Essay Questions

Question 1

Essay: Ethics is… (p. 10/11)

Answer 1

Study of standards of conduct and moral judgement

More than rules - a way of reasoning and constructing relationships with others

About:

1) Protecting client
2) Preserving dignity
3) Responsible caring
4) Taking action (using ROLE POWER)

Not just

• avoiding punishment
• creating/following/enforcing rules
• pleasing others to be liked

Also (from week 2 cards): The beliefs we hold about what constitutes right conduct; the moral principles adopted by an individual or group

Ethics comes from the word Ethos which comprises of:
our values
our mores
the right thing to do
our character

Question 2

Essay: How are the moral principles embedded in the CPA code of ethics?

Answer 2

Not sure

Question 3

Ethical dilemmas on page 17/18

Answer 3

Please reference

Question 4

What are the 10 steps of the ethical decision making model

Answer 4

1. (P)Identify all parties affected by ethical concern
2. (E)Identify the ethically relevant issues
3. (B)What are your biases? Thoughts? Feelings? How will they get in the way of you making a good decision?
4. (A)What are the alternative actions?
5. (R) What are the short term, ongoing, and long term risks/benefits if each action? How do they affect all relevant parties?
6. (C) Make your choice after deliberation of ethical principles
7. (A)Make your action, but be willing to be held responsible
8. (R) Evaluation of results
9. (R)Take responsibiliy for the results, correct any negative consequences if needed. Re-engage in the decision making process if required.
10. (P)Take action to prevent this from happening in the future (dialogue with colleagues, change policy…)

PE BAR CAR RiP

Peter Entered a Bar Car, RiP

Question 5

Case Studies

P. 553-555

Answer 5

Do THEM

Question 6

INTAKE forms: argue from the perspective that intake forms are unethical if done in the first 3 sessions. Make a case for this

week 11

Answer 6

Rapport is not yet sufficient to gain an accurate assessment
Client may not yet understand implications of disclosing certain information
Client may be too emotionally elevated to give accurate information
Client may feel compelled to disclose information that is necessary for treatment
Not respecting autonomy - don’t get choice to do whatever they want, feel forced. “If i don’t do intake form”
Not all relevant to presenting problem *****
POWER OVER behaviour - gain so much information about client after bat
Confidentiality - they don’t know where their information will go
Common factors theory: what creates most change? Relationship. Is it possible to create a relationship when they are nervous, not grounded. Might be sharing information when in high arousal. They might regret later on.

Question 7

Critique a session note

Week 10 notes

Answer 7

Good contact notes should contain:

1. Themes: What was the main focus of the meeting?
2. Rapport: What could you record for the next worker to make the meeting more warm
3. What you did: What did you DO to help the client (e.g. normalize, validate, make referrals, psychoeducational)
4. Change/progress: What changes occurred? Better/worse
5. Risk - record in DETAIL, what was done to ensure safety for all
6. Future - Homework for clients; staff to follow up
7. Strengths/coping/grounding

Question 8

ESSAY: Give me evidence of how you’re not going to exploit, coerce, manipulate client, while meeting their change goals. How will you do that ethically?
)

Answer 8

5 tests!!

Document consent by saying … Client seem to understand consent, as evidenced by….

The most vulnerable the client, the more you should remind them of their rights

Use lanaguage and culturally tailored techniques to meet the client where they are at

Use staged, relational consent and avoid the dumping method

B- Benefits
R- Risks
A-Alternatives
I- Intuition (what does your gut say?)
N- no (your right)
S- Slow down, Stage it, Solicit (don’t just tell client, ASK!

Question 9

ESSAY question: Gifts????? E.g. How do you make sense of the gift culture between teachers and therapists? Teachers can receive thank you gifts from students/parents and therapists cannot accept thank you gifts from clients.

Answer 9

Fee for service
Can change expectations of client
Can emphasize power differential
Code of ethics dissuades gifts
Potential for countertransference