It was revealed that counsellors prioritise the students' benefit and respect students' privacy. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. 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. <> During the current session, the confides that he has made a new female friend. Apparently, no one is. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. How easy or how difficult would it be to take those steps? adapted and used used with consent from a state psychological association. My company has developed a unique opportunity for you and your associates. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. What are some potential responses that you could offer Dr. Bishop? Harry then decides to attend a conference hosted by the ACA which will address the Code of the Ethics and the Standards of Practice in detail. 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. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Dr. Goodfriend receives a call from Buddy, his very close high school friend. The following email catches your attention. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics hasContentIssue true, The Author(s), 2022. 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? 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. Is Dr. Tell a mandated reporter in this situation? During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). They start spending more time together. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Dr. Goodfriend is unclear whether Buddy is serious or joking. Out of options, Dan is asking Dr. Crane to be the faculty advisor. Dilemma 20: Has the Therapist Done Too Much? 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. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. White Plains, NY: Longman. What obligations does the therapist have to the parent? Learning Objectives: The patient has never met the attorney face-to-face, only by email and phone contacts. 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. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. 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? 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. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. 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. After six sessions, Mr. DiMencha suffered a significant concussion while at work. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Contemplate these 16 conundrums. 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. A psychologist receives a phone call from a well-known internist in her area. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Divide and Rule? During the last two years, she required total care. What are the potential ethical issues with this case? 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. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. : ethical dilemmas, burnout, stress, practicing counselors. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. 2 Print version: page 62 6 min read 0 Plenty without any type of testing. While it is not a complete assessment, it can guide patients to you for further psychological consultation. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Are there any other concerns about the web developer/consultants strategies? 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. If you were a co-owner of the business, how would you feel about this situation? ; & Hartshorne,T.S. A therapist had an intake appointment with a new client. The Center maintains responsibility for this program and its content. What are some possible suggestions for Dr. Jordan? stream It was revealed that counsellors prioritise the students benefit and respect students privacy. ACE provider approval period: 3/21/2021-3/21/2024. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. 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. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. What factors make this situation potentially difficult for you as a therapist? 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? Address the matter with the other therapist directly. Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. What, if anything, should the therapist do? Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. The patient has trust issues with his parents, especially his father. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. 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. Dr. Tell contacts you with the above scenario. 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. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. She calls you for an ethics consult. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. One afternoon Taras supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the centers other branches. The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. She mentions that she is still in communication with her ex-husband because they share three children. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? How are the clients emotional and interpersonal issues related to the therapists dilemma? A therapist is treating a client who is involved in a legal proceeding. Cynthia, a counselor who had been successfully working as an AIDS and substance abuse counselor in a large city for several years, recently moved to a very affluent suburb and decided to open a private practice. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. 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. What are the ethical issues, if any, involved in this case? 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. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Is Dr. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Continuing Education & Ethical Resources For Mental Health Professionals. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. 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. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. 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. Dilemma 35: Initial Telepsychology Session for Free? ocuk Koruma Kanunu [Child Protection Law]. If you were the psychologist, what would be your emotion response to this situation? He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. What are the ethical issues involved in this scenario? For example, the first vignette, which As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. 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. image.jpg Liberty University Ethical and Legal Issues in Counseling . Your browser either does not support scripting or you have turned scripting off. The treating therapist believes the options are: What are the possible emotional reactions to this situation? Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. How would you feel if you were the consultant? Jacob-Timm,S. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. DILEMMA ONE As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. 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. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. B) =AiV5bAqUKxs#6{pA :)B'5-a* While he did complete his Legal and Ethical Issues in Counseling class while working on his masters degree, he feels that now that he working in the real world, he should review and discuss the Code of Ethics and the Standards of Practice with his peers. 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. Dan explained to Dr. Crane that this group would be student-led and meet on campus. Others sources will also be used. Among other things, the report contained a psychological evaluation of the patient. The therapist knows her new boss, Mr. Biggy. Dr. Popeil thinks these ideas are good. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. The lawyerpatient comments that this seems low. Mr. Tellanyone is feeling quite guilty about his mother. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. What are some actions that you, as the treating therapist, may have done differently? xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. You are checking your email after a busy day.

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