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. This particular vignette, Swenson said, may well fail the two-prong test. A psychologist works in an outpatient substance abuse treatment facility. Standards of Practice, B. Counselling Relationships, Confidentiality. Plenty lives and practices psychotherapy in a rural area. During the interview, she was told that she would need to work independently, with only limited supervision. They developed a good therapeutic alliance. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. 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. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. His family lives at a distance and provides minimal help. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. The ICU staff asks for your input. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. She recently received an offer to become a sales representative for a pharmaceutical company. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. If you were Dr. Goodfriend, how do you feel about the phone call? He is marginally coherent and unable to give any consistent responses. How easy or how difficult would it be to take those steps? The treatment notes indicate that she dropped out of therapy about one year ago. 14 March 2022. ocuk Koruma Kanunu [Child Protection Law]. ethical dilemmas in counseling vignetteswvu mechanical engineering research. : Ethical and Legal Ramifications of Documentation Decisions. What would you need from the attorney? The therapist has not worked with the patient for about two years. The lawyerpatient comments that this seems low. 3. Prior to returning the call, Dr. Jordan reviews the patients chart. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. His father has declined rapidly since the death of his wife and now requires total care. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. The main therapeutic issues are depression and loneliness. Dr. The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. What factors make this situation potentially difficult for you as a therapist? Refer the matter to the State Board of Psychology. 1LzLxG`kvP@>. Buddy states that he has been feeling stressed over the last month. Ethical Vignette Paper.docx. He complains loudly about his parents and his girlfriend. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. 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. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. 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. endobj As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. What are some recommendations that you would make to the psychologist? Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. 6768). Just as he is about to hang up, Buddy says, Thanks. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. Qualitative content analysis in practice. During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. This vignette poses several ethical dilemmas for counselors. of family ties, but counselors in many other specialties will run into these issues too. His impairment is noticeable by Dr. The patient was in therapy for approximately one year. endobj He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. The client is feeling very helpless and vulnerable about this bind. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. Close this message to accept cookies or find out how to manage your cookie settings. Dr. Thomas wants him to come in immediately for a more indepth evaluation. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? <> 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. The client continued to struggle. Can the client contact Child Protective Services anonymously in this case? The clients boyfriend expressed that she should never discuss this with anyone. % Others sources will also be used. Dr. Goodfriend is unclear whether Buddy is serious or joking. What are potential ethical issues with this invitation? Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. If you were Dr. Miller, what are your emotional reactions to this situation? 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. 1. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. His mother had suffered from a combination of severe respiratory problems and Alzheimers. stream You are checking your email after a busy day. 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. Dan asked a number of faculty members to be the faculty advisor of this group. For example, the first vignette, which iRE]7*ZG; K5|h{. 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 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. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. They start spending more time together. 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. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. She mentions that she is still in communication with her ex-husband because they share three children. for this article. Dr. Popeil thinks these ideas are good. Approaching ethical dilemmas. ), 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. The therapist expresses her concerns about working with a patient whose father is prescribing medication. Dilemma 35: Initial Telepsychology Session for Free? Fowers and Davidov (2006) link the "multicultural movement" to classical writings about ethics in the philosophy literature,contrasting "virtue ethics"with merely following the rules. If you were the psychologist, what would be your emotion response to this situation? Of course, they exist in all forms of counseling, from short-term advising . Continuing Education & Ethical Resources For Mental Health Professionals. 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. After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q endobj Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. a73D%IhCTHA&:L0iAq(*p << /Length 5 0 R /Filter /FlateDecode >> Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. He will likely need to go into an assisted living facility. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. 2 Print version: page 62 6 min read 0 Simultaneously, he strongly believes he made the right decision. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. 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. He would like help to work through the issues. a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. The mother explains that the child has run away and the mother has reported the child missing to the police. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Both therapists are of the same profession. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. It may rather be a sign that one is fully engaged in the life of a community. Dr. Tell allowed several moments to pass before asking the patient what was happening. It was revealed that counsellors prioritise the students benefit and respect students privacy. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. The treating therapist believes the options are: What are the possible emotional reactions to this situation? Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. Tara was offered this position after successfully completing both her practicum and her internship at the center. <> You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. 1 0 obj The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. <> As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. 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. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. 4 0 obj Apparently, no one is. Dr. Goodfriend speaks with Buddy about once every six to nine months. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. However, after the session, the therapist feels uneasy about what his patient revealed. 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. Menu. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? Divide and Rule? Address the matter with the other therapist directly. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. A therapist had an intake appointment with a new client. 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. Is Dr. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. What would you likely do with this email solicitation? She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. One day, Dr. Bishop receives a phone call from his contact at the institution. Mr. DiMencha demonstrates a variety of cognitive deficits. When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. What obligations does the therapist have to the parent? What are the potential ethical concerns about this scenario, if any? endobj hasContentIssue true, The Author(s), 2022. Third, many ethical dilemmas are usually not choices between right and wrong, but among competing ethical principles geared toward doing good. After the session is over, the therapist has time to reflect on her concerns. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. Currently, the patient is denying the fact that she has made past threats toward her neighbor. 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. <> The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? Abstract All school counselors are considered mandated reporters. Dr. Jordan calls you on the phone for an ethics consultation. The therapist obtains the keys and title for the vehicle. Dr. Goodfriend receives a call from Buddy, his very close high school friend. DILEMMA ONE 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. Dan explained to Dr. Crane that this group would be student-led and meet on campus. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. After some other small talk, Dr. Smith leaves to mingle with other friends. 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. %PDF-1.5 The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. Plenty had Mr. DiMencha sign a release giving consent for him to talk with the attorney as well as Janet. 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? School Law for counselors, psychologists, and social workers . In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. Among other things, the report contained a psychological evaluation of the patient. <>>> This workshopis based on discussion of ethical issues Your browser either does not support scripting or you have turned scripting off. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Dr. Smith decided to review the report. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. He also divulged that his risk-taking behavior has increased as well, such as speeding. 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. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 After the phone call, the therapist checks the waiting room and sees the patient there. The Center is solely responsible for all aspects of the programs. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today.

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