My name is Dr. Are there competing ethical principles? Dilemma 20: Has the Therapist Done Too Much? 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. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. There were contentious issues dealing with the custody arrangements of the children. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. Results will be available to you and the patient online. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. 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. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. 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. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. With whom does the therapist discuss the multiple roles? What suggestions or recommendations would you offer to the therapist? A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Running Head: ETHICAL VIGNETTE. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics 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. 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. They developed a good therapeutic alliance. Buddy also shares that he has been short tempered with his wife and kids. 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. He asked the attorney if anyone is contesting the will. Dr. Jordan calls you on the phone for an ethics consultation. % Part of her struggle is that she sees her husband as more depressed now than when he started treatment. The Submit Answers for Grading feature requires scripting to function. For example, the first vignette, which Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. raised by clinical vignettes such as those below, Standards of practice, part B.9 states that . 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. ~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! As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? She mentions that she is still in communication with her ex-husband because they share three children. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Close this message to accept cookies or find out how to manage your cookie settings. This vignette poses several ethical dilemmas for counselors. The therapist screens the potential patient and believes that she can help him. During the current session, the confides that he has made a new female friend. locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. %PDF-1.3 endobj They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. 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. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Cynthia had already invested quite a bit of money into her private practice, and was determined to make it work, regardless of the type of clients she had to treat. stream 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. While Chuck now lives in an apartment in town, she remembers him well. 6768). 2. What are the potential ethical concerns about this scenario, if any? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. The therapist pulls the former patients chart. An ongoing theme in therapy revolves around his sexual orientation. Of course, they exist in all forms of counseling, from short-term advising . During the next session, Mr. and Mrs. Drapier arrive separately, but on time. 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). The mother further reports that the patients cousin has been driving the patient around town. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. If you have further questions, feel free to contact me. The ex-wife moved back to the area about six months ago. If you were Dr. Goodfriend, how do you feel about the phone call? 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. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. This has caused both his physical and %PDF-1.5 What are some possible suggestions for Dr. Jordan? Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. What problems may occur as a function of Dr. His attorney believes that some good, written character references will really help out with the case. The patient had been in treatment for about 10 months on a weekly basis. Dan asked a number of faculty members to be the faculty advisor of this group. 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* Among other things, the report contained a psychological evaluation of the patient. When asked about the reason for the referral, she said that her physician had referred her for anxiety. She actually attended his graduation party briefly and hired him to cut her lawn for two years. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. The treating therapist believes the options are: What are the possible emotional reactions to this situation? What are Dr. Millers potential ethical issues in this situation? Dr. Thomas wants him to come in immediately for a more indepth evaluation. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. In hindsight, what triggered some possible difficulties in this situation? 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. What steps does the psychologist need to take? What are the potential pitfalls in the scenario? Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. 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. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Out of options, Dan is asking Dr. Crane to be the faculty advisor. Currently, the patient is denying the fact that she has made past threats toward her neighbor. For example, the psychologist might have to evict his client for failing to pay rent--or he might . She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. What are the ethical concerns in this scenario? Qualitative content analysis in practice. 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. Patient contact information will be part of the administration process. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. 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. 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF 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? The cost of the online administration is $25, to be paid by the patient. How would you feel if you were the consultant? Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. 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. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. Sue schedules the appointment for early in the evening. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Group of answer choices Growth in . Tara was offered this position after successfully completing both her practicum and her internship at the center. 5 0 obj Jacob-Timm,S. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. DILEMMA ONE In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. This workshopis based on discussion of ethical issues 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. 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. An important factor is that there is no cost to you, as the therapist. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Mr. Biggy indicates that he wants to talk more about his feelings. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. School Law for counselors, psychologists, and social workers . Identifying, addressing, and resolving ethical dilemmas is a dynamic process that requires counseling professionals to do more than simplistically apply the codes with respect for the uniqueness of each situation or circumstance. Approaching ethical dilemmas. The patient was in therapy for approximately one year. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. T2 0#8r\ The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and .
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