2. (Log in options will check for institutional or personal access. 8 Pages. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Case Study: Ethical Dilemmas In School Counseling. possible consequences, e). One day, Dr. Bishop receives a phone call from his contact at the institution. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. What are some of the potential ethical pitfalls in this scenario? At the end of the day, the therapist reflects on the interaction her new lawyer-patient. A therapist had an intake appointment with a new client. 3) Refer to the NCS Code of Ethics - note what values may be/are in conflict? Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. Prior to providing extra-therapy support, Dr. P. (1996). Close this message to accept cookies or find out how to manage your cookie settings. With whom does the therapist discuss the multiple roles? Case Vignettes for Review. Results will be available to you and the patient online. 1 Works Cited. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. The patient has never met the attorney face-to-face, only by email and phone contacts. 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. Ethics and law for school psychologists . 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. You are checking your email after a busy day. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. Dr. Popeil thinks these ideas are good. Dr. Tamika Hibbert Nov. 29, 2020. What emotional reactions may occur for the therapist? The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Next I looked at what ACA code of Ethics mandates that we do concerning these matters. Patient contact information will be part of the administration process. 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. 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. If you are like most of your colleagues, you have already faced at least one ethical dilemma that required a decision and possibly some action on your part. Dan explained to Dr. Crane that this group would be student-led and meet on campus. Jacob-Timm,S. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. 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. 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). A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. 1. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. All rights reserved. He will likely need to go into an assisted living facility. Dr. 4. What factors make this situation potentially difficult for you as a therapist? Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. How would you feel if you were the consultant? ), 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. She recalled that he agreed that it could make a good book. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. For example, the first vignette, which About the author. Most issues do not produce ethical dilemmas, but some do. Ethical issues in counseling can occur in various cases and may be overwhelming for both the professional and the client. I will explain why confidentiality is . The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. The therapist obtains the keys and title for the vehicle. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. While confidentiality has been preserved, the dynamics of each case are isomorphic to a real clinical situation faced by a practicing psychologist. Ethical Dilemmas in Fertility Counseling. He is marginally coherent and unable to give any consistent responses. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. problem identification, b). 6768). To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. She calls you for an ethics consult. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. He does not view it as a therapy group. How are the clients emotional and interpersonal issues related to the therapists dilemma? to help you write a unique paper. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Need a custom essay sample written specially to meet your Should Dr. Goodfriend call Buddy and offer a few referrals? Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. In such situations, we recommend consulting a suitably qualified lawyer or practitioner. Moon, about her increasing awareness of herself as lesbian. by Judith E. Horowitz, Joann Paley Galst. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. They are not intended to be sufficient for resolving specific issues or dilemmas arising from work with clients, which are often complex. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. 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. Plenty acting beyond the limits of her competency? Always seek the advice of the ACA, trusted professionals, and the ACA Ethics Committee when faced with a troubling occurrence. The executor is Mr. Palmers brother, who lives in a different state. 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. I will also look at our company polices to make sure that we are in line with all regulations. Source: Zeevveez/Flickr CC 2.0. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. If you were the psychologist, how would you feel about the situation? Prior to returning the call, Dr. Jordan reviews the patients chart. 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 . Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Currently, the patient is denying the fact that she has made past threats toward her neighbor. 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. Simultaneously, he strongly believes he made the right decision. During the course of their work, he discussed . a specific field. In hindsight, what triggered some possible difficulties in this situation? Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. The treatment notes indicate that she dropped out of therapy about one year ago. Step 2: Reach out to the ACA. Next, most vignettes have more than one ethical issue that can be addressed. 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. The therapist has not worked with the patient for about two years. Published online by Cambridge University Press: What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? If you decide to provide information, would you consider communicating with the prior patients attorney? The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. What are the potential pitfalls in the scenario? 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. Dr. Jordan calls you on the phone for an ethics consultation. 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. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. 14 March 2022. 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. By continuing well I will explain why confidentiality is important and what the rules says about it. The career counsellor also needs to be accredited on the use of the specific instruments should he/she wish to interpret them and integrate them into a feedback report for Jennifer. Address the matter with the other therapist directly. View all Google Scholar citations At the beginning of your in-person or online counseling, your specialist should be giving you some information about . 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. 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. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. 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.