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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. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. One day, Dr. Bishop receives a phone call from his contact at the institution. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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. 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.. What are some likely emotional reactions would you have in this situation? Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness He thinks that she is young and impressionable. He also divulged that his risk-taking behavior has increased as well, such as speeding. How easy or how difficult would it be to take those steps? !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< 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. Dr. After some other small talk, Dr. Smith leaves to mingle with other friends. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. PDF ETHICAL DILEMMAS - SAGE Publications Inc 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. 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. 6768). "useRatesEcommerce": false Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. endobj ACE provider approval period: 3/21/2021-3/21/2024. Jacob-Timm,S. She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. Approaching ethical dilemmas. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Simultaneously, he strongly believes he made the right decision. Counseling Ethics Code: 10 Common Ethical Issues & Studies Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). What are some possible suggestions for Dr. Jordan? 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. The following email catches your attention. Ethical Conflicts In Psychology Book Pdf Download What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Case Vignettes for Review Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. The main therapeutic issues are depression and loneliness. Divide and Rule? She recalled that he agreed that it could make a good book. The patient has never met the attorney face-to-face, only by email and phone contacts. (Log in options will check for institutional or personal access. The Center maintains responsibility for this program and its content. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Mr. Biggy indicates that he wants to talk more about his feelings. The therapist then phones you for an informal consultation. What are the ethical issues involved in this situation? ~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! <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> What problems may occur as a function of Dr. Sci Rep 12, 22416 (2022). He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. adapted and used used with consent from a state psychological association. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Continuing Education & Ethical Resources For Mental Health Professionals. 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. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. 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. Currently, the patient is denying the fact that she has made past threats toward her neighbor. If you were the psychologist, what would be your emotion response to this situation? 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. endobj 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. Legal Issues In Counselling Psychotherapy (Ethics In Practice Series) COUC 501 Ethical and Legal Issues in Counseling - Course Hero 4 0 obj Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. What are Dr. Millers potential ethical issues in this situation? This vignette poses several ethical dilemmas for counselors. Dilemma 6: Referral and Treatment Boundaries. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. Feature Flags: { I encourage you to review our web site. View all Google Scholar citations What are some potential responses that you could offer Dr. Bishop? The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. Published online by Cambridge University Press: 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. Several weeks after beginning to go on sales calls, your patient reports that Mr. Biggy is complimenting her on the way she looks and her ability to make the sale. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. %PDF-1.5 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. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Ethics and Psychology: Vignette Warehouse (39) 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. He recalled that he was an older person with significant depression who eventually became better. A therapist had an intake appointment with a new client. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. His attorney believes that some good, written character references will really help out with the case. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. While it is not a complete assessment, it can guide patients to you for further psychological consultation. During the current session, the confides that he has made a new female friend. 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. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. He does not view it as a therapy group. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. : Ethical and Legal Ramifications of Documentation Decisions. A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. His family lives at a distance and provides minimal help. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Plenty without any type of testing. Mr. DiMencha demonstrates a variety of cognitive deficits. 6 0 obj How would you feel about receiving this request? Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). << /Length 5 0 R /Filter /FlateDecode >> Dilemma6: Referral and Treatment Boundaries, Dilemma9: Psychologist 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. Ethical Dilemmas in Counseling | Psychology Today United Kingdom Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. Can the therapist continue the treatment relationship with the patient? There is nothing unusual that stands out about their therapeutic relationship. %PDF-1.3 They developed a good therapeutic alliance. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. White Plains, NY: Longman. A therapist receives a phone message from a former patient. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full Does the therapist who hears this information have any legal obligations? for this article. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. The Clear Answers and Start Over feature requires scripting to function. 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 therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. My name is Dr. 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. The clients boyfriend expressed that she should never discuss this with anyone. For example, the first vignette, which After six sessions, Mr. DiMencha suffered a significant concussion while at work. 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. After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. Johnson_D_Ethical_Minute_Paper. .docx - 1 Ethical Vignette Dr. Jordan calls you on the phone for an ethics consultation. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD 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. 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. PDF Family ties: Tackling issues of objectivity and boundaries in counseling ethical dilemmas in counseling vignettes - laoiscivildefence.org Review each of the scenarios and indicate whether you agree or disagree with the counselors action. The executor is Mr. Palmers brother, who lives in a different state. The Submit Answers for Grading feature requires scripting to function. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Of course, they exist in all forms of counseling, from short-term advising . You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. The therapist and the attorney-patient meet for the initial session. Close this message to accept cookies or find out how to manage your cookie settings. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics The physician wants the psychologist to treat his 17-year-old daughter . School Law for counselors, psychologists, and social workers . However, after the session, the therapist feels uneasy about what his patient revealed. A therapist is treating a client who is involved in a legal proceeding.