PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling What are the ethical issues for this scenario? ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. What are the ethical issues involved in this case? 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. Learning From Ethical Vignettes - Center for Ethical Practice Mr. Biggy and Dr. Smith meet in an unplanned social venue. What are other steps that the therapist may want to take in this situation? The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Divide and Rule? Dilemma 20: Has the Psychologist Done Too Much? Dr. Goodfriend speaks with Buddy about once every six to nine months. Mr. Tellanyone is feeling quite guilty about his mother. Mr. DiMencha demonstrates a variety of cognitive deficits. (Log in options will check for institutional or personal access. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. However, after the session, the therapist feels uneasy about what his patient revealed. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. Standards of practice, part B.9 states that . She told the student that she would think about the request prior to answering. A therapist is treating a client who is involved in a legal proceeding. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. 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. Apparently, no one is. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA Results will be available to you and the patient online. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. The physician wants the psychologist to treat his 17-year-old daughter . During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. Regulatory boards are the final authority on courses accepted for continuing education credit. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Simultaneously, the religious institution is adamant about this requirement. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. a73D%IhCTHA&:L0iAq(*p Ethical Dilemmas - IResearchNet - Psychology Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Plenty acting beyond the limits of her competency? Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. Case Vignettes for Review Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. Learning Objectives: There is nothing unusual that stands out about their therapeutic relationship. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. The lawyerpatient comments that this seems low. Patient contact information will be part of the administration process. endobj After some other small talk, Dr. Smith leaves to mingle with other friends. DILEMMA ONE endobj Ethics Rounds--Multiple relationships: A vignette Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. 6 0 obj Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. However, she begins to feel uncomfortable as she feels like they are spending too much time together. Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? The treatment notes indicate that she dropped out of therapy about one year ago. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. !!jdUR{YUbYUKg$Hu/krtu/_Y1>6..7199l< Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 3 0 obj The patient has never met the attorney face-to-face, only by email and phone contacts. Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. ethical dilemmas in counseling vignettes - stmatthewsbc.org Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. 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. She recalled that he agreed that it could make a good book. The days allocated for her stay by her insurance are ending in two days. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Ethical Vignette Paper.docx. ACE provider approval period: 3/21/2021-3/21/2024. What should you do with this email solicitation? The therapist knows her new boss, Mr. Biggy. A psychologist works in an outpatient substance abuse treatment facility. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. The survey consisted of 10 vignettes based on the above ethical issues in. After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. : ethical dilemmas, burnout, stress, practicing counselors. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. What are the possible downsides to entering the dual relationship? If you were the psychologist, how would you feel about the situation? What do you believe is the best course of action? The therapist obtains the keys and title for the vehicle. She stated that Dr. Jordan recommended that she write down her memories. Ethical dilemmas. First, these vignettes are meant to be teaching tools. Would your answer differ if the advanced directive was created 7 years ago or greater? Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. A therapist receives a phone message from a former patient. Approaching ethical dilemmas - American Psychological Association After the phone call, the therapist checks the waiting room and sees the patient there. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q This has caused both his physical and A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . During the next session, Mr. and Mrs. Drapier arrive separately, but on time. The main therapeutic issues are depression and loneliness. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. 3. The therapist screens the potential patient and believes that she can help him. Sci Rep 12, 22416 (2022). What are some actions that you, as the treating therapist, may have done differently? The mother explains that the child has run away and the mother has reported the child missing to the police. Is Dr. Dilemma 38: Psychotherapy without Medication, Dilemma 39: Pills, Chills, and No Thrills, Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision - 3 part series, Library: Articles & Papers Related to Ethics Education, Time pressure reduces misinformation discrimination ability but does not alter response bias, Domestic violence hotline calls will soon be invisible on your family phone plan, The danger of absolute thinking is absolutely clear. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. cn]JlmQSMDM>pEm+gxMU]``tQqKF The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Ethical Dilemmas in Counseling: A Case Study Examination The American Counseling Association (ACA) Code of Ethics was amended in 2014 to reflect the ever-changing social, political, and technological landscape which clinicians must navigate. 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 emotional reactions may occur for the therapist? The therapist has not worked with the patient for about two years. << /Length 5 0 R /Filter /FlateDecode >> The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services.
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