Ch. 5 PPT

Question 1

(Ethical issues in clinical psych)
APA code of ethics guides the behavior of clinical psychologists:
- …
- …

Answer 1

aspirational;

enforceable

Question 2

(Ethical issues in clinical psych) 
relevant issues include: 
- ... 
- ...
- ... 
- ...

Answer 2

confidentiality;
informed consent;
multiple relationships;
competence

Question 3

(Ethical decision making) 
8 step model: 
1. commit to doing what is ... 
2. be familiar with the ... 
3.  consult any relevant ... or ...

Answer 3

ethically appropriate;
APA ethical code;
law;
professional guidelines

Question 4

(Ethical decision making)

4. try to understand the … of various parties affected
5. generate and evaluate your …
6. implement the course of action that seems most …

Answer 4

perspectives;
alternatives;
ethically appropriate

Question 5

(Ethical decision making)

7. monitor and evaluate the … of your course of action
8. … and continue to … the ethical plan as necessary

Answer 5

effectiveness;
modify;
evaluate

Question 6

(psychologists’ ethical beliefs)

• some behaviors are viewed as … (e.g. … with clients)
• some behaviors are views as … (e.g. addressing clients by …)
• many behaviors fall in “…” in between –> lots of …

Answer 6

absolutely unethical; 
sex; 
absolutely ethical; 
first name; 
gray area; 
difficult judgment calls

Question 7

(confidentiality)
- in general, psychologists are ethically obligated to maintain confidentiality
- some situations can arise in which …. is appropriate
- … and the duty to …

Answer 7

breaking confidentiality;

Tarasoff; warn

Question 8

(confidentiality)
- Tarasoff and the duty to warn: a court case regarding a college student client who told his therapist he was going to … (Tatiana Tarasoff)
- therapist contacted … who detained him, but after he was released, he …

Answer 8

kill his girlfriend;
campus police;
killed her

Question 9

(confidentiality: Tarasoff and the duty to warn):
- her family … and won
- the finding was that the therapist had the …
- the finding now sets a precedent for all therapists for …

Answer 9

sued;
“duty to warn” the potential victim;
breaking confidentiality

Question 10

(confidentiality: Tarasoff and the duty to warn):
- how … are client’s threats?
- what kinds of threats merits …? how should the unsafe behavior of clients with HIV/AIDS be understood in terms of …

Answer 10

credible;
warnings;
threat

Question 11

(confidentiality: when the client is a child)
- often, children will confide more if they can be assured that psychologists will not …
- parents, of course, have a right to be …

Answer 11

repeat everything to clients’ parents;

informed

Question 12

(confidentiality: when the client is a child)
- psychologists often make arrangements by discussing this with families up front
- some issues, such as …, require breaking of confidentiality to …
- 1-877-NJABUSE - when a child is being abused, we must break confidentiality and report it to … (formerly …)

Answer 12

child abuse;
protect the child;
NJ Child Protection and Permanency;
DYFS

Question 13

(informed consent)

- required for …, …, … and other professional activities

Answer 13

research;
assessment;
therapy

Question 14

(informed consent)
- for therapy, informed consent is an … rather than a … –> as the psychologist learns more about client, more information can be …

Answer 14

ongoing process;
one-time event;
shared

Question 15

(informed consent)

• informed consent for therapy must allow client the opportunity to … and …
• informed consent process can be an early part of a …

Answer 15

ask questions;
receive answers;
strong therapeutic relationship

Question 16

(multiple relationships) 
knowing someone professionally and in some other way: 
- .../...
- ... 
- ...

Answer 16

romantic/sexual;
friendship;
business

Question 17

(multiple relationships)
unethical when:
- psychologist’s …, …, or … can be impaired
- … or …. could result

Answer 17

objectivity;
competence;
judgment;
exploitation; harm

Question 18

(competence)

- sufficiently …, …, … and … to complete the professional tasks they undertake

Answer 18

capable;
skilled;
experienced;
expert

Question 19

(competence)
- … of competence
- …. can maintain competence
- … can impair incompetence

Answer 19

boundaries;
continuing education;
burnout

Question 20

(competence)
- burnout can impair competence –> burnout can be minimized by efforts by the psychologist to keep job …, keep life …, keep … and keep self …

Answer 20

varied;
balanced;
expectations reasonable;
healthy

Question 21

(ethics in clinical assessment/research)

• …
• …
• …

Answer 21

test selection;
test security;
test data

Question 22

(contemporary ethical issues: managed care)

• managed care companies’ emphasis on … can cause ethical conflicts
• perhaps include info about managed care in the … process
• … decisions can be influenced by managed care companies’ …

Answer 22

financial bottom line;
informed consent;
diagnostic decisions;
requirements

Question 23

(contemporary ethical issues: technology)

… on internet –> many have questionable … and …

Answer 23

“psychological tests”;
reliability;
validity

Question 24

(contemporary ethical issues: technology)
“psychological tests” on Internet:
- other issues include: … of client, …, inability to … during testing
- similar concerns about …

Answer 24

identity;
testing conditions;
observe behavior;
online therapy

Question 25

(contemporary ethical issues: small communities)

• small communities can be rural areas or defined by …, …, or other variables
• … can be unavoidable

Answer 25

ethnicity;
religion;
multiple relationships

Question 26

(contemporary ethical issues: small communities)
multiple relationships can be unavoidable:
- discuss up front with clients
- …
- avoid … and …

Answer 26

clarify boundaries;

impaired judgment; exploitation