Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Among other things, the report contained a psychological evaluation of the patient. At the end of the session, the therapist asks for the requisite fee as stated on the phone. 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 . Attempts to find social service agencies able to help him have not been successful. 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. Just as he is about to hang up, Buddy says, Thanks. What are some likely emotional reactions would you have in this situation? In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. What are the potential ethical issues with this case? As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. 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. Encourage the client to file a complaint with the State Board of Psychology. If you were the psychologist, how would you feel about the situation? What, if anything, should the therapist do? Ethics and ethical codes are bounded by the cultural contexts in which they were produced. 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 client is feeling very helpless and vulnerable about this bind. Mr. Biggy indicates that he wants to talk more about his feelings. The results and implications for counsellors, counsellor educators and researchers are discussed. 3 0 obj Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. He would like help to work through the issues. <>>> During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Dilemma 20: Has the Psychologist Done Too Much? The clients boyfriend expressed that she should never discuss this with anyone. The patient had been in treatment for about 10 months on a weekly basis. 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. The Center maintains responsibility for this program and its content. 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. P. (1996). A psychologist works in an outpatient substance abuse treatment facility. outside her scope of practice? The patient was in therapy for approximately one year. In hindsight, what triggered some possible difficulties in this situation? Dr. Tell contacts you with the above scenario. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. 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. What are some actions that you, as the treating therapist, may have done differently? Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. They have dinner as couples several times per year. To create paragraphs in your essay response, type
at the beginning of the paragraph, and
at the end. <> He complains loudly about his parents and his girlfriend. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. The treating therapist believes the options are: What are the possible emotional reactions to this situation? Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. With her husband, the patient and the ex-wife? A female therapist in a suburban area has worked with a male patient for about one year. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Dr. Popeil thinks these ideas are good. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Not knowing what to do, and realizing that the next patient is in the waiting room, the therapist takes the cash and sets up another appointment. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. % of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Refer the matter to the State Board of Psychology. <> Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . 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. For example, the first vignette, which Learning Objectives: Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. x#86h)Ppcc0F( k/ The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. What emotional reactions may occur for the therapist? What should you do with this email solicitation? Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> It then provides six vignettes where supervisors are faced with ethical dilemmas. A therapist is treating a client who is involved in a legal proceeding. An important factor is that there is no cost to you, as the therapist. "useRatesEcommerce": false adapted and used used with consent from a state psychological association. 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. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. } What factors make this situation potentially difficult for you as a therapist? The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. 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. 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. What are potential ethical issues with this invitation? 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. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. ACE provider approval period: 3/21/2021-3/21/2024. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. What clinical concerns arise for you in this scenario? Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wifes death was and how he hoped for a similar passing. %PDF-1.3 %PDF-1.5 Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. 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. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. What suggestions or recommendations would you offer to the therapist? After six sessions, Mr. DiMencha suffered a significant concussion while at work. An ongoing theme in therapy revolves around his sexual orientation. In the code, 18VAC115-20-130. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. During the interview, she was told that she would need to work independently, with only limited supervision. A psychologist receives a phone call from a well-known internist in her area. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics However, the attorney has little awareness about how impaired Mr. DiMencha is. How would you feel if you were the consultant? ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. 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. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. There were contentious issues dealing with the custody arrangements of the children. Dilemma 6: Referral and Treatment Boundaries. 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. She has been doing much of the case management work, e.g. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. 2 Print version: page 62 6 min read 0 This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. What are the ethical issues involved in this situation? These issues included a. dual relationships, b. competence, c. informed consent, d. due process. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. The therapist ignores the comment and finishes by setting their initial appointment. You are checking your email after a busy day. Of course, they exist in all forms of counseling, from short-term advising . Ethical dilemmas. The test usually takes approximately 40 to 60 minutes to administer. 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 executor is Mr. Palmers brother, who lives in a different state. Render date: 2023-03-04T21:33:13.444Z Plenty lives and practices psychotherapy in a rural area. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? What are some possible suggestions for Dr. Jordan? 5 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? Total loading time: 0 *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp The therapist then phones you for an informal consultation. What are the possible downsides to entering the dual relationship? 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. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Dr. Jordan returns the phone call. 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. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Workers Compensation refuses to pay for the case management services of an independent social worker. 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. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Are there any other concerns about the web developer/consultants strategies? Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. He does not view it as a therapy group. 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 following email catches your attention. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Dr. Thomas wants him to come in immediately for a more indepth evaluation. Dr. Jordan calls you on the phone for an ethics consultation. While it is not a complete assessment, it can guide patients to you for further psychological consultation. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Dr. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. stream Continuing Education & Ethical Resources For Mental Health Professionals. The client continued to struggle. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. The patient has never met the attorney face-to-face, only by email and phone contacts. 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. While Chuck now lives in an apartment in town, she remembers him well. (1993). Standards of Practice, B. Counselling Relationships, Confidentiality. 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. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Ethics and law for school psychologists . He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Dr. Bishop calls you for a consult about this situation. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Dr. Jordan is a therapist who typically works with a wide variety of patients. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. What are potential advantages in this scenario? As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. 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. She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. 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. Regulatory boards are the final authority on courses accepted for continuing education credit. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. 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? <> 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. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K image.jpg Liberty University Ethical and Legal Issues in Counseling . As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. It may rather be a sign that one is fully engaged in the life of a community. ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. 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. White Plains, NY: Longman. Mr. DiMencha demonstrates a variety of cognitive deficits. His mother had suffered from a combination of severe respiratory problems and Alzheimers. This workshopis based on discussion of ethical issues Out of options, Dan is asking Dr. Crane to be the faculty advisor. He is marginally coherent and unable to give any consistent responses. 2 0 obj After the session is over, the therapist has time to reflect on her concerns. 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. What are some of the potential ethical pitfalls in this scenario? To use suggested categories to consider options for ethical response to the dilemma. 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. DILEMMA ONE 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. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. If you decide to provide information, would you consider communicating with the prior patients attorney? American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Hence, the admission is voluntary. Group of answer choices Growth in . The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. Others sources will also be used. What would you likely do with this email solicitation? The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. He also divulged that his risk-taking behavior has increased as well, such as speeding. 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. I encourage you to review our web site. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. endobj What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? 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. (Log in options will check for institutional or personal access. Would your answer differ if there were no advanced directives? After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. First, these vignettes are meant to be teaching tools. Your browser either does not support scripting or you have turned scripting off. 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. stream He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Apparently, no one is. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). . View all Google Scholar citations The therapist pulls the former patients chart. 14 March 2022. endobj What are the potential ethical issues in this case? Along with. Tara was offered this position after successfully completing both her practicum and her internship at the center. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. The Submit Answers for Grading feature requires scripting to function. Dr. Ron Popeil, a local therapist, is upgrading his web site. In the context of counseling, family includes people related through . What are the ethical issues involved in this case? 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. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Your browser either does not support scripting or you have turned scripting off. The Clear Answers and Start Over feature requires scripting to function. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. When asked about the reason for the referral, she said that her physician had referred her for anxiety. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation.