ETHICS, LEGAL AND BASIC TERMS Flashcards

1
Q

What does “ideas of reference” mean?

A

The feeling that casual incidents and external events have a particular and unusual meaning that is specific to the person.

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2
Q

Describe “affect”?

A

A pattern of observable behaviours that is the expression of a subjectively experienced feeling state (emotion).

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3
Q

What is “seperation insecurity”?

A

Fears of being alone due to rejection by and/or separation from significant others, based on a lack of confidence in one’s ability to care for oneself, both physically and emotionally.

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4
Q

Describe “mood”?

A

A pervasive and sustained emotion that colours the perception of the world.

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5
Q

What is AHPRA’s main functions? (4)

A
  • Supports national boards to protect the public
  • Manage registration processes
  • Manages investigations on behalf of Boards
  • supports Boards with development of registration standards, codes and guidelines
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6
Q

What does the Psychology Board of Australia do? (5)

A
  • Registers Psychs
  • Assessing psychs trained overseas
  • Develops psychology standards, codes and guidelines
  • Handles complaints, notifications, investigations, disciplinary hearings
  • Approves accreditation standards and courses of study
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7
Q

Registration standards managed by the Psychology Board of Australia?

A
  • Continuing Professional Development
  • Recency of Practice
  • Indemnity Insurance
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8
Q

For a subpoena to be valid, it must be…

A

A valid subpoena must be dated, with the name and address of the court displayed or bearing the signature of a court officer.

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9
Q

A registered psychologist has just received a valid subpoena. The APS recommends the following process when the psychologist has concerns about providing the court with the information:

A

The APS recommends writing to the court outlining any concerns regarding the negative consequences for the client of disclosure of material.

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10
Q

A psychologist has received a letter from a solicitor requesting sensitive information about one of her clients. She should:

A

Write back to the solicitor expressing concerns about confidentiality and requesting an indication as to the purpose of the request and who will be accessing the information.

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11
Q

Outline the APS 5 step model for ethical decision making

A
  1. Recognise there is an issue present
  2. Clarify the ethical issues (identify principles).
  3. Generate and examine courses of action
  4. Choose and implement preferred action
  5. Reflect on and review process
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12
Q

Can a parent ask to see a 15 year olds file under the Privacy Act without their consent?

A

With regard to an adolescent under the age of 18, The Privacy Act 1988 does not set an age at which a child is considered to be capable of making decisions about how their personal information is handled. However, the law recognises that competence varies in young people. In some cases, including in relation to the eHealth record system, a young person may be considered capable of making decisions for themselves from the age of 14.

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13
Q

When psychologists are considering breaching confidentiality, they need to consider (4):

A
  • The circumstances when a breach can occur
  • The assessment or determination of risk or harm
  • The reliability of the information
  • Whom to inform or disclose to
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14
Q

Defensible disclosures typically fall into these categories (5):

A
  • The client has consented
  • In the public interest
  • Criminal activity
  • Supervision, training and research
  • Suicidal clients (see APS Ethical Guidelines, pp 149-155)
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15
Q

Susan and John came to see their psychologist for some couples therapy to address marital problems. On the second session, John came to therapy alone as Susan was ill.
During this session, John confessed that he had engaged in an extra marital affair and was now HIV positive. He refused to inform Susan and stated that he continued to have unprotected sex with her.
According to Ethical Guidelines, the psychologist should:

A

Tell John that as a psychologist you are bound to protect Susan from known harm. Then you need to phone Susan and inform her that John is HIV positive.

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16
Q

When clients have attended for couples therapy, psychological records should be released if requested:

A

Only if the written consent for release has been signed by both parties.

17
Q

Gary, a 23-year old male, has been seeing a clinical psychologist for five sessions. On his sixth session, Gary requests to see his personal file.
Under the _____________ Gary ____________ request this information.

A

Gary can request this information under the Privacy Act.

18
Q

Tom, a clinical psychologist, has been treating Monica for anxiety and depression for several weeks. Recently Monica has confided that her husband is verbally abusive and occasionally hits her.
Which options would Tom be best to take?

A

Tom should maintain confidentiality but provide Monica with information and guidance on how to ensure she is protected from danger.

19
Q

Mandatory reporting is required when the psychologist acquires knowledge of the following behaviours (4):

A
  • Child abuse and neglect
  • Abuse of other vulnerable groups
  • Criminal activity
  • Clear intentions to commit criminal acts
20
Q

MR abuse concern areas with young people? (6)

A

Physical
Sexual
Emotional
Psychological
Neglect
Exposure to family violence

21
Q

Psychologists refrain from engaging in multiple relationships that may: (3)

A

(a) impair their competence, effectiveness, objectivity, or ability to render a psychological service;
(b)harm clients or other parties to a psychological service; or
(c) lead to the exploitation of clients or other parties to a psychological service.

22
Q

In rural areas where a psychologist determines that the potential risks associated with a person receiving no service are greater than the potential risks of providing a psychological service to a person with whom the psychologist has
or has had a previous connection, psychologists document (5):

A
  • informed consent
  • the reasons for the decision
  • advice they have received from a senior colleague or peer, ideally someone who has an understanding of rural and remote contexts,
  • the lack of alternative services and
  • any other issues of concern.
23
Q

What are the 8 core competency areas required by the Psych Board of Australia?

A
  • knowledge of the discipline
  • ethical, legal and professional matters
  • psychological assessment and measurement
  • intervention strategies
  • research and evaluation
  • communication and interpersonal relationships
  • working within a cross-cultural context
  • practice across the lifespan.
24
Q

Things to consider before offering telehealth/internet based services to a client? (3)

A

suitability for the client,
efficacy and safety based on research
a crisis support plan including identification of services in the client’s geographical area.

25
Q

What does a psychologist need to consider before translating a pen and paper test to online administration? (4)

A
  • Is there adequate psychometric properties for administration via the internet?
  • Awareness reduced reliability associated with non-standardised testing conditions.
  • The potential for technical failure.
  • Difficulties authenticating results if completed unsupervised.
26
Q

What are the 7 principles included under General Principle A of the APS Code of Ethics?

A

Justice - anti-discrimination clause
Respect - don’t demean/harrass
Privacy
Informed Consent
Confidentiality
Release of Info to clients
Collection of info from associated parties - informed consent procedures

27
Q

What are the 14 principles included under General Principle B of the APS Code of Ethics?

A

Competence
Record Keeping
Professional Responsibility
Provision of services at 3rd party request
Collaborating with others
Multiple Clients
Delegation of Professional Tasks
Use of interpreters
Suspension of services
Termination of Services
Conflicting Demands
Psychological Assessments
Research

28
Q

What are the 7 principles included under General Principle C of the APS Code of Ethics?

A

Reputable Behaviour
Communication
Conflict of Interest
Non-exploitation
Authorship
Financial Arrangements
Ethics Investigations and Concerns

29
Q

Match the Ethical Principle to the General Principle:
1. Conflict of Interest
2. Conflicting Demands
3. Delegation of Professional Tasks
4. Collection of info from associated parties

A
  1. C - Integrity
  2. B - Propriety
  3. B - Propriety
  4. A - Respect
30
Q

Match the Ethical Principle to the General Principle:
1. Provision of services at 3rd party request
2. Release of Info to clients
3. Use of interpreters
4. Financial Arrangements

A
  1. B - Propriety
  2. A - Respect
  3. B - Propriety
  4. C - Integrity
31
Q

What does “Conflict of Interest” relate to in the APS code of ethics?

A

Multiple relationships – do not engage in if it could lead to harm/exploitation or affect the clinician’s competency, objectivity, ability to provide service. If needing to engage in multiple relationship consider informed consent procedures, document, seek guidance.

32
Q

What does “Communication” relate to in the APS code of ethics?

A

Psychologists communicate honestly, amend misrepresentations about themselves, do not advertise using testimonials or in ways that may be seen as fraudulent, misleading, claim superiority, may play on client’s anxieties or fears. Amend misconceptions about the clinician’s competencies

33
Q

What does “Conflicting Demands” relate to in the APS code of ethics?

A

If in an organisation that requires acting in way that contravenes code, clarify dilemma, ask for constructive resolution in line with Code, seek supervision with senior.

34
Q

What does “Accepting Clients of Others” relate to in the APS code of ethics?

A

If client is already seeing someone for a similar thing, forsee possible consequences, act with caution and sensitivity, consider welfare of person.

35
Q

What does “Professional Responsibility” relate to in the APS code of ethics?

A

Act as a skilled and competent psychologist, maintain boundaries with clients and colleagues, take steps to minimise harm, foresee consequences to actions, take responsibility for professional decisions, only provide psychological services for the period that is necessary.

36
Q

What 4 criterion need to be met for informed consent?

A
  • Consent given voluntarily and without coercion
  • Client appears to understand the information
  • Details given in plain language the client can understand
  • Specific - relates to the particular items the treatment/service entails
37
Q

What should NOT be supplied when a client requests his notes?

A

Psychologists should not provide access to protected psychological test material or information that has been provided by a party other than the client (e.g., a family member who has provided additional information to the psychologist) unless this is under a legal request such as a warrant or subpoena.

38
Q
A