ethical dilemmas in counseling vignettes

endstream 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. During the current session, the confides that he has made a new female friend. Dr. Jordan is a therapist who typically works with a wide variety of patients. Ethical Vignette Paper.docx. Can the client contact Child Protective Services anonymously in this case? What are other steps that the therapist may want to take in this situation? . The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. What problems may occur as a function of Dr. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. An important factor is that there is no cost to you, as the therapist. February 27, 2023 . You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. ; & Hartshorne,T.S. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. What are some likely emotional reactions would you have in this situation? What are the ethical issues involved in this case? The executor is Mr. Palmers brother, who lives in a different state. Attempts to find social service agencies able to help him have not been successful. Harry then decides to attend a conference hosted by the ACA which will address the Code of the Ethics and the Standards of Practice in detail. 2 0 obj This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. She stated that Dr. Jordan recommended that she write down her memories. Several weeks after beginning to go on sales calls, your patient reports that Mr. Biggy is complimenting her on the way she looks and her ability to make the sale. What factors make this situation potentially difficult for you as a therapist? 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. 5 0 obj Dilemma 35: Initial Telepsychology Session for Free? The treatment notes indicate that she dropped out of therapy about one year ago. T2 0#8r\ Dilemma 20: Has the Therapist Done Too Much? ACE provider approval period: 3/21/2021-3/21/2024. Qualitative content analysis in practice. Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Hence, the admission is voluntary. You are a therapist in a busy acute care hospital where you receive. Divide and Rule? Content may require purchase if you do not have access. After the phone call, the therapist checks the waiting room and sees the patient there. His father has declined rapidly since the death of his wife and now requires total care. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. What concrete steps might be important before calling the physician back? In a therapy session in an outpatient substance abuse treatment facility, a patient reveals that an agency staff person another therapist in a different department has paid to have sex with another patient in the treatment facility Lyla, who is a prostitute. 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. What should you do with this email solicitation? During the last two years, she required total care. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. 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. The following email catches your attention. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Dr. Tell allowed several moments to pass before asking the patient what was happening. Published online by Cambridge University Press: The mother further reports that the patients cousin has been driving the patient around town. Would your answer differ if there were no advanced directives? xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q 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. What are some actions that you, as the treating therapist, may have done differently? Standards of Practice, B. Counselling Relationships, Confidentiality. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. endobj Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Plenty acting beyond the limits of her competency? Next, most vignettes have more than one ethical issue that can be addressed. 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 He thinks that she is young and impressionable. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. 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. ocuk Koruma Kanunu [Child Protection Law]. Does the therapist who hears this information have any legal obligations? What obligations does the therapist have to the parent? (Log in options will check for institutional or personal access. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. What would you likely do with this email solicitation? As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. Learning From Ethical Vignettes This workshop is based on discussion of ethical issues raised by clinical vignettes such as those below, adapted and used used with consent from a state psychological association. 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. What are the potential ethical issues with this case? Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. The Submit Answers for Grading feature requires scripting to function. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. An ongoing theme in therapy revolves around his sexual orientation. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. First, these vignettes are meant to be teaching tools. 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. Results will be available to you and the patient online. cn]JlmQSMDM>pEm+gxMU]``tQqKF What factors make this situation potentially easy for you as a therapist? The test usually takes approximately 40 to 60 minutes to administer. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. DILEMMA ONE What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. If you were Dr. Miller, what are your emotional reactions to this situation? Dr. Thomas wants him to come in immediately for a more indepth evaluation. Ethics and law for school psychologists . Dr. Goodfriend receives a call from Buddy, his very close high school friend. For example, the psychologist might have to evict his client for failing to pay rent--or he might . I encourage you to review our web site. 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. The client is feeling very helpless and vulnerable about this bind. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. Buddy states that he has been feeling stressed over the last month. What are potential ethical issues with this invitation? You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Others sources will also be used. Prior to returning the call, Dr. Jordan reviews the patients chart. Dr. Smith is now worried about the entire situation. He does not view it as a therapy group. The supervisee is very worried and afraid to tell 3 0 obj 4 0 obj Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Plenty lives and practices psychotherapy in a rural area. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. Has data issue: true During the interview, she was told that she would need to work independently, with only limited supervision. What are the potential pitfalls in the scenario? 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). What are the possible downsides to entering the dual relationship? His impairment is noticeable by Dr. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. In the context of counseling, family includes people related through . The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Mr. Tellanyone is feeling quite guilty about his mother. The cost of the online administration is $25, to be paid by the patient. Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. 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. 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. 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. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . What would be your emotional response to this situation? Are there additional considerations for how to approach the referring physician when calling back? Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. 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? 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. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. What, if anything, should the therapist do? While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. At the end of the session, the therapist asks for the requisite fee as stated on the phone. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. There were contentious issues dealing with the custody arrangements of the children. % Sci Rep 12, 22416 (2022). She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Dr. Ron Popeil, a local therapist, is upgrading his web site. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. The patient has never met the attorney face-to-face, only by email and phone contacts. Prior to providing extra-therapy support, Dr. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD What would you need from the attorney? 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. They start spending more time together. Dan asked a number of faculty members to be the faculty advisor of this group. hasContentIssue true, The Author(s), 2022. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. A therapist had an intake appointment with a new client. endobj He also indicated that the relationship is taking on a more serious tone. What are some possible suggestions for Dr. Jordan? Uncertain, she calls you for an ethics consultation. The therapist knows her new boss, Mr. Biggy. When she asks about insurance, he indicates that he will pay in cash. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. 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. 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