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;
(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
small towns;
outside of work;
blurred boundaries
(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 …
romantic/sexual;
friendships;
business related
(multiple and dual relationships)
- therapists can’t be … with clients
- therapists can’t do …/… with clients
- this is an issue bc it compromises … and …
friends;
business; barter;
objectivity; clinical judgment
(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
helps another business;
receiving a service from client;
exploit;
business-wise
(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 …)
trained in; competence; limits; continuing ed; ethics; multiculturalism; specialty
(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 …
burnout; energy; mental capacity; stresses you out; balance; healthy
(ethics in research)
- … –> must be competent when you’re giving a …., must think about … and the … you’re testing, must think about … and …
test selection; psych test; cultural issues; population; reliability; validity
(ethics in research)
- … –> confidentiality rules still apply, … are not public
- …
test security;
results;
test data
(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 …
raw data;
answered what
(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
amount of sessions;
money;
how many sessions
(other ethical issues with managed care from insurance companies)
- … decisions - need to … in order to be reimbursed by insurance companies
diagnostic;
diagnose a client
(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
diagnosis;
organic diagnosis;
personality disorders
(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 ...
valid; reliable;
compromise confidentiality;
hacking
(tech)
also for online tests
- therapists can’t see their …, … is very important –> similar issue with online therapy
behavior;
body language
(small communities - ethical issues)
…/… can be unavoidable
multiple/dual relationships
(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 …
discussed outside of the office;
boundaries clear;
impaired judgment; exploitation;
unbiased
confidentiality with children:
- can tell parent if …, as well
child is doing drugs
