A specific ethical dilemma faced by a health care professional.

 

Develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

1. Select one of the case studies presented in the Assessment 03 Supplement: Applying Ethical Principles [PDF]: (Below is the one I chose)

Case Study: Confidentiality and Mental Health Dr. Laura Simmons, a licensed clinical psychologist, has been treating Mr. Alex Turner, a 35- year-old software engineer, for symptoms of severe depression and anxiety over the past six months. Their sessions have been characterized by trust and open communication, with Alex often sharing his deepest fears and concerns. During a particularly intense session, Alex reveals to Dr. Simmons that he has been having recurring thoughts of harming a colleague due to a longstanding professional rivalry and recent personal conflicts. He describes detailed plans and expresses a genuine intent to act on these thoughts. Dr. Simmons is immediately faced with an ethical dilemma. She values the principle of confidentiality, which is foundational to the therapeutic relationship. Alex has trusted her with his innermost thoughts, and she knows that breaking this trust could potentially harm their therapeutic alliance. However, she is also bound by the principles of beneficence and non- maleficence. Beneficence compels her to act in the best interest of her patient and those around him, while non-maleficence emphasizes the importance of “doing no harm

1. Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.

· Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.

· Identify who is involved or affected by the ethical problem or issue.

· Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.

· Apply the three components outlined in the Ethical Decision-Making Model media.

Below is the model and further details.

Ethical decision-making at an individual level and one’s ethical behavior can be viewed in three primary steps using an ethical decision-making model.

First is one’s moral awareness, recognizing the existence of an ethical dilemma. This is the pathway to establishing the need for an ethical decision. This awareness is an individual sensitivity to one’s values and personal morals.

Once a personal awareness is evident, we can make a judgment in deciding what is right or wrong. This sounds simple, yet there are a number of variables driving this personal judgment. One variable is the individual differences and cognitive bias we all have based on our personal history and experiences. A second variable is the organization. This variable may be influenced from a group, organizational or cultural perspective. A code of conduct or standards of behavior may also influence our judgment.

 

Sample Solution

Summarizing the Case

Dr. Laura Simmons, a clinical psychologist, is treating a patient, Alex Turner, who is experiencing severe depression and anxiety. During a session, Alex reveals disturbing thoughts of harming a colleague due to a longstanding professional rivalry and recent personal conflicts. Dr. Simmons faces a significant ethical dilemma: balancing patient confidentiality with the duty to protect others.

Ethical Decision-Making Model Analysis

  1. Moral Awareness Dr. Simmons recognizes the ethical implications of Alex’s revelations. She is aware of the potential harm to the colleague and the ethical principles of confidentiality, beneficence, and non-maleficence.
  2. Moral Judgment Dr. Simmons must weigh the potential consequences of different courses of action. She must consider the ethical guidelines and legal requirements relevant to her profession. She must also assess the likelihood of Alex carrying out his plan and the severity of the potential harm.
  3. Ethical Behavior Dr. Simmons must take appropriate action to protect the colleague and prevent harm. This may involve:
  • Direct Intervention: Directly contacting the colleague to warn them about the potential threat.
  • Involving Law Enforcement: Reporting Alex’s threats to the authorities, potentially leading to involuntary hospitalization.
  • Seeking Consultation: Consulting with colleagues or supervisors for guidance and support.
  • Continuing Therapy: Continuing to provide therapeutic support to Alex, balancing his needs with the safety of others.

Factors Contributing to the Dilemma

  • Confidentiality: The ethical principle of confidentiality requires therapists to keep patient information private.
  • Beneficence: The ethical principle of beneficence requires therapists to act in the best interest of their patients.
  • Non-maleficence: The ethical principle of non-maleficence requires therapists to avoid causing harm to others.
  • Legal Obligations: Therapists may have legal obligations to report threats of harm to others.

Solution: A Multi-faceted Approach

Dr. Simmons should take a multi-faceted approach to address this complex ethical dilemma. She should:

  1. Prioritize Patient Safety: The safety of the colleague must be the top priority.
  2. Seek Expert Consultation: Consult with other mental health professionals to get advice and support.
  3. Document the Incident: Document all relevant information, including the details of Alex’s threats and the actions taken.
  4. Balance Confidentiality and Duty to Warn: Carefully consider the specific circumstances and legal requirements to determine the appropriate course of action.
  5. Provide Ongoing Therapy: Continue to provide therapy to Alex, focusing on managing his symptoms and reducing the risk of future harm.

By carefully weighing the ethical implications and taking appropriate action, Dr. Simmons can protect the well-being of her patient and the community.

 

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