The video presentation made me look at the types of decisions that have to be made and the thought process of making these decisions. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. 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. implementation, and f). School counsellors often encounter ethically challenging situations due to contradictory values and roles. Choose skilled expert on your subject and get original paper with free plagiarism Others sources will also be used. to help you write a unique paper. Where ethics is more than a code Wednesday, October 12, 2011 Dilemma 6: Referral and Treatment Boundaries A psychologist receives a phone call from a well-known internist in her area. for this article. The PASS-2 is administered online, from any computer, iPad, or iPhone. Refer the matter to the State Board of Psychology. They should be used in conjunction with the Ethical Framework for the Counselling Professions. Defining the problem emotionally and intellectually. While discussing these issues, the patient suddenly stopped talking. Learning Objectives: 1. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? How would you advise Dr. Thomas to handle them? She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. 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. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. If you were Dr. Goodfriend, how do you feel about the phone call? a specific field. 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. I next looked at my state board rules and regulation that apply to confidentially and ethics. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? The executor is Mr. Palmers brother, who lives in a different state. What clinical concerns arise for you in this scenario? Some ethical dilemmas in counseling and counseling research. Applying the ASCA and ACA ethical codes and the legal issues. The patient had been in treatment for about 10 months on a weekly basis. The treatment notes indicate that she dropped out of therapy about one year ago. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. 2 Print version: page 62 6 min read 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. The following case vignette is an example of such a circumstance: In hindsight, what triggered some possible difficulties 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. Next I looked at what ACA code of Ethics mandates that we do concerning these matters. Dont The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. The therapist obtains the keys and title for the vehicle. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Need a custom essay sample written specially to meet your The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Due to their lack of knowledge in that area, ethical issues may arise. Sexual and romantic relationships between counsellors and clients are deemed unethical by both APA and ACA standards. The test usually takes approximately 40 to 60 minutes to administer. To use suggested categories to consider options for ethical response to the dilemma. 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. The therapist and the young man have been engaged in psychotherapy for the past 2 years. . When she asks about insurance, he indicates that he will pay in cash. This video presentation also helped me to see that even though you might think something is right you have to make sure that the law is clear on the matter to make sure that you as a counselor will a sound decision. They also stated confidentiality is a right of all clients under the principles of autonomy, beneficence, and fidelity. This qualitative research aimed to define school counsellors' ethical dilemmas and their responses to such situations. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Next, most vignettes have more than one ethical issue that can be addressed. Dr. Jordan returns the phone call. A substance abuse counselor supports individuals to overpower those feelings and emotions that trigger drug and/or alcohol abuse. Examples Of Ethical Dilemmas In Counseling - 2130 Words | Cram. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? us: [emailprotected]. Ethical issues in counseling can occur in various cases and may be overwhelming for both the professional and the client. COMMENTS. An important factor is that there is no cost to you, as the therapist. After graduating Phi Beta Kappa from the University of Florida, Gainesville, she received her doctoral degree from the University of Florida as well. Keep records of your communications with the ACA, as well as the ACA's responses. What are some possible suggestions for Dr. Jordan? 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. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Registered address: Louki Akrita, 23 Bellapais Court, Flat/Office 46 1100, Nicosia, Cyprus 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.. Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. 2. Dr. Thomas wants him to come in immediately for a more indepth evaluation. However, after the session, the therapist feels uneasy about what his patient revealed. Case Vignettes for Review. The counsellor is also conscious. Zur, O. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. In Section B.1.c counselor has to respect the rights of all clients to confidentiality and cannot share the information without client consent or without legal or ethical justification. In case you can't find a relevant example, our professional writers are ready a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. 2. 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. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. possible courses of action, d). Simultaneously, the religious institution is adamant about this requirement. assume youre on board with our, Legal Ethical & Professional Issues In Counselingg, https://graduateway.com/ethical-vignette/. When working as a substance abuse counselor at an LGBQT center, there are very ethical dilemmas that arise. If you were the psychologist, how would you feel about the situation? The Center maintains responsibility for this program and its content. Regulatory boards are the final authority on courses accepted for continuing education credit. by Judith E. Horowitz, Joann Paley Galst. 2.) The career counsellor also needs to be accredited on the use of the specific instruments should he/she wish to interpret them and integrate them into a feedback report for Jennifer. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Retrieved from https://graduateway.com/ethical-vignette/, Ethical Dilemma on Competency and Self-Determination of Client. Ethical dilemmas are important puzzles with no easy answers . Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. Mr. Tellanyone is feeling quite guilty about his mother. Just as he is about to hang up, Buddy says, Thanks. Are there additional considerations for how to approach the referring physician when calling back? Ethical dilemmas. (1983, c. 755, s. 2; 1993, c. 514, s. This has caused both his physical and 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. With whom does the therapist discuss the multiple roles? evaluating the situation (Hill, 2004). As a result, this article, written in a quiz format, offers suggestions for handling ethical . Dan explained to Dr. Crane that this group would be student-led and meet on campus. This means that it is the therapist's responsibility to avoid unethical interactions with clients. Ethical dilemmas in psychotherapy: comparison between patients, therapists and laypersons (1) Patients have different ethical codes from therapists and laypersons regarding the issues of confidentiality. Is Dr. Tell a mandated reporter in this situation? Irina's parents are conservative Catholics and the culture of the school community is . He recalled that he was an older person with significant depression who eventually became better. In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. problem identification, b). Dr. Smith also asked if it is ethical to bill the patients insurance company to review his impressions of a forensic report during a psychotherapy session. 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. What would be your emotional response to this situation? Plenty lives and practices psychotherapy in a rural area. They developed a good therapeutic alliance. Dr. Tell allowed several moments to pass before asking the patient what was happening. 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. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. possible consequences, e). If you were the psychologist, what would be your emotion response to this situation? What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Prior to returning the call, Dr. Jordan reviews the patients chart. 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. If you were Dr. Miller, what are your emotional reactions to 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. What are the possible downsides to entering the dual relationship? 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. COSC 501: Professional, Ethical & Legal Issues in School Counseling. After six sessions, Mr. DiMencha suffered a significant concussion while at work. Hostname: page-component-75cd96bb89-t9pvx Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. The school community is about his mother a significant concussion while at work stopped talking with the ACA & x27! 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