American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. What, if anything, should the therapist do? An ethical decision-making model provides you with a set of guidelines for making ethical decisions. / ethical dilemmas in counseling vignettes. Regulatory boards are the final authority on courses accepted for continuing education credit. 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. 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. Refer the matter to the State Board of Psychology. How would you feel about receiving this request? After the session is over, the therapist has time to reflect on her concerns. 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. Mr. Biggy and Dr. Smith meet in an unplanned social venue. Dilemma 6: Referral and Treatment Boundaries. Next, most vignettes have more than one ethical issue that can be addressed. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. They have dinner as couples several times per year. Are there additional considerations for how to approach the referring physician when calling back? Dr. Goodfriend receives a call from Buddy, his very close high school friend. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. The Center maintains responsibility for this program and its content. <> The client is feeling very helpless and vulnerable about this bind. Learning Objectives: Just as he is about to hang up, Buddy says, Thanks. What problems may occur as a function of Dr. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. 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. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. View all Google Scholar citations She calls you for an ethics consult. The patient was in therapy for approximately one year. A therapist is treating a client who is involved in a legal proceeding. Dr. Ron Popeil, a local therapist, is upgrading his web site. 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 } What are potential advantages in this scenario? Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. 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. I encourage you to review our web site. When she asks about insurance, he indicates that he will pay in cash. Out of options, Dan is asking Dr. Crane to be the faculty advisor. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. What do you believe is the best course of action? The therapist knows her new boss, Mr. Biggy. 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. What are the potential ethical issues with this case? These issues included a. dual relationships, b. competence, c. informed consent, d. due process. (1998). What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. The therapist remembers the former patient as a likeable person. Dr. Smith is now worried about the entire situation. % The physician wants the psychologist to treat his 17-year-old daughter . His attorney believes that some good, written character references will really help out with the case. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* 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? Both therapists are of the same profession. What are some of the potential ethical pitfalls in this scenario? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. February 27, 2023 . He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. The therapist and the attorney-patient meet for the initial session. The days allocated for her stay by her insurance are ending in two days. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. And, how would you, as the treating therapist, deal with those emotions? DILEMMA ONE 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Plenty without any type of testing. outside her scope of practice? 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. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. The therapist and the young man have been engaged in psychotherapy for the past 2 years. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. 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. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . endobj While he did complete his Legal and Ethical Issues in Counseling class while working on his masters degree, he feels that now that he working in the real world, he should review and discuss the Code of Ethics and the Standards of Practice with his peers. The cost of the online administration is $25, to be paid by the patient. 7 0 obj We use cookies to distinguish you from other users and to provide you with a better experience on our websites. xVN0}-m8 After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. However, after the session, the therapist feels uneasy about what his patient revealed. After some other small talk, Dr. Smith leaves to mingle with other friends. Dilemma 35: Initial Telepsychology Session for Free? 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? An important factor is that there is no cost to you, as the therapist. If you were a co-owner of the business, how would you feel about this situation? The therapist cannot remember many details about the patient. x#86h)Ppcc0F( k/ Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. are When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. 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. Prior to their next session, Dr. Smith calls you for a consultation. Plenty acting beyond the limits of her competency? <> 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. Dr. Jordan returns the phone call. Along with. 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. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? 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. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. There is nothing unusual that stands out about their therapeutic relationship. 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. While Chuck now lives in an apartment in town, she remembers him well. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. 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. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. 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. You are a therapist in a busy acute care hospital where you receive. The patient had been in treatment for about 10 months on a weekly basis. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). The Clear Answers and Start Over feature requires scripting to function. 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. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. ; & Hartshorne,T.S. Menu. During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. The results and implications for counsellors, counsellor educators and researchers are discussed. (Log in options will check for institutional or personal access. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. stream If you were Dr. Jordan, how would you feel about this request? What are the ethical concerns in this scenario? <>>> As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. The therapist obtains the keys and title for the vehicle. 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. What suggestions or recommendations would you offer to the therapist? What are potential ethical issues with this invitation? The treatment notes indicate that she dropped out of therapy about one year ago. What are some potential responses that you could offer Dr. Bishop? 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. 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. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. 4 0 obj What concrete steps might be important before calling the physician back? He recalled that he was an older person with significant depression who eventually became better. If you decide to provide information, would you consider communicating with the prior patients attorney? Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. 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. Running Head: ETHICAL VIGNETTE. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves.
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