The tell tale vignette has some enforceable standard issues, which are standards on privacy and confidentiality, standards on assessment, standards on human relations, standards of competence and standards on therapy. In order to deal with the client’s problem, the psychologist has to use the ethical decision making process as a guide to ensure that the problem in question was solved by critically analyzing and evaluating the process to solve the problem.
These are the step I would take while using the Canadian Code of Ethics for Psychologist and the Ethical Decision Making Process. The first thing to do was to identify the individuals who are involved in the situation, and in this vignette, there was Rosalinda; the six years old who had witnessed
…show more content…
The first issue was privacy and confidentiality, standard 4.01 maintaining confidentiality and how it applies to this case. Can Rosalinda’s dad have access to her records? The answer would be no because under standard 4.01, privacy and dignity must be respected and I have to uphold principle E: to respect Rosalinda’s right and dignity. Since the father was the perpetrator of the domestic violence and he was the reason why therapy was needed in the first place, then I am obligated to protect Rosalinda and Maria’s interest. The father having access to Rosalinda’s records would supersede the ethical and legal responsibility to protect Rosalinda’s confidentiality and this is in violation of HIPPA rules; however I would be willing to discuss ways he can help with his daughter’s current situation. Maria did state that she was dating again; this information would not be relevant; rules of the APA board was a need for relevant conversations, so the psychology intern violated article 4.04 of standards on privacy and confidentiality by documenting it in her notes because it would be considered intrusion on …show more content…
The psychology intern introduced herself and went over the informed consent, Maria understood and gave consent for evaluation and treatment of her daughter. This was done to ensure a clear understanding of what the assessment entails and why it was being done.
The third enforceable standard was Standard 3 Humans Relations article 3.10 for Informed Consent which protects the right of Rosalinda; General Principle E, for rights and dignity. It should also be noted that the psychology intern also went over the informed consent form so that Maria can understand which dignified her.
The forth enforceable standard was 5 Standards on Competence article 2.05 Delegation of work to others. The owner of the practice delegated the assessment intake to the psychology intern without supervision. According to the rules of the APA boards, delegating responsibility should be in accordance to what an intern was competent
The meeting began with the chairman recounting the claims against the psychologist, the rules for identifying the complainant, and that the focus of this meeting was to determine if the potential that legal or ethical violations had occurred. All board members were in possession of copies of the information that was available at the time. The complainant was referred to by the initials R. G. for the purpose of maintaining confidentiality during the open meeting. All R. G.’s interactions were conducted by conference call with the board members.
According to sense two, legal or institutional effectiveness takes precedence. In other words, a subject’s consent is limited to the scope of the rules of the institution. Faden and Beauchamp illustrate that even if a patient autonomously gives her consent, it does not follow that effective consent is given if the requirements of the institution are not met. Consequently, the authors propose that sense one and sense two should both contribute in defining informed consent. Using Jay Katz’s argument, Faden and Beauchamp argue that sense two should satisfy sense one for there to be some type of balance between the two.
There are several ethical dilemmas that the mental health professionals that are working as a team will face including “ensuring that the client has given informed consent, maintaining client confidentiality, and involving professionals, paraprofessionals, and family in appropriate coordinated processes that benefit the client” (Paproski & Haverkamp, 2000, p.96).
Ethical principles and virtues give mental health professions guidelines to follow to police their behaviors. Do no harm, respect autonomy, be just and pure excellences are some of the principles and virtues. Purse excellence is described in my textbook, Ethics in Psychology and the Mental Health Professions: Standards and Cases, as maintaining competence, doing your best, and taking pride in your work. (Koocher & Keith-Spiegal, 2008)
In this assignment I will be discussing Adult Nursing and Mental Health Nursing and issues regarding consent. Consent is important within all fields of nursing as it is essential to conduct any medical procedures. The Nursing and Midwifery Council Code of Conduct (NMC,2008) states that all healthcare professionals must presume that all patients have the mental capacity to accept or deny medical treatments after being given all information which may be needed. However there may be some instances where consent cannot be obtained. An example of this is if the patient is in a medical emergency and may be unconscious or if the patient lacks the mental capacity to make a knowledgeable choice. In this situation treatment would be
Forester-Miller and Davis’s (1996) ethical decision-making model suggests that the initial step in resolving an ethical dilemma is to first identify the problem and then clarify the nature of the problem. This entails gathering pertinent information that will help elucidate any potential ethical issues. One important matter to reflect upon is whether this dilemma is ethical, clinical, professional, legal or any combination of the aforementioned categories (Forester-Miller & Davis, 1996). Honing in on the nature of the ethical issue will provide some direction as to which avenues are the most applicable for the given ethical situation.
Ensuring the client understands the purpose, process and boundaries of the counselling relationship with advisement of confidentiality with the limits around duty of care and ensuring written permission from the client, for purposes of advocacy, before disclosure of information or contacting parties. Recognising that counsellors need to be committed to ongoing personal and professional improvement/development and undertaking regular supervision/debriefing to develop skills, monitor performance and accountability. Additionally, assisting peers by being supportive and responsive, in a helping environment, to achieve their professional development. Moreover, making suitable referrals where competent service cannot be provided and endeavouring to be client focussed at all times. Overall, the expectations are to be committed to the code of ethics and the code of practice applies those values and ethical principles to situations which may arise in the practice of
Clients must be able to trust the counselor and have faith in the therapeutic relationship if growth is to occur. Therefore, the counselor must take care not to threaten the therapeutic relationship nor to leave obligations unfulfilled. When exploring an ethical dilemma, you need to examine the situation and see how each of the above principles may relate to that particular case. At times this alone will clarify the issues enough that the means for resolving the dilemma will become obvious to you. In more complicated cases it is helpful to be able to work through the steps of an ethical decision making model, and to assess which of these moral principles may be in conflict. Ethical Decision Making Model We have incorporated the work of Van Hoose and Paradise (1979), Kitchener (1984), Stadler (1986), Haas and Malouf (1989), Forester-Miller and Rubenstein (1992), and Sileo and Kopala (1993) into a practical, sequential, seven step, ethical decision making model. A description and discussion of the steps follows. 1. Identify the Problem. Gather as much information as you can that will illuminate the situation. In doing so, it is important to be as specific and objective as possible. Writing ideas on paper may help you gain clarity. Outline the facts, separating out innuendos, assumptions, hypotheses, or suspicions. There are several questions you can ask yourself: Is it an ethical, legal, professional, or clinical problem? Is it a combination of more than
The trust between Heather and me as a Counsellor is a vital part of our therapeutic relationship. I am aware that my client must feel that whatever she discloses in therapy will be treated confidentially. As a counsellor I am not to disclose information unless required by law or authorized by my client. The informed consent document Heather has signed prior to our first session does not state particularly that the Counsellor has to break confidentiality in instances of child abuse.
Ethical principles such as informed consent are imperative in social work research as many time practicioners will interact with clients belonging to the most vulnerable group who are the most likely to face unethical practices. The notion gives the participant the choice of agreeing to part-take In the research. Simultaenously, The notion according to ______ also encompasses the responsibility of the research to give all the information about the study, its purpose, results, harm, sponsors and the identity of the researchers. Several populations, such as children, person with intellectual or mental disabilities will face barriers in comprehending the given information . As NCRM manifested, from the field of physiology it has been demonstrated different
Psychologists are committed to increasing scientific and professional knowledge of behaviour and people's understanding of themselves and others and to the use of such knowledge to improve the condition of individuals, organisations, and society (APA, 2010). The PSI preamble (2010) states “the authority of psychologists derives from the scientific methods of investigation on which their knowledge is based, and the ethics which govern all their professional activity. They accept that codes of ethics are necessary to protect the interest of clients and prevent misuse of psychological knowledge. The Ethics Code provides a common set of principles and standards upon which psychologists build their professional and scientific work. The following is a rough and general summary of the principles that are addressed by the APA, PSI and BPS;
We are going to explore the world of ethical issues in psychology. As in any medical or mental health fields there are rules we all must follow as professionals. In this essay today we will be exploring a case study where we have a young lady who has been stricken by a mental disability. We will be looking at the facts in which her disability was handled by a professional in the field of psychology. We also will be discussing the rights and wrongs that are presented in her case study. We will also be discussing the APA ethical codes and gain a clearer understanding of where some things went wrong and why shall we begin.
Remley and Herlihy (2016) defines confidentiality as an ethical concept which refers to the counselor 's obligation to respect the client 's privacy and in session discussion will be protected from disclosure without their consent (p.108). The receptionist never disclosed what was being discussed in wife A session; however, her inadvertent breach of confidentiality occurred the moment she divulged the fact that wife A is a patient at a mental health facility. An important premise to understanding the ethical principle of confidentiality is base that a counselor respects the client 's right to privacy (Remley & Herlihy, 2016; Quigley, 2007). Premise one states the "counselor honor the rights of clients to decide who knows what information about them and in what circumstances" (p.110).
Because of the doctors’ profession, a psychiatrist must abide by the ethic of nonmaleficence when it comes to their patients. This article is true, “When conflicts occur among psychologists’ obligations or concerns, they attempt to resolve these conflicts in a responsible fashion that avoids or minimizes harm” (Ethical Principles of Psychologists and Code of Conduct, n.d.). For this profession, this is very important because their judgment can have a serious effect on a person mind. If there were no ethics to guide them not to do no harm, psychology could become an unethical profession within the health care system. This ethic could also be the reason for the raise of concern that Dr. McHale has for the detainee.
This is given that she was asked by her husband's boss to conduct a custody evaluation. That would result in ethical issues relating to multiple relationships. According to APA (2004), "standard 3.05 recognizes that psychologists are sometimes required to serve in more than one role in judicial or administrative proceedings, and so cannot always avoid or fully resolve a potentially harmful multiple relationship." A multiple relationship occurs when a psychologist is in a professional role with a person and "at the same time is in another role with the same person, at the same time is in a relationship with a person closely associated with or related to the person with whom the psychologist has the professional relationship." (Dr. Stephen Behnke, 2008). The relationship exhibited by the mental health professional poses a conflict of interest as described in ethical standard 3.06 Conflict of Interest. The relationship between the husband and the boss would be affected if the professional did not accomplish the task according to the husband's boss