Ethics Flashcards
Principle A - Beneficence and Nonmaleficence
Strive to benefit those with whom you work and take care to do no harm
- includes animals
- minimized harm
Principle B - Fidelity and Responsibility
Establish relationships of faith and trust with those with whom they work
- aware of professional and scientific responsibility to society and communities work w/
- clarifying roles, conflicts of interest, consulting
- encouraged to contribute time for little or no cost
Principle C - Integrity
Promote, accuracy, honesty, truthfulness in science, teaching and practice
- publicly put out courses we teacher, don’t steal
Principle D - Justice
Everyone should have equal access to getting what we offer
- recognize fairness and justice entitle to all persons to access to and benefit from contributions of psych and equal quality in process/procedure/services
Principle E - Respect for People’s Rights and Dignity
Respect dignity and worth of all people, and rights to privacy, and self-determination
- respect differences (religion, sexual orientation, SES)
- if ethical standard establishes higher standard of conduct than is required by the law, psychologist must meet higher ethical standard
Competence
Psychologists are required to work within the boundaries of their competence which can be based on their education; training; supervised experience; consultation; study; or professional experience
Assume that a school principal asks a psychologist who has been hired to evaluate a student to write a report that supports the principal’s own conclusion about the student’s eligibility for special education.
In this situation, the psychologist is being asked to support a conclusion that has been reached by the principal rather than provide one that is based on the results of his/her own evaluation. Doing so would be unethical, and the psychologist should explain his/her ethical responsibility to the principal and refuse to comply with the principal’s request.
Misuse of Psychologists’ Work: Standard 1.01 requires psychologists to take reasonable steps to correct or minimize the misuse or misrepresentation of their work.
Ethical violations by colleagues
Standard 1.04 encourages psychologists to handle ethical violations informally by discussing the issue with the individual “if an informal resolution appears appropriate”; while Standard 1.05 states that psychologists make a formal report to the Ethics Committee, state licensing board, or other appropriate authority when the problem involves “substantial harm” and is not appropriate for an informal resolution or has not been resolved satisfactorily by an attempt at an informal resolution.
- Note that both Standards require psychologists to consider client confidentiality before taking any action. In other words, if an informal resolution or report will violate client confidentiality, the action is prohibited.
Tarasoff decision
“duty to warn” an intended victim, case to case by can notify the intended victim, police or taking other steps
Keith-Spiegel and Koocher (1985)
Provide the following guidelines for the ethical practice of MEDIA PSYCHOLOGY:
(1) Media psychologists should avoid offering suggestions that require radical life changes or decisions
(2) Callers who are selected for on-air participation should be given appropriate referrals
(3) Callers should be informed of the risks associated with public exposure of their personal problems
(4) Participants should not be asked to wait for prolonged periods of time before talking to the psychologist
(5) Media psychologists should make frequent disclaimers distinguishing what they do from actual psychotherapy
(6) Media psychologists should not belittle or make jokes at the expense of participants
(7) Media psychologists should not criticize the competence of other mental health professionals
(Note that this standard does not apply to psychologists who provide services to individuals over the Internet, videoconferences, etc. with whom they have an established therapeutic relationship.)
Record Keeping and Fees
Standard 6.01 requires psychologists to maintain, store, and dispose of their professional records in ways that allow the records to be used appropriately by themselves and others
Keith-Spiegel and Koocher (1985) note that legal obligations and client welfare are key factors when making decisions about the maintenance of records:
(1) Legal requirements vary from state to state, but the IRS requires professionals to keep business and financial records for at least 7 years. In addition, the APA’s (2007) Record Keeping Guidelines recommends that, in the absence of applicable laws or other requirements, psychologists retain a client’s full record for 7 years following the last date of services for adults and 3 years after a minor reaches the age of majority, whichever occurs later
(2) Client welfare concerns include balancing the possibility that records may be needed to assist with a client’s continuity of care across providers over time with the concern that, if kept too long, records may cause harm if they contain invalid or obsolete data.
What has the data on sexual misconduct by therapists consistently shown?
Pope and his colleagues (1993)
- Male therapists violate much more than female therapists
- They are usually older (42-44 y/o) than the female clients (30-33 y/o) they become involved with
What relationships have been found between risk for sexual misconduct and theoretical orientation; professional experience; or education?
None (Pope et al.; 1993)
What course of action should you take if you discover a colleague has been violating an ethical standard that puts no clients in direct harm?
Attempt to resolve the problem informally by discussing the matter with the offender
When should a psychologist make a formal report to the Ethics Committee; state licensing board; or other appropriate authority regarding unethical behavior by a colleague?
“When the problem involves ““substantial harm”” and is not appropriate for an informal resolution or has not been resolved satisfactorily by an attempt at an informal resolution”
_____ should always takes precedence over the need to educate or punish an offending psychologist, which must always be considered before filing a complaint
Client Confidentiality
When recording voices/images in research when is informed consent not required?
When the research consists solely of naturalistic observations in public places; and it is not anticipated that the recording will be used in a manner that could cause personal identification or harm
Describe the nature of informed consent when research involves recording voices/images and deception.
Informed consent is provided during debriefing
What is the legal concept that protects a client’s confidentiality in the context of legal proceedings?
Privilege
____ is typically is the holder of the privilege.
Client
When can a psychologist use client testimonials?
When they are not solicited from current therapy clients or other persons who; because of their circumstances; are vulnerable to undue influence
In a consultative relationship, when is it appropriate to disclose confidential client information?
- When the consultant and consultee have a confidential relationship
- If the consultee has obtained prior consent of the person or organization
- If disclosure is unavoidable
A psychologist has been meeting regularly with a child whose parents recently filed for divorce and have requested a child custody evaluation. What course of action should the psychologist take?
While not required; the Guidelines states psychologists generally avoid conducting such evaluations when s/he has served in a therapeutic role for the child or their family
What 4 conditions must be met in order for a client to bring a claim of malpractice against a psychologist?
- Psychologist must have had a professional relationship with the person
- Must be a demonstrable standard of care breached by psychologist
- Person suffered harm or injury
- Harm or injury was proximally caused by psychologist’s breach of duty within context of standard of care
Is it ever appropriate for a psychologist to pay; receive payment from; or divide fees with another professional for referring them a client?
No; this is unethical. All payments in such situations must be based on the services provided (e.g.; clinical; consultative; administrative)
What legal decision originally established a psychologist’s “duty to warn;” which later became a “duty to protect?”
The Tarasoff Decision = client’s admission of intent to harm another person
Bartering is allowed only if what two conditions are met?
- It is not clinically contraindicated
- It is not exploitative
In a legal proceeding, if a defendant lacks sufficient present ability to consult with his lawyer with a reasonable degree of rational understanding and a rational as well as a factual understanding of the proceedings against him/her, he/she is deemed …
Incompetent to stand trial
A person who by reason of education or specialized experience possesses superior knowledge regarding a subject about which persons having no particular training are incapable of forming an accurate opinion or deducing correct conclusions is referred to as an ____.
Expert Witness
Fact Witness
A refers to a person who testifies as to what they saw/ heard/ or otherwise observed regarding a circumstance, event or occurrence as it actually took place
A fact witness is a person “who testifies as to what he/she has seen, heard, or otherwise observed regarding a circumstance, event or occurrence as it actually took place…. [In contrast to expert witnesses,] fact witnesses are generally not allowed to offer opinions, address issues that they do not have personal knowledge of or respond to hypothetical situations” (APA, 1998, p. 7). A fact witness is allowed to provide information about a client only with the consent of the client or a court order.
_________ are allowed to offer professional opinions and provide testimony based on hypothetical scenarios, while ________ cannot.
Expert Witness
Fact Witness
When taking on a new therapy client when should a psychologist obtain informed consent?
- As early as is feasible- should include nature and anticipated course of therapy
- fees
- 3rd party involvement
- limits of confidentiality
- provide client opportunity to ask questions and receive answers
Are psychologists required by the Ethics Code to provide Pro Bono services?
No – but General Principles, which are aspirational in nature, promote it
Is it ethical for psychologists to engage in sexual behavior with students or supervisees?
No… it is unethical for a psychologist to engage in sexual relations with anyone they are likely to have evaluative authority over
The Client Welfare standard of the APA Ethics Code requires what?
That reasonable steps are taken by psychologists to avoid and minimize harm to clients, students, research participants, and others with whom they work
What conditions must be met for deception to ethically be used in research?
- Deception is justified by the study’s prospective scientific; educational; applied value and effective nondeceptive alternatives are not feasible
- Participants are not deceived about conditions that might cause significant pain or emotional distress
- Participants are debriefed preferably at end of their participation; but no later than conclusion of data collection
The Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations presents principles that are in nature _____.
Aspirational
Psychologists are to refrain from entering into a multiple relationship when?
If the relationship can be reasonably expected to impair the psychologist’s objectivity; competence; or effectiveness; or otherwise risks exploitation or harmto the client
Psychologists are to refrain from entering into a multiple relationship when?
If the relationship can be reasonably expected to impair the psychologist’s objectivity, competence, or effectiveness, or otherwise risks exploitation or harm to the client
What is the first step a psychologist should take when they receive a subpoena?
Determine if the subpoena is a legally valid demand
Following an evaluation; are psychologists allowed to provide clients with raw test data if the client requests it?
Yes; it would unethical not to do so. However; there are some exceptions if the psychologist believes the test data could harm the client
Is it ever ethical for a psychologist to withhold reporting a case of known child abuse?
No. All jurisdictions require psychologists to report known cases of child abuse to the appropriate authorities
Can you deny admission to academic or other programs, advancement, or promotion to someone who has previously made or been the subject of an ethics complaint?
No, that would be unethical
What is FERPA (Family Education Rights and Privacy Act of 1974)?
- It prohibits educational institutions receiving federal funds from disclosing personally identifying information from student records without the consent of the student or legal guardian (if under 18)
- Also grants right to inspect one’s educational records
A legal concept referring to a person’s incapacity to determine right from wrong or to behave according to the requirements of the law.
Insanity, which is not a psychological concept; but used in a purely legal sense
Publication credit is given based primarily on ____.
.Relative scientific or professional contributions of the individuals involved; regardless of their relative status
Sliding fee scales are generally considered acceptable as long as they are ____.
Fair and serve the best interests of the client
In deciding whether to provide services to a person already receiving mental health services elsewhere, what should a psychologist consider?
The treatment issues and the potential client’s welfare. These issues are discussed with the client and the psychologist should proceed with caution
Psychologists are to act and when teaching, supervising and designing education and training programs.
Competently and Responsibly
In-person solicitation of business from actual or potential therapy clients or other persons is unethical when it involves what?
Solicitation of people, who due to their particular circumstances, are vulnerable to undue influence