Ch. 5 PPT Flashcards
(Ethical issues in clinical psych)
APA code of ethics guides the behavior of clinical psychologists:
- …
- …
aspirational;
enforceable
(Ethical issues in clinical psych) relevant issues include: - ... - ... - ... - ...
confidentiality;
informed consent;
multiple relationships;
competence
(Ethical decision making) 8 step model: 1. commit to doing what is ... 2. be familiar with the ... 3. consult any relevant ... or ...
ethically appropriate;
APA ethical code;
law;
professional guidelines
(Ethical decision making)
- try to understand the … of various parties affected
- generate and evaluate your …
- implement the course of action that seems most …
perspectives;
alternatives;
ethically appropriate
(Ethical decision making)
- monitor and evaluate the … of your course of action
- … and continue to … the ethical plan as necessary
effectiveness;
modify;
evaluate
(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 …
absolutely unethical; sex; absolutely ethical; first name; gray area; difficult judgment calls
(confidentiality)
- in general, psychologists are ethically obligated to maintain confidentiality
- some situations can arise in which …. is appropriate
- … and the duty to …
breaking confidentiality;
Tarasoff; warn
(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 …
kill his girlfriend;
campus police;
killed her
(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 …
sued;
“duty to warn” the potential victim;
breaking confidentiality
(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 …
credible;
warnings;
threat
(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 …
repeat everything to clients’ parents;
informed
(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 …)
child abuse;
protect the child;
NJ Child Protection and Permanency;
DYFS
(informed consent)
- required for …, …, … and other professional activities
research;
assessment;
therapy
(informed consent)
- for therapy, informed consent is an … rather than a … –> as the psychologist learns more about client, more information can be …
ongoing process;
one-time event;
shared
(informed consent)
- informed consent for therapy must allow client the opportunity to … and …
- informed consent process can be an early part of a …
ask questions;
receive answers;
strong therapeutic relationship
(multiple relationships) knowing someone professionally and in some other way: - .../... - ... - ...
romantic/sexual;
friendship;
business
(multiple relationships)
unethical when:
- psychologist’s …, …, or … can be impaired
- … or …. could result
objectivity;
competence;
judgment;
exploitation; harm
(competence)
- sufficiently …, …, … and … to complete the professional tasks they undertake
capable;
skilled;
experienced;
expert
(competence)
- … of competence
- …. can maintain competence
- … can impair incompetence
boundaries;
continuing education;
burnout
(competence)
- burnout can impair competence –> burnout can be minimized by efforts by the psychologist to keep job …, keep life …, keep … and keep self …
varied;
balanced;
expectations reasonable;
healthy
(ethics in clinical assessment/research)
- …
- …
- …
test selection;
test security;
test data
(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’ …
financial bottom line;
informed consent;
diagnostic decisions;
requirements
(contemporary ethical issues: technology)
… on internet –> many have questionable … and …
“psychological tests”;
reliability;
validity
(contemporary ethical issues: technology)
“psychological tests” on Internet:
- other issues include: … of client, …, inability to … during testing
- similar concerns about …
identity;
testing conditions;
observe behavior;
online therapy
(contemporary ethical issues: small communities)
- small communities can be rural areas or defined by …, …, or other variables
- … can be unavoidable
ethnicity;
religion;
multiple relationships
(contemporary ethical issues: small communities)
multiple relationships can be unavoidable:
- discuss up front with clients
- …
- avoid … and …
clarify boundaries;
impaired judgment; exploitation
