Ch. 5 Lecs Flashcards

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
(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
26
(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
27
(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
28
(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
29
(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 ```
30
(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 ```
31
(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 ```
32
(ethics in research) - ... --> confidentiality rules still apply, ... are not public - ...
test security; results; test data
33
(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
34
(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
35
(other ethical issues with managed care from insurance companies) - ... decisions - need to ... in order to be reimbursed by insurance companies
diagnostic; | diagnose a client
36
(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
37
``` (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
38
(tech) also for online tests - therapists can't see their ..., ... is very important --> similar issue with online therapy
behavior; | body language
39
(small communities - ethical issues) | .../... can be unavoidable
multiple/dual relationships
40
(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
41
confidentiality with children: | - can tell parent if ..., as well
child is doing drugs