In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. 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. She recently received an offer to become a sales representative for a pharmaceutical company. ), 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. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp
Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. What are the potential ethical issues in this case? 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. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. 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. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. for this article. What emotional reactions may occur for the therapist? Dilemma 6: Referral and Treatment Boundaries. adapted and used used with consent from a state psychological association. The cost of the online administration is $25, to be paid by the patient. Dilemma 20: Has the Therapist Done Too Much? 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. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling He complains loudly about his parents and his girlfriend. endobj
Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. If you were a co-owner of the business, how would you feel about this situation? However, after the session, the therapist feels uneasy about what his patient revealed. 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. 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. %PDF-1.3 Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. How would you feel if you were the consultant? During the current session, the confides that he has made a new female friend. A therapist receives a phone message from a former patient. 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. ethical dilemmas in counseling vignetteswvu mechanical engineering research. How easy or how difficult would it be to take those steps? Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. This particular vignette, Swenson said, may well fail the two-prong test. The therapist and the attorney-patient meet for the initial session. ACE provider approval period: 3/21/2021-3/21/2024. She told the student that she would think about the request prior to answering. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . Glover, J. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. What are some possible suggestions for Dr. Jordan? What are the potential ethical issues with this case? While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. What are potential ethical issues with this invitation? 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. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. If you were the psychologist, what would be your emotion response to this situation? The therapist, her husband, and his ex-wife are on good terms. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Plenty lives and practices psychotherapy in a rural area. Qualitative content analysis in practice. After the session is over, the therapist has time to reflect on her concerns. The therapist then phones you for an informal consultation. Continuing Education & Ethical Resources For Mental Health Professionals. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. What factors make this situation potentially easy for you as a therapist? The counsellor is also conscious. He will likely need to go into an assisted living facility. After reiterating the purpose of the session (which was to assess the marital situation and not to assess his current treatment), Dr. Miller states that she feels uncomfortable with the request, although she is concerned about the therapists reported behavior. 6768). During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. The treating therapist believes the options are: What are the possible emotional reactions to this situation? Ethics and Psychology: Vignette Warehouse (39) endobj
The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. Has data issue: true After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. 6P*-45Denc
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At#8 dHM'IF Can the client contact Child Protective Services anonymously in this case? Sci Rep 12, 22416 (2022). Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? The Submit Answers for Grading feature requires scripting to function. What do you believe is the best course of action? are The patient repeated this line of questioning during the first face-to-face session. . Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. My company has developed a unique opportunity for you and your associates. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. At that time, Dr. Miller not only wanted to evaluate the marriage, but to evaluate how impaired the husband was, and to decide whether Mrs. Drapier had assessed her husbands depression and the marriage accurately. The therapist obtains the keys and title for the vehicle. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K One day, Dr. Bishop receives a phone call from his contact at the institution. Abstract All school counselors are considered mandated reporters. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Ethics and Psychology: Dilemma 6: Referral and Treatment Boundaries The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Approaching ethical dilemmas - American Psychological Association Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Should Dr. Goodfriend call Buddy and offer a few referrals? They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. What clinical concerns arise for you in this scenario? Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. 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. For example, the first vignette, which After some other small talk, Dr. Smith leaves to mingle with other friends. During the interview, she was told that she would need to work independently, with only limited supervision. They start spending more time together. 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. Running Head: ETHICAL VIGNETTE. Apparently, no one is. 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. 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. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. What are some actions that you, as the treating therapist, may have done differently? 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. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O
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2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA Hostname: page-component-7fc98996b9-g9qcd He also indicated that the relationship is taking on a more serious tone. A therapist is treating a client who is involved in a legal proceeding. PDF Legal and Ethical Case Studies - American Counseling Association Simultaneously, he strongly believes he made the right decision. He confides that he would like to have an affair with her. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. While it is not a complete assessment, it can guide patients to you for further psychological consultation. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice.