Ethical Diagnosis Dilemma Balancing Autonomy and Accuracy
Order ID |
53563633773 |
Type |
Essay |
Writer Level |
Masters |
Style |
APA |
Sources/References |
4 |
The perfect number of Pages to Order |
5-10 Pages |
Description/Paper Instructions
Ethical Diagnosis Dilemma Balancing Autonomy and Accuracy
There may be instances when someone will seek mental health assistance and may not meet the full diagnostic criteria for a mental disorder, or they may not want a diagnosis on their record. It is the clinician’s responsibility to ensure they are using diagnosis in an ethical manner, according to the ACA Code of Ethics, along with the APA Ethical Principles of Psychologists and Code of Conduct. There may be times when a client questions their diagnosis and wants their case reviewed, possibly because of issues with insurance coverage, or they may believe their diagnosis will cause harm to them in other aspects of their life.
Imagine you’re a consultant who reviews cases of potential ethical violations. A nonprofit mental health agency has hired you to review a recent case that came into question and determine if there was an ethical violation regarding the use of a diagnosis. The case was filed because the client disagrees with the diagnosis given and would like a different diagnosis. She is worried that the diagnosis given will be detrimental to her career and family life. The clinician has written a report justifying their use of the diagnosis for your review. You have been asked to present your findings to the agency board.
Kassi is a 38-year-old White woman who came to the agency seeking substance abuse treatment. She mentioned that she needed to show her employer that she was taking appropriate measures to treat the issue, since it has impacted her productivity at work.
Kassi stated that she works 40+ hours per week as an executive assistant and is also a single parent to a 14-year-old daughter. She reported that her job is quite stressful and requires her to be flexible with her schedule so that she can be available in the evenings, if needed. She mentioned that this causes her to be away from her daughter often, and she misses sporting events, band concerts, and other extracurricular activities and that has strained her relationship with her daughter.
She reported that she often comes home and will have a whiskey on the rocks, and that sometimes turns into 3 or more drinks. She mentioned that this amount has increased over time. This has caused her to be late to work on more than one occasion, and completely miss work once or twice over the last 6 months because she is nauseous, anxious, and has trouble sleeping. Her daughter has mentioned her concern about her drinking since it has also caused her to miss some of her extracurricular activities and her daughter’s friends do not want to come over when Kassi is drinking.
Kassi reported that she is only seeking treatment because her work is requiring it, but she does not believe she has a problem with alcohol. When reviewing the DSM-5 diagnostic criteria for alcohol use disorder, Kassi meets criteria A. 1, 3, 5, 6, 10a, and 11a. Since this is 6 criteria, she was given a diagnosis of severe alcohol use disorder (303.90).
American Psychological Association. (2017). Ethical principles of psychologists and code of conduct.
(Note: The American Psychological Association is not affiliated with nor endorses the University of Phoenix or its course materials.)
American Counseling Association. (2014). ACA code of ethics.
Forester-Miller, H., & Davis, T. E. (2016). Practitioner’s guide to ethical decision making (Rev. ed.).
Utilize the model for ethical decision-making presented in the Forester-Miller and Davis article to analyze the case and describe your ethical decision-making process.
Evaluate the clinician’s justification for the diagnosis given.
Explain whether the use of the diagnosis in this case was ethical or unethical, according to the ACA and APA codes of ethics.
RUBRIC
QUALITY OF RESPONSE |
NO RESPONSE |
POOR / UNSATISFACTORY |
SATISFACTORY |
GOOD |
EXCELLENT |
Content (worth a maximum of 50% of the total points) |
Zero points: The student failed to submit the final paper. |
20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly address the relevant content; failing to identify or inaccurately explain key concepts or ideas; ignoring or incorrectly explaining key points or claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. |
30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not fully explaining the relevant content; identifying some of the key concepts or ideas, though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims or points, but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. |
40 points out of 50: The essay illustrates a solid understanding of the relevant material by correctly addressing most of the relevant content, identifying and explaining most of the key concepts and ideas, using correct terminology, explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. |
50 points: The essay illustrates an exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content, identifying and explaining all of the key concepts and ideas, using correct terminology, explaining the reasoning behind key points and claims, and substantiating, as necessary or useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. |
Use of sources (worth a maximum of 20% of the total points) |
Zero points: The student failed to include citations and/or references. Or the student failed to submit a final paper. |
5 out of 20 points: Sources are seldom cited to support statements, and/or the format of the citations is not recognized as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable The student fails to provide an adequate synthesis of the research collected for the paper. |
10 out of 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. There are frequent errors in the APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors in the formation of the references and citations. And/or there is a significant use of highly questionable sources. |
15 out of 20 points: Credible scholarly sources are used effectively to support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in references and/or citations. And/or there is some use of questionable sources. |
20 points: Credible scholarly sources are used to provide compelling evidence to support claims and are clearly and fairly represented. The APA 6th Edition format is used accurately and consistently. The student uses references above the maximum required in the development of the assignment. |
Grammar (worth maximum of 20% of total points) |
Zero points: The student failed to submit the final paper. |
5 points out of 20: The paper does not communicate ideas or points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or there are numerous grammatical, spelling, and punctuation errors |
10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering, and/or repetitive; poor organization; and/or some grammatical, spelling, and punctuation errors |
15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. |
20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation; and logical organization; and the essay is error-free. |
Structure of the Paper (worth 10% of total points) |
Zero points: The student failed to submit the final paper. |
3 points out of 10: The student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. |
5 points out of 10: The appearance of the final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. The font size might not conform to size requirements. The student also significantly writes too much or too little paper |
7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. |
10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. |
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