The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. of study and a further neglect of ethical decision making in non-Western cultures in the professional literature on counseling and ethics. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. The therapist pulls the former patients chart. Glover, J. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. COUC 501 Ethical and Legal Issues in Counseling - Course Hero The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. What are some possible suggestions for Dr. Jordan? What are the ethical concerns in this scenario? After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. 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. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. endobj PDF Trainee Psychological Counselors' Understanding of Ethics - ed 2. How easy or how difficult would it be to take those steps? He promised to call her back within a week. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Mr. Tellanyone is feeling quite guilty about his mother. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. iRE]7*ZG; K5|h{. Standards of Practice, B. Counselling Relationships, Confidentiality. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. She stated that Dr. Jordan recommended that she write down her memories. New York: John Wiley & Sons, Inc. Your browser either does not support scripting or you have turned scripting off. Dr. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. What are the ethical issues involved in this case? 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. What are the ethical issues involved in this scenario? The supervisee is very worried and afraid to tell She recalled that he agreed that it could make a good book. 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. 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. What factors make this situation potentially easy for you as a therapist? How would you feel about receiving this request? 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 . He also divulged that his risk-taking behavior has increased as well, such as speeding. She calls you for an ethics consult. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. Others sources will also be used. A therapist is treating a client who is involved in a legal proceeding. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. One afternoon Taras supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the centers other branches. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Apparently, no one is. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. 6 0 obj *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. They start spending more time together. Dr. Bishop calls you for a consult about this situation. The therapist obtains the keys and title for the vehicle. 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 and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. The Clear Answers and Start Over feature requires scripting to function. She does not feel right taking a fee larger than her usual and customary rate. Simultaneously, he strongly believes he made the right decision. <> Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. The results and implications for counsellors, counsellor educators and researchers are discussed. This particular vignette, Swenson said, may well fail the two-prong test. The client is feeling very helpless and vulnerable about this bind. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 Uncertain, she calls you for an ethics consultation. In the code, 18VAC115-20-130. <> Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wifes death was and how he hoped for a similar passing. She told the student that she would think about the request prior to answering. 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 client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. She actually attended his graduation party briefly and hired him to cut her lawn for two years. Others sources will also be used. 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. 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 test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. Currently, the patient is denying the fact that she has made past threats toward her neighbor. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. When asked about the reason for the referral, she said that her physician had referred her for anxiety. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. The days allocated for her stay by her insurance are ending in two days. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. How would you feel if you were the consultant? Buddy states that he has been feeling stressed over the last month. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. The patient has trust issues with his parents, especially his father. 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. The survey consisted of 10 vignettes based on the above ethical issues in. What are other steps that the therapist may want to take in this situation? 2 Print version: page 62 6 min read 0 The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. How are the clients emotional and interpersonal issues related to the therapists dilemma? The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Group of answer choices Growth in . 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. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. His impairment is noticeable by Dr. % One day, Dr. Bishop receives a phone call from his contact at the institution. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. 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. If you were Dr. Goodfriend, how do you feel about the phone call? After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. Dilemma 20: Has the Psychologist Done Too Much? 1LzLxG`kvP@>. With whom does the therapist discuss the multiple roles? 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. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. What are the ethical issues involved in this situation? raised by clinical vignettes such as those below, Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . ethical dilemmas in counseling vignettes - stmatthewsbc.org What do you believe is the best course of action? Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits.