Ponder on the following hypothetical case scenarios in which various ethical dilemmas have been
You need to read the below mentioned scenarios carefully and write about the ethical dilemmas
presented in each case with a brief description. Also narrate that how the clinical psychologists
should behave in these situations?
1. Shujail, a 13 years old boy, seeks an appointment at psychiatric department of a hospital. Shujail is seen by Dr. Asif (psychologist) and tells him of many personal and family problems, including severe physical abuse at home. Shujail asks Dr. Asif not to discuss the case with “anyone, specially my folks.” Dr. Asif discusses his options with Shujail, explaining that he cannot offer treatment to anyone under 18 years old without parental consent. Dr. Asif also discusses his duty to report child suspected child abuse to the state’s department of child welfare and as a result Shujail feels betrayed.
2. Tania enters psychotherapy with Dr. Naina (clinical psychologist) complaining of depression,
feelings of inadequacy, and an unsatisfactory sexual relationship with her husband. As
treatment progresses, Tania becomes more self-assured, less depressed and more active in
initiating sexual activity. Her husband is ambivalent about the changes because of increased
sense of autonomy which he observes in his wife. He begins to feel that she is observing and
evaluating him during sexual relations, which leads him to become uncomfortable and
increasingly frustrated. He begins to pressurize his wife to terminate therapy, and in turn his
wife decides to separate from him. So, he complains to an ethics committee.
3. Hashim was an angry 15 years old boy who had been referred to Dr. Riaz (clinical
psychologist), when his parents became concerned about his antisocial behavior, including
school vandalism. After the fourth session, Dr. Riaz began an appointment with another client.
They smelled smoke and discovered that a fire has been set in the waiting room. The fire was
extinguished and Dr. Riaz called Hashim and his parents in for a meeting. Hashim
acknowledged setting the fire and when Dr. Riaz expressed concern that he could have been
killed in the blaze, Hashim replied, “Everybody’s got to go sometime.” Dr. Riaz was
understandably angry and informed the Hashim’s family that he was no longer willing to treat
4. Adil has been quarreling with his wife about her relationships with in-laws and decides to consult a clinical psychologist, Dr. Imran. A half dozen sessions later, Mr. Adil believes that he has acquired several new insights into matters that upset him and several new ways of handling them. He is arguing less with his wife, thanks to Dr. Imran and states his intention to terminate the therapy. Dr. Imran acknowledges that progress has been made but reminds Adil of many sources of stress in his past that have not been fully worked through, hinting darkly that problems may recur.
Marking Scheme: Each case will be of 5 marks (2 for identification of the ethical dilemma and 3 for
describing the right way of behaving by a clinical psychologist).