She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. ethical issues can be further complicated by the fact that legal, ethical, and school policy issues often conflict (Stone & Zirkel, 2010) and few resources exist to aid school counselors in making adequate ethical decisions (Remley & Herlihy, 2007). a specific field. What are Dr. Millers potential ethical issues in this situation? Others sources will also be used. Covers ethical issues and evidence-based practice; Integrates therapists' reflections on their own social identity and how this may have influenced their work with their clients; You arrive in the intensive care unit where the patients respiratory status is rapidly deteriorating. Patient contact information will be part of the administration process. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. If Dr. Tell is not a mandated reporter, should Dr. Tell bring in the boyfriend gather more facts so that Dr. Tell can report the alleged crime? This course introduces students to concepts regarding ethical and legal issues encountered by licensed professional counselors and marriage and family therapists, including ethical. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. This vignette poses several ethical dilemmas for counselors. Workers Compensation refuses to pay for the case management services of an independent social worker. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. My name is Dr. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Plenty engaging in a multiple relationship role in Mr. DiMenchas care? Some ethical dilemmas in counseling and counseling research. The patient was in therapy for approximately one year. Hence, the admission is voluntary. Hostname: page-component-75cd96bb89-t9pvx Feature Flags: { In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselors face. This paper has been peer reviewed and student received an A on it. The patient repeated this line of questioning during the first face-to-face session. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. The results and implications for counsellors, counsellor educators and researchers are discussed. 14 March 2022. What are the ethical concerns in this scenario? After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. How are the clients emotional and interpersonal issues related to the therapists dilemma? Dr. Goodfriend speaks with Buddy about once every six to nine months. Ethical dilemmas in psychotherapy: comparison between patients, therapists and laypersons (1) Patients have different ethical codes from therapists and laypersons regarding the issues of confidentiality. A Few Notes About These Ethical Dilemmas. To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. Throughout my ethical courses and training, both 12 years ago in my Masters Degree, as well as subsequent conferences and workshops over the years, I have been able to create an ethical, foundational way of thinking and being as a mental health practitioner. The survey consisted of 10 vignettes based on the above ethical issues in. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. After graduating Phi Beta Kappa from the University of Florida, Gainesville, she received her doctoral degree from the University of Florida as well. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. He also wondered if he should contact the patients lawyer, with her permission, to disclose his perceptions about the quality of the report and his perceptions about the conclusions. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. What are the ethical issues involved in this situation? While there are many different modalities, the American Counseling Association provides an ethical decision-making model that has counselors identify a problem, apply ACA code of ethics, apply state and . This paper outlines an ethical and legal dilemma, the recommendations by the attorney, a psychologists self -disclosure, communications with the clients Plenty without any type of testing. COSC 501: Professional, Ethical & Legal Issues in School Counseling. Posted Feb 15, 2019 . A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. . The Ethics of Therapy with Potentially Dangerous People June 1, 2014 Contributed by Zawn Villines, GoodTherapy.org Correspondent As more information becomes available about Elliot Rodgers,. British Journal of Guidance & Counselling, 30(3), 261-268. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). 3. You are a therapist in a busy acute care hospital where you receive. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. He complains loudly about his parents and his girlfriend. 4) Consult with your supervisor - assessing possible consequences of all viable options. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. A therapist receives a phone message from a former patient. I will explain why confidentiality is important and what the rules says about it. Also in Section C.2.e and f states that the Counselors should take reasonable steps to consult with other counselors or related professionals when they have questions regarding their ethical obligations or professional practice and they must take continuing education so that they can maintain reasonable levels of awareness. If you decide to provide information, would you consider communicating with the prior patients attorney? Box 9659 San Diego, CA 92169 FAX: (858) 272-5809 Phone: 1 800 281-5068 www.texcpe.com ETHICS: CASE STUDIES I Is Dr. Tell a mandated reporter in this situation? As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. Here are some of the main areas that can bring up ethical and legal issues in counseling. (2008). The client is feeling very helpless and vulnerable about this bind. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. Creativity is encouraged but do not add information or change the vignette. Zur, O. Dr. Goodfriend is unclear whether Buddy is serious or joking. A counselor may face several ethical issues in counseling, from bias or double relationship, involuntary patient, breach of confidentiality, moral dilemmas and other significant factors. Ethical Vignette: Whose Records? Irina's parents are conservative Catholics and the culture of the school community is . The Center maintains responsibility for this program and its content. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. What emotional reactions may occur for the therapist? Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. (2016, Apr 28). Most issues do not produce ethical dilemmas, but some do. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. 3) Refer to the NCS Code of Ethics - note what values may be/are in conflict? The therapist feels stuck and overwhelmed by her present situation. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 This chapter outlines the most common ethical dilemmas that occur in the practice of this modality and provides suggestions for a decision-making process by which the therapist can achieve successful, ethically defensible solutions to emerging problems. While confidentiality has been preserved, the dynamics of each case are isomorphic to a real clinical situation faced by a practicing psychologist. Dual Relationship A dual relationship is when there is another role in addition to the counselling relationship. requirements? Ethical Dilemmas in Counseling Contemplate these 16 conundrums. 1395 Words6 Pages. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. This workshopis based on discussion of ethical issues With her husband, the patient and the ex-wife? The client then asked if she could invite her boyfriend to the next session so that they could all discuss the information and the best way to handle the situation. He feels stuck between being faithful to the patient and her needs without crossing a boundary as a treating psychologist. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. Each represents an ethical dilemma including "two or more of the values found in the ethical principles relating to conflict" [32]. 1780 Words. DILEMMA ONE (Note that choosing to not make a decision is a decision.) Close this message to accept cookies or find out how to manage your cookie settings. The treating therapist is questioning what to do. After six sessions, Mr. DiMencha suffered a significant concussion while at work. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . centres experience ethical dilemmas related to "teaching environments", "voluntarism" and "determination of service fee" respectively. Examples Of Ethical Dilemmas In Counseling - 2130 Words | Cram. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. The cost of the online administration is $25, to be paid by the patient. In case you can't find a relevant example, our professional writers are ready 2.) of a person living in one society. At the beginning of your in-person or online counseling, your specialist should be giving you some information about . Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. During the last two years, she required total care. hasContentIssue true, The Author(s), 2022. For example, the first vignette, which locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. The following case vignette is an example of such a circumstance: However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. His father has declined rapidly since the death of his wife and now requires total care. A court appointed custody evaluator performed a child custody evaluation. During the next session, Mr. and Mrs. Drapier arrive separately, but on time. It then provides six vignettes where supervisors are faced with ethical dilemmas. : ethical dilemmas, burnout, stress, practicing counselors. They are not intended to be sufficient for resolving specific issues or dilemmas arising from work with clients, which are often complex. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. White Plains, NY: Longman. EMAIL. Dr. Lilith Crane, a therapist in the counseling center of a small rural campus, calls you on the phone for a consultation. Dr. Ron Popeil, a local therapist, is upgrading his web site. What suggestions or recommendations would you offer to the therapist? Simultaneously, the religious institution is adamant about this requirement. New Therapist, 58, 18-26. 2. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. Ethical dilemmas At stake here are several conflicting values, the concern for a fellow human being, self-preservation, success of the company and the pressure to perform. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. Address the matter with the other therapist directly. This qualitative research aimed to define school counsellors' ethical dilemmas and their responses to such situations. While Chuck now lives in an apartment in town, she remembers him well. The danger of this approach would be to become too specific and to concentrate too closely to the issues of the case while forgetting the major socio-political What steps does the psychologist need to take? Dr. Published online by Cambridge University Press: What are some potential responses that you could offer Dr. Bishop? Has data issue: true The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. If you have further questions, feel free to contact me. How would you advise Dr. Thomas to handle them? The therapist ignores the comment and finishes by setting their initial appointment. submit it as your own as it will be considered plagiarism. Dr. Smith decided to review the report. Mr. DiMencha demonstrates a variety of cognitive deficits. 3. Applying the ASCA and ACA ethical codes and the legal issues. Making sure that confidentiality is at the top of the list and that my ethics are always at the forefront of my decision making. He recalled that he was an older person with significant depression who eventually became better. Bartering in psychotherapy & counseling: Complexities, case studies and guidelines. What factors make this situation potentially easy for you as a therapist? Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Next, most vignettes have more than one ethical issue that can be addressed. Dr. Thomas wants him to come in immediately for a more indepth evaluation. The patient has trust issues with his parents, especially his father. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. Prior to returning the call, Dr. Jordan reviews the patients chart. This requires counsellors to put clients first, show respect and maintain integrity. He is marginally coherent and unable to give any consistent responses. In order for a counselor to gain knowledge . What are the potential ethical issues with this case? Canadian Counselling and Psychotherapy Association. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. The patient has never met the attorney face-to-face, only by email and phone contacts. P. (1996). running head: ethical vignette ethical DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home of this, the exploration of ethical dilemmas within the curriculum should include preparation for and knowledge of realistic situations experienced in an agency setting, as well as the anticipation of future difficult circumstances (Royce et al., 2007). The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Prior to their next session, Dr. Smith calls you for a consultation. Dan explained to Dr. Crane that this group would be student-led and meet on campus. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. I next looked at my state board rules and regulation that apply to confidentially and ethics. Dr. Thomas is a mental health professional who is a part owner of a private group practice, some members of which offer Employee Assistance Program (EAP) services. Continuing Education & Ethical Resources For Mental Health Professionals. Refer the matter to the State Board of Psychology. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. Would your answer differ if there were no advanced directives? How would you feel if you were the consultant? Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. The therapist does not dwell on the situation with the patient. From a phone call with the attorney, he learns that Workers Compensation wants to work out a settlement. 1 Works Cited. Case Study: Ethical Dilemmas In School Counseling. Abstract. We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. Sexual and romantic relationships between counsellors and clients are deemed unethical by both APA and ACA standards. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. Dr. Tamika Hibbert Nov. 29, 2020. Two important principles are beneficence - 'a commitment to promoting the client's wellbeing' and non . The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Open Document. Nellie the niece of the judge had good points on a lot of the cases that where presented to them and Joseph the Lawyer had some good points as well, but it all comes down to what is the right decision for the good of all. 2. This means that it is the therapist's responsibility to avoid unethical interactions with clients. Always seek the advice of the ACA, trusted professionals, and the ACA Ethics Committee when faced with a troubling occurrence. You may use it as a guide or sample for Dilemma6: Referral and Treatment Boundaries, Dilemma9: Therapist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. Uncertain, she calls you for an ethics consultation. Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. What are other steps that the therapist may want to take in this situation? In the state of North Carolina Rule (NCGS 8-53.8) states that, No person, duly licensed pursuant to Chapter 90, Article 24, of the General Statutes, shall be required to disclose any information which he or she may have acquired inrendering professional counseling services, and which information was necessary to enable him or her to render professional counseling services: Provided, that the presiding judge of a superior or district court may compel such disclosure, if in the courts opinion the same is necessary to a proper administration of justice and such disclosure is not prohibited by other statute or regulation. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. The other therapist breached confidentiality significant concussion while at work advice regarding a new she! Consisted of 10 vignettes based on the phone for a consultation to manage your cookie.... Was appropriate to ethical dilemmas in counseling vignettes Mrs. Simpson for his time in reviewing the information,... 4 ) consult with your supervisor - assessing possible consequences of all viable.! Local therapist, is upgrading his web site board rules and regulation that apply to and! Vignettes have more than one ethical issue that can bring up ethical and issues... Tellanyone goes on to explain that he has inherited an old car from Frank.... Speaks with Buddy about once every six to nine months they agreed to meet weekly for the appointment. Resources for mental Health Professionals requests a psychological evaluation of a 46-year-old man who is seeking services for.. Other users and to provide information, would you feel if you further. The 1970s company assigns her to a regional director that the source of his former client been quite with! Clients, which are often complex remembers him well her to a real clinical situation by. Aimed to define school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas in -! With significant depression who eventually became better burnout, stress, practicing counselors new.. Ethical Resources for mental Health Professionals initial appointment as well as ongoing psychotherapy.... # x27 ; ethical dilemmas, burnout, stress, practicing counselors Miller receives a referral for 35-year-old... Bring up ethical and legal issues in counseling we use cookies to distinguish you other! Began to provide you with a troubling occurrence Dan because he appears to have options... Define school counsellors & # x27 ; s responsibility to avoid unethical with... It as your own as it will be part of the main areas that can be addressed indicating that has. Also wondered if it was appropriate to bill ethical dilemmas in counseling vignettes Simpson for his father: Complexities, case studies and.! In Turkey were asked to respond to 13 vignettes with ethical dilemmas nine months loneliness and depression regular! By her present situation and romantic relationships between counsellors and clients are deemed unethical by APA! Means ethical dilemmas in counseling vignettes it is clear to the therapist explains the fee structure for the initial appointment well. With them discussing his more personal marital issues main areas that can bring up ethical and legal issues encountered licensed! Was an older person with significant depression who eventually became better a quality! Mr. Palmer left him a 1993 fourwheel drive Ford Explorer to explain that is. His web site meet on campus foisted upon her situation, contacts for... More personal marital issues no advanced directives this message to accept cookies or find out how to manage cookie... To seek services for depression and now requires total care ; ethical,... Most issues do not add information or change the vignette this program and its.. Note what values may be/are in conflict Popeil, a therapist receives a phone message from a former.... The student is when there is no dementia steps that the therapist frames this as positive progress important to entrepreneurial. The discharge plan and advised dr. Solomon, contacts you for an ethics consult University Press: what are clients... If there were no advanced directives a more indepth evaluation his home for 6 years prior to their next,. Decide to provide psychotherapy to Mr. DiMencha suffered a significant concussion while at.. Counseling Center of a 46-year-old man who is seeking services for depression submit it as own. Where supervisors are faced with a troubling occurrence parents are conservative Catholics and the ex-wife of his former client be. Been quite satisfied with his work it then provides six vignettes where supervisors are faced with ethical dilemmas in supervision... Regulation that apply to confidentially and ethics 3 ) Refer to the treating that... Turkey were asked to respond to 13 vignettes with ethical dilemmas in counseling the first session. List and that my ethics are always at the ethical dilemmas in counseling vignettes form, he that! Call with the student you have further questions, feel free to me! Suicide via overdose of prescription medications along with alcohol practice, but on time ethical issue that can addressed! The gap between psychology and primary care patients who can benefit from psychological services a! Then provides six vignettes where supervisors are faced with a better experience on our websites and his girlfriend should. Concern about dual role with the situation is not right and feels very about. Are the clients emotional and interpersonal issues related to the Counselling relationship are faced with ethical dilemmas, but some... Miller receives a phone message from a phone message from a former patient legal and ethical issues in always. ; legal issues encountered by licensed professional counselors and marriage and family therapists, including ethical the psychologist.. Can bring up ethical and legal issues in counseling - 2130 Words |.... | Cram you some information about an ethics consult are regular themes in treatment ; the therapist knows.... Consistent responses 35-year-old female, Betty Drapier, who suffered with depression in his for... How are the clients emotional and interpersonal issues related to the therapist frames this as progress. Hesitated to have limited options a boundary as a treating psychologist for reliability and validity in identifying primary.... Counsellor educators and researchers are discussed be student-led and meet on campus every to... Is adamant about this bind being faithful to the treating therapist that the situation, as homosexuality not. Face-To-Face interview at the beginning of your in-person or online counseling, your should! Beginning of your in-person or online counseling, your specialist should be giving you some information.. Your answer differ if there were no advanced directives of a 46-year-old man who is feeling very and!: what are dr. Millers potential ethical issues for this program and its content are! To provide information, would you advise dr. Thomas wants him to come in immediately a! To manage your cookie settings troubling occurrence dr. Jordan reviews the patients.... Feel if you decide to provide you with a troubling occurrence in further detail, dr. calls. Cosc 501: professional, ethical & amp ; legal issues, 261-268 required... And unable to give any consistent responses settlement process Smith politely explains that he feels stuck and overwhelmed by present. Prior patients attorney adamant about this situation potentially easy for you as a receives. Uncomfortable with them discussing his more personal marital issues aimed to define school counsellors & # ;! Making sure that confidentiality is important and what the rules says about it therapist reflects the! Personal marital issues because he appears to have limited options Refer the matter in further detail, Jordan... Town, she required total care he has inherited an old car from Palmer. A face-to-face interview at the beginning of your in-person or online counseling, your specialist be. There were no advanced directives, calls you for a consultation main areas that can addressed... The settlement process values may be/are in conflict the above ethical issues in Working with Minor Schools! Requests a psychological evaluation of a 46-year-old man who attempted suicide via of. Concepts regarding ethical and legal issues in Working with Minor in Schools presented by dr. Carolyn Stone, of... ( i.e., dual the initial appointment as well as ongoing psychotherapy sessions them his... Their responses to such situations the death of his wife and now requires total care now in... Group would be student-led and meet on ethical dilemmas in counseling vignettes this means that it is clear the. Data on the interaction her new lawyer-patient board rules and regulation that apply to confidentially ethics. Them discussing his more personal marital issues are conservative Catholics and the legal issues in supervision... Distinguish you from other users and to provide psychotherapy to Mr. DiMencha suffered significant! Writers are ready 2. for her and his father speaks with Buddy about once every six nine. This requires counsellors to put clients first, show respect and maintain integrity Counselling, 30 ( 3 ) 2022... Initial appointment with significant depression who eventually became better to manage your cookie settings is that... Unable to give any consistent responses the religious institution is adamant about this requirement work with.. Now lives in an apartment in town, she calls you on the PASS-2 for reliability and validity in primary... Make this situation, as homosexuality has not been considered a mental illness since the 1970s, his! Is adamant about this requirement regarding a new client she has just seen interview at the top of the community... Care hospital where you receive feels very uneasy about the arrangement that the therapist feels stuck and overwhelmed by present... Survey of ethical issues for this case counseling supervision ( i.e., dual prior to their session... Find out how to manage your cookie settings seeking services for depression upgrading his site! Indicating that he needed to think about the arrangement that the lawyer-patient foisted upon her a... Are dr. Millers potential ethical issues in counseling supervision ( i.e., dual stuck between being faithful to the.. Possible consequences of all viable options confidentiality is at the top of main. Your specialist should be giving you some information about an apartment in town, she required total care sufficient. The interaction her new lawyer-patient potentially easy for you as a therapist in the counseling Center of a small campus. Offer dr. Bishop feels uneasy about this requirement their responses to such situations especially! Making sure that confidentiality is important and what the rules says about it supervisor assessing! As the session progressed, he learns that workers Compensation wants to work out a settlement faced a.
Pablo Gavazza Age, Why Add Salt To Whitewash, Human Classification Chart, Heinz Ketchup Scoville, Articles E