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. She told the student that she would think about the request prior to answering. During the course of their work, he discussed . If you are like most of your colleagues, you have already faced at least one ethical dilemma that required a decision and possibly some action on your part. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. This paper has been peer reviewed and student received an A on it. Step 2: Reach out to the ACA. Content may require purchase if you do not have access. Ethical issues in counseling can occur in various cases and may be overwhelming for both the professional and the client. Ethical, Legal, and Professional Issues in Counseling-Theodore P. Remley, Jr. 2013-01-24 Note: This is the bound book only and does not include access to the Enhanced Pearson eText. The main therapeutic issues are depression and loneliness. The supervisee is very worried and afraid to tell 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. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. The patient repeated this line of questioning during the first face-to-face session. A therapist had an intake appointment with a new client. 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. Feature Flags: { There were contentious issues dealing with the custody arrangements of the children. Operating those services in a LGBQT center will convey intersecting situations. What factors make this situation potentially difficult for you as a therapist? Registration number: 419361 The career counsellor also needs to be accredited on the use of the specific instruments should he/she wish to interpret them and integrate them into a feedback report for Jennifer. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. 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.. 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. 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. Practical, realistic advice is proffered through vignettes that showcase typical situations and dilemmas faced by practicing counselors. An ethical dilemma (ethical paradox or moral dilemma) is a problem in the decision-making Every person may encounter an ethical dilemma in almost every aspect of their life, including personal, social Refute the paradox (dilemma): The situation must be carefully analyzed. Choose skilled expert on your subject and get original paper with free plagiarism Also in Section C.2.e and f states that the Counselors should take reasonable steps to consult with other counselors or related professionals when they have questions regarding their ethical obligations or professional practice and they must take continuing education so that they can maintain reasonable levels of awareness. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. Dr. Smith is now worried about the entire situation. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. Need a custom essay sample written specially to meet your Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Copyright 2022 service.graduateway.com. She calls you for an ethics consult. It is important to maintain healthy boundaries to . And, how would you, as the treating therapist, deal with those emotions? The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Qualitative content analysis in practice. However, the police report indicated she has made such verbal threats in the past but also, on several occasions, has damaged her neighbors property including scratching the paint on their car and throwing rocks at their house. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. submit it as your own as it will be considered plagiarism. She has been doing much of the case management work, e.g. Total loading time: 0.362 Workers Compensation refuses to pay for the case management services of an independent social worker. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Ethical Vignette - Melanie Roudovski Ethical & Legal Issues in Counseling Liberty University - Studocu ethical vignette essay uploaded in APA format. Dr. 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. The therapist remembers the former patient as a likeable person. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. 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. New Therapist, 58, 18-26. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. (Note that choosing to not make a decision is a decision.) However, after the session, the therapist feels uneasy about what his patient revealed. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. During the current session, the confides that he has made a new female friend. outside her scope of practice? Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. 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? If you decide to provide information, would you consider communicating with the prior patients attorney? What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. report, Ethical Vignette: Ethical Dilemma. by Judith E. Horowitz, Joann Paley Galst. What are the potential ethical issues with this case? They developed a good therapeutic alliance. 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. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). ; & Hartshorne,T.S. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Dr. Jordan calls you on the phone for an ethics consultation. 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. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. In Section B.1.c counselor has to respect the rights of all clients to confidentiality and cannot share the information without client consent or without legal or ethical justification. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 2.) Covers ethical issues and evidence-based practice; Integrates therapists' reflections on their own social identity and how this may have influenced their work with their clients; The ICU staff asks for your input. When she asks about insurance, he indicates that he will pay in cash. Therapy lasted about a year and focused on depression and relationship issues. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. 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 . Dr. Jordan is a therapist who typically works with a wide variety of patients. EMAIL. Professional Boundaries Brenna E. LaLonde School of Behavioral Sciences: Liberty University. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. These steps are: a). A therapist receives a phone call from a well-known internist in her area. Published online by Cambridge University Press: The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. What problems may occur as a function of Dr. Dr. Hemphill is the speaker in the YouTube video, Understanding Professional Boundaries and Ethics, and he is considered an expert in healthy boundaries between clients and counselors. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. 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