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Clinical Psych > Ch. 5 Lecs > Flashcards

Ch. 5 Lecs Flashcards

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1
Q

… and … that determine ethics to be followed
~
can’t do therapy with …/…

A

state; national ethic boards;

friends; family

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2
Q

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 …
A

unbiased; personal feelings;
competence;
friends of friends;
complete strangers

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3
Q

APA and ACA:

  • ACA: …
  • NJPA and NJCA: … and …, respectively
A

American counseling association:

New Jersey psychological and New Jersey council association, respectively

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4
Q

(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 …
A

everyone has to follow;
benefit from psychotherapy;
strive to conduct oneself professionally

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5
Q

(aspirational and enforceable rules)
enforceable rules are rules that can be … (e.g. … relationships with clients, getting clients/referrals from … (e.g. university), etc)

A

specifically violated;

workplace

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6
Q

when seeing a client that says something that triggers you, you as a therapist have to

A

take that to your own therapist

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7
Q

(ethical decision making - 8 step model):

  • just do what’s …
  • know the different …, both … and …
  • get a …
A

ethically right;
ethical codes;
national; statewide;
lawyer

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8
Q

(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
A

perspective;
colleagues;
alternatives;
choices

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9
Q

(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
A

ethically appropriate;
best interest of client;
monitor; evaluate;
modify; evaluate

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10
Q

(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)
A

absolutely unethical;
absolutely ethical;
gray area;
clinical judgment;

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11
Q

when there is sexual attraction between therapist and client, that is … If you start having personal feelings, you should be …

A

normal;

going to therapy

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12
Q

you can’t … clients (this includes …)

A

abandon clients;

referring to someone else

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13
Q

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 …
A

manipulation;
discuss that with the client;
boundaries

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14
Q

If client is transferring onto therapist, therapist has more insight into their …

A

process

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15
Q

(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 …

A 
privileged communication; 
suicidal; 
homicidal; 
abusing someone; 
being abused
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16
Q

(confidentiality)
- where there is harm, …
- can’t tell parents what children discuss in therapy, again unless it has to do with …

A

action needs to be taken;

harm

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17
Q

(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 …

A

duty to warn law;
caste system;
oblige

18
Q

(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 …

A

kill her;
stabbed her to death;
contact that person;
inform them

19
Q

(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

A

100% credible;
take action;
death sentence

20
Q

(confidentiality)

- therapists are called to … and if someone else is doing harm, they have to …

A

do no harm;

take action against that

21
Q

(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 …

A

minor’s consent;
open up in therapy;
trust;
games

22
Q

(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 …

A

protect child;
child abuse; molestation;
gives you permission to report

23
Q

(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
A

sign themselves into therapy;
pay;
confidentiality liits;
ask questions

24
Q

(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
A

uncomfortable topics/emotions;
awareness;
psychotherapeutic process;

25
Q

(multiple and dual relationships)

  • more common in …, esp with only one therapist
  • this is when you have a relationship with someone … as well (e.g. court mandated to see client who’s the only mechanic in town and you have to go to them for your car problems)
  • … here
A

small towns;
outside of work;
blurred boundaries

26
Q

(multiple and dual relationships)

  • can be problematic for the therapist to have an additional relationship, unless it is necessary
  • our prof can’t even see our friends/family members
  • this can be …/…, can be …, or …
A

romantic/sexual;
friendships;
business related

27
Q

(multiple and dual relationships)

  • therapists can’t be … with clients
  • therapists can’t do …/… with clients
  • this is an issue bc it compromises … and …
A

friends;
business; barter;
objectivity; clinical judgment

28
Q

(multiple and dual relationships)

  • bartering is when one business … Therapists can’t engage in this (e.g. therapists can’t not charge client bc they’re …)
  • cannot … clients by taking advantage of what they can give you …, esp when it involves multiple relationships
A

helps another business;
receiving a service from client;
exploit;
business-wise

29
Q

(competence)
- can only work in an area you’re …
- can’t practice outside of …
- know your … and what you can work with and what you can’t work with
- maintain competence through … (40 creds every 2 years, 5 of which must be in …, 5 in … and the rest in …)

A 
trained in; 
competence; 
limits; 
continuing ed; 
ethics; 
multiculturalism; 
specialty
30
Q

(competence)
must be aware of …, which can negatively impact competence
- unable to work with clients, no …/… to work
- have to be aware of what … and what causes this
- to prevent this, must have… and be …

A 
burnout; 
energy; mental capacity; 
stresses you out; 
balance; 
healthy
31
Q

(ethics in research)
- … –> must be competent when you’re giving a …., must think about … and the … you’re testing, must think about … and …

A 
test selection; 
psych test; 
cultural issues; 
population; 
reliability; validity
32
Q

(ethics in research)

  • … –> confidentiality rules still apply, … are not public
  • …
A

test security;
results;
test data

33
Q

(ethics in research)

test data –> … can be shared with the client but it would be general - it wouldn’t be known to the client who …

A

raw data;

answered what

34
Q

(other ethical issues with managed care from insurance companies)

  • insurance can limit … with clients - some view this as unethical
  • insurance is more concerned about …
  • clients must be informed of … their insurance is allotting them
A

amount of sessions;
money;
how many sessions

35
Q

(other ethical issues with managed care from insurance companies)
- … decisions - need to … in order to be reimbursed by insurance companies

A

diagnostic;

diagnose a client

36
Q

(other ethical issues with managed care from insurance companies)
diagnostic decisions –> it’s not necessarily true that everyone has a …
- insurance companies will only pay for sessions with an … (e.g. schizo, depression, etc), may not reimburse for …, even though they still need care

A

diagnosis;
organic diagnosis;
personality disorders

37
Q 
(tech)
internet tests and internet therapy 
- ethical to do internet therapy 
- internet tests are not ... or ...
- using an online assessment can ... in the case of ...
A

valid; reliable;
compromise confidentiality;
hacking

38
Q

(tech)
also for online tests
- therapists can’t see their …, … is very important –> similar issue with online therapy

A

behavior;

body language

39
Q

(small communities - ethical issues)

…/… can be unavoidable

A

multiple/dual relationships

40
Q

(small communities - ethical issues)
multiple/dual relationships can be unavoidable
- have to discuss this with clients and be up front with them about it. be clear that therapeutic issues cannot be …
- must make …
- must avoid … and … of the client and therapist cannot compromise about being …

A

discussed outside of the office;
boundaries clear;
impaired judgment; exploitation;
unbiased

41
Q

confidentiality with children:

- can tell parent if …, as well

A

child is doing drugs

Clinical Psych (35 decks)

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