In hindsight, what triggered some possible difficulties in this situation? Sci Rep 12, 22416 (2022). cn]JlmQSMDM>pEm+gxMU]``tQqKF 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. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. She mentions that she is still in communication with her ex-husband because they share three children. Mr. Drapier acknowledges many cognitive, behavioral, and physical symptoms of serious depression. Both therapists are of the same profession. View all Google Scholar citations It may rather be a sign that one is fully engaged in the life of a community. The patient was in therapy for approximately one year. ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. The ICU nurse asks you to offer an opinion regarding the patients capacity to accept or refuse intubation. What are the ethical issues, if any, involved in this case? Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? The therapist screens the potential patient and believes that she can help him. He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. To create paragraphs in your essay response, type
at the beginning of the paragraph, and
at the end. His mother had suffered from a combination of severe respiratory problems and Alzheimers. The treatment notes indicate that she dropped out of therapy about one year ago. The psychologist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Dr. Tell contacts you with the above scenario. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. . When asked about the reason for the referral, she said that her physician had referred her for anxiety. Cynthia, a counselor who had been successfully working as an AIDS and substance abuse counselor in a large city for several years, recently moved to a very affluent suburb and decided to open a private practice. He asked the attorney if anyone is contesting the will. During the current session, the confides that he has made a new female friend. They have dinner as couples several times per year. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. (1998). His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. endobj 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 The supervisee is very worried and afraid to tell iRE]7*ZG; K5|h{. Plenty acting beyond the limits of her competency? Render date: 2023-03-04T21:33:13.444Z How would you feel if you were the consultant? A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. This workshopis based on discussion of ethical issues Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . The test usually takes approximately 40 to 60 minutes to administer. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Dr. Popeil thinks these ideas are good. While it is not a complete assessment, it can guide patients to you for further psychological consultation. She stated that Dr. Jordan recommended that she write down her memories. 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. Standards of practice, part B.9 states that . From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. The Clear Answers and Start Over feature requires scripting to function. The therapist knows her new boss, Mr. Biggy. Patient contact information will be part of the administration process. Programs that do not qualify for NBCC credit are clearly identified. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. Regulatory boards are the final authority on courses accepted for continuing education credit. Ethics and ethical codes are bounded by the cultural contexts in which they were produced. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? The therapist remembers the former patient as a likeable person. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? What suggestions or recommendations would you offer to the therapist? 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. Sue schedules the appointment for early in the evening. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. "useRatesEcommerce": false The ex-wife moved back to the area about six months ago. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. endstream 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. Dr. Goodfriend receives a call from Buddy, his very close high school friend. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. I encourage you to review our web site. : Ethical and Legal Ramifications of Documentation Decisions. } As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. (Log in options will check for institutional or personal access. Dans vision is that the group would meet periodically to provide one another with support, to do problem solving, to share information and personal struggles, and perhaps to provide some psycho-educational work on campus. 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. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. My name is Dr. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. 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. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? White Plains, NY: Longman. First, these vignettes are meant to be teaching tools. The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. % 1 0 obj At the end of the day, the therapist reflects on the interaction her new lawyer-patient. 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. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. ethical dilemmas in counseling vignetteswvu mechanical engineering research. Identifying, addressing, and resolving ethical dilemmas is a dynamic process that requires counseling professionals to do more than simplistically apply the codes with respect for the uniqueness of each situation or circumstance. How are the clients emotional and interpersonal issues related to the therapists dilemma? As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). 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. The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. The ICU staff asks for your input. Should Dr. Goodfriend call Buddy and offer a few referrals? 3 0 obj A therapist receives a phone call from a well-known internist in her area. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. 2 0 obj Dilemma 20: Has the Psychologist Done Too Much? Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. An ongoing theme in therapy revolves around his sexual orientation. While discussing these issues, the patient suddenly stopped talking. The therapist feels stuck and overwhelmed by her present situation. The patient had been in treatment for about 10 months on a weekly basis. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. << /Length 5 0 R /Filter /FlateDecode >> This particular vignette, Swenson said, may well fail the two-prong test. Cynthia had already invested quite a bit of money into her private practice, and was determined to make it work, regardless of the type of clients she had to treat. After the phone call, the therapist checks the waiting room and sees the patient there. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Dr. Thomas wants him to come in immediately for a more indepth evaluation. What would you need from the attorney? She has been doing much of the case management work, e.g. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. If you were the psychologist, what would be your emotion response to this situation? The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. <> Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. What are the ethical issues involved in this scenario? Your browser either does not support scripting or you have turned scripting off. Dr. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. Dr. Miller suggests that she meet with both Mr. and Mrs. Drapier to evaluate the marital situation. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. are The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. Next, most vignettes have more than one ethical issue that can be addressed. Part of her struggle is that she sees her husband as more depressed now than when he started treatment. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. The mother explains that the child has run away and the mother has reported the child missing to the police. If you decide to provide information, would you consider communicating with the prior patients attorney? He also divulged that his risk-taking behavior has increased as well, such as speeding. I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. endobj Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. This vignette poses several ethical dilemmas for counselors. Of course, they exist in all forms of counseling, from short-term advising . Contemplate these 16 conundrums. After you finish you can compare your response and rationale with our response and our rationales for each of these vignettes. 2 Print version: page 62 6 min read 0 Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. 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.. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! 4 0 obj The patient presents with a history of rejection and abandonment as well as being abused by persons of power. The results and implications for counsellors, counsellor educators and researchers are discussed. Mr. Tellanyone is feeling quite guilty about his mother. ethical dilemmas in counseling vignettes. What are some of the potential ethical pitfalls in this scenario? What would be your emotional response to this situation? What are the ethical issues involved in this case? Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. Mr. DiMenchas co-worker, Janet, helped him find an attorney so that his rights are protected. The cost of the online administration is $25, to be paid by the patient. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. The treating therapist believes the options are: What are the possible emotional reactions to this situation? A therapist had an intake appointment with a new client. If you were the psychologist, how would you feel about the situation? Approaching ethical dilemmas. In the context of counseling, family includes people related through . During the next session, Mr. and Mrs. Drapier arrive separately, but on time. Can the client contact Child Protective Services anonymously in this case? Dr. Ron Popeil, a local therapist, is upgrading his web site. 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. Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. 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. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. She does not feel right taking a fee larger than her usual and customary rate. A female therapist in a suburban area has worked with a male patient for about one year. What problems may occur as a function of Dr. 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. Group of answer choices Growth in . 7 0 obj In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. What are the potential ethical issues in this case? You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. 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. By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD What would you likely do with this email solicitation? If you were Dr. Goodfriend, how do you feel about the phone call? How would you feel about receiving this request? As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. There is nothing unusual that stands out about their therapeutic relationship. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. 8 0 obj The client continued to struggle. 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. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. The therapist cannot remember many details about the patient. Dr. Smith also asked if it is ethical to bill the patients insurance company to review his impressions of a forensic report during a psychotherapy session. Divide and Rule? Out of options, Dan is asking Dr. Crane to be the faculty advisor. endobj And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. for this article. Dr. Smith decided to review the report. The days allocated for her stay by her insurance are ending in two days. Currently, the patient is denying the fact that she has made past threats toward her neighbor. For example, the first vignette, which of family ties, but counselors in many other specialties will run into these issues too. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. His attorney believes that some good, written character references will really help out with the case. 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. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. Therapy lasted about a year and focused on depression and relationship issues. Ethics and law for school psychologists . She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. Others sources will also be used. Encourage the client to file a complaint with the State Board of Psychology. How would you advise Dr. Thomas to handle them? Dr. Jordan returns the phone call. 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. 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. What should you do with this email solicitation? They see her regularly for informal family events and do holidays together with their adult children and grandchildren. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. The PASS-2 is administered online, from any computer, iPad, or iPhone. Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. image.jpg Liberty University Ethical and Legal Issues in Counseling . He promised to call her back within a week. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. 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. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of .