Contemporary Challenges and Controversies Flashcards
therapy is ______ to regulate
difficult
licensing
restricts practice of profession
typically overseen by state boards
requirements and restrictions can vary from state to state
certification
restricts use of a name/what you call yourself
what can you do in the mental health workforce with: bachelor’s level
substance-abuse counselors
pastoral counselors
what can you do in the mental health workforce with: master’s level
social workers (bulk)
licensed professional counselors
licensed mental health counselors
rehabilitation counselors
what can you do in the mental health workforce with: doctoral level
PhD
PsyD
MFT
EdD (education)
what can you do in the mental health workforce with: allied professions
physicians/psychiatrists
nurses
nurse practitioners
is there a surplus or lack of psychologists
lack! 31 for every 100,000 in US
match the ratio of mental health providers with the place:
320:1 Broome County
280:1 New York State
400:1 US
US: 320:1
NYS: 280:1
Broome County: 400:1
care-seeking has increasingly shifted away from long-term therapy towards…
brief interventions from mental health providers
primary care physicians
use of psychiatric medication has been ________ via … what does this lead to?
increasing; primary care (rather than psychiatry!)
leads to lack of follow-up or additional psychosocial treatment
psychology must adapt to meet the needs of ______
society!
what is the debate for psychologist prescribing medications?
complicated to get multiple providers involved with a patient
however, more training is needed, and low percentages of providers are doing this
technology facilitates access to treatment for people with…
limited mobility or rare conditions
con of technology
rural and underserved populations
internet deserts
are chatbots and AI as therapists proven to be effective or noneffective
effective but ethical issues
potential challenges with technology for therapy
protecting patient privacy
boundaries
professional liability (doing telehealth across state lines)
safety
sexual relationships are ______ but very harmful
uncommon
are sexual relationships ever justified?
no!
4 common scenarios of sexual relationships
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)
sexual attraction
makes majority of therapists feel guilty
is common relative to sexual relationships
therapists need more training to recognize how to move on
common scenarios of non-sexual physical touch
handshake
pat on shoulder or forearm
non-sexual hug
positive aspects of touch
reassuring
caring
comforting
negative aspects of touch
demeaning
intrusive
frightening
touch can overall be helpful or harmful depending on ____, _____, patient’s needs
context; culture
APA ethics code prohibits ____ relationships
dual
accidental incidental extra-therapeutic contacts
ex. running into patient in public setting by pure coincidence
lack of training and recognition in accessibility and people with disabilities lead to…
misdiagnosis
treatment planning
APA ethics code is by __________ for psychologists; what does this establish?
psychologists; establishes a higher standard of conduct
when would law and ethics code conflict?
receiving a legal subpoena or testifying in court
legally should, ethically shouldn’t
first, do no _____ for psychologists
harm
“Hoffman Report” and its impact
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)
Goldwater rule
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
