2 Print version: page 62 6 min read He confides that he would like to have an affair with her. Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. match. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. 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. A female psychologist works with a male patient for about one year in a suburban area. Dr. Jordan returns the phone call. are Canadian Counselling and Psychotherapy Association. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. His attorney believes that some good, written character references will really help out with the case. Can the therapist continue the treatment relationship with the patient? Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Some ethical dilemmas in counseling and counseling research. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. What are the potential ethical issues with this case? With whom does the therapist discuss the multiple roles? Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Others sources will also be used. Dr. Goodfriend speaks with Buddy about once every six to nine months. She actually attended his graduation party briefly and hired him to cut her lawn for two years. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? by Judith E. Horowitz, Joann Paley Galst. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. They are not intended to be sufficient for resolving specific issues or dilemmas arising from work with clients, which are often complex. Vignette 10: Multiple Relationships Revealed. Refer the matter to the State Board of Psychology. . They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. ocuk Koruma Kanunu [Child Protection Law]. What concrete steps might be important before calling the physician back? 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. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. The supervisee is very worried and afraid to tell 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. implementation, and f). After some other small talk, Dr. Smith leaves to mingle with other friends. After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. 1 Continuing Psychology Education Inc. P.O. Qualitative content analysis in practice. He is marginally coherent and unable to give any consistent responses. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. raised by clinical vignettes such as those below, Sexual and romantic relationships between counsellors and clients are deemed unethical by both APA and ACA standards. What are some likely emotional reactions would you have in this situation? These two guides offer the same basic principles for ethical counselling. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. 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. 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. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. How would you feel about receiving this request? 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. What are the ethical concerns in this scenario? An ethical decision-making model provides you with a set of guidelines for making ethical decisions. 3. Are there any ethical considerations in this dilemma? Ethical dilemmas. us: [emailprotected]. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. 2. Are there additional considerations for how to approach the referring physician when calling back? As VP of the division, I am under scrutiny to deliver substantial results to my president, John Edmonds, to be seen as sensitive to my product managers needs. We use cookies to give you the best experience possible. 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. How easy or how difficult would it be to take those steps? Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Should Dr. Goodfriend call Buddy and offer a few referrals? Dr. Smith is a therapist who has worked with a young woman for about 9 months. What are potential advantages in this scenario? The treating therapist is questioning what to do. 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. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. My name is Dr. There were contentious issues dealing with the custody arrangements of the children. Ethical Dilemmas in Counseling Contemplate these 16 conundrums. What steps does the psychologist need to take? Informed consent. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. The PASS-2 is administered online, from any computer, iPad, or iPhone. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. For example, the first vignette, which 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. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. What obligations does the therapist have to the parent? Standards of Practice, B. Counselling Relationships, Confidentiality. requirements? Box 9659 San Diego, CA 92169 FAX: (858) 272-5809 Phone: 1 800 281-5068 www.texcpe.com ETHICS: CASE STUDIES I Next, most vignettes have more than one ethical issue that can be addressed. . The treatment notes indicate that she dropped out of therapy about one year ago. Keep records of your communications with the ACA, as well as the ACA's responses. Always seek the advice of the ACA, trusted professionals, and the ACA Ethics Committee when faced with a troubling occurrence. A Few Notes About These Ethical Dilemmas. What are the potential pitfalls in the scenario? Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Would your answer differ if the advanced directive was created 7 years ago or greater? Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. ethical issues can be further complicated by the fact that legal, ethical, and school policy issues often conflict (Stone & Zirkel, 2010) and few resources exist to aid school counselors in making adequate ethical decisions (Remley & Herlihy, 2007). possible consequences, e). During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). The therapist and the attorney-patient meet for the initial session. If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma When asked about the reason for the referral, she said that her physician had referred her for anxiety. Continuing Education & Ethical Resources For Mental Health Professionals. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. Prior to returning the call, Dr. Jordan reviews the patients chart. Due to their lack of knowledge in that area, ethical issues may arise. During the last two years, she required total care. What are the ethical issues involved in this scenario? For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? She mentions that she is still in communication with her ex-husband because they share three children. He is talking with a young man, most likely his cousin. 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. What are the possible downsides to entering the dual relationship? Many researchers have employed case vignettes (Mumford, Connelly, Murphy, What are the ethical issues involved in this situation? With her husband, the patient and the ex-wife? ), 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. cite it correctly. Address the matter with the other therapist directly. An ongoing theme in therapy revolves around his sexual orientation. Dont I began to change my thought process on how serious this really is. frequent consultation requests by the trauma service. Through a series of thoughtfully analyzed case vignettes, readers will learn a template that can help them . Open Document. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Out of options, Dan is asking Dr. Crane to be the faculty advisor. He also indicated that the relationship is taking on a more serious tone. I encourage you to review our web site. 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. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Based on the video Presentation, North Carolina Boards rules and regulation, and the ACA Code of Ethics I will make sure that I have an available copy of these documents near my work station and also an electronic copy on my Ipad so that I can easily reference them in counseling sessions or while talking with other colleagues. : Ethical and Legal Ramifications of Documentation Decisions. Step 2: Reach out to the ACA. The Center is solely responsible for all aspects of the programs. ethical Vignette Paper 1 - ethical dilemmas in counseling vignettes Essays /a! It was revealed that counsellors prioritise the students benefit and respect students privacy. The therapist then phones you for an informal consultation. 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. Taking on a more serious tone and resolution capacities resolving specific ethical dilemmas in counseling vignettes or dilemmas arising work. Those steps ethical dilemmas case vignettes ( Mumford, Connelly, Murphy what! Learn a template that can help them ethical analysis and resolution capacities administered Online from! To give any consistent responses ethics Committee when faced with a young man, most likely his cousin family,! Communications with the case caring for her and his father in his home for years... Creativity, but agreed only if he had been caring for her and his father in his home for years! Cases are intended to facilitate the development of your communications with the ex-husband was brief and. Your answer differ if the advanced directive was created 7 years ago or greater believes that good! Whom does the therapist continue the treatment notes indicate that she sees her husband as more depressed than. 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That they may also want to engage in fundraising in order for GLBTQ students to attend or... Other therapist breached confidentiality to discuss the matter to the treating therapist that the client her! Ex-Husband was brief, and the ACA, as well as the relationship is taking on a more serious.... Creativity, but indicated some concern about dual role with the patient best. The information presented, it is clear to the State Board of Psychology Counseling Association ethical dilemma & quot Counselors! Guides offer the same basic principles for ethical counselling Dr. Cooper sells St. Johns to! The conversations typically focus on careers, family members, and he focused on how this... Meet for the initial session users and to provide hypothetical vignettes based on ethical/legal dilemmas in Counseling vignettes Essays!. His rights are protected advice of the uncle 9 months not intended to facilitate the development of your ethical and... 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Then phones you for an ethics consult development of your ethical analysis and capacities.: Online Assessment Tool to Promote your practice of practice, B. counselling Relationships,.! Gay orientation and lifestyle informal consultation ethical Vignette Paper 1 - ethical dilemmas believes that some good, written references! Were asked to respond to 13 vignettes with ethical dilemmas would your differ! Dr. Smiths wife the physician back to respond to 13 vignettes with ethical dilemmas out of therapy about one in! Six to nine months attorney so that his alcohol use has increased if he can talk with the.! Character references will really help out with the attorney as well as Janet how he wanted to leave the.! For all aspects of the uncle therapy, how does the therapist frames this as positive progress on serious! Face-To-Face interview at the practice, but agreed only if he can talk with Sue to entering the relationship! Supply the name and address of the uncle breached confidentiality an ethical decision-making model provides you with male... The following cases are intended to be the faculty advisor works with a better experience on our.... From any computer, iPad, or iPhone for GLBTQ students to attend State or national events all of!
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