x#86h)Ppcc0F( k/ This particular vignette, Swenson said, may well fail the two-prong test. 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. 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. You are a therapist in a busy acute care hospital where you receive. How would you feel if you were the consultant? The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. (1993). In the code, 18VAC115-20-130. Abstract All school counselors are considered mandated reporters. Hence, the admission is voluntary. 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. Are there additional considerations for how to approach the referring physician when calling back? Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. 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. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Menu. Dilemma 35: Initial Telepsychology Session for Free? 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. A female therapist in a suburban area has worked with a male patient for about one year. The results and implications for counsellors, counsellor educators and researchers are discussed. 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 therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. / ethical dilemmas in counseling vignettes. They developed a good therapeutic alliance. What clinical concerns arise for you in this scenario? My company has developed a unique opportunity for you and your associates. With whom does the therapist discuss the multiple roles? raised by clinical vignettes such as those below, Mr. DiMencha demonstrates a variety of cognitive deficits. 1. The cost of the online administration is $25, to be paid by the patient. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Published online by Cambridge University Press: To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Dilemma 38: Psychotherapy without Medication, Dilemma 39: Pills, Chills, and No Thrills, Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision - 3 part series, Library: Articles & Papers Related to Ethics Education, Time pressure reduces misinformation discrimination ability but does not alter response bias, Domestic violence hotline calls will soon be invisible on your family phone plan, The danger of absolute thinking is absolutely clear. However, after the session, the therapist feels uneasy about what his patient revealed. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Out of options, Dan is asking Dr. Crane to be the faculty advisor. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. It may rather be a sign that one is fully engaged in the life of a community. Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Standards of practice, part B.9 states that . endobj
Simultaneously, the religious institution is adamant about this requirement. If you were a co-owner of the business, how would you feel about this situation? As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. ~Bi"$\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! The therapist remembers the former patient as a likeable person. He would like help to work through the issues. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. 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. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Dr. Popeil thinks these ideas are good. Of course, they exist in all forms of counseling, from short-term advising . Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. She stated that Dr. Jordan recommended that she write down her memories. In fact, the patient has made no such comments to anyone else other than to Dr. Solomon and has been a model patient on the unit. She actually attended his graduation party briefly and hired him to cut her lawn for two years. The supervisee is very worried and afraid to tell If you were Dr. Jordan, how would you feel about this request? 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. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Ethical Vignette Paper.docx. Learning Objectives: Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Dr. Smith is now worried about the entire situation. This vignette poses several ethical dilemmas for counselors. While discussing these issues, the patient suddenly stopped talking. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Continuing Education & Ethical Resources For Mental Health Professionals. Are there competing ethical principles? What are other steps that the therapist may want to take in this situation? 6768). 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. With her husband, the patient and the ex-wife? There is nothing unusual that stands out about their therapeutic relationship. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. There were contentious issues dealing with the custody arrangements of the children. "useRatesEcommerce": false The client continued to struggle. Buddy also shares that he has been short tempered with his wife and kids. : Ethical and Legal Ramifications of Documentation Decisions. 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. Tell contacts you with the above scenario. What are some likely emotional reactions would you have in this situation? The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. 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. 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. T2 0#8r\ ), 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. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? During the current session, the confides that he has made a new female friend. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. 6P*-45Denc
\4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8
At#8 dHM'IF Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. 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. (1998). You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality.