American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Approaching ethical dilemmas. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Qualitative content analysis in practice. The main therapeutic issues are depression and loneliness. endobj
Uncertain, she calls you for an ethics consultation. The executor is Mr. Palmers brother, who lives in a different state. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Should Dr. Goodfriend call Buddy and offer a few referrals? 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. The patient repeated this line of questioning during the first face-to-face session. endobj
Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Abstract All school counselors are considered mandated reporters. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. 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. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Is Dr. Tell a mandated reporter in this situation? Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. An important factor is that there is no cost to you, as the therapist. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. 6768). 7 0 obj
Would your answer differ if the advanced directive was created 7 years ago or greater? Your browser either does not support scripting or you have turned scripting off. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. 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. 4 0 obj
Dr. Tell allowed several moments to pass before asking the patient what was happening. A psychologist receives a phone call from a well-known internist in her area. In the context of counseling, family includes people related through . A female therapist in a suburban area has worked with a male patient for about one year. << /Length 5 0 R /Filter /FlateDecode >> In the code, 18VAC115-20-130. (1998). What are the ethical issues involved in this scenario? 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? 1. Ethics and law for school psychologists . Are there competing ethical principles? The position pays much more than shes making at the community agency, and is within ten minutes of her home. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . This has caused both his physical and We use cookies to distinguish you from other users and to provide you with a better experience on our websites. The Clear Answers and Start Over feature requires scripting to function. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? Tara was offered this position after successfully completing both her practicum and her internship at the center. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Would your answer differ if there were no advanced directives? 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. 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 does not feel right taking a fee larger than her usual and customary rate. Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. During the last two years, she required total care. She has been doing much of the case management work, e.g. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Just as he is about to hang up, Buddy says, Thanks. Prior to returning the call, Dr. Jordan reviews the patients chart. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. When asked about the reason for the referral, she said that her physician had referred her for anxiety. Simultaneously, the religious institution is adamant about this requirement. When she asks about insurance, he indicates that he will pay in cash. 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. Dilemma 20: Has the Psychologist Done Too Much? My company has developed a unique opportunity for you and your associates. Is Dr. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. 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. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. T2 0#8r\ What are the potential ethical concerns about this scenario, if any? Dan explained to Dr. Crane that this group would be student-led and meet on campus. After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. What are the potential ethical issues in this case? It was revealed that counsellors prioritise the students benefit and respect students privacy. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. The client then asked if she could invite her boyfriend to the next session so that they could all discuss the information and the best way to handle the situation. Are there any other concerns about the web developer/consultants strategies? Widely adopted as a textbook in graduate psychology courses in ethics and continuing education development, this innovative volume presents readers with over 100 different perspectives on crucial ethical issues and offers possible solutions from an expert ethics educator, psychologist, and former APA general counsel. And, how would you, as the treating therapist, deal with those emotions? Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. stream Dilemma6: Referral and Treatment Boundaries, Dilemma9: Psychologist 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. 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. Contemplate these 16 conundrums. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. She mentions that she is still in communication with her ex-husband because they share three children. Ethical Vignette Paper.docx. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Ethical dilemmas. Ethical Vignette Paper # Jodi Walters Liberty University. 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 Along with. She recalled that he agreed that it could make a good book. xVN0}-m8 (Log in options will check for institutional or personal access. 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. There were contentious issues dealing with the custody arrangements of the children. She recently received an offer to become a sales representative for a pharmaceutical company. A therapist receives a phone call from a well-known internist in her area. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? The therapist obtains the keys and title for the vehicle. What are other steps that the therapist may want to take in this situation? What are some of the potential ethical pitfalls in this scenario? Next, most vignettes have more than one ethical issue that can be addressed. They start spending more time together. He thinks that she is young and impressionable. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. What factors make this situation potentially easy for you as a therapist? 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. image.jpg Liberty University Ethical and Legal Issues in Counseling . 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. Patient contact information will be part of the administration process. Render date: 2023-03-04T21:33:13.444Z 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. The therapist has not worked with the patient for about two years. Sci Rep 12, 22416 (2022). From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . Close this message to accept cookies or find out how to manage your cookie settings. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Learning Objectives: 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 test usually takes approximately 40 to 60 minutes to administer. endobj
While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). The ICU staff asks for your input. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. Mr. Tellanyone is feeling quite guilty about his mother. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>>
After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Menu. The client is feeling very helpless and vulnerable about this bind. He is talking with a young man, most likely his cousin. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Dr. Ron Popeil, a local therapist, is upgrading his web site. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? Buddy states that he has been feeling stressed over the last month. She told the student that she would think about the request prior to answering. 8 0 obj
She stated that Dr. Jordan recommended that she write down her memories. She actually attended his graduation party briefly and hired him to cut her lawn for two years. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. 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. It may rather be a sign that one is fully engaged in the life of a community. Dr. Jordan is a therapist who typically works with a wide variety of patients. There is nothing unusual that stands out about their therapeutic relationship. The therapist knows her new boss, Mr. Biggy. 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. What are Dr. Millers potential ethical issues in this situation? Hence, the admission is voluntary. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 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. 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 potential advantages in this scenario? outside her scope of practice? In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. What obligations does the therapist have to the parent? It then provides six vignettes where supervisors are faced with ethical dilemmas. What would you need from the attorney? % From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. The patient had been in treatment for about 10 months on a weekly basis. The client continued to struggle. : Ethical and Legal Ramifications of Documentation Decisions. If you were the psychologist, what would be your emotion response to this situation? 2 Print version: page 62 6 min read 0 If you were Dr. Miller, what are your emotional reactions to this situation? For example, the psychologist might have to evict his client for failing to pay rent--or he might .