cash. The lawyerpatient comments that this seems low. What are the potential ethical issues in this case? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Standards of Practice, B. Counselling Relationships, Confidentiality. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Should Dr. Goodfriend call Buddy and offer a few referrals? 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. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. 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. He complains loudly about his parents and his girlfriend. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. cn]JlmQSMDM>pEm+gxMU]``tQqKF The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. 1 pages. The results and implications for counsellors, counsellor educators and researchers are discussed. To use suggested categories to consider options for ethical response to the dilemma. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. 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. Divide and Rule? The client continued to struggle. 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. Dans vision is that the group would meet periodically to provide one another with support, to do problem solving, to share information and personal struggles, and perhaps to provide some psycho-educational work on campus. The therapist obtains the keys and title for the vehicle. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. How would you feel about receiving this request? How would you feel if you were the consultant? 1. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Published online by Cambridge University Press: The patient has trust issues with his parents, especially his father. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. An ongoing theme in therapy revolves around his sexual orientation. What are the ethical issues involved in this situation? Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. } %PDF-1.5
The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . 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. For example, the first vignette, which After the session is over, the therapist has time to reflect on her concerns. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. At the end of the session, the therapist asks for the requisite fee as stated on the phone. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. Abstract All school counselors are considered mandated reporters. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. Along with. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. ethical dilemmas in counseling vignetteswvu mechanical engineering research. ), 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. What would be your emotional response to this situation? Is Dr. Tell a mandated reporter in this situation? 2. Currently, the patient is denying the fact that she has made past threats toward her neighbor. A therapist is treating a client who is involved in a legal proceeding. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp
Others sources will also be used. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. The client is feeling very helpless and vulnerable about this bind. The therapist and the young man have been engaged in psychotherapy for the past 2 years. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. February 27, 2023 . She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. Buddy states that he has been feeling stressed over the last month. 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. 6 0 obj
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. Glover, J.
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