Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Group of answer choices Growth in . Would your answer differ if there were no advanced directives? A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Case Vignettes for Review 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. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. A therapist receives a phone call from a well-known internist in her area. If you were Dr. Miller, what are your emotional reactions to this situation? ethical dilemmas in counseling vignettes. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. The therapist obtains the keys and title for the vehicle. For example, the first vignette, which What are the ethical issues involved in this scenario? Would your answer differ if the advanced directive was created 7 years ago or greater? Are there additional considerations for how to approach the referring physician when calling back? 1 pages. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. Plenty lives and practices psychotherapy in a rural area. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. Ethical dilemmas. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. Results will be available to you and the patient online. (1998). She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. Dr. Goodfriend receives a call from Buddy, his very close high school friend. What clinical concerns arise for you in this scenario? outside her scope of practice? % 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. 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. endobj What are some of the suggestions that you may have for the therapist about accepting or declining the referral? At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Case Vignettes for Review A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. / ethical dilemmas in counseling vignettes. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. When dealing with the EAP program, she thinks her title of doctor might put people off, so she announces herself as Sue when dealing with EAP clients. A female therapist in a suburban area has worked with a male patient for about one year. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. At the end of the session, the therapist asks for the requisite fee as stated on the phone. If you were a co-owner of the business, how would you feel about this situation? Your browser either does not support scripting or you have turned scripting off. Dr. Tell allowed several moments to pass before asking the patient what was happening. Approaching ethical dilemmas. What steps does the psychologist need to take? She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. 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. %PDF-1.3 Review each of the scenarios and indicate whether you agree or disagree with the counselors action. 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. Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) PDF Trainee Psychological Counselors' Understanding of Ethics - ed As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. You are a therapist in a busy acute care hospital where you receive. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. The executor is Mr. Palmers brother, who lives in a different state. (PDF) Ethical Issues in Counseling Supervision - ResearchGate A therapist had an intake appointment with a new client. raised by clinical vignettes such as those below, What are the ethical issues involved in this case? Jacob-Timm,S. Glover, J. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. What are Dr. Millers potential ethical issues in this situation? 14 March 2022. Mr. DiMencha demonstrates a variety of cognitive deficits. 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. My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. Plenty acting beyond the limits of her competency? The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. 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. To use suggested categories to consider options for ethical response to the dilemma. He thinks that she is young and impressionable. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. She does not feel right taking a fee larger than her usual and customary rate. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Both therapists are of the same profession. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Ethical dilemmas in clinical supervision. 1: Need for guidelines The therapist pulls the former patients chart. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. 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. She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. ethical dilemmas in counseling vignetteswvu mechanical engineering research. What are some recommendations that you would make to the psychologist? Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Dan explained to Dr. Crane that this group would be student-led and meet on campus.