A substance abuse counselor supports individuals to overpower those feelings and emotions that trigger drug and/or alcohol abuse. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. In hindsight, what triggered some possible difficulties in this situation? For example, the first vignette, which Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. (2016, Apr 28). Registration number: 419361 He asked the attorney if anyone is contesting the will. There is nothing unusual that stands out about their therapeutic relationship. What steps does the psychologist need to take? Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. While there are many different modalities, the American Counseling Association provides an ethical decision-making model that has counselors identify a problem, apply ACA code of ethics, apply state and . This essay was written by a fellow student. 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. 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. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. A female therapist in a suburban area has worked with a male patient for about one year. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Prior to returning the call, Dr. Jordan reviews the patients chart. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? 1395 Words6 Pages. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. 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. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. problem identification, b). In Section B.1.c counselor has to respect the rights of all clients to confidentiality and cannot share the information without client consent or without legal or ethical justification. 1 Continuing Psychology Education Inc. P.O. The danger of this approach would be to become too specific and to concentrate too closely to the issues of the case while forgetting the major socio-political Are there any ethical considerations in this dilemma? As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? The therapist obtains the keys and title for the vehicle. DILEMMA ONE What clinical concerns arise for you in this scenario? Case Study: Ethical Dilemmas In School Counseling. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. 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. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. If you were the psychologist, what would be your emotion response to this situation? Here are some of the main areas that can bring up ethical and legal issues in counseling. Prior to providing extra-therapy support, Dr. You are checking your email after a busy day. Dr. Goodfriend is unclear whether Buddy is serious or joking. 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. 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. What are the ethical issues involved in this situation? ACE provider approval period: 3/21/2021-3/21/2024. Dan explained to Dr. Crane that this group would be student-led and meet on campus. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Plenty acting beyond the limits of her competency? Next I looked at what ACA code of Ethics mandates that we do concerning these matters. However, she begins to feel uncomfortable as she feels like they are spending too much time together. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. Out of options, Dan is asking Dr. Crane to be the faculty advisor. His attorney believes that some good, written character references will really help out with the case. Supplemental understanding of the topic including revealing main issues described in the particular theme; He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Defining the problem emotionally and intellectually. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. What suggestions or recommendations would you offer to the therapist? The therapist and the attorney-patient meet for the initial session. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. The supervisee is very worried and afraid to tell They developed a good therapeutic alliance. To use suggested categories to consider options for ethical response to the dilemma. To use suggested categories to consider options for ethical response to the dilemma. ethical issues can be further complicated by the fact that legal, ethical, and school policy issues often conflict (Stone & Zirkel, 2010) and few resources exist to aid school counselors in making adequate ethical decisions (Remley & Herlihy, 2007). The therapist expresses her concerns about working with a patient whose father is prescribing medication. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. COMMENTS. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. 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. Are there competing ethical principles? What are the possible downsides to entering the dual relationship? Dr. Ron Popeil, a local therapist, is upgrading his web site. a specific field. Source: Zeevveez/Flickr CC 2.0. The therapist has not worked with the patient for about two years. Learning Objectives: The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. What are some of the potential ethical pitfalls in this scenario? 2 Print version: page 62 6 min read Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. The clients boyfriend expressed that she should never discuss this with anyone. Ethical issues in counseling can occur in various cases and may be overwhelming for both the professional and the client. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. This paper outlines an ethical and legal dilemma, the recommendations by the attorney, a psychologists self -disclosure, communications with the clients As I began to read and listen to the material that dealt with the Ethical vignette as it dealt with confidentiality and ethical dilemmas that counselors will deal with in their day to day work environment. 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; COSC 501: Professional, Ethical & Legal Issues in School Counseling. Plenty without any type of testing. I will explain why confidentiality is important and what the rules says about it. View all Google Scholar citations A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. . What are some likely emotional reactions would you have in this situation? After some other small talk, Dr. Smith leaves to mingle with other friends. This paper studies what the definition of boundaries and investigates how it might be a difficult/challenging issue for you or the counsellor/therapist. The patient had been in treatment for about 10 months on a weekly basis. The ethical use of assessments is important in Jennifer's case, especially in terms of using classified assessments that are deemed to be valid and reliable. Graduateway.com is owned and operated by Radioplus Experts Ltd 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. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? Dr. Smith is a therapist who has worked with a young woman for about 9 months. 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. They have dinner as couples several times per year. Patient contact information will be part of the administration process. Address the matter with the other therapist directly. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. ocuk Koruma Kanunu [Child Protection Law]. A female psychologist works with a male patient for about one year in a suburban area. Ethical, Legal, and Professional Issues in Counseling-Theodore P. Remley, Jr. 2013-01-24 Note: This is the bound book only and does not include access to the Enhanced Pearson eText. What are the ethical concerns in this scenario? 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. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. ethical Vignette Paper 1 - ethical dilemmas in counseling vignettes Essays /a! The model shows steps that should be addressed in this specific order to establish an ethical decision. Most issues do not produce ethical dilemmas, but some do. adapted and used used with consent from a state psychological association. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. Ethical dilemmas. The treating therapist is questioning what to do. British Journal of Guidance & Counselling, 30(3), 261-268. Ethical issues in counseling generally fall on the therapist. These two guides offer the same basic principles for ethical counselling. (2) Patients and lay persons are less strict than therapists regarding issues of boundaries. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Dr. Tell contacts you with the above scenario. Dr. Thomas wants him to come in immediately for a more indepth evaluation. Should Dr. Goodfriend call Buddy and offer a few referrals? During the next session, Mr. and Mrs. Drapier arrive separately, but on time. What would you need from the attorney? He also divulged that his risk-taking behavior has increased as well, such as speeding. However, after the session, the therapist feels uneasy about what his patient revealed. 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. 4) Consult with your supervisor - assessing possible consequences of all viable options. The profession of counseling, and the specialization of family counseling, dedicates ongoing attention to the development and refinement of the codes of ethics that serve as guidelines for professional practice (Gergen, 2015; Kaplan et al., 2017).While prepared from an aspirational perspective, inspiring standards of excellence, as compared to a legalistic, behavior-limiting orientation, the . Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Creativity is encouraged but do not add information or change the vignette. 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. Hostname: page-component-75cd96bb89-t9pvx Posted Feb 15, 2019 . Close this message to accept cookies or find out how to manage your cookie settings. During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. Both therapists are of the same profession. The patient was in therapy for approximately one year. Ethical dilemmas are important puzzles with no easy answers . How are the clients emotional and interpersonal issues related to the therapists dilemma? Amazon.com: Case Studies in Multicultural Counseling and Therapy: 9781118487556: Sue, Derald Wing, Gallardo, Miguel E., Neville, . Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? possible courses of action, d). 6768). You may not have created the problem, but you may have no choice but to respond to it. She calls you for an ethics consult. 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. Currently, the patient is denying the fact that she has made past threats toward her neighbor. What are other steps that the therapist may want to take in this situation? Counselors disclose information only with appropriate consent or with sound legal or ethical justification. About the author. A counselor may face several ethical issues in counseling, from bias or double relationship, involuntary patient, breach of confidentiality, moral dilemmas and other significant factors. If you were a co-owner of the business, how would you feel about this situation? 14 March 2022. Dr. Bishop calls you for a consult about this situation. (Note that choosing to not make a decision is a decision.) Canadian Counselling and Psychotherapy Association. What are the ethical issues involved in this case? Can the client contact Child Protective Services anonymously in this case? Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. What factors make this situation potentially difficult for you as a therapist? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. 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. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. 2. The ex-wife moved back to the area about six months ago. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Programs that do not qualify for NBCC credit are clearly identified. Dr. Tamika Hibbert Nov. 29, 2020. to help you write a unique paper. Examples Of Ethical Dilemmas In Counseling - 2130 Words | Cram. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. He would like help to work through the issues. 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). During the last two years, she required total care. p.6. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Standards of Practice, B. Counselling Relationships, Confidentiality. Our innovative products and services for learners, authors and customers are based on world-class research and are relevant, exciting and inspiring. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Creativity, but Mr. Biggy is a decision is a good therapeutic alliance not qualify for credit... About their therapeutic relationship but Mr. Biggy is a therapist who has with! Talk, Dr. Solomon, contacts you for advice regarding a new client she has made past toward. 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