Ethics and Professional Issues Flashcards
Dr. Lee A. Sonn, a 50 year old psychology professor at a small private college, begins a sexual relationship with one of his seminar student, a 45 yeear old woman who has recently returned to college to get a masters degree in psychology after a 20 year absence. The professor has told the woman that he and his wife are separated and in the process of getting a divorcee. Dr. Sonn’s behavior:
a. may be ethical as long as he has determined that the woman is not “vulnerable to undue influence.”
b. is unethical and represents a violation of the Ethics Code’s prohibition against sexual intimacies with students
c. is unprofessional but is not directly addressed by the Ethics code
d. is ethical since the woman is not a minor and has been told about the professor’s marital status
b. This issue is addressed in standard 7.07 of the Ethics Code, which clearly prohibits psychologists from having sexual relationships with students over whom they have or are likely to have evaluative authority
You plan to conduct a research study that will involve testing and interviewing psychiatric inpatients. Before doing so, you must obtain:
a. an informed consent from the hospital’s administrator
b. an informed consent from each patient’s legal guardian
c. assent from each patient
d. an informed consent from each patient’s legal guardian and assent from each patient
d. The only way to choose the best answer to this question is to assume that the patients have legal guardians since none of the answers are correct if you do not make this assumption.
The Preamble and General Principles are ________________ and _________________, which means that they provide general guidelines for ethical decision-making but will not serve as the basis for ________________________________________.
aspirational; nonenforceable; disciplinary action against a psychologist
The Ethical Standards are ______________, ________________, and it is usually one or more Ethical standards that are cited in a charge of ethical misconduct by the Ethics Committee.
aspirational; nonenforceable
What is the goal of the Ethics code?
The Ethics code is intended to provide specific standards to cover most situations encountered by psychologists. It has as its goals the welfare and protection of the individuals and groups whom psychologists work and the education of members, students, and the public regarding ethical standards of the discipline.
General principles, as opposed to Ethical standards, are _________ in nature.
aspirational
What are the 5 general principles intended to guide and inspire psychologists toward the very highest ethical ideals of the profession?
A. Beneficence and nonmalaficence (do no harm)
B. Fidelity and responsibility (establish relationships of trust with those with whom they work)
C. Integrity
D. Justice
E. Respect for People’s Rights and Dignity
Although APA is able to enforce adherence to the Ethics Code for APA members only, vilation of its provisions may result in action by the _______________, court, or other authority.
state licensing board
The Introduction states that the Ethics Code applies only to activities that are relevant to a psychologist’s professional roles but also states that “APA may take action against a member after his or her conviction of a ____________.”
felony
The Introduction notes that, when there is a conflict between ethical and legal requirements, psychologists must resolve it in a way that is “in keeping with basic principles of _________.”
human rights
General Principle B states that “psychologists strive to contribute a portion of their professional time for little or no compensation or personal advantage,” which implies that providing pro bono services is _____________ by the Code.
recommended
If psychologists learn of misuse or misrepresentation of their work, they take reasonable steps to ________ or ____________ the misuse or misrepresentation. (Standard 1.01)
correct; minimize
If psychologists’ ethical responsibilities conflict with law, regulations, or other governing legal authority, psychologists __________ the nature of the conflict, _____________ their commitment to the Ethics Code, and take reasonable steps to resolve the conflict consistent with the General Principles and Ethical Standards of the Ethics Code. (Standard 1.02)
clarify; make known
Your new client is a 37 year old woman whose symptoms meet the diagnostic criteria for Major Depressive Disorder. After your third session with her, she tells you that she was in treatment with another psychologist but terminated after the psychologist made sexual advances toward her. She does not want to discuss this matter with anyone. The best course of action would be:
a. inform the client of limits of confidentiality in this situation and report the unethical behavior.
b. inform the clients of the limits of confidentiality in this situation and contact the other psychologist.
c. discuss the client’s options with her and maintain her confidentiality unless she signs a release.
d. contact the Ethics Committee to determine what the appropriate steps would be.
c. The Ethical Standards require psychologists to take action when they learn of an ethical violation by another psychologist only after considering the client’s confidentiality. This eliminates responses a and b since neither mentions the client’s confidentiality. In addition, it is often in the best interests of the client to allow him/her to determine what action should be taken.
Vicarious liability is most likely to be a concern when a psychologist is acting in the role of:
a. supervisor
b. advocate
c. faculty member
d. talk show host
a Under certain circumstances, supervisors and employers may be legally responsible for the actions of their supervisees and employees. This is referred to as vicarious liability
Pro bono work is:
a. required by the Ethics Code
b. encouraged by the Ethics Code
c. prohibited by the Ethics Code
d. not addressed by the Ethics code
b. General Principle B (Fidelity and Responsibility) states that psychologists strive to contribute a portion of their professional time for little or no compensation or personal advantage. An implication of this statement is that the Ethics Code recommends pro bono services.
You receive a letter from the Ethics Committee asking for information about a former client who has filed a complaint against her current therapist. You stopped seeing the client over seven years ago. You should:
a. cooperate with the Committee’s request by sending them a copy of the client’s file.
b. cooperate with the Committee’s request by sending them the information you believe is relevant to the case
c. cooperate with the Committee’s request by sending them the information you believe is relevant to the case after confirming that the client has signed a release.
d. inform the Committee that the information you have about the client is obsolete and that you’re ethically obligated not to forward it to them
c. When contacted by the Ethics Committee, a psychologist must cooperate fully. However, as noted in Standard 1.06, a psychologist is also obligated to “address any confidentiality issues.”
You want to start treating clients who believe they have been abducted by aliens, but you have never worked with members of this population before. Your best course of action would be to:
a. start seeing these clients and consult with someone who is familiar with this population if you run into any problems
b. start seeing these clients after establishing a consultative relationship with someone who is familiar with this population
c. take a continuing education class related to the treatment of members of this population
d. place an ad in the National Enquirer to let members of this population know about the availability of services
b. Standard 2.01 requires psychologists to provide services only within the boundaries of their competence and to seek education, training, or supervision when necessary. When working with a new population, the best course of action is to obtain supervision or consultation.
Dr. Stern is a psychologist who assists with hiring and promotion decisions at a mental health clinic. She recommends that one of the psychologist not be considered for promotion because of an unresolved charge of sexual harassment against him. This is:
a. consistent with the provisions of the Ethics Code.
b. a violation of the provisions of the Ethics Code.
c. ethical as long as the clinic reconsiders the psychologist if he is acquitted of the charge
d. not addressed by the Ethics Code.
b. Dr. Stern’s action violates standard 1.08 which states that psychologists do not deny persons employment, advancement, admissions to academic or other programs, tenure, or promotion, based solely upon their having made or their being the subject of an ethics complaint.
During her first therapy session, a client tells Dr. Goodwill that he wants to pay for therapy in cash and doesn’t want Dr. Goodwill to keep a record of the therapy sessions or his payments. If Dr. Goodwill agrees to this arrangement she has acted:
a. ethically as long as she ascertains that the client’s reasons for making this request are valid.
b. ethically since it is up to a psychologist to determine what to include in therapy records
c. ethically and legally as long as she includes the client’s payments as income on her income tax forms
d. unethically and possibly illegal
d. A psychologist’s ethical obligations regarding client records are addressed in standard 6.01 of the Ethics code and by the Record Keeping Guidelines which requires psychologists to maintain accurate records. These provisions are consistent with laws in many jurisdictions that not only mandate maintaining client records but also describe their minimum contentt.
Standard 1.04 eencourages psychologistss to handle ethical violations by a colleague informally when an informal resolution appears appropriate, while Standard 1.05 states that psychologist make a formal report to the appropriate authority when the violation involves _______________ and is not appropriate for informal resolution. However, it is important to note that these Standards also require psychologists to take action only when the action does not violate the client’s _________________.
substantial harm; confidentiality rights
Standard 1.06 states that failing to cooperate with APA’s investigation of an ethical complaint constitutes an _________________.
ethical violation
Standard 1.08 states that it is unethical to discriminate against a person solely on the basis of being a ____________________. However, this prohibition applies only to a pending case and not to its _______________.
complainant or respondent; outcome
What measures can a psychologist take when it becomes clear that their personal problems could interfere with their professional activities and possibly adversely impact their effectiveness?
Referring clients to other professionals, seeking therapy for themselves, and consulting with another professional to identify the most appropriate action
When expanding his/her services, a psychologist must do so in a way that minimizes potential harm to clients. For example, Standard 2.01 states that, in emerging areas where standards of training do not exist, psychologists take ____________________ to protect the welfare of their clients.
reasonable steps
Standard 2.02 permits psychologists to provide emergency services when they do not have adequate training as long as alternatives are unavailable and they discontinue those services when the ___________________ or appropriate services become available.
emergency has ended
Dr. Bertha Black’s advertisement for her seminar on relaxation techniques invites the public to come hear an in-depth lecture on techniques to help reduce the stress of daily living. The advertised cost for her four hour seminar is $50. While preparing her lecture the night before the presentation, Dr. Black decides it would be valuable to demonstrate some of her techniques with the group. She decides that, instead of lecturing for the full four hours, she will have attendees divide into groups for the last two hours to experiment with the techniques. According to ethical standards, this is:
a. ethical if she allows participants to leave after the lecture portion of the seminar
b. ethical if the demonstration is well executed and educational
c. unethical since she advertised the seminar as a “lecture”
d. unethical because she plans to spend some of the time lecturing when the most beneficial part will probably be the experiential portion.
c. Psychologists must accurately describe the nature of their services in brochures, advertisements, etc. Dr. Black advertised that she would present a lecture, and participants paid to attend her seminar on that basis. It would be unethical to add an experiential component to her seminar, especially when it constitues such a large part of the seminar.
Standard 2.05 requires psychologists to take reasonable steps to avoid delegating work to others when doing so will create a ____________________ with those being served that is likely to limit their objectivity or lead to exploitation.
multiple relationship
The term “privilege” is best described as:
a. a general term referring to the right to privacy
b. an ethical term referring to an obligation not to reveal confidential information
c. the legal equivalent of the ethical concept of confidentiality
d. a legal term referring to the protection of confidential information in legal proceedings
d. Privilege is a legal concept that protects a client’s confidentiality in the context of legal proceedings
While treating a client, you decide that you want to consult with a colleague to discuss a specific aspect of the case that is giving you trouble. According to the Ethics Code:
a. you must obtain permission from the client before talking to a consultant
b. you must obtain permission from the client only if you will be revealing the client’s identity to the consultant
c. you don’t have to obtain permission from the client as long as he/she has already signed a general waiver
d. you do not have to obtain permission from the client under any circumstances since the consultant is “clearly connected” with the case
b. This response is most consistent with standard 4.06, which states that, when consulting with colleagues… psychologists do not disclose confidential information that reasonable could lead to the identification of a client/patient, research participant, or other person or organization with whom they have a confidential relationship unless they have obtained the prior consent of the person. It is not, however, necessary to get the client’s permission when his/her identity will not be revealed.