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53 Cards in this Set
- Front
- Back
mandatory ethics
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Minimum professional standards
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principle ethics
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behavior expected of the therapists in a given situation
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aspirational ethics
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highest ethical attitudes and behaviors aspired to by therapists
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virture ethics
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highest moral character of the therapist
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nonmaleficence
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do no harm
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beneficence
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do good
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autonomy
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respect self-determination
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justice
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treat everyone fairly
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fidelity
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be trustworthy
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veracity
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tell the truth
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competence
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completed academic training and supervised experience
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scope of practice
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boundaries of competence
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standards of care
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the consensus treatments and interventions that competent professional colleagues do in the same situations
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malpractice
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negligence that results in injury or loss
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What the client must show to prove therapist malpractice
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duty, breach of duty, injury, causation
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most common therapist malpractices (9)
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1. failure to abtain or document informed consent
2. client abandonment 3. marked departure from established therapieutic practices 4. practicing beyond scopes of competency 5. misdiangosis 6. repressed of false memory 7. unhealthy transference relationships 8. sexual misconduct with a client 9. failure to control a dangerous client |
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informed consent parts (12)
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1. goals
2. services 3. acces to their files 4. expecations 5. risks and benefits 6. qualifications of provider 7. financial arrangements 6. duration 7. limitations of confidentiatlity 8. duty to warn/protect/report 9. disclosure of rellevant values 10. release of information 11. termination 12. policy on minors |
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as part of the informed consent: what are the benefits and risks of treatment?
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a clear description of common effects that counseling will have on clients
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confidentiality v. confidences
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confidentiality: the ethical and legal right of the client to have disclosures and information protected.
confidences: social agreement to keep information private. |
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confidentiality v. privileged communication v. right to privacy
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confidentiality: ethical standard
privileged communciation: legal right right to privacy: constitutional right |
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Tarasoff's duty to warn and protect
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duty to warn: reasonable effort to communicate to identifiable victim(s) and law enforcement
protect: take steps (e.g. clinical interventions, reassessments, medications changes, referral, or hospitalizations) |
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transference
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the distorted and projected reality the client places on the therapist and the theraputic relationship based on the client's dysfunctional past experiences
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counter-transference
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the therapist's distorted and projected reality of the client and the client's transference
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person-of-the-therapist issues (5)
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1. therapist's worldview
2. motivations 3. self-awareness 4. self-regulation 5. impairment |
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blended roles
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dual relationships that are considered beneficial to the client's therapeutic process
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boundary crossings
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crossings of boundaries that are helpful for treatment outcomes
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boundary violations
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crossings of boundaries that harm the client or the therapeutic effectiveness
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exposition of values
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the disclosure of the therapists values in the service of obtaining or maintianing informed consent
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imposition of values
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the inappropriate presumption of the therapist's values without respect to the client's autonomy
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stereotyping
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oversimplification and uncritical generalization of a client or culture
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racism
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denial of access to opportunities or privileges based solely on race
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minority
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differential and unequal treatment of a group
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burnout
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a syndorme characterized by psychological, physical and interpersonal exhaustion
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fraud
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misrepresentation of the facts with the intent to decieve
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impairment
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a temporary condition of the therapist or client where they are unable to function at previously competent levels due to mental illness, physical predisposition or convergence of life stressors, never before attained competence
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supervision v. consultation
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supervisors are legally and ethically liable for their supervisee's behavior
consultations are not binding and therefore no liablity is incurred |
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direct liability v. vicarious liability
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direct liability refers to liability that comes from the supervisor's own behavior
vicarious liability pertains to behavior done by their supervisee |
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limits of confidentiality in family/group therapy v. individual therapy
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members of the family/group are not bound by legal or ethical codes, so client disclosures are not protected at the same level of confidentiality as in individual therapy
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Development of a profession
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1. Informal entrance and practices
2. professional associations -certification (title acts) 3. government oversight -licensure (practice acts) |
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psychologist responses of ethically troubling incidents (top 4)
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1. Confidentiality
2. Blurred, dual, or conflictual relationships 3. academic settings, teaching delemmas, and concerns about training 4. forensic psychology |
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Most pressure
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Pressure to graduate students
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Questions to evaluate dual relationships
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Does it increase expliotation?
Does it decrease objectivity? |
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consevrative view of dual relationships
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don't do them, slippery slope
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moderate view of dual relationships
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they can be beneficial
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Descriptive ethics v. normative ethics.
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Descriptive ethics seeks to discover and describe what moral beliefs are held in a given culture.
Normative ethics seeks rather to prescribe an appropriate belief or value. |
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Abuse flows in a pattern:
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psychological (therapist getting needs met inadvertently), covert (therapist getting needs met delibrilty but without the knowledge of the client), and overt (Known by both).
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ethical decision making process (8 steps)
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id the type of problem (legal, moral, clinical, professional, ethical)
id the potential ethical issues (justice, veracity, nonmaleficence) review code review laws consultation consider options consequences of options choose the best course of action |
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informed consent is ongoing throughout the theraputic relationship
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yes
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4 teir relationship of supervision
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supervisor, supervisee, client, system
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Supervision is heirarchical relationship with...
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evaluation as a key component along with no to low choice
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Two key differences b/w supervision and consultation
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supervision is hierarchical, evaluative, and no to low choice for the supervisee
consultation is not legally binding |
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clinical supervision is
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focused on the supervisee's actions with their clients
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administrative supervision is
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focused on supervisee's actions in the organizations
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