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. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. 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. In the state of North Carolina Rule (NCGS 8-53.8) states that, No person, duly licensed pursuant to Chapter 90, Article 24, of the General Statutes, shall be required to disclose any information which he or she may have acquired inrendering professional counseling services, and which information was necessary to enable him or her to render professional counseling services: Provided, that the presiding judge of a superior or district court may compel such disclosure, if in the courts opinion the same is necessary to a proper administration of justice and such disclosure is not prohibited by other statute or regulation. This means that it is the therapist's responsibility to avoid unethical interactions with clients. The therapist pulls the former patients chart. These steps are: a). During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. 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. Vignette 10: Multiple Relationships Revealed. 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. Ethical Issues in Multicultural Counseling are very prevalent today. The Center maintains responsibility for this program and its content. 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. Results will be available to you and the patient online. . ethical Vignette Paper 1 - ethical dilemmas in counseling vignettes Essays /a! What suggestions or recommendations would you offer to the therapist? In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. The danger of this approach would be to become too specific and to concentrate too closely to the issues of the case while forgetting the major socio-political The Center is solely responsible for all aspects of the programs. Ethical Dilemmas in Fertility Counseling. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Dr. Goodfriend receives a call from Buddy, his very close high school friend. Teaching ethics via the use of vignettes is akin to teaching via cases in ground rounds. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. 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. What are some of the potential ethical pitfalls in this scenario? This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. This paper has been peer reviewed and student received an A on it. The therapist remembers the former patient as a likeable person. He thinks that she is young and impressionable. (1983, c. 755, s. 2; 1993, c. 514, s. The video presentation made me look at the types of decisions that have to be made and the thought process of making these decisions. She told the student that she would think about the request prior to answering. What are the potential ethical concerns about this scenario, if any? . 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. While confidentiality has been preserved, the dynamics of each case are isomorphic to a real clinical situation faced by a practicing psychologist. Workers Compensation refuses to pay for the case management services of an independent social worker. Dr. Bishop calls you for a consult about this situation. In hindsight, what triggered some possible difficulties in this situation? She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. . Continuing Education & Ethical Resources For Mental Health Professionals. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Title: Ethical Vignette Abstract In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Canadian Counselling and Psychotherapy Association. A Few Notes About These Ethical Dilemmas. These two guides offer the same basic principles for ethical counselling. Simultaneously, he strongly believes he made the right decision. 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. Counselors disclose information only with appropriate consent or with sound legal or ethical justification. School counsellors often encounter ethically challenging situations due to contradictory values and roles. 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 therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. He complains loudly about his parents and his girlfriend. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. You are a therapist in a busy acute care hospital where you receive. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. What emotional reactions may occur for the therapist? Prior to returning the call, Dr. Jordan reviews the patients chart. Apparently, no one is. Dr. Goodfriend is unclear whether Buddy is serious or joking. Informed consent. possible courses of action, d). There were contentious issues dealing with the custody arrangements of the children. Are there any ethical considerations in this dilemma? Dont Ethical, Legal, and Professional Issues in Counseling-Theodore P. Remley, Jr. 2013-01-24 Note: This is the bound book only and does not include access to the Enhanced Pearson eText. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. 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. Both therapists are of the same profession. Registered address: Louki Akrita, 23 Bellapais Court, Flat/Office 46 1100, Nicosia, Cyprus She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. The days allocated for her stay by her insurance are ending in two days. In case you can't find a relevant example, our professional writers are ready The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. The mother explains that the child has run away and the mother has reported the child missing to the police. He would like help to work through the issues. 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. Correct writing styles (it is advised to use correct citations) The counsellor is also conscious. 2) Look at your options and evaluate. His father has declined rapidly since the death of his wife and now requires total care. In this case study we will find some ethical dilemmas that usually are encountered by counselors and supervisors (Sederer L, 2013). A substance abuse counselor supports individuals to overpower those feelings and emotions that trigger drug and/or alcohol abuse. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. She mentions that she is still in communication with her ex-husband because they share three children. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. An example of the practical steps that can be followed is: 1) Identify ethical problem, situation or issue. When working as a substance abuse counselor at an LGBQT center, there are very ethical dilemmas that arise. It may rather be a sign that one is fully engaged in the life of a community. My company has developed a unique opportunity for you and your associates. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Dual Relationship A dual relationship is when there is another role in addition to the counselling relationship. 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. : Ethical and Legal Ramifications of Documentation Decisions. 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. Operating those services in a LGBQT center will convey intersecting situations. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Does the therapist who hears this information have any legal obligations? outside her scope of practice? Mr. Biggy indicates that he wants to talk more about his feelings. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? 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). 2 Print version: page 62 6 min read And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. 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. Ethics and law for school psychologists . Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? 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. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. She does not feel right taking a fee larger than her usual and customary rate. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Dr. Hemphill is the speaker in the YouTube video, Understanding Professional Boundaries and Ethics, and he is considered an expert in healthy boundaries between clients and counselors. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. You may not have created the problem, but you may have no choice but to respond to it. 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. A therapist receives a phone message from a former patient. She recalled that he agreed that it could make a good book. If you have further questions, feel free to contact me. What are the potential ethical issues in this case? He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. Next, most vignettes have more than one ethical issue that can be addressed. What are some possible suggestions for Dr. Jordan? Among other things, the report contained a psychological evaluation of the patient. He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. What, if anything, should the therapist do? evaluating the situation (Hill, 2004). During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The therapist, her husband, and his ex-wife are on good terms. Is Dr. Tell a mandated reporter in this situation? By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. How would you advise Dr. Thomas to handle them? As a result, this article, written in a quiz format, offers suggestions for handling ethical . Mr. DiMencha demonstrates a variety of cognitive deficits. 2 Abstract It is important that when Ethical Decisions need to be made, that counselors follow a model for making the decision that best benefits a client. The profession of counseling, and the specialization of family counseling, dedicates ongoing attention to the development and refinement of the codes of ethics that serve as guidelines for professional practice (Gergen, 2015; Kaplan et al., 2017).While prepared from an aspirational perspective, inspiring standards of excellence, as compared to a legalistic, behavior-limiting orientation, the . Pharapreising and interpretation due to major educational standards released by a particular educational institution as well as tailored to your educational institution if different; By continuing well The therapist and the young man have been engaged in psychotherapy for the past 2 years. 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. My name is Dr. Dr. Smith is now worried about the entire situation. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. Encourage the client to file a complaint with the State Board of Psychology. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. 2. defining goals, c). They also stated confidentiality is a right of all clients under the principles of autonomy, beneficence, and fidelity. The PASS-2 is administered online, from any computer, iPad, or iPhone. Dr. Ron Popeil, a local therapist, is upgrading his web site. About the author. What are some likely emotional reactions would you have in this situation? The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. by Judith E. Horowitz, Joann Paley Galst. 3. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. Also in Section C.2.e and f states that the Counselors should take reasonable steps to consult with other counselors or related professionals when they have questions regarding their ethical obligations or professional practice and they must take continuing education so that they can maintain reasonable levels of awareness. What should you do with this email solicitation? If you were the psychologist, what would be your emotion response to this situation? Others sources will also be used. Ethical dilemmas At stake here are several conflicting values, the concern for a fellow human being, self-preservation, success of the company and the pressure to perform. The main therapeutic issues are depression and loneliness. What are the ethical issues for this scenario? 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? Better Essays. What are the potential pitfalls in the scenario? This vignette poses several ethical dilemmas for counselors. What factors make this situation potentially easy for you as a therapist? Examples Of Ethical Dilemmas In Counseling - 2130 Words | Cram. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. This qualitative research aimed to define school counsellors' ethical dilemmas and their responses to such situations. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. For example, the first vignette, which 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 cite it correctly. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. 2. Uncertain, she calls you for an ethics consultation. The following examples are representative of ethical dilemmas in social work that correspond to some of the field's key values and principles. My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. White Plains, NY: Longman. When asked about the reason for the referral, she said that her physician had referred her for anxiety. Then, explain brieflyin one paragraphyour ethical rationale for your . This article will take a closer look at what the therapist's ethical responsibilities entail and examine some common ethical problems faced by mental health professionals. What are the potential ethical issues with this case? If you were the psychologist, how would you feel about the situation? Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. . 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. Sue schedules the appointment for early in the evening. implementation, and f). Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. While discussing these issues, the patient suddenly stopped talking. DILEMMA ONE 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. What would you need from the attorney? My reaction to the video at first was This is a long video then I began to really listen to what they were talking about and reflect on what they were saying and how it applies to me right now. Reaction Paper: "Ethical Dilemmas" Morality is the behavior that conforms to an accepted standard of right and wrong. Ethical Vignette - Melanie Roudovski Ethical & Legal Issues in Counseling Liberty University - Studocu ethical vignette essay uploaded in APA format. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. 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. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. The ex-wife moved back to the area about six months ago. The patient has never met the attorney face-to-face, only by email and phone contacts. I will explain why confidentiality is . Just as he is about to hang up, Buddy says, Thanks. A must-read for students, counselors codes are bounded by the counseling profession used used consent., San Francisco, Calif., 2007, 480 pages, $ 50.00 ( )! The lawyerpatient comments that this seems low. During the current session, the confides that he has made a new female friend. Step 3: Consider ending the relationship with the client involved in the ethical dilemma. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Graduateway.com is owned and operated by Radioplus Experts Ltd Need a custom essay sample written specially to meet your This will help me and others to become a better counselor. What factors make this situation potentially difficult for you as a therapist? She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement.
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