While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). In the context of counseling, family includes people related through . 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? 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. He thinks that she is young and impressionable. He also divulged that his risk-taking behavior has increased as well, such as speeding. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. How would you feel about receiving this request? What are the ethical issues involved in this case? Apparently, no one is. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Does Dr. Goodfriend need to encourage Buddy to become involved in therapy if symptoms persist? The PASS-2 is administered online, from any computer, iPad, or iPhone. Dr. How would you advise Dr. Thomas to handle them? <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> She has been doing much of the case management work, e.g. Qualitative content analysis in practice. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. Feature Flags: { endobj The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Are there additional considerations for how to approach the referring physician when calling back? 14 March 2022. 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.. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. They developed a good therapeutic alliance. The therapist pulls the former patients chart. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Should Dr. Goodfriend call Buddy and offer a few referrals? 1 pages. xVN0}-m8 The patient presents with a history of rejection and abandonment as well as being abused by persons of power. This particular vignette, Swenson said, may well fail the two-prong test. stream He will likely need to go into an assisted living facility. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. In the code, 18VAC115-20-130. outside her scope of practice? As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. The therapist then phones you for an informal consultation. 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 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. While discussing these issues, the patient suddenly stopped talking. 4 0 obj Buddy states that he has been feeling stressed over the last month. Are there any ethical considerations in this dilemma? Simultaneously, the religious institution is adamant about this requirement. Approaching ethical dilemmas. of family ties, but counselors in many other specialties will run into these issues too. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma It may rather be a sign that one is fully engaged in the life of a community. 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. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Close this message to accept cookies or find out how to manage your cookie settings. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. are 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. Dr. Goodfriend is unclear whether Buddy is serious or joking. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. 2 Print version: page 62 6 min read 0 Regulatory boards are the final authority on courses accepted for continuing education credit. Review each of the scenarios and indicate whether you agree or disagree with the counselors action. 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. 4 0 obj The patient has never met the attorney face-to-face, only by email and phone contacts. 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. Dr. Goodfriend speaks with Buddy about once every six to nine months. 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. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . 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