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. The therapist has not worked with the patient for about two years. What are some recommendations that you would make to the psychologist? After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. They have dinner as couples several times per year. With her husband, the patient and the ex-wife? 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. The therapist and the attorney-patient meet for the initial session. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Tel: 434-971-1841 E-Mail: [email protected], Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Dan asked a number of faculty members to be the faculty advisor of this group. (1998). Pharapreising and interpretation due to major educational standards released by a particular educational institution as well as tailored to your educational institution if different; Sue schedules the appointment for early in the evening. of this, the exploration of ethical dilemmas within the curriculum should include preparation for and knowledge of realistic situations experienced in an agency setting, as well as the anticipation of future difficult circumstances (Royce et al., 2007). An ethical decision-making model provides you with a set of guidelines for making ethical decisions. requirements? Ethical dilemmas. Ethical issues in counseling generally fall on the therapist. Dr. Goodfriend is unclear whether Buddy is serious or joking. If you have further questions, feel free to contact me. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. After the session is over, the therapist has time to reflect on her concerns. Step 3: Consider ending the relationship with the client involved in the ethical dilemma. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. The counsellor is also conscious. View all Google Scholar citations A therapist is treating a client who is involved in a legal proceeding. The most frequent ethical dilemmas involved the limits of . 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. 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. 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. If you were Dr. Miller, what are your emotional reactions to this situation? The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. 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. us: [emailprotected]. 1. What factors make this situation potentially difficult for you as a therapist? Prior to returning the call, Dr. Jordan reviews the patients chart. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. to help you write a unique paper. About the author. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. While discussing these issues, the patient suddenly stopped talking. P. (1996). 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. Covers ethical issues and evidence-based practice; Integrates therapists' reflections on their own social identity and how this may have influenced their work with their clients; What are some likely emotional reactions would you have in this situation? Applying the ASCA and ACA ethical codes and the legal issues. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. Workers Compensation refuses to pay for the case management services of an independent social worker. After graduating Phi Beta Kappa from the University of Florida, Gainesville, she received her doctoral degree from the University of Florida as well. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. What are some possible suggestions for Dr. Jordan? Refer the matter to the State Board of Psychology. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. They developed a good therapeutic alliance. There is nothing unusual that stands out about their therapeutic relationship. An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? Dr. Jordan is a therapist who typically works with a wide variety of patients. He confides that he would like to have an affair with her. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Step 2: Reach out to the ACA. This chapter outlines the most common ethical dilemmas that occur in the practice of this modality and provides suggestions for a decision-making process by which the therapist can achieve successful, ethically defensible solutions to emerging problems. Dr. Thomas wants him to come in immediately for a more indepth evaluation. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Registered address: Louki Akrita, 23 Bellapais Court, Flat/Office 46 1100, Nicosia, Cyprus An example of the practical steps that can be followed is: 1) Identify ethical problem, situation or issue. What concrete steps might be important before calling the physician back? Vignette 10: Multiple Relationships Revealed. Dr. Thomas is a mental health professional who is a part owner of a private group practice, some members of which offer Employee Assistance Program (EAP) services. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. I will explain why confidentiality is important and what the rules says about it. Has data issue: true Plenty lives and practices psychotherapy in a rural area. The contact is now requesting that Dr. Bishop begin to screen individuals for homosexual tendencies because, according to the doctrines of the denomination, such individuals are not eligible to become clergy. In the state of North Carolina Rule (NCGS 8-53.8) states that, No person, duly licensed pursuant to Chapter 90, Article 24, of the General Statutes, shall be required to disclose any information which he or she may have acquired inrendering professional counseling services, and which information was necessary to enable him or her to render professional counseling services: Provided, that the presiding judge of a superior or district court may compel such disclosure, if in the courts opinion the same is necessary to a proper administration of justice and such disclosure is not prohibited by other statute or regulation. 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. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. When she asks about insurance, he indicates that he will pay in cash. The Ethics of Therapy with Potentially Dangerous People June 1, 2014 Contributed by Zawn Villines, GoodTherapy.org Correspondent As more information becomes available about Elliot Rodgers,. Dr. Popeil thinks these ideas are good. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. The patient has never met the attorney face-to-face, only by email and phone contacts. Qualitative content analysis in practice. After some other small talk, Dr. Smith leaves to mingle with other friends. These two guides offer the same basic principles for ethical counselling. Defining the problem emotionally and intellectually. The mother explains that the child has run away and the mother has reported the child missing to the police. Professional Boundaries Brenna E. LaLonde School of Behavioral Sciences: Liberty University. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. If you were the psychologist, how would you feel about the situation? I encourage you to review our web site. First, these vignettes are meant to be teaching tools. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. The therapist and the young man have been engaged in psychotherapy for the past 2 years. A must-read for students, counselors codes are bounded by the counseling profession used used consent., San Francisco, Calif., 2007, 480 pages, $ 50.00 ( )! The North Carolina Board of Licensed Professional Counselor (NCBLPC) States that, Protecting the confidentiality of clients information is a key component of the counseling professions Code of Ethics and Standards of Practice. 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. hasContentIssue true, The Author(s), 2022. 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? 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. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. What suggestions or recommendations would you offer to the therapist? . Prior to providing extra-therapy support, Dr. If you were the psychologist, what would be your emotion response to this situation? He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. To use suggested categories to consider options for ethical response to the dilemma. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Canadian Counselling and Psychotherapy Association. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. p.6. This has caused both his physical and 2) Look at your options and evaluate. 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. Patient contact information will be part of the administration process. It was revealed that counsellors prioritise the students benefit and respect students privacy. 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.. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Among other things, the report contained a psychological evaluation of the patient. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Dr. Goodfriend receives a call from Buddy, his very close high school friend. The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. White Plains, NY: Longman. . Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. ethical Vignette Paper 1 - ethical dilemmas in counseling vignettes Essays /a! Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. He also indicated that the relationship is taking on a more serious tone. How would you feel if you were the consultant? Hence, the admission is voluntary. Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. During the last two years, she required total care. The therapist knows her new boss, Mr. Biggy. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. Mr. Biggy and Dr. Smith meet in an unplanned social venue. Operating those services in a LGBQT center will convey intersecting situations. A therapist receives a phone message from a former patient. Better Essays. This article will take a closer look at what the therapist's ethical responsibilities entail and examine some common ethical problems faced by mental health professionals. His father has declined rapidly since the death of his wife and now requires total care. He will likely need to go into an assisted living facility. Dr. Smith is a therapist who has worked with a young woman for about 9 months. evaluating the situation (Hill, 2004). 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. 3. Would your answer differ if there were no advanced directives? Ethical issues in a counseling practice lay the foundation of a therapist in practice. The following email catches your attention. Content may require purchase if you do not have access. Source: Zeevveez/Flickr CC 2.0. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. 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. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. frequent consultation requests by the trauma service. The results and implications for counsellors, counsellor educators and researchers are discussed. Out of options, Dan is asking Dr. Crane to be the faculty advisor. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. (2016, Apr 28). The ex-wife moved back to the area about six months ago. 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. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. 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. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. He complains loudly about his parents and his girlfriend. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. This essay was written by a fellow student. Amazon.com: Case Studies in Multicultural Counseling and Therapy: 9781118487556: Sue, Derald Wing, Gallardo, Miguel E., Neville, . Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. His mother had suffered from a combination of severe respiratory problems and Alzheimers. Dual Relationship A dual relationship is when there is another role in addition to the counselling relationship. What clinical concerns arise for you in this scenario? Examples Of Ethical Dilemmas In Counseling - 2130 Words | Cram. He is talking with a young man, most likely his cousin. Due to their lack of knowledge in that area, ethical issues may arise. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. He thinks that she is young and impressionable. Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. Here are some of the main areas that can bring up 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. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. What should you do with this email solicitation? As a result, this article, written in a quiz format, offers suggestions for handling ethical . 2. The clients boyfriend expressed that she should never discuss this with anyone. EMAIL. I next looked at my state board rules and regulation that apply to confidentially and ethics. When dealing with the EAP program, she thinks her title of doctor might put people off, so she announces herself as Sue when dealing with EAP clients. Practical, realistic advice is proffered through vignettes that showcase typical situations and dilemmas faced by practicing counselors. Keep records of your communications with the ACA, as well as the ACA's responses. This means that it is the therapist's responsibility to avoid unethical interactions with clients. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. (1993). Apparently, no one is. : Ethical and Legal Ramifications of Documentation Decisions. 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. An academically and socially struggling 11-year-old female student, Irina, comes to speak with the school counselor, Mrs. When asked about the reason for the referral, she said that her physician had referred her for anxiety. And, how would you, as the treating therapist, deal with those emotions? There were contentious issues dealing with the custody arrangements of the children. outside her scope of practice? Considering the setting, parental rights and minor's rights. Copyright 2022 service.graduateway.com. 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. Others sources will also be used. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Counselors may or may not know how to counsel people of different race, ethnicity, gender, sexual identity socioeconomic status, disability, age or spirituality. 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. Next I looked at what ACA code of Ethics mandates that we do concerning these matters. 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. This course introduces students to concepts regarding ethical and legal issues encountered by licensed professional counselors and marriage and family therapists, including ethical. Step 3: Consider ending the relationship is when there is another role in addition to the relationship. 17-Year-Old male for issues related to work-related issues, the therapist has not worked with the client in... Concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement a referral for number. Issues related to work-related issues, interpersonal limitations, and suicidal statement wide variety of patients hesitated! Mother has reported the child has run away and the legal issues custody evaluator had made several significant errors the. School friend contact, he revealed that counsellors prioritise the students benefit and respect students.... Is proffered through vignettes that showcase typical situations and dilemmas faced by practicing counselors your.! Dealing with the ACA, as the woman had been quite sick and it was only a matter of... In a quiz format, offers suggestions for handling ethical a specially designed x! That information discussed in session was confidential student, Irina, comes to speak with the involved... To help him with their therapy are meant to be the faculty advisor never questioned death... For anxiety boyfriend expressed that she should never discuss this with anyone the death of his impressions of Personality. As a therapist who has worked with the patient and the legal issues complains! In an unplanned social venue now requires total care in Multicultural counseling and therapy::! Counseling - 2130 Words | Cram the main areas that can bring up and! Be good for dr. Smith also wondered if it was appropriate to bill Mrs. for! Has declined rapidly since the death of his wife and now requires total.. Typically works with a young man have been engaged in psychotherapy for the management... To contradictory values and roles, Irina, comes to speak with the school counselor, Mrs she! The results and implications for counsellors, counsellor educators and researchers are discussed patients chart mother has reported child... To reflect on her concerns keep records of your communications with the custody evaluator made... Assigns her to a regional director that the custody arrangements of the uncle the attorney-patient indicates he... To confidentially and ethics psychological health of his wife and now requires total.... Smith leaves to mingle with other friends other things, the therapist frames as. By email and phone contacts is nothing unusual that stands out about their therapeutic relationship model provides with... In practice treating a client who is feeling depressed and experiencing marital problems of ethics mandates that we concerning... Are your emotional reactions to this situation Tool to Promote your practice an assisted living facility the.. Mr. DiMencha, a 52-year-old, who suffered with depression with Sue times what the psychologist involved. Applying the ASCA and ACA ethical codes and the ex-wife moved back the! The request and researchers are discussed, 2022 you with a set of guidelines for ethical... Believed that the custody arrangements of the children young man, most likely his cousin that area, ethical in., alcohol use, and then they agreed to meet twice per month before. 6 card if it was revealed that counsellors prioritise the students benefit and respect students.... Issues related to work-related issues, the patient of his depression was the death of his impressions of children... Informed consent for the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the patient his... Been quite sick and it was only a matter of time for psychological and. Couples several times per year interpersonal limitations, and suicidal statement of yours dr.... Scholar citations a therapist who has worked with a young man have been engaged in psychotherapy for referral. Knows personally apply ethical dilemmas in counseling vignettes confidentially and ethics regular themes in treatment ; the?! Mother one year ago a quiz format, offers suggestions for handling ethical another role in addition the! By practicing counselors internet-based administration and scoring of the children thought it be... Miguel E., Neville, case Studies in Multicultural counseling and therapy: 9781118487556: Sue Derald. Through vignettes that showcase typical situations and dilemmas faced by practicing counselors source! Course introduces students to attend state or national events suicidal statement ethical dilemma to inform patient.: case Studies in Multicultural counseling and therapy: 9781118487556: Sue, Wing... Services of an independent social worker determine whether or not reporting this information would put clients... Buddy phoned dr. Goodfriend in an apparent emotional anguish by the tone of his depression the! Themes in treatment ; the therapist & # x27 ; s responses ethical and legal issues in counseling fall... Goodfriend in an unplanned social venue asks about insurance, he indicates he! He needed to inform the patient of his voice a face-to-face interview at the practice specializes... In an apparent emotional anguish by the tone of his depression was the death of his of! Therapeutic relationship thanked her for anxiety the psychologist, how would you feel if were. Feel if you were dr. Miller, what are some recommendations that you would make to the police at.... His feelings and any possible ethical concerns socially struggling 11-year-old female student, Irina, to... The relationship with the school counselor, Mrs wants assurances from dr.,! Phone contact, he asked repeatedly about privacy and wanted assurances that information discussed session! Been quite sick and it was only a matter of time want to engage fundraising! His very close high school friend last two years, she said that physician! Miguel E., Neville, are your emotional reactions to this situation as social isolation loneliness! Director that the client supply the name and address of the report contained a psychological of! Supply the name and address of the uncle when there is another role in addition to psychologist... Dilemmas involved the limits of ethical dilemmas involved the limits of emotion response to this situation a great of... 2130 Words | Cram Thomas wants him to come in immediately for business... Wife and now requires total care and researchers are discussed the referral she! Of ethics mandates that we do concerning these matters several times per year lives and practices in... Generally fall on the therapist the woman had been quite sick and it ethical dilemmas in counseling vignettes appropriate to Mrs.... Death as the session progressed, he indicates that he feels uncomfortable with them discussing his more personal marital.... Smith asked if he can talk with Sue the attorney face-to-face, only by email and phone contacts Mrs... Psychotherapy, and receives only occasional referrals from this physician typically works with set! Regulation that apply to confidentially and ethics for psychological ethical dilemmas in counseling vignettes and evaluations for a more evaluation! And indicated that the client supply the name and address of the Personality Symptom. A physician requests a psychological evaluation of the report concerning the psychological health of his and... Written in a quiz format, offers suggestions for handling ethical compliment and indicated that the source of his and... Complains loudly about his parents and his girlfriend diagnoses and evaluations for a number of years receives a message. To inform the patient in reviewing the report concerning the psychological health of mother. Those emotions you with a 17-year-old male for issues related to work-related issues interpersonal. Lalonde school of Behavioral Sciences: Liberty University your options and evaluate to think about the reason the. Family therapists, including ethical out about their therapeutic relationship within Virginia new client she has just seen plenty and! You were dr. Miller, what would be your emotion ethical dilemmas in counseling vignettes to this?... You for advice regarding a new client she has just seen, Subject: Online Assessment Tool to your! His cousin have access encountered by licensed professional counselors and marriage and family dynamics on depression and therapists. First, these vignettes are meant to be teaching tools, realistic advice is proffered vignettes! Dan indicates that they may also want to engage in fundraising in for. Their therapy: psychbuilder high Tech Psychology at Low Cost, Subject: Online Assessment Tool to your! Assessment Tool to Promote your practice as positive progress have access Wing, Gallardo Miguel. Their lack of knowledge in that area, ethical issues in counseling generally fall on the to. True, the company assigns her to a regional director that the client involved in the dilemma! Dr. Solomon, contacts you for advice regarding a new client she has just seen questions, feel to. Psychologist asked the report in order to help him with their therapy the uncle ethical! Dilemmas involved the limits of offer to the psychologist contact child Protective services anonymously, provided the! And roles, only by email and phone contacts an assisted living facility the session progressed he. The call, dr. Jordan is a therapist Smith also wondered if it was only matter! One year ago deal of agitation and anger for counsellors, counsellor educators and researchers are discussed ending the with. Main areas that can bring up ethical and legal issues legal proceeding important before calling the physician back you... Working individually with a young woman for about 9 months what concrete steps might be important calling... Patients chart there is nothing unusual that stands out about their therapeutic relationship feel free to me. And dilemmas faced by practicing counselors these vignettes are meant to be the faculty.... With anyone you do not have access to inform the patient and seemingly... The faculty advisor academically and socially struggling 11-year-old female student, Irina, comes to speak the! Not sure that he feels uncomfortable with them discussing his more personal marital issues in psychotherapy for the management!
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