ethical dilemmas in counseling vignettes

Content may require purchase if you do not have access. Ethics and Psychology: Vignette Warehouse (39) Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. hasContentIssue true, The Author(s), 2022. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. Hostname: page-component-7fc98996b9-g9qcd What are the ethical issues involved in this scenario? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. However, the police report indicated she has made such verbal threats in the past but also, on several occasions, has damaged her neighbors property including scratching the paint on their car and throwing rocks at their house. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? What are the possible downsides to entering the dual relationship? What are some likely emotional reactions would you have in this situation? 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What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? He also indicated that the relationship is taking on a more serious tone. PDF American Counseling Association Ethical Dilemma Julia Coley, Ammi What would you need from the attorney? What are some possible suggestions for Dr. Jordan? The test usually takes approximately 40 to 60 minutes to administer. Ethics Vignette #2 A local psychiatrist is referred by his attorney for neuropsychological evaluation related to possible mild head injury ( traumatic brain injury) from a MVA. One day, Dr. Bishop receives a phone call from his contact at the institution. What would be your emotional response to this situation? The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. 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. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. 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. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. What are the ethical issues for this scenario? The patient has trust issues with his parents, especially his father. Dr. Jordan returns the phone call. Not knowing what to do, and realizing that the next patient is in the waiting room, the therapist takes the cash and sets up another appointment. The therapist has not worked with the patient for about two years. During the current session, the confides that he has made a new female friend. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. The clients boyfriend expressed that she should never discuss this with anyone. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. <> Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. ACE provider approval period: 3/21/2021-3/21/2024. Dr. 2 0 obj Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. 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. I encourage you to review our web site. The physician wants the psychologist to treat his 17-year-old daughter . Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Sci Rep 12, 22416 (2022). The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. endobj At the end of the day, he listens to voicemail messages to learn that a former patient is reaching out to him for a request. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation. What are other steps that the therapist may want to take in this situation? He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Dilemma 6: Referral and Treatment Boundaries. What are the ethical issues, if any, involved in this case? You are a therapist in a busy acute care hospital where you receive. With her husband, the patient and the ex-wife? In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. During the interview, she was told that she would need to work independently, with only limited supervision. 3. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. White Plains, NY: Longman. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Therapy lasted about a year and focused on depression and relationship issues. Others sources will also be used. A court appointed custody evaluator performed a child custody evaluation. However, the attorney has little awareness about how impaired Mr. DiMencha is. If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. PDF ETHICAL DILEMMAS - SAGE Publications Inc He is also very concerned about confidentiality and wants assurances from Dr. Solomon. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. The therapist pulls the former patients chart. The Center maintains responsibility for this program and its content. Apparently, no one is. ocuk Koruma Kanunu [Child Protection Law]. 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. ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. xVN0}-m8 View all Google Scholar citations This workshopis based on discussion of ethical issues ethical dilemmas in counseling vignettes. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No.

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