However, he researches the APA Ethics Code and believes that he may be acting inappropriately. New York: John Wiley & Sons, Inc. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. His attorney believes that some good, written character references will really help out with the case. He is marginally coherent and unable to give any consistent responses. 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. The position pays much more than shes making at the community agency, and is within ten minutes of her home. 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. 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 eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. What are the potential ethical concerns about this scenario, if any? The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. 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.. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. 3. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. After the session is over, the therapist has time to reflect on her concerns. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Are there competing ethical principles? adapted and used used with consent from a state psychological association. What should you do with this email solicitation? hasContentIssue true, The Author(s), 2022. Hostname: page-component-7fc98996b9-g9qcd However, she begins to feel uncomfortable as she feels like they are spending too much time together. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. stream The Center maintains responsibility for this program and its content. When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. At that time, Dr. Miller not only wanted to evaluate the marriage, but to evaluate how impaired the husband was, and to decide whether Mrs. Drapier had assessed her husbands depression and the marriage accurately. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. He would like help to work through the issues. Plenty lives and practices psychotherapy in a rural area. Harry is a school guidance counselor who is just got a job at a large public high school. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Dilemma 20: Has the Therapist Done Too Much? A court appointed custody evaluator performed a child custody evaluation. What are some possible suggestions for Dr. Jordan? A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. Abstract All school counselors are considered mandated reporters. What are the ethical issues involved in this situation? What are potential ethical issues with this invitation? This has caused both his physical and 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. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Dr. Goodfriend receives a call from Buddy, his very close high school friend. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. Widely adopted as a textbook in graduate psychology courses in ethics and continuing education development, this innovative volume presents readers with over 100 different perspectives on crucial ethical issues and offers possible solutions from an expert ethics educator, psychologist, and former APA general counsel. The treating therapist believes the options are: What are the possible emotional reactions to this situation? x#86h)Ppcc0F( k/ What are some actions that you, as the treating therapist, may have done differently? During the last two years, she required total care. The therapist ignores the comment and finishes by setting their initial appointment. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Feature Flags: { Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? (1998). The cost of the online administration is $25, to be paid by the patient. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. 1LzLxG`kvP@>. We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. The following email catches your attention. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Dr. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. Your browser either does not support scripting or you have turned scripting off. What are some recommendations that you would make to the psychologist? With whom does the therapist discuss the multiple roles? !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. 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. 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. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 8 0 obj
Plenty acting beyond the limits of her competency? The patient repeated this line of questioning during the first face-to-face session. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. ethical dilemmas in counseling vignetteswvu mechanical engineering research. 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. 1. How would you advise Dr. Thomas to handle them? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. 4 0 obj His father has declined rapidly since the death of his wife and now requires total care. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Published online by Cambridge University Press: What suggestions or recommendations would you offer to the therapist? What are the possible steps Dr. Crane can take to mitigate any potential difficulties? 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. The main therapeutic issues are depression and loneliness. What concrete steps might be important before calling the physician back? 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. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? cn]JlmQSMDM>pEm+gxMU]``tQqKF He does not view it as a therapy group. endobj
However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. are Prior to providing extra-therapy support, Dr. What would you likely do with this email solicitation? endobj
Content may require purchase if you do not have access. What would you need from the attorney? %PDF-1.3 Both therapists are of the same profession. There were contentious issues dealing with the custody arrangements of the children. } He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. After some other small talk, Dr. Smith leaves to mingle with other friends. He confides that he would like to have an affair with her. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? At the end of the session, the therapist asks for the requisite fee as stated on the phone. He promised to call her back within a week. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Dr. Goodfriend is unclear whether Buddy is serious or joking. Would your answer differ if there were no advanced directives? 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. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. I encourage you to review our web site. 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. : Ethical and Legal Ramifications of Documentation Decisions. stream
The PASS-2 is administered online, from any computer, iPad, or iPhone. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). And, how would you, as the treating therapist, deal with those emotions? Hence, the admission is voluntary. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. P. (1996). Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Encourage the client to file a complaint with the State Board of Psychology. Tara was offered this position after successfully completing both her practicum and her internship at the center. 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. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Standards of practice, part B.9 states that . When she asks about insurance, he indicates that he will pay in cash. Dr. Bishop calls you for a consult about this situation. What are some of the potential ethical pitfalls in this scenario? What factors make this situation potentially difficult for you as a therapist? The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense.