Case Vignettes for Review What factors make this situation potentially difficult for you as a therapist? The Submit Answers for Grading feature requires scripting to function. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. % 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. COUC 501 Ethical and Legal Issues in Counseling - Course Hero Ethics and Psychology: Vignette Warehouse (39) You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. If you were the psychologist, what would be your emotion response to this situation? Address the matter with the other therapist directly. 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. What, if anything, should the therapist do? The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Sci Rep 12, 22416 (2022). 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. a73D%IhCTHA&:L0iAq(*p 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. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Dan explained to Dr. Crane that this group would be student-led and meet on campus. ACE provider approval period: 3/21/2021-3/21/2024. It may rather be a sign that one is fully engaged in the life of a community. After the phone call, the therapist checks the waiting room and sees the patient there. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Your browser either does not support scripting or you have turned scripting off. What are the potential ethical issues with this case? School counsellors often encounter ethically challenging situations due to contradictory values and roles. Ethics Rounds--Multiple relationships: A vignette The patient was in therapy for approximately one year. 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.. Contemplate these 16 conundrums. The PASS-2 is administered online, from any computer, iPad, or iPhone. The ex-wife moved back to the area about six months ago. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. 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. Dr. Ron Popeil, a local therapist, is upgrading his web site. What are the potential ethical issues in this case? 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. He recalled that he was an older person with significant depression who eventually became better. 1 pages. 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. 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. Others sources will also be used. She recalled that he agreed that it could make a good book. 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. His attorney believes that some good, written character references will really help out with the case. Standards of practice, part B.9 states that . Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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 also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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. 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. 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. 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. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. PDF Ethical Issues in Counseling Supervision: A Comparison of - UNCG cn]JlmQSMDM>pEm+gxMU]``tQqKF What are potential advantages in this scenario? The clients boyfriend expressed that she should never discuss this with anyone. Dilemma 6: Referral and Treatment Boundaries. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. ethical dilemmas in counseling vignettes - laoiscivildefence.org a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Abstract All school counselors are considered mandated reporters. } What would be your emotional response to this situation? After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. 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. Case Vignettes for Review 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. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Sue schedules the appointment for early in the evening. Can the client contact Child Protective Services anonymously in this case? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. The supervisee is very worried and afraid to tell What are the ethical issues involved in this case? Prior to providing extra-therapy support, Dr. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. 7 0 obj And, how would you, as the treating therapist, deal with those emotions? <> This particular vignette, Swenson said, may well fail the two-prong test. Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. After six sessions, Mr. DiMencha suffered a significant concussion while at work. He is marginally coherent and unable to give any consistent responses. 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. What obligations does the therapist have to the parent? Mr. Biggy indicates that he wants to talk more about his feelings. Dr. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. 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. 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. ethical dilemmas in counseling vignetteswvu mechanical engineering research. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. . Results will be available to you and the patient online. School Counselors' Experiences With Ethical Decision Making The cost of the online administration is $25, to be paid by the patient. stream After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. The therapist cannot remember many details about the patient. His family lives at a distance and provides minimal help. Simultaneously, he strongly believes he made the right decision. What are some potential responses that you could offer Dr. Bishop? Approaching ethical dilemmas - American Psychological Association 1 0 obj raised by clinical vignettes such as those below, In the code, 18VAC115-20-130. 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. What should you do with this email solicitation? Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries What concrete steps might be important before calling the physician back? What would you likely do with this email solicitation? The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. Ethical Dilemmas - IResearchNet - Psychology The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics How would you advise Dr. Thomas to handle them? Ethical Vignette - Running Head: ETHICAL VIGNETTE Ethical - StuDocu What are some of the suggestions that you may have for the therapist about accepting or declining the referral? In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. He is talking with a young man, most likely his cousin. Dr. Bishop calls you for a consult about this situation. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. 14 March 2022. Dilemma 35: Initial Telepsychology Session for Free? T. he counseling field is rich with ethical issues (American Counseling Association [ACA], 2014; Bodenhorn, 2006; Herlihy & Dufrene, 2011), so counselors have to be knowledgeable about current ethical and legal topics and attentive to their day-to-day clinical work.