If you were Dr. Jordan, how would you feel about this request? White Plains, NY: Longman. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . stream While he did complete his Legal and Ethical Issues in Counseling class while working on his masters degree, he feels that now that he working in the real world, he should review and discuss the Code of Ethics and the Standards of Practice with his peers. A therapist receives a phone call from a well-known internist in her area. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Dan asked a number of faculty members to be the faculty advisor of this group. The therapist cannot remember many details about the patient. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. To use suggested categories to consider options for ethical response to the dilemma. The therapist remembers the former patient as a likeable person. She was surprised to find that most of the clients who came to see her were young women who suffered primarily from eating disorders and relationship problems. Among other things, the report contained a psychological evaluation of the patient. Has data issue: true In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Out of options, Dan is asking Dr. Crane to be the faculty advisor. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. There were contentious issues dealing with the custody arrangements of the children. If you decide to provide information, would you consider communicating with the prior patients attorney? Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. The client continued to struggle. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. The therapist screens the potential patient and believes that she can help him. Apparently, no one is. A therapist receives a phone message from a former patient. If you were the psychologist, what would be your emotion response to this situation? To create paragraphs in your essay response, type
at the beginning of the paragraph, and
at the end. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 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. are Ethical dilemmas. 2 0 obj <> He is marginally coherent and unable to give any consistent responses. For example, the first vignette, which They developed a good therapeutic alliance. 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 should you do with this email solicitation? mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? <>>> As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. % The therapist has not worked with the patient for about two years. Plenty acting beyond the limits of her competency? He confides that he would like to have an affair with her. His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. What obligations does the therapist have to the parent? Dr. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. How would you advise Dr. Thomas to handle them? 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. endobj He promised to call her back within a week. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. 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. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. 7 0 obj Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. Ethical Dilemmas in Counseling: A Case Study Examination The American Counseling Association (ACA) Code of Ethics was amended in 2014 to reflect the ever-changing social, political, and technological landscape which clinicians must navigate. With her husband, the patient and the ex-wife? Just as he is about to hang up, Buddy says, Thanks. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. <> Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. My company has developed a unique opportunity for you and your associates. 3. 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. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. Patient contact information will be part of the administration process. T2 0#8r\ 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF 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. Regulatory boards are the final authority on courses accepted for continuing education credit. Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. The patient has never met the attorney face-to-face, only by email and phone contacts. Simultaneously, he strongly believes he made the right decision. The therapist does not dwell on the situation with the patient. 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? . Dilemma 20: Has the Therapist Done Too Much? Simultaneously, the religious institution is adamant about this requirement. They have dinner as couples several times per year. One afternoon Taras supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the centers other branches. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. This has caused both his physical and Currently, the patient is denying the fact that she has made past threats toward her neighbor. One day, Dr. Bishop receives a phone call from his contact at the institution. The lawyerpatient comments that this seems low. 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. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q 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.. The treatment notes indicate that she dropped out of therapy about one year ago. Therapy lasted about a year and focused on depression and relationship issues. Dr. Goodfriend is unclear whether Buddy is serious or joking. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. endobj Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Are there any ethical considerations in this dilemma? The position pays much more than shes making at the community agency, and is within ten minutes of her home. After six sessions, Mr. DiMencha suffered a significant concussion while at work. 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. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. She told the student that she would think about the request prior to answering. At the end of the session, the therapist asks for the requisite fee as stated on the phone. When she asks about insurance, he indicates that he will pay in cash. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. However, the attorney has little awareness about how impaired Mr. DiMencha is. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. image.jpg Liberty University Ethical and Legal Issues in Counseling . Hostname: page-component-7fc98996b9-g9qcd ethical dilemmas in counseling vignetteswvu mechanical engineering research. After the session is over, the therapist has time to reflect on her concerns. She does not feel right taking a fee larger than her usual and customary rate. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Dr. Smith also asked if it is ethical to bill the patients insurance company to review his impressions of a forensic report during a psychotherapy session. 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. 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. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. The physician wants the psychologist to treat his 17-year-old daughter . Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. This particular vignette, Swenson said, may well fail the two-prong test. In hindsight, what triggered some possible difficulties in this situation? 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. Content may require purchase if you do not have access. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . 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. Tara was offered this position after successfully completing both her practicum and her internship at the center. Is Dr. DILEMMA ONE A therapist had an intake appointment with a new client. 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. She calls you for an ethics consult. Buddy also shares that he has been short tempered with his wife and kids. He thinks that she is young and impressionable. What suggestions or recommendations would you offer to the therapist? What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. 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. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Ethics Vignette #2 A local psychiatrist is referred by his attorney for neuropsychological evaluation related to possible mild head injury ( traumatic brain injury) from a MVA. He is talking with a young man, most likely his cousin. 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. How would you feel about receiving this request? Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. 3 0 obj An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? Along with. What are the potential pitfalls in the scenario? The therapist expresses her concerns about working with a patient whose father is prescribing medication. What are the potential ethical concerns about this scenario, if any?Walter Ray Williams Jr Wife Fancy Allen,
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