ethical dilemmas in counseling vignettes

In fact, the patient has made no such comments to anyone else other than to Dr. Solomon and has been a model patient on the unit. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. What emotional reactions may occur for the therapist? Review each of the scenarios and indicate whether you agree or disagree with the counselors action. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. They developed a good therapeutic alliance. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. Close this message to accept cookies or find out how to manage your cookie settings. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The therapist feels stuck and overwhelmed by her present situation. The therapist ignores the comment and finishes by setting their initial appointment. What are the ethical issues, if any, involved in this case? Dans vision is that the group would meet periodically to provide one another with support, to do problem solving, to share information and personal struggles, and perhaps to provide some psycho-educational work on campus. frequent consultation requests by the trauma service. Mr. Biggy and Dr. Smith meet in an unplanned social venue. What steps does the psychologist need to take? The days allocated for her stay by her insurance are ending in two days. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. What are the ethical issues for this scenario? 14 March 2022. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. Standards of practice, part B.9 states that . } She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. In the context of counseling, family includes people related through . 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. endstream 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. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. What are some potential responses that you could offer Dr. Bishop? 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. 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. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. A psychologist receives a phone call from a well-known internist in her area. After the phone call, the therapist checks the waiting room and sees the patient there. Dr. Goodfriend receives a call from Buddy, his very close high school friend. 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. . His attorney believes that some good, written character references will really help out with the case. (Log in options will check for institutional or personal access. 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. Ethical Vignette Paper.docx. For example, the first vignette, which He would like help to work through the issues. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics 8 0 obj The following email catches your attention. 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. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. %PDF-1.3 If you were the psychologist, how would you feel about the situation? The counsellor is also conscious. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. While Chuck now lives in an apartment in town, she remembers him well. Sci Rep 12, 22416 (2022). After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. 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. hasContentIssue true, The Author(s), 2022. Approaching ethical dilemmas. Is Dr. Tell a mandated reporter in this situation? He promised to call her back within a week. She has been doing much of the case management work, e.g. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. endobj 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. When Dr. Jordan attempts to clarify the request, it becomes clear that the former patient is not asking to return to therapy, but instead is asking Dr. Jordan to become the co-author or a consultant for the book. Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. New York: John Wiley & Sons, Inc. 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. What are the ethical concerns in this scenario? Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. What are other steps that the therapist may want to take in this situation? Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. What suggestions or recommendations would you offer to the therapist? Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. 1. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. The patient had been in treatment for about 10 months on a weekly basis. Prior to providing extra-therapy support, Dr. The therapist and the young man have been engaged in psychotherapy for the past 2 years. 6 0 obj Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. DILEMMA ONE 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. School counsellors often encounter ethically challenging situations due to contradictory values and roles. Jacob-Timm,S. The patient was in therapy for approximately one year. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. 4 0 obj A female therapist in a suburban area has worked with a male patient for about one year. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. 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. 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. She stated that Dr. Jordan recommended that she write down her memories. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The client then asked if she could invite her boyfriend to the next session so that they could all discuss the information and the best way to handle the situation. <> The treatment notes indicate that she dropped out of therapy about one year ago. However, she begins to feel uncomfortable as she feels like they are spending too much time together. His mother had suffered from a combination of severe respiratory problems and Alzheimers. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. What do you believe is the best course of action? Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. February 27, 2023 . What would you likely do with this email solicitation? Plenty acting beyond the limits of her competency? Dilemma 20: Has the Therapist Done Too Much? If you were Dr. Goodfriend, how do you feel about the phone call? <> He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. This vignette poses several ethical dilemmas for counselors. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. 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. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. Dilemma 6: Referral and Treatment Boundaries. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. His family lives at a distance and provides minimal help. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Your browser either does not support scripting or you have turned scripting off. . 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. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. What are the ethical issues involved in this scenario? Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. What are some actions that you, as the treating therapist, may have done differently? 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. 4 0 obj Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Would your answer differ if the advanced directive was created 7 years ago or greater? Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. 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. If you were a co-owner of the business, how would you feel about this situation? What are some of the potential ethical pitfalls in this scenario? Regulatory boards are the final authority on courses accepted for continuing education credit. Dilemma 20: Has the Psychologist Done Too Much? The therapist knows her new boss, Mr. Biggy. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. 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 However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. My name is Dr. 1 pages.

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