Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. 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. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. The therapist, her husband, and his ex-wife are on good terms. Dilemma 20: Has the Therapist Done Too Much? Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. While confidentiality has been preserved, the dynamics of each case areisomorphicto a real clinical situation faced by a practicing psychologist. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 7 0 obj Programs that do not qualify for NBCC credit are clearly identified. 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. The therapist screens the potential patient and believes that she can help him. What are the ethical issues, if any, involved in this case? 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. Ethical Dilemmas in Counseling: A Case Study Examination The American Counseling Association (ACA) Code of Ethics was amended in 2014 to reflect the ever-changing social, political, and technological landscape which clinicians must navigate. The Submit Answers for Grading feature requires scripting to function. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. 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 therapist pulls the former patients chart. An important factor is that there is no cost to you, as the therapist. (PDF) Ethical Issues in Counseling Supervision - ResearchGate Prior to their next session, Dr. Smith calls you for a consultation. Ethical dilemmas of school counsellors: A vignette study The supervisee is very worried and afraid to tell Dr. Goodfriend receives a call from Buddy, his very close high school friend. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. a73D%IhCTHA&:L0iAq(*p 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 therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. 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. << /Length 5 0 R /Filter /FlateDecode >> 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? 6 0 obj . She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. The therapist and the attorney-patient meet for the initial session. Menu. Mock Ethics Vignettes - BRAIN He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. 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. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. <> Dr. Dr. Bishop calls you for a consult about this situation. Ethical dilemmas of school counsellors: A vignette study We use cookies to distinguish you from other users and to provide you with a better experience on our websites. % %PDF-1.5 What suggestions or recommendations would you offer to the therapist? Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. How would you feel if you were the consultant? The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Sci Rep 12, 22416 (2022). In a therapy session in an outpatient substance abuse treatment facility, a patient reveals that an agency staff person another therapist in a different department has paid to have sex with another patient in the treatment facility Lyla, who is a prostitute. During the last two years, she required total care. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. 2 0 obj What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. endobj The mother explains that the child has run away and the mother has reported the child missing to the police. 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. What should you do with this email solicitation? Prior to providing extra-therapy support, Dr. Workers Compensation refuses to pay for the case management services of an independent social worker. Approaching ethical dilemmas. The main therapeutic issues are depression and loneliness. The patient repeated this line of questioning during the first face-to-face session. 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. Refer the matter to the State Board of Psychology. The therapist has not worked with the patient for about two years. <>>> The therapist remembers the former patient as a likeable person. Group of answer choices Growth in . How would you advise Dr. Thomas to handle them? 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. Dan explained to Dr. Crane that this group would be student-led and meet on campus. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U A psychologist receives a phone call from a well-known internist in her area. PDF Supervision Long Ethics Vignettes - CCFAM The ICU staff asks for your input. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. ~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! To create paragraphs in your essay response, type
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at the end. After six sessions, Mr. DiMencha suffered a significant concussion while at work. outside her scope of practice? He complains loudly about his parents and his girlfriend. Dr. Tell allowed several moments to pass before asking the patient what was happening. What are the potential ethical issues with this case? The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. At the end of the session, the therapist asks for the requisite fee as stated on the phone. The treatment notes indicate that she dropped out of therapy about one year ago. What are potential ethical issues with this invitation? Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Approaching ethical dilemmas - American Psychological Association