What Are Dr. Patel's Ethical Alternatives For Resolving This Dilemma

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1. Why is this an ethical dilemma? Which APA Ethical Principles help frame the nature of the dilemma?
This case is an ethical dilemma because the psychologist is under the belief that the patient’s desire to end her life is not based her own welfare, but her children’s welfare. The patient is aware that she is terminally ill and the medical bills for her condition is a financial burden on her children. Therefore, the psychologist believes that she wants to end her life, not to ease her own suffering, but to ease her children’s financial burden. The client has completed the Minnesota Multiphasic Personality Inventory and the Wechsler Adult Intelligence Scale. Her scores did not indicate a cognitive impairment or provide evidence of a mental
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Standards 3.01, 3.04 refers to the human relation aspect. Dr.Patel should not discriminate against the client and he should refrain from harming her. Standards 9.01b, 9.02b, 9.06, and 9.10 relate to this case because assessments were involved and the psychologist has to ensure that all his actions including administering the assessment meet the APA’s ethical standard.
7. What are Dr. Patel’s ethical alternatives for resolving this dilemma? Which alternative best reflects the Ethics Code aspirational principles and enforceable standards, legal standards, and obligations to stakeholders? Can you identify the ethical theory (discussed in Chapter 3) guiding your decision?
Dr.Patel can either provide a report that is favorable or unfavorable to the client request. I think the best alternative is to provide his opinion based on his findings. The psychologist should use 9.01a as a guide, if he is unsure about what to do, he can also use the steps in ethical decision making to help him make a conclusion. The utilitarian theory guided me in my decision. Consulting with another psychologist is also another option.
8. What steps should Dr. Patel take to implement his decision and monitor its
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Historically, in the beginning psychologist would have to meet with their clients in person in order for the client to receive treatment. In modern times therapist are able to utilize technology to provide treatment to their clients from their office, while their client is still in the comfort in their own home. This has also been beneficial for clients who live in a rural area and have limited options in choosing a provider. Along with the advance of technology comes some ethical issues, some ethical issues include issues with contracting, competency, confidentiality, control, couples therapy, known third parties, and invisible third parties (Koocher, 2007). If psychologists are going to provide services to their client through telepsychology then new contracting forms must be developed that include electronic communication. Psychologists will also have to consider their fees. They need to decide if their fee for providing treatment through telepsychology is going to be higher or lower than direct services. Competency is an issue because the APA code of ethics does not directly address competency of psychologists who deliver services through telepsychology (Koocher, 2007). Over the past years there have been several complaints about this issue from clients, but APA has yet to address it directly. One issue is therapeutic alliance, therapeutic alliance has been reported as being lower when services are provided through

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