Contemporary Challenges and Controversies

Question 1

therapy is ______ to regulate

Answer 1

difficult

Question 2

licensing

Answer 2

restricts practice of profession

typically overseen by state boards

requirements and restrictions can vary from state to state

Question 3

certification

Answer 3

restricts use of a name/what you call yourself

Question 4

what can you do in the mental health workforce with: bachelor’s level

Answer 4

substance-abuse counselors

pastoral counselors

Question 5

what can you do in the mental health workforce with: master’s level

Answer 5

social workers (bulk)

licensed professional counselors

licensed mental health counselors

rehabilitation counselors

Question 6

what can you do in the mental health workforce with: doctoral level

Answer 6

PhD

PsyD

MFT

EdD (education)

Question 7

what can you do in the mental health workforce with: allied professions

Answer 7

physicians/psychiatrists

nurses

nurse practitioners

Question 8

is there a surplus or lack of psychologists

Answer 8

lack! 31 for every 100,000 in US

Question 9

match the ratio of mental health providers with the place:

320:1 Broome County
280:1 New York State
400:1 US

Answer 9

US: 320:1
NYS: 280:1
Broome County: 400:1

Question 10

care-seeking has increasingly shifted away from long-term therapy towards…

Answer 10

brief interventions from mental health providers

primary care physicians

Question 11

use of psychiatric medication has been ________ via … what does this lead to?

Answer 11

increasing; primary care (rather than psychiatry!)

leads to lack of follow-up or additional psychosocial treatment

Question 12

psychology must adapt to meet the needs of ______

Answer 12

society!

Question 13

what is the debate for psychologist prescribing medications?

Answer 13

complicated to get multiple providers involved with a patient

however, more training is needed, and low percentages of providers are doing this

Question 14

technology facilitates access to treatment for people with…

Answer 14

limited mobility or rare conditions

Question 15

con of technology

Answer 15

rural and underserved populations

internet deserts

Question 16

are chatbots and AI as therapists proven to be effective or noneffective

Answer 16

effective but ethical issues

Question 17

potential challenges with technology for therapy

Answer 17

protecting patient privacy

boundaries

professional liability (doing telehealth across state lines)

safety

Question 18

sexual relationships are ______ but very harmful

Answer 18

uncommon

Question 19

are sexual relationships ever justified?

Answer 19

no!

Question 20

4 common scenarios of sexual relationships

Answer 20

therapist tries to justify relationship as true love

therapist engages in subtle boundary slips and says that “it just got out of hand”

therapist incorrectly believes the therapeutic relationship does not apply outside of the therapist’s office

therapist fraudulently presents sexual activity as valid treatment (very rare)

Question 21

sexual attraction

Answer 21

makes majority of therapists feel guilty

is common relative to sexual relationships

therapists need more training to recognize how to move on

Question 22

common scenarios of non-sexual physical touch

Answer 22

handshake

pat on shoulder or forearm

non-sexual hug

Question 23

positive aspects of touch

Answer 23

reassuring

caring

comforting

Question 24

negative aspects of touch

Answer 24

demeaning

intrusive

frightening

Question 25

touch can overall be helpful or harmful depending on ____, _____, patient's needs

Answer 25

context; culture

Question 26

APA ethics code prohibits ____ relationships

Answer 26

dual

Question 27

accidental incidental extra-therapeutic contacts

Answer 27

ex. running into patient in public setting by pure coincidence

Question 28

lack of training and recognition in accessibility and people with disabilities lead to...

Answer 28

misdiagnosis treatment planning

Question 29

APA ethics code is by __________ for psychologists; what does this establish?

Answer 29

psychologists; establishes a higher standard of conduct

Question 30

when would law and ethics code conflict?

Answer 30

receiving a legal subpoena or testifying in court legally should, ethically shouldn't

Question 31

first, do no _____ for psychologists

Answer 31

harm

Question 32

"Hoffman Report" and its impact

Answer 32

high ranking members were providing advice on how to break detainees APA now bars psychologists from engaging in national security interrogations (only participant if goal is to better life and environment for detainee)

Question 33

Goldwater rule

Answer 33

1964 response to psychiatrist publicly using their role to comment on mental attributes of then presidential candidate Barry Goldwater (saying he was "mentally unfit") discourages diagnosis of public figures without **professional relationship and thorough examination**