This vignette poses several ethical dilemmas for counselors. submit it as your own as it will be considered plagiarism. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. He asked the attorney if anyone is contesting the will. Dr. Smith is a therapist who has worked with a young woman for about 9 months. New Therapist, 58, 18-26. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Ethical issues in a counseling practice lay the foundation of a therapist in practice. Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. 3. (2008). Counsellors have a fundamental ethical responsibility to take every reasonable precaution to respect and to . They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. 2. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. He also indicated that the relationship is taking on a more serious tone. to help you write a unique paper. for this article. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? I began to change my thought process on how serious this really is. 1 Works Cited. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. 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 steps does the psychologist need to take? Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. The ethical use of assessments is important in Jennifer's case, especially in terms of using classified assessments that are deemed to be valid and reliable. Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. 2 Abstract It is important that when Ethical Decisions need to be made, that counselors follow a model for making the decision that best benefits a client. 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. 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. Prior to returning the call, Dr. Jordan reviews the patients chart. 3. P. (1996). His family lives at a distance and provides minimal help. A therapist receives a phone call from a well-known internist in her area. The days allocated for her stay by her insurance are ending in two days. The ICU staff asks for your input. . Part of her struggle is that she sees her husband as more depressed now than when he started treatment. The client is feeling very helpless and vulnerable about this bind. Are there competing ethical principles? Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. Plenty acting beyond the limits of her competency? She recalled that he agreed that it could make a good book. Source: Zeevveez/Flickr CC 2.0. 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. What are Dr. Millers potential ethical issues in this situation? The executor is Mr. Palmers brother, who lives in a different state. What are the ethical issues for this scenario? a specific field. ACE provider approval period: 3/21/2021-3/21/2024. What are some of the potential ethical pitfalls in this scenario? problem identification, b). Programs that do not qualify for NBCC credit are clearly identified. The patient was in therapy for approximately one year. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. The following case vignette is an example of such a circumstance: While confidentiality has been preserved, the dynamics of each case are isomorphic to a real clinical situation faced by a practicing psychologist. The counsellor is also conscious. 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. Defining the problem emotionally and intellectually. During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. One day, Dr. Bishop receives a phone call from his contact at the institution. 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). 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. This requires counsellors to put clients first, show respect and maintain integrity. Simultaneously, he strongly believes he made the right decision. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Keep records of your communications with the ACA, as well as the ACA's responses. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. School Law for counselors, psychologists, and social workers . And it has a big confusion to everyone if morality is relative. Irina's parents are conservative Catholics and the culture of the school community is . Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. However, after the session, the therapist feels uneasy about what his patient revealed. Can the client contact Child Protective Services anonymously in this case? The following email catches your attention. 1780 Words. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. What are potential ethical issues with this invitation? For example, the British Association for Counselling and Psychotherapy (BACP) adopts an 'Ethical Framework for the Counselling Professions'. Just as he is about to hang up, Buddy says, Thanks. Nellie the niece of the judge had good points on a lot of the cases that where presented to them and Joseph the Lawyer had some good points as well, but it all comes down to what is the right decision for the good of all. 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. An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? Are there any ethical considerations in this dilemma? 1 Continuing Psychology Education Inc. P.O. The treating therapist believes the options are: What are the possible emotional reactions to this situation? Ethical Vignette - Melanie Roudovski Ethical & Legal Issues in Counseling Liberty University - Studocu ethical vignette essay uploaded in APA format. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. This edition delves into the most recent federal court cases that pose the most ethical and legal matters in counseling today, such as a termination from employment by refusing to counsel a gay client . These steps are: a). All rights reserved. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Here are some of the main areas that can bring up ethical and legal issues in counseling. 3. The PASS-2 is administered online, from any computer, iPad, or iPhone. Refer the matter to the State Board of Psychology. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. If you were the psychologist, what would be your emotion response to this situation? What clinical concerns arise for you in this scenario? Operating those services in a LGBQT center will convey intersecting situations. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. 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. Graduateway.com is owned and operated by Radioplus Experts Ltd 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. 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. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. Supplemental understanding of the topic including revealing main issues described in the particular theme; 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. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. In the state of North Carolina Rule (NCGS 8-53.8) states that, No person, duly licensed pursuant to Chapter 90, Article 24, of the General Statutes, shall be required to disclose any information which he or she may have acquired inrendering professional counseling services, and which information was necessary to enable him or her to render professional counseling services: Provided, that the presiding judge of a superior or district court may compel such disclosure, if in the courts opinion the same is necessary to a proper administration of justice and such disclosure is not prohibited by other statute or regulation. 6768). Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Significant details about her patients life Law for counselors, Psychologists, and receives only occasional referrals from this.... His patient and his relationship with Mr. Biggy terminate therapy, how does therapist... 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