Vignette 1: Poisoned Relationships
In the scenario, the psychologist has been working with a 12-year-old boy, named Jay Walker. Jay’s parents are divorced. Jay household consist of him and this mother. Jay began receiving for his recent misconduct. Over five weeks of therapy, Jay and his therapist have developed a productive working relationship. However, in his sixth session, Jay voices the anger that feels towards his mother and his thoughts about killing his mother. However, Jay also described how he had attempted to poison his mother last year by slipping Clorox into her drinks approximately ten times in a month. Jay now recognizes that his behavior was wrong and has stopped slipping Clorox into her drinks. Jay also conveys that he does not currently want
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However, it has the implication that he does not view Jay’s attempt to poison his mother as a big issue. It has the implication that this is not something that the psychologist views as important to address in therapy. Without the knowledge of Jay’s previous poisoning attempt, Jay’s mother might actually be severely harmed by her son. Especially in the situation that the mother and son have an argument and the unaware mother does not monitor her drinks. The resultant could be that Jay succeeds in slipping her enough Clorox to kill her. And as the only other person in the house, Jay would be a primary suspect. Directly telling the mother everything would very likely consequently ruin the psychologist’s good relationship with Jay. As Jay may no longer be willing to disclose any information or work with the psychologist. This choice also implies that the psychologist do not respect Jay’s privacy. Both of these would impede any further progress in therapy. In addition, this option cue the mother to pay more attention to her drinks and prevent her from getting
will schedule an appointment to discuss and create a budget plan. Patient is currently free from all illicit drugs, which has helped her Adderall medication to be more beneficial. Primary Counselor will encourage Pt. to follow through with all mental health appointments. Counselor will prompt Pt. to develop a positive self-image. Pt. has denied having any auditory or visual hallucinations during the last quarter as evidenced by group and individual session notes. Pt. has had some setback in achieving her goals of decreasing her family conflicts and resolving intimate relationship issues. Counselor will encourage Pt. to attend the AMS parenting group and share her expectations regarding having a more functional family unit. During the next quarter therapy sessions, Counselor will utilize role-playing, role reversal, modeling, and behavioral rehearsal to assist Pt. in order to develop positive ways to resolve conflict with ex-husband. Pt.’s current treatment plan goals focus on opiate use disorder, financial, mental health services and parent-child relational problems. During the upcoming quarter, current goals will continue to be
Patricia Bray uses several different writing techniques to convey a mood of suspense in the story The First Betrayal. She uses diction or other word choices in order to create the mood. She also uses imagery to see inside of the story. Lastly, Bray uses appropriate details to help create the mood. By using these techniques she creates that darkening mood.
Discussion: Ms. Roger reported that Corey's Medicaid hasn't been reinstated, as a result, his therapy and all medical appointment is on hold. She stated that Corey has enough medication and is not at risk of running out. Ms. Roger expressed concern with Corey's Maladaptive behavior (substance Abuse), truancy and medication refusal. She asserted that Corey's addiction to this substance is affecting him significantly. Corey denied it, purported that he's not addicted to it but uses it as a coping mechanism. Corey stated that he's been absent multiple times from school because he's lethargic in the AM. Ms. Rogers indicated that his Maladaptive behavior is contributing to it. Ms (Family growth) informed Corey about their Substance abuse program
First of all, my countertransference with Esteban’s case is that I have strong feelings about how his father behaved with him and Fabiola. By exploring my emotions towards the situation during case consultation, I was able to identify that I felt raged towards Esteban’s father. I was feeling with rage when learning about the father’s actions that lead a 5 years old child like Esteban to have homicidal thoughts. I felt that if I would have known the father’s name, address or how he looks, I would have track him down, and bit him up out of rage.
D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for
P: Facilitator and PP met with the client and mother to identify situations and triggers that contribute to the client’s behaviors.
In “Cheating and CHEATING” by Joe Posnanski in response to an article written by Pete Hamill he argues that baseball has never been an innocent game even since its conception. The main focus is on one the most decorated baseball players in our history named Willie Mays. Posnanski uses a quote in his article from Pete Hamill stating that the only drug from that time of baseball (mid 1900s) was “joy” and says “I didn’t know joy was another word for amphetamines”. Posnanski states further on that one of Mays teammates when interviewed says he saw a red colored drink in Mays locker he referred to as greenies. So if drugs were okay then when taken by Mays among other players then why are we so outraged now when we find out a player has been taking steroids? So what if Mays had a drink of red juice in his locker before games, was comfortable with doing whatever it
Breaking confidentiality is a serious ethical component in counseling and must be considered very carefully before doing so. Each state has laws regarding the disclosure of confidentiality whether it to the courts, the clients, relatives, lawyers, schools, or other unbiased parties (Corey et al., 2015). It is very important that the therapist is aware of the laws in regards to disclosure of confidentiality in the state in which they practice to ensure that they are practicing in an ethical manner and to avoid any legal
This evaluation was requested by Caulfield Juvenile Justice Courts in order to provide medical input regarding Mr Marin’s crime. Victor Marin murdered his mother days before Victor and I started having regular appointments. I have been told that his mother neglected Mr Marin; this was proven by a sequence of stories we have recounted together. Throughout a series of appointments with Mr Marin we have discussed a range of topics and events prior to Nora Marin’s death.
Question 2: Jessica, a 24 year old, who grew up experiencing child sexual abuse now finds herself involved in an abusive relationship with her live-in boyfriend. She has been living with her current abusive situation for four years. She has tried to leave the situation before, but has returned to her boyfriend each time. She demonstrates a wide range of symptomology from hyper-vigilance to dissociation. She is at times tearful and agitated and at other times she is distant as if “in a dream.”
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).
This paper is a response to a video discussing the issues of confidentiality, privilege, reporting, and duty to warn. This paper looks at these issues and their explanations in the American Counseling Association Code of Ethics as well as the Georgia State Board of Professional Counselor’s ethical guidelines and provides a commentary on the laws. It was found that these issues are not always black and white, but there is some debate on these issues. Confidentiality is both an ethical and a legal responsibility yet there are often times when the ethical demands clash with the legal demands. This paper explores some of those crashes and explains what I have learned from the video and the professional and stage guidelines concerning confidentiality and its implications and how I will apply what I have learned into future practice.
In this short essay, the author will write an ethics paper analyzing the movie "Analyze This" from an ethical perspective in a social science setting. It will be answered from the perspective of a psychological and counseling professional who has to balance off the real and potential conflicts at individual, professional and societal levels as portrayed in the film. As such, we will identify specific laws and ethics codes that have been violated. The author will discuss the case as if they are consulting with or supervising Ben Sobel in the film who they believe is behaving unethically or unlawfully. They will state clearly what he is doing unethically or unlawfully with a supportive historical background. They will then provide the possible steps for managing and correcting the situation. The entire film is a therapist's behavior that revolvess around these issues; Confidentiality, Privileged Communication, Privacy, Informed consent, and Receiving gifts, and a Legal perspective upon the issues.
Family fighting, drug use, poor parental guidance ultimately led to a life of anger and violence. As a child, his mother would often leave Ronnie and his brother Kenny alone while she went out to use drugs. On occasion, his aunt would look after the two boys while their mother was away. Not only did their aunt physically abuse them, but later on their mother’s boyfriend introduced them to using and selling drugs, stealing, and guns. Re-living these memories was as agonizing and traumatic as one could imagine but it was paramount in learning how and why he became the person he did. Many boys at Giddings were convinced that no one loved them, and Ronnie was no exception. Giddings therapists used these sessions to break through the wall he put up thinking that no one loved them or cared what happened to them. More often than not, they were successful reaching students this way.
Junot Diaz, the author of “A Cheaters Guide to Love” writes his short story with many different references to anti-feminism. He writes about women in different ways to show them as powerless, and un-superior to the main character in the short story. From this short story, Diaz conveys the main characters ways when he shows the him talking about, the girl he calls to have sex with, the women at the yoga class, and the files read at the end of the story that show the fifty girls he cheated on his fiancé with. Diaz creates his main character and puts him in the second person to relate to the reader, but show his anti-feministic signs.