He complains loudly about his parents and his girlfriend. . stream He does not view it as a therapy group. Dilemma 35: Initial Telepsychology Session for Free? %PDF-1.3 If you were a co-owner of the business, how would you feel about this situation? She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. 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. endobj He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. The clients boyfriend expressed that she should never discuss this with anyone. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. To use suggested categories to consider options for ethical response to the dilemma. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? endobj <> This particular vignette, Swenson said, may well fail the two-prong test. She recently received an offer to become a sales representative for a pharmaceutical company. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. What are some likely emotional reactions would you have in this situation? 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. Others sources will also be used. What are the ethical issues involved in this case? The Clear Answers and Start Over feature requires scripting to function. What are some possible suggestions for Dr. Jordan? 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. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. 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. They start spending more time together. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. What are the ethical issues involved in this situation? 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. 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. Group of answer choices Growth in . The client continued to struggle. Dr. What do you believe is the best course of action? Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? 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. 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? Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. Are there any other concerns about the web developer/consultants strategies? 8 0 obj Dr. Smith is a therapist who has worked with a young woman for about 9 months. One day, Dr. Bishop receives a phone call from his contact at the institution. What factors make this situation potentially easy for you as a therapist? The therapist pulls the former patients chart. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. Along with. 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. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. The patient has trust issues with his parents, especially his father. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. What are some of the potential ethical pitfalls in this scenario? Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. / ethical dilemmas in counseling vignettes. 1. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? The EAP service provides a solution-focused, three-session benefit for companies within Virginia. 4 0 obj of family ties, but counselors in many other specialties will run into these issues too. Dilemma 20: Has the Psychologist Done Too Much? What should you do with this email solicitation? Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? What concrete steps might be important before calling the physician back? The therapist remembers the former patient as a likeable person. 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. Next, most vignettes have more than one ethical issue that can be addressed. In the context of counseling, family includes people related through . After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Glover, J. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. The patient had been in treatment for about 10 months on a weekly basis. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. Mr. Biggy indicates that he wants to talk more about his feelings. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. In hindsight, what triggered some possible difficulties in this situation? What are some recommendations that you would make to the psychologist? Dr. Jordan calls you on the phone for an ethics consultation. 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 physician wants the psychologist to treat his 17-year-old daughter . To use provided clinical vignettes to practice how to recognize the ethical and legal issues. The days allocated for her stay by her insurance are ending in two days. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. (Log in options will check for institutional or personal access. Render date: 2023-03-04T21:33:13.444Z 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. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . If you decide to provide information, would you consider communicating with the prior patients attorney? endobj The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. If you were Dr. Miller, what are your emotional reactions to this situation? The position pays much more than shes making at the community agency, and is within ten minutes of her home. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Dr. Thomas wants him to come in immediately for a more indepth evaluation. } Is Dr. Tell a mandated reporter in this situation? Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. 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. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. Dr. Goodfriend is unclear whether Buddy is serious or joking. P. (1996). 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. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. What suggestions or recommendations would you offer to the therapist? The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. How would you feel about receiving this request? What are potential ethical issues with this invitation? Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues.