Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. 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. What are some of the potential ethical pitfalls in this scenario? For example, the psychologist might have to evict his client for failing to pay rent--or he might . Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. 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. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Plenty acting beyond the limits of her competency? 2. 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. Uncertain, she calls you for an ethics consultation. She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. In hindsight, what triggered some possible difficulties in this situation? While the treatment team does not share Dr. Solomons concern and has started to make discharge plans, they have not spent as much individual time with the patient as Dr. Solomon. The clients boyfriend expressed that she should never discuss this with anyone. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. If you were Dr. Miller, what are your emotional reactions to this situation? Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. What are the ethical issues involved in this case? However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. 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. Popeil thinks these ideas are good. 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. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. 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. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. And, how would you, as the treating therapist, deal with those emotions? After some other small talk, Dr. Smith leaves to mingle with other friends. School Law for counselors, psychologists, and social workers . She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. % If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? There were contentious issues dealing with the custody arrangements of the children. Dilemma 6: Referral and Treatment Boundaries. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. She does not feel right taking a fee larger than her usual and customary rate. It was revealed that counsellors prioritise the students benefit and respect students privacy. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Are there competing ethical principles? I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Others sources will also be used. The lawyerpatient comments that this seems low. % Published online by Cambridge University Press: By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. How would you feel about receiving this request? The patient has trust issues with his parents, especially his father. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. However, the attorney has little awareness about how impaired Mr. DiMencha is. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Dr. Jordan is a therapist who typically works with a wide variety of patients. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. During the current session, the confides that he has made a new female friend. 1 pages. Prior to returning the call, Dr. Jordan reviews the patients chart. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. The therapist pulls the former patients chart. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. They have dinner as couples several times per year. To use suggested categories to consider options for ethical response to the dilemma. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. He is marginally coherent and unable to give any consistent responses. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. 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. 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. Are there additional considerations for how to approach the referring physician when calling back? The supervisee is very worried and afraid to tell A therapist receives a phone call from a well-known internist in her area. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Standards of Practice, B. Counselling Relationships, Confidentiality. Therapy lasted about a year and focused on depression and relationship issues. Your browser either does not support scripting or you have turned scripting off. The patient has never met the attorney face-to-face, only by email and phone contacts. Are there any ethical considerations in this dilemma? Can the client contact Child Protective Services anonymously in this case? By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. iRE]7*ZG; K5|h{. 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. endstream The therapist, her husband, and his ex-wife are on good terms. (Log in options will check for institutional or personal access. The cost of the online administration is $25, to be paid by the patient. The Submit Answers for Grading feature requires scripting to function. are Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. 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. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. My company has developed a unique opportunity for you and your associates. 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). 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. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. Currently, the patient is denying the fact that she has made past threats toward her neighbor. Dr. Ron Popeil, a local therapist, is upgrading his web site. DILEMMA ONE You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. What are other steps that the therapist may want to take in this situation? If you were a co-owner of the business, how would you feel about this situation? While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* Ethics and law for school psychologists . If you were Dr. Goodfriend, how do you feel about the phone call? <> Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. The ex-wife moved back to the area about six months ago. 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. (1998). The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. Address the matter with the other therapist directly. Learning Objectives: 7 0 obj Glover, J. Sue schedules the appointment for early in the evening. 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. An ongoing theme in therapy revolves around his sexual orientation. The Clear Answers and Start Over feature requires scripting to function. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. The survey consisted of 10 vignettes based on the above ethical issues in. What are the potential ethical issues in this case? The ICU staff asks for your input. If you were the psychologist, what would be your emotion response to this situation? Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. The mother further reports that the patients cousin has been driving the patient around town. 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. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. New York: John Wiley & Sons, Inc. 6 0 obj Would your answer differ if there were no advanced directives? 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. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. During the interview, she was told that she would need to work independently, with only limited supervision. endobj Abstract All school counselors are considered mandated reporters. Sci Rep 12, 22416 (2022). He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. What are the ethical concerns in this scenario? Dilemma 38: Psychotherapy without Medication, Dilemma 39: Pills, Chills, and No Thrills, Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision - 3 part series, Library: Articles & Papers Related to Ethics Education, Time pressure reduces misinformation discrimination ability but does not alter response bias, Domestic violence hotline calls will soon be invisible on your family phone plan, The danger of absolute thinking is absolutely clear. 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. Dr. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. 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. What suggestions or recommendations would you offer to the therapist? 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. She mentions that she is still in communication with her ex-husband because they share three children. Attempts to find social service agencies able to help him have not been successful. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dr. Smith decided to review the report. What factors make this situation potentially easy for you as a therapist? Harry is a school guidance counselor who is just got a job at a large public high school. Simultaneously, the religious institution is adamant about this requirement. Buddy states that he has been feeling stressed over the last month. She has been doing much of the case management work, e.g. The main therapeutic issues are depression and loneliness. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dilemma 35: Initial Telepsychology Session for Free? 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. T2 0#8r\ Mr. DiMencha demonstrates a variety of cognitive deficits. The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. 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. The therapist and the attorney-patient meet for the initial session. What are some possible suggestions for Dr. Jordan? Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. The therapist feels stuck and overwhelmed by her present situation. They developed a good therapeutic alliance. She calls you for an ethics consult. 14 March 2022. Is Dr. Tell a mandated reporter in this situation? 4 0 obj Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. Plenty without any type of testing. The test usually takes approximately 40 to 60 minutes to administer. With whom does the therapist discuss the multiple roles? The days allocated for her stay by her insurance are ending in two days. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Of course, they exist in all forms of counseling, from short-term advising . After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. In the context of counseling, family includes people related through . In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics Is Dr. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. cn]JlmQSMDM>pEm+gxMU]``tQqKF Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. 1 0 obj He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. A therapist had an intake appointment with a new client. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< White Plains, NY: Longman. The patient was in therapy for approximately one year. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. 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. When she asks about insurance, he indicates that he will pay in cash. The therapist does not dwell on the situation with the patient. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. He would like help to work through the issues. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; : Ethical and Legal Ramifications of Documentation Decisions. 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. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. 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. 6768). After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. When asked about the reason for the referral, she said that her physician had referred her for anxiety. What, if anything, should the therapist do? Group of answer choices Growth in . of family ties, but counselors in many other specialties will run into these issues too.
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