ethical dilemmas in counseling vignettes

They have dinner as couples several times per year. During the interview, she was told that she would need to work independently, with only limited supervision. Cynthia, a counselor who had been successfully working as an AIDS and substance abuse counselor in a large city for several years, recently moved to a very affluent suburb and decided to open a private practice. What factors make this situation potentially easy for you as a therapist? Uncertain, she calls you for an ethics consultation. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. What are Dr. Millers potential ethical issues in this situation? He will likely need to go into an assisted living facility. 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 PDF Ethical Dilemmas in Counseling: A Case Study Examination 2017-2018 The physician wants the psychologist to treat his 17-year-old daughter . School Counselors' Experiences With Ethical Decision Making What are some recommendations that you would make to the psychologist? 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. The cost of the online administration is $25, to be paid by the patient. The therapist screens the potential patient and believes that she can help him. image.jpg Liberty University Ethical and Legal Issues in Counseling . Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. The counsellor is also conscious. He would like help to work through the issues. While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. 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. 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. The therapist then phones you for an informal consultation. What steps does the psychologist need to take? Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. She recently received an offer to become a sales representative for a pharmaceutical company. Dr. Ron Popeil, a local therapist, is upgrading his web site. 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. Most issues do not produce ethical dilemmas, but some do. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. The patient was in therapy for approximately one year. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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. Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 ocuk Koruma Kanunu [Child Protection Law]. 3. Dr. Tell allowed several moments to pass before asking the patient what was happening. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. White Plains, NY: Longman. Plenty acting beyond the limits of her competency? What should you do with this email solicitation? Dan asked a number of faculty members to be the faculty advisor of this group. When she asks about insurance, he indicates that he will pay in cash. Along with. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. 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. 1 pages. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. To use suggested categories to consider options for ethical response to the dilemma. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. The client is feeling very helpless and vulnerable about this bind. After reiterating the purpose of the session (which was to assess the marital situation and not to assess his current treatment), Dr. Miller states that she feels uncomfortable with the request, although she is concerned about the therapists reported behavior. ~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! How are the clients emotional and interpersonal issues related to the therapists dilemma? stream Just as he is about to hang up, Buddy says, Thanks. "useRatesEcommerce": false 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. In hindsight, what triggered some possible difficulties in this situation? xVN0}-m8 <> Dr. 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. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. stream Case Vignettes for Review This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Buddy states that he has been feeling stressed over the last month. The client continued to struggle. 1 0 obj frequent consultation requests by the trauma service. What would you likely do with this email solicitation? She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. PDF ETHICAL DILEMMAS - SAGE Publications Inc Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. What are some possible suggestions for Dr. Jordan? They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Are there any other concerns about the web developer/consultants strategies? What suggestions or recommendations would you offer to the therapist? How would you feel if you were the consultant? endobj <> The Experience of Ethical Dilemmas, Burnout, and Stress Among Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. PDF Legal and Ethical Case Studies - American Counseling Association Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. What are the potential ethical issues with this case? Apparently, no one is. endobj 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. The PASS-2 is administered online, from any computer, iPad, or iPhone. The Clear Answers and Start Over feature requires scripting to function. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Approaching ethical dilemmas. 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. How would you feel about receiving this request? 8 0 obj Simultaneously, the religious institution is adamant about this requirement. She told the student that she would think about the request prior to answering. Feature Flags: { Mr. Biggy and Dr. Smith meet in an unplanned social venue. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Dilemma 20: Has the Psychologist Done Too Much? Ethical Dilemmas - IResearchNet - Psychology Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Approaching ethical dilemmas - American Psychological Association A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics.