Ch. 5 Lecs Flashcards
… and … that determine ethics to be followed
~
can’t do therapy with …/…
state; national ethic boards;
friends; family
can’t do therapy with friends/family:
- because you can’t be … have … towards these people
- having a previous relationship compromises …
- can’t see … either. must be …
unbiased; personal feelings;
competence;
friends of friends;
complete strangers
APA and ACA:
- ACA: …
- NJPA and NJCA: … and …, respectively
American counseling association:
New Jersey psychological and New Jersey council association, respectively
(aspirational and enforceable rules)
- aspirational are rules that … Strive to conduct selves, treat everyone equally, etc
- aspirational dictates how we need to conduct ourselves in believing that everyone is entitled to …
- aspirational goals; how we should …
everyone has to follow;
benefit from psychotherapy;
strive to conduct oneself professionally
(aspirational and enforceable rules)
enforceable rules are rules that can be … (e.g. … relationships with clients, getting clients/referrals from … (e.g. university), etc)
specifically violated;
workplace
when seeing a client that says something that triggers you, you as a therapist have to
take that to your own therapist
(ethical decision making - 8 step model):
- just do what’s …
- know the different …, both … and …
- get a …
ethically right;
ethical codes;
national; statewide;
lawyer
(ethical decision making - 8 step model):
- get a lawyer: esp if you do something unethical intentionally, bc malpractice lawyer may not represent you
- fully understand the … of different parties involved - your own in decisions you’ve made, and also decisions clients have made
- consult with …
- look at … - what … do you have in moving forward with the ethical dilemma
perspective;
colleagues;
alternatives;
choices
(ethical decision making - 8 step model):
- course of action - what’s most …? what’s in …?
- … and … the course of action - is it in best interest of you and client? is it ethically appropriate
- continue to … and … the plan as necessary
ethically appropriate;
best interest of client;
monitor; evaluate;
modify; evaluate
(ethical beliefs that psychs hold)
- some things are seen as … (e.g. sex with clients)
- some behaviors are … (like addressing clients by first name)
- then there is a … that requires … (e.g. hugging clients)
absolutely unethical;
absolutely ethical;
gray area;
clinical judgment;
when there is sexual attraction between therapist and client, that is … If you start having personal feelings, you should be …
normal;
going to therapy
you can’t … clients (this includes …)
abandon clients;
referring to someone else
when clients flirt, it’s … Therapist should address this
- if you have an attraction towards a client, you would not …
- when attracted to a client, you really have to be aware of …
manipulation;
discuss that with the client;
boundaries
If client is transferring onto therapist, therapist has more insight into their …
process
(confidentiality)
- everything is … between a therapist and client
- therapist can’t tell anyone what a client says unless they are …, …, or they are … or are …
privileged communication; suicidal; homicidal; abusing someone; being abused
(confidentiality)
- where there is harm, …
- can’t tell parents what children discuss in therapy, again unless it has to do with …
action needs to be taken;
harm
(confidentiality)
Tarasoff case resulted in the …
- Potter infatuated with Tatiana Tarasoff and they dated. He was from India, where they have a … –> superior person tells inferior person what to do in India, and they have to …
duty to warn law;
caste system;
oblige
(confidentiality)
tarasoff duty to warn:
- Potter from India, where they have a caste system. Tatiana was American and she didn’t oblige to his advances bc she wasn’t actually interested. she then went away on vacation and continued not to respond to him
- he was in therapy and mentioned in one of his sessions that he wanted to … Therapist contacted campus police who interviewed him and he denied it so they left him alone
- when she returned from vacation he … Family sued and won, which resulted in the duty to warn law
- now if any client ever mentions that they want to kill someone, therapists are now required to … and …
kill her;
stabbed her to death;
contact that person;
inform them
(confidentiality)
- clients threats are considered …
- ethical dilemma: someone is HIV+ and intentionally spreads it to others. still trying to figure this out on an ethical basis for therapists. do therapists need to … on something like this? HIV can be a … if it goes untreated
100% credible;
take action;
death sentence
(confidentiality)
- therapists are called to … and if someone else is doing harm, they have to …
do no harm;
take action against that
(confidentiality: when the client is a child)
- parents can sign a minor into therapy, without …
- kids tend not to … bc of this
- have to build a different level of … with children
- may not be able to communicate their feelings but will express themselves through things like …
minor’s consent;
open up in therapy;
trust;
games
(confidentiality: when the client is a child)
- confidentiality isn’t too different with children as compared with adults
- sometimes breaking confidentiality to … (e.g. in cases of … or …)
- you can report things that the child …
protect child;
child abuse; molestation;
gives you permission to report
(informed consent)
- adults must … NO adults can sign another adult into therapy
- must be informed about …, … and they need to be aware that they have a right to … about the process bc there are risks and benefits to psychotherapy
sign themselves into therapy;
pay;
confidentiality liits;
ask questions
(informed consent)
- making client aware that they might encounter …/…
- in therapy, … is key –> being aware of … helps clients maneuver therapy better and helps them trust therapist better
uncomfortable topics/emotions;
awareness;
psychotherapeutic process;