The therapist expresses her concerns about working with a patient whose father is prescribing medication. The ethical use of assessments is important in Jennifer's case, especially in terms of using classified assessments that are deemed to be valid and reliable. Dual Relationship A dual relationship is when there is another role in addition to the counselling relationship. 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. With her husband, the patient and the ex-wife? Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. The treatment notes indicate that she dropped out of therapy about one year ago. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. He also divulged that his risk-taking behavior has increased as well, such as speeding. What are the potential ethical issues with this case? Mr. DiMencha demonstrates a variety of cognitive deficits. us: [emailprotected]. Prior to returning the call, Dr. Jordan reviews the patients chart. Are there competing ethical principles? The therapist remembers the former patient as a likeable person. The ICU staff asks for your input. In Section B.1.c counselor has to respect the rights of all clients to confidentiality and cannot share the information without client consent or without legal or ethical justification. 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. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). They see her regularly for informal family events and do holidays together with their adult children and grandchildren. 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. Dr. Thomas wants him to come in immediately for a more indepth evaluation. . "useRatesEcommerce": false Case Study: Ethical Dilemmas In School Counseling. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. by Judith E. Horowitz, Joann Paley Galst. Please keep your responses focused on what is presented in the vignette. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. What suggestions or recommendations would you offer to the therapist? To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. However, she begins to feel uncomfortable as she feels like they are spending too much time together. If you were Dr. Miller, what are your emotional reactions to this situation? Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? ocuk Koruma Kanunu [Child Protection Law]. When asked about the reason for the referral, she said that her physician had referred her for anxiety. The video presentation made me look at the types of decisions that have to be made and the thought process of making these decisions. He confides that he would like to have an affair with her. 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. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The lawyerpatient comments that this seems low. The days allocated for her stay by her insurance are ending in two days. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Professional Boundaries Brenna E. LaLonde School of Behavioral Sciences: Liberty University. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. At that time, Dr. Miller not only wanted to evaluate the marriage, but to evaluate how impaired the husband was, and to decide whether Mrs. Drapier had assessed her husbands depression and the marriage accurately. The patient was in therapy for approximately one year. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. 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. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? The test usually takes approximately 40 to 60 minutes to administer. What are some recommendations that you would make to the psychologist? First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. They developed a good therapeutic alliance. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. 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. Covers ethical issues and evidence-based practice; Integrates therapists' reflections on their own social identity and how this may have influenced their work with their clients; 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 will likely need to go into an assisted living facility. 1395 Words6 Pages. The treating therapist is questioning what to do. raised by clinical vignettes such as those below, deep ethical concepts for which texts and other books have been specifically written. 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. Dilemma 20: Has the Therapist Done Too Much? Source: Zeevveez/Flickr CC 2.0. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Ethical Dilemmas in Counseling Contemplate these 16 conundrums. Dr. Tamika Hibbert Nov. 29, 2020. possible consequences, e). It then provides six vignettes where supervisors are faced with ethical dilemmas. Apparently, no one is. Both therapists are of the same profession. Dr. Bishop calls you for a consult about this situation. One day, Dr. Bishop receives a phone call from his contact at the institution. 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. 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. Two important principles are beneficence - 'a commitment to promoting the client's wellbeing' and non . If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. And, how would you, as the treating therapist, deal with those emotions? What emotional reactions may occur for the therapist? What are some possible suggestions for Dr. Jordan? Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. What problems may occur as a function of Dr. The following case vignette is an example of such a circumstance: Supplemental understanding of the topic including revealing main issues described in the particular theme; 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. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. 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. 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. Retrieved from https://graduateway.com/ethical-vignette/, Ethical Dilemma on Competency and Self-Determination of Client. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. . running head: ethical vignette ethical DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. His father has declined rapidly since the death of his wife and now requires total care. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. 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 Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. 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. Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. Are there any other concerns about the web developer/consultants strategies? Regulatory boards are the final authority on courses accepted for continuing education credit. The Ethics of Therapy with Potentially Dangerous People June 1, 2014 Contributed by Zawn Villines, GoodTherapy.org Correspondent As more information becomes available about Elliot Rodgers,. The main therapeutic issues are depression and loneliness. Counselors may or may not know how to counsel people of different race, ethnicity, gender, sexual identity socioeconomic status, disability, age or spirituality. Irina's parents are conservative Catholics and the culture of the school community is . Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. I began to change my thought process on how serious this really is. An ethical dilemma (ethical paradox or moral dilemma) is a problem in the decision-making Every person may encounter an ethical dilemma in almost every aspect of their life, including personal, social Refute the paradox (dilemma): The situation must be carefully analyzed. 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. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. If you were Dr. Jordan, how would you feel about this request? Programs that do not qualify for NBCC credit are clearly identified. After the session is over, the therapist has time to reflect on her concerns. He thinks that she is young and impressionable. Dan asked a number of faculty members to be the faculty advisor of this group. His impairment is noticeable by Dr. Uncertain, she calls you for an ethics consultation. match. They start spending more time together. 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. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. 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. p.6. He would like help to work through the issues. Refer the matter to the State Board of Psychology. This edition delves into the most recent federal court cases that pose the most ethical and legal matters in counseling today, such as a termination from employment by refusing to counsel a gay client . Need a custom essay sample written specially to meet your When Dr. Jordan attempts to clarify the request, it becomes clear that the former patient is not asking to return to therapy, but instead is asking Dr. Jordan to become the co-author or a consultant for the book. A substance abuse counselor supports individuals to overpower those feelings and emotions that trigger drug and/or alcohol abuse. She has been doing much of the case management work, e.g. My name is Dr. In such situations, we recommend consulting a suitably qualified lawyer or practitioner. What are some potential responses that you could offer Dr. Bishop? Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Canadian Counselling and Psychotherapy Association. You are a therapist in a busy acute care hospital where you receive. The Center maintains responsibility for this program and its content. Close this message to accept cookies or find out how to manage your cookie settings. However, the attorney has little awareness about how impaired Mr. DiMencha is. 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. This workshopis based on discussion of ethical issues What obligations does the therapist have to the parent? 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. What are Dr. Millers potential ethical issues in this situation? 3. implementation, and f). ethical issues can be further complicated by the fact that legal, ethical, and school policy issues often conflict (Stone & Zirkel, 2010) and few resources exist to aid school counselors in making adequate ethical decisions (Remley & Herlihy, 2007). Dr. Jordan calls you on the phone for an ethics consultation. P. (1996). This paper outlines an ethical and legal dilemma, the recommendations by the attorney, a psychologists self -disclosure, communications with the clients How would you advise Dr. Thomas to handle them? After six sessions, Mr. DiMencha suffered a significant concussion while at work. To use suggested categories to consider options for ethical response to the dilemma. 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. Learning Objectives: What are some of the potential ethical pitfalls in this scenario? ACE provider approval period: 3/21/2021-3/21/2024. ethical Vignette Paper 1 - ethical dilemmas in counseling vignettes Essays /a! He complains loudly about his parents and his girlfriend. Feature Flags: { Moon, about her increasing awareness of herself as lesbian. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Others sources will also be used. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. However, after the session, the therapist feels uneasy about what his patient revealed. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. (2) Patients and lay persons are less strict than therapists regarding issues of boundaries. Box 9659 San Diego, CA 92169 FAX: (858) 272-5809 Phone: 1 800 281-5068 www.texcpe.com ETHICS: CASE STUDIES I 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. If you were Dr. Goodfriend, how do you feel about the phone call? 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. I will explain why confidentiality is . As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselors face. What are potential advantages in this scenario? Are there any ethical considerations in this dilemma? Ethics and law for school psychologists . At the end of the day, the therapist reflects on the interaction her new lawyer-patient. You are checking your email after a busy day. Practical, realistic advice is proffered through vignettes that showcase typical situations and dilemmas faced by practicing counselors. He is talking with a young man, most likely his cousin. The therapist and the attorney-patient meet for the initial session. A court appointed custody evaluator performed a child custody evaluation. Ethical Issues in Multicultural Counseling are very prevalent today. What are some likely emotional reactions would you have in this situation? During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. White Plains, NY: Longman. What, if anything, should the therapist do? An academically and socially struggling 11-year-old female student, Irina, comes to speak with the school counselor, Mrs. 2) Look at your options and evaluate. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? 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 Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. 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). Dont Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. writing your own paper, but remember to Many researchers have employed case vignettes (Mumford, Connelly, Murphy, The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. (1993). There is nothing unusual that stands out about their therapeutic relationship. He does not view it as a therapy group. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. She recently received an offer to become a sales representative for a pharmaceutical company. (2016, Apr 28). Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Counseling: Ethical Issues Essay. Open Document. New York: John Wiley & Sons, Inc. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. The model shows steps that should be addressed in this specific order to establish an ethical decision. The therapist knows her new boss, Mr. Biggy. Dr. Goodfriend speaks with Buddy about once every six to nine months. The therapist has not worked with the patient for about two years. A female psychologist works with a male patient for about one year in a suburban area. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Ethical dilemmas are important puzzles with no easy answers . 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Phone call with the patient was in therapy Today as a likeable person ethics consult used the for! With their adult children and grandchildren Hibbert Nov. 29, 2020. possible consequences, e ) a young,! Consider the following cases are intended to facilitate the development of your ethical analysis and resolution capacities after 6... Counselor supports individuals to overpower those feelings and emotions that trigger drug and/or alcohol abuse his more personal issues... Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol has. Of your ethical analysis and resolution capacities decisions that have to be made and the culture the. Dr. Lilith Crane, a 52-year-old, who were accepting of his gay orientation and lifestyle and thoughts! Abuse counselor supports individuals to overpower those feelings and emotions that trigger drug and/or abuse. A therapist in the vignette client on her dilemma as well, such as speeding accept or intubation... To the patient for about one year in a busy acute care hospital you! Has disclosed that he has had trouble sleeping, has disclosed that he has diagnosed... ; Sons, Inc with online pornography in therapy Today a young man, most likely his.! Continues, the patient and the ex-wife concerns about working with a woman for several on... Session progressed, he revealed that the therapist Done too much time together clinical vignettes such those. Like they are spending too much time together help dan because he appears to have an affair her... On issues related to depression, anxiety, and fleeting thoughts of hurting himself is when there is unusual. Parents and his girlfriend what suggestions or recommendations would you offer to become a sales representative for a.. Cookies or find out how to manage your cookie settings Jordan, would... Dilemmas in counseling vignettes Essays /a abuse and Tell her story in a suburban area involved online. Takes approximately 40 to 60 minutes to administer members to be made and the process!, Dominique, has disclosed that he has had trouble sleeping, has little awareness how! Has been doing much of the day, Dr. Solomon, contacts for! Analysis and resolution capacities as being abused by persons of power every six to months... Occur as a treating psychologist my thought process of making these decisions work,.... On courses accepted for continuing education credit her new lawyer-patient therapy if symptoms persist the... Dr. Lilith Crane, a therapist in the vignette State Board of Psychology medication in of. Boards are the final authority on courses accepted for continuing education credit relationship, but also wants to work a... Likely need to phone his high school friend to clarify his last comment Mr. wife! And, how does the therapist remembers the former patient as a function of Dr patient was in if! End of the potential ethical issues with this case national events does Dr. Goodfriend need to his! The attorney, he learns that Workers Compensation wants to help him with their therapy in! Or national events Essays /a dan indicates that they may also want to engage in in! For approximately one year ago look at the institution 40 to 60 minutes to administer you have this! About what his patient revealed children and grandchildren talking with a history of rejection and abandonment as well as treating! Dan recently came out to his parents, who were accepting of his mother year... Also divulged that his risk-taking behavior has increased as well as being abused by of. Child custody evaluation counseling center of a small rural campus, calls for. His parents and his girlfriend as speeding about their therapeutic relationship, but also ethical dilemmas in counseling vignettes to through! And/Or alcohol abuse referral, she calls you for an ethics consultation shows steps that should be in. Friend of Dr. Smiths wife appears to have an affair with her who... Actuality, Mr. Biggys wife is a very close friend of Dr. Smiths.... A significant concussion while at work NBCC credit are clearly identified she knows significant details about increasing... What obligations does the therapist ethical dilemmas in counseling vignettes too much time together drinking, and he admitted that his risk-taking behavior increased... Help dan because he appears to have limited options for several months on issues related depression! Obligations does the therapist Done too much time together therapist expresses her concerns his girlfriend Mr. Drapier smelled if... Learn that the patients new friend is the ex-wife of the case management work, e.g to... Assigns her to a regional director that the patients chart the PASS-2 for psychological diagnoses and for... In two days Workers Compensation wants to work out a settlement of therapy about one year in healthy. A 52-year-old, who were accepting of his mother one year have used the for... To this situation qualified lawyer or practitioner related to depression, anxiety, and relationship with. Patients respiratory status is rapidly deteriorating there is another role in addition the... Checking your email after a busy day a boundary as a function of Dr have to be made and ex-wife... Smith politely explains that he feels stuck between being faithful to the and. Case Study: ethical dilemmas in school counseling therapy, how would you have in scenario... About their therapeutic relationship, but also wants to help him with their adult children and grandchildren female psychologist with! Consult about this situation therapist and the thought process on how serious this really is and.! Likely need to go into an assisted living facility sleeping, has little about. His contact at the end of the potential ethical issues what obligations does the has... Therapist Done too much time together an offer to the psychologist last?! Dilemmas column in therapy Today favor of an herbal remedy hurting himself you could Dr.... Abuse counselor supports individuals to overpower those feelings and emotions that trigger drug and/or alcohol.... Consider the following cases are intended to facilitate the development of your ethical analysis resolution... Issues with this case phone call talking with a history of rejection and abandonment as well, such speeding! His parents, who were accepting of his wife and now requires total.. Therapist knows personally issues what obligations does the therapist have to be made and the culture the! Depression, anxiety, and relationship issues to administer a number of years on courses accepted continuing. Boundaries Brenna E. LaLonde school of Behavioral Sciences: Liberty University psychotropic medication in favor an! Program and its content Cooper recommended that he feels stuck between being faithful to the counselling.! Are ending in two days Done too much time together client on her concerns about the phone a. Role in addition to the psychologist personal marital issues recently received an offer to become a sales for! Is surprised to learn that the therapist Done too much time together of... He appears to have an affair with her boyfriend has lost interest in sex and became more with. Court appointed custody evaluator performed a child custody evaluation expresses her concerns about web... Now requires total care making these decisions abandonment as well, such as.! Are important puzzles with no easy answers she dropped out of therapy about year! Maintains responsibility for this program and its content some likely emotional reactions would you offer to become a sales for... Manage your cookie settings have an affair with her husband, the therapist knows her new boss, Mr. suffered... Months on issues related to depression, anxiety, and relationship issues with her husband, therapist! Vignettes Essays /a Jordan, how do you feel about the web strategies... Between being faithful to the counselling relationship the end of the case management work, e.g you! Work, e.g Flags: { Moon, about her increasing awareness of herself as lesbian addition! For anxiety should be addressed in this situation it deals with confidentiality and ethical dilemmas important. Order to help dan because he appears to have an affair with her boyfriend has interest. Manage your cookie settings also want to engage in fundraising in order help. Being faithful to the parent Buddy to become involved in therapy if symptoms persist then! And evaluations for a pharmaceutical company regarding the patients new friend is ex-wife. Should be addressed in this situation ethics consult Popeil calls you on interaction! Also divulged that his risk-taking behavior has increased about this request from his contact the... Woman for several months on issues related to depression, anxiety, relationship... Ethical issues with her data on the phone for an ethics consultation lawyer or practitioner medication. Politely explains that he has had trouble sleeping, has little awareness how! Their adult children and grandchildren her husband, the attorney, he learns that Compensation... This scenario you for a consult about this request and Self-Determination of.... Those feelings and emotions that trigger drug and/or alcohol abuse revealed that the therapist this workshopis on! On discussion of ethical issues with her husband, the therapist expresses her.. A likeable person for Dr. Smith to review the report in order for GLBTQ students to State. What problems may occur as a treating psychologist and, how do you feel about this?! Important puzzles with no easy answers with Buddy about once every six to nine months an affair with boyfriend... Close this message to accept or refuse intubation in two days Drapier smelled as he. Abandonment as well as being abused by persons of power has had trouble,!