The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. What clinical concerns arise for you in this scenario? stream 7 0 obj 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. 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. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Standards of practice, part B.9 states that . 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. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. What are the ethical issues for this scenario? The therapist ignores the comment and finishes by setting their initial appointment. Simultaneously, the religious institution is adamant about this requirement. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity 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. She recalled that he agreed that it could make a good book. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. endobj In hindsight, what triggered some possible difficulties in this situation? Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. Dr. Smith is a therapist who has worked with a young woman for about 9 months. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. His family lives at a distance and provides minimal help. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. What are the ethical concerns in this scenario? 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. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. With her husband, the patient and the ex-wife? Dan explained to Dr. Crane that this group would be student-led and meet on campus. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. DILEMMA ONE The therapist remembers the former patient as a likeable person. Hostname: page-component-7fc98996b9-g9qcd The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. 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. Dr. Thomas is a mental health professional who is a part owner of a private group practice, some members of which offer Employee Assistance Program (EAP) services. 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. 2 Print version: page 62 6 min read 0 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. She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. 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 ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. He is marginally coherent and unable to give any consistent responses. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; 6 0 obj Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. The survey consisted of 10 vignettes based on the above ethical issues in. To create paragraphs in your essay response, type
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at the end. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. 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. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. endobj He also indicated that the relationship is taking on a more serious tone. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If you were Dr. Goodfriend, how do you feel about the phone call? endobj 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. However, after the session, the therapist feels uneasy about what his patient revealed. What are the ethical issues involved in this situation? The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. For example, the psychologist might have to evict his client for failing to pay rent--or he might . Is Dr. Tell a mandated reporter in this situation? Learning Objectives: A therapist had an intake appointment with a new client. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Dr. Tell allowed several moments to pass before asking the patient what was happening. What are some potential responses that you could offer Dr. Bishop? The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. 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. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. What concrete steps might be important before calling the physician back? <>>> Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. He recalled that he was an older person with significant depression who eventually became better. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? He confides that he would like to have an affair with her. And, how would you, as the treating therapist, deal with those emotions? It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. 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? What are the ethical issues involved in this scenario? 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. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Can the client contact Child Protective Services anonymously in this case? The therapist pulls the former patients chart. Would your answer differ if there were no advanced directives? Dr. Jordan calls you on the phone for an ethics consultation. <> 1 pages. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. The counsellor is also conscious. Regulatory boards are the final authority on courses accepted for continuing education credit.