The therapist obtains the keys and title for the vehicle. Are there additional considerations for how to approach the referring physician when calling back? 1 pages. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. 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. . Simultaneously, the religious institution is adamant about this requirement. ev}]=h}))-mv-K4a_5@rFBPnevW :X})8Bl;%1cw'=@rw6=V|}oYdhNTJ]gIXS0f319' T8L*(xp8w}?}UD Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. If you were a co-owner of the business, how would you feel about this situation? 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? 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. The therapist cannot remember many details about the patient. The counsellor is also conscious. The days allocated for her stay by her insurance are ending in two days. The lawyerpatient comments that this seems low. The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. ocuk Koruma Kanunu [Child Protection Law]. <>>> After the phone call, the therapist checks the waiting room and sees the patient there. frequent consultation requests by the trauma service. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. 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. 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? Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. Has data issue: true During the next session, Mr. and Mrs. Drapier arrive separately, but on time. The position pays much more than shes making at the community agency, and is within ten minutes of her home. Prior to their next session, Dr. Smith calls you for a consultation. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. Standards of Practice, B. Counselling Relationships, Confidentiality. What factors make this situation potentially difficult for you as a therapist? The therapist and the attorney-patient meet for the initial session. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q 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. 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. While Chuck now lives in an apartment in town, she remembers him well. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. A court appointed custody evaluator performed a child custody evaluation. stream While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. This has caused both his physical and What are some of the suggestions that you may have for the therapist about accepting or declining the referral? The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. 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. The patient repeated this line of questioning during the first face-to-face session. What are Dr. Millers potential ethical issues in this situation? 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) What are the ethical issues involved in this case? For example, the psychologist might have to evict his client for failing to pay rent--or he might . 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. He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. 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. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. 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. She calls you for an ethics consult. endobj Menu. 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. 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.. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? Can the client contact Child Protective Services anonymously in this case? In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. Dr. Smith is now worried about the entire situation. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Is Dr. Tell a mandated reporter in this situation? Along with. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Harry is a school guidance counselor who is just got a job at a large public high school. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. 8 0 obj At the end of the session, the therapist asks for the requisite fee as stated on the phone. The client is feeling very helpless and vulnerable about this bind. 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. We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Psychologist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. 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. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. A therapist receives a phone message from a former patient. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Of course, they exist in all forms of counseling, from short-term advising . What are the ethical issues, if any, involved in this case? The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. View all Google Scholar citations 5 0 obj Dr. Bishop calls you for a consult about this situation. 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. Thomas wants him to come in immediately for a more indepth evaluation. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. What are potential advantages in this scenario? 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. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Dan explained to Dr. Crane that this group would be student-led and meet on campus. 1LzLxG`kvP@>. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. 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. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. 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. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The executor is Mr. Palmers brother, who lives in a different state. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. She recalled that he agreed that it could make a good book. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. How are the clients emotional and interpersonal issues related to the therapists dilemma? When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. Hostname: page-component-7fc98996b9-g9qcd And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. The physician wants the psychologist to treat his 17-year-old daughter . Currently, the patient is denying the fact that she has made past threats toward her neighbor. Theory and Practice of Counseling and Psychotherapy - Gerald Corey 2016-01-01 He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. With her husband, the patient and the ex-wife? An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? At the end of the day, he listens to voicemail messages to learn that a former patient is reaching out to him for a request. 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. What are the potential ethical concerns about this scenario, if any? The client indicated that she was hesitant to speak about the issue for fear of a breach of confidentiality. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. Continuing Education & Ethical Resources For Mental Health Professionals. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> 1 0 obj What are the potential pitfalls in the scenario? Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. 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. 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. February 27, 2023 . She actually attended his graduation party briefly and hired him to cut her lawn for two years. Group of answer choices Growth in . Are there any other concerns about the web developer/consultants strategies? 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. raised by clinical vignettes such as those below, Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. Render date: 2023-03-04T21:33:13.444Z We use cookies to distinguish you from other users and to provide you with a better experience on our websites. 4 0 obj She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. 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. 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. She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. While most were supportive, all declined the invitation (likely because the campus is small and in a conservative area of the state). for this article. White Plains, NY: Longman. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; By Dr. Stephen Behnke, APA Ethics Director February 2008, Vol 39, No. 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. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. Would your answer differ if there were no advanced directives? How would you feel about receiving this request? 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. What factors make this situation potentially easy for you as a therapist? Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. She stated that Dr. Jordan recommended that she write down her memories. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. The supervisee is very worried and afraid to tell During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Others sources will also be used. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. 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. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. Does the therapist who hears this information have any legal obligations? Tara was offered this position after successfully completing both her practicum and her internship at the center. Dr. Tell allowed several moments to pass before asking the patient what was happening. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. 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. The main therapeutic issues are depression and loneliness. He also indicated that the relationship is taking on a more serious tone. Mr. Drapier mentions that Dr. Cooper sells St. Johns Wort to him directly. He complains loudly about his parents and his girlfriend. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. What, if anything, should the therapist do? However, she begins to feel uncomfortable as she feels like they are spending too much time together. %PDF-1.5 You are checking your email after a busy day. To use suggested categories to consider options for ethical response to the dilemma. 2 Print version: page 62 6 min read 0 Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Buddy also shares that he has been short tempered with his wife and kids. ~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! Standards of practice, part B.9 states that . What would be your emotional response to this situation? xVN0}-m8 Dr. Smith decided to review the report. 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. Uncertain, she calls you for an ethics consultation. What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Next, most vignettes have more than one ethical issue that can be addressed. The therapist screens the potential patient and believes that she can help him. 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. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. 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. %PDF-1.3 <> My name is Dr. How would you advise Dr. Thomas to handle them? ethical dilemmas in counseling vignettes. Qualitative content analysis in practice. If you were Dr. Jordan, how would you feel about this request? She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. 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. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. She told the student that she would think about the request prior to answering. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. The therapist ignores the comment and finishes by setting their initial appointment. Most issues do not produce ethical dilemmas, but some do. Sci Rep 12, 22416 (2022). During the interview, she was told that she would need to work independently, with only limited supervision. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. However, he researches the APA Ethics Code and believes that he may be acting inappropriately. Results will be available to you and the patient online. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. This workshopis based on discussion of ethical issues As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband.
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