ethical dilemmas in counseling vignettes

His family lives at a distance and provides minimal help. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. She stated that Dr. Jordan recommended that she write down her memories. iRE]7*ZG; K5|h{. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. I encourage you to review our web site. adapted and used used with consent from a state psychological association. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. stream Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. A therapist receives a phone call from a well-known internist in her area. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Dr. Thomas wants him to come in immediately for a more indepth evaluation. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Is Dr. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. The therapist does not dwell on the situation with the patient. The ICU staff asks for your input. The mother explains that the child has run away and the mother has reported the child missing to the police. How easy or how difficult would it be to take those steps? Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. 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. What are potential ethical issues with this invitation? Among other things, the report contained a psychological evaluation of the patient. However, the attorney has little awareness about how impaired Mr. DiMencha is. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. The treating therapist is questioning what to do. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 Harry is a school guidance counselor who is just got a job at a large public high school. Therefore, we have a duty to report when our students or clientele is considering harming others or themselves. Qualitative content analysis in practice. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. Are there any ethical considerations in this dilemma? PDF Legal and Ethical Case Studies - American Counseling Association In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. My name is Dr. << /Length 5 0 R /Filter /FlateDecode >> Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. 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. What are some likely emotional reactions would you have in this situation? raised by clinical vignettes such as those below, T2 0#8r\ ethical dilemmas in counseling vignettes - stmatthewsbc.org The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. Dr. Ron Popeil, a local therapist, is upgrading his web site. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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. Mock Ethics Vignettes - BRAIN The therapist ignores the comment and finishes by setting their initial appointment. of family ties, but counselors in many other specialties will run into these issues too. What are the ethical issues for this scenario? The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. 5 0 obj For example, the psychologist might have to evict his client for failing to pay rent--or he might . Learning From Ethical Vignettes This workshop is based on discussion of ethical issues raised by clinical vignettes such as those below, adapted and used used with consent from a state psychological association. His mother had suffered from a combination of severe respiratory problems and Alzheimers. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. New York: John Wiley & Sons, Inc. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Others sources will also be used. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. Hostname: page-component-7fc98996b9-g9qcd At that time, Dr. Miller not only wanted to evaluate the marriage, but to evaluate how impaired the husband was, and to decide whether Mrs. Drapier had assessed her husbands depression and the marriage accurately. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Dr. Tell contacts you with the above scenario. The Submit Answers for Grading feature requires scripting to function. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. endobj Refer the matter to the State Board of Psychology. 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. Dan explained to Dr. Crane that this group would be student-led and meet on campus. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. Is Dr. Tell a mandated reporter in this situation? The following email catches your attention. Case Vignettes for Review The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. 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. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. The patient repeated this line of questioning during the first face-to-face session. (1993). Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Jacob-Timm,S. 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. Ethics Rounds--Multiple relationships: A vignette The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. Total loading time: 0 Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 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?