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PSY623 Law and Ethics > Final > Flashcards

Final Flashcards

Quiz 3, 4, and On (Everything Past the Midterm)

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1
Q

When is incest reportable?

A

Always — even if “consenting”

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2
Q

What are some examples of how to maintain healthy boundaries with clients? (5)

A
  1. Starting/ending sessions on time
  2. Where held, how often
  3. Responding to texts / calls / emails
  4. Time spent on phone with CTs re emergencies, what are emergencies (goal is promote independence)
  5. Will different life situations require more sessions
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3
Q

How many years does a TH have to wait to have a sexual relationship with CT after termination?

A

Legally 2, Ethically never possible

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4
Q

Define Dual Relationship

A

CT and TH involving 1+ identity. Separate and distinct relationship outside of therapy, that exists at the same time. (Teacher + Therapist)

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5
Q

Main Concern of a Dual Relationship

A

Misuse of power for TH benefit

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6
Q

Examples of Dual Relationships (5)

A
  1. TH = mom’s bff + TH
  2. TH = teacher + TH
  3. TH & CT at same conference
  4. TH & CT have children at the same school
  5. TH & CT children become friends
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7
Q

What steps does a TH take if a minor/child CT brings an expensive thank you gift?

A

Document, apply to clinical context

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8
Q

Scenarios and risks of dual relationship / boundary crossings due to gift-giving (5)

A
  1. TH who regularly accepts gifts. TH may feel protective or feel a debt of gratitude
  2. CT who regularly brings even small gifts “token of appreciation,” may expect favors, special attention. 3. May start to feel more intimate
  3. TH accepting expensive gives (CTs fam may misinterpret etc)
  4. Romantic… never
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9
Q

Considerations regarding gift giving (3 + Key Point)

A
  1. Dollar value?
  2. CTs money situation?
  3. Intention of gift giving?
  4. KEY POINT: Generally okay: Small, Inexpensive, Seasonable, Card
    Just document
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10
Q

What are the legal considerations regarding bartering in the context of a big city?

A

Because there are likely other options, bartering is not allowed.

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11
Q

What do you do if your CT discloses unethical bartering behaviors of their previous TH?

A

Document and process, but cannot breach confidentiality

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12
Q

3 examples of unavoidable dual relationships

A
  1. TH is court ordered
  2. CT puts TH in their will
  3. Sports Psychologist who travels with the team
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13
Q

Examples of unethical dual relationships and/or boundary crossings (2)

A
  1. Too much self disclosure
  2. Investigating
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14
Q

To report abuse, what is a TH allowed to do and what is considered an unethical dual relationship?

A

TH can / must report abuse. TH cannot investigate.

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15
Q

Can a TH offer necessities such as food and clothing to a CT?

A

No, this is an unethical boundary crossing due to a dual relationship concern

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16
Q

Is accepting small gifts regularly an issue?

A

Yes! The CT may start to expect reciprocity or preferred treatment. Also may be linked to clinical work

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17
Q

What if CT brings a sexual or inappropriate gift?

A

Bring back to the clinical setting: Are there any qualities you’re projecting onto me that you perhaps want in a partner.
Don’t say “unfortunately” because it implies that you’re sad or disappointed.
Document.

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18
Q

Who is responsible for establishing and maintaining boundaries in a TH/CT relationship?

A

The TH

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19
Q

Should boundaries change?

A

No. They need to be consistent

20
Q

When should TH set a boundary?

A

At the v beginning

21
Q

Is it insurance fraud if a couple’s TH charges both clients?

A

Yes.

22
Q

Ages of Minors, Dependent Adults, and Elders

A
  1. Minor: Under 18
  2. Dependent: 18-64
  3. Elder: 65+
23
Q

Which custody is more important when treating a minor with divorced parents, Legal or Physical?

A

Legal

24
Q

When can a minor consent to their own treatment?

A

12+ with clinical judgment of maturity
14+ if emancipated

25
Q

Are step-parents, foster parents, or adoptive parents allowed to consent to a minor’s treatment?

A

No, No, Yes

26
Q

If the parents are never married, who can provide consent for a minor’s treatment?

A

The bio mom

27
Q

What’s a subtle sign parents may be abusing their child?

A

Parents are typically unaware of / disregarding of child’s developmental age

28
Q

Steps to reporting child abuse

A
  1. Report to CPS
  2. Written report within 36 hours to CPS
  3. Keep documents separate from CT chart
29
Q

Does the MFT report child abuse to CPS when the victim or abuser has died, or if the abuser has moved out of the country?

A

Yes

30
Q

If adult CT discloses they were the victim of child sexual abuse, is this reportable?

A

No, unless the abuser has access to other children

31
Q

Steps to report Elder abuse?

A
  1. Immediately report to APS
  2. Written report 2 days
  3. Document
32
Q

Where do you report child abuse if the abuse happened outside of CA?

A

You still report to CA CPS

33
Q

Is there such a thing as a licensed sex therapist?

A

No. Specialization, but no licensure outside of LMFT, LPCC, LCSW

34
Q

Certified vs Specialized

A

Certification has to be awarded through specific training. Specialized is based on experience

35
Q

TH is licensed in CA. Does it matter where the CT is?

A

Yes, CT must be in CA

36
Q

If a 14 yo has consensual sex with another 14 yo, is that reportable?

A

No

37
Q

CT must provide consent in writing under what 3 circumstances?

A
  1. Mental capacity (can’t be impaired)
  2. CT must be mature or intelligent enough to understand the info presented
  3. Clearly understand the right to decline
38
Q

What are the legal and ethical considerations of a TH and CT both struggling with anorexia

A

Legally: CT must be referred to MD
Ethically: TH must process countertransference

39
Q

True or False: If TH WFH and their home is in an unincorporated county, do they need to have a business license to work from home?

A

Yes, true

40
Q

If a 16 yo minor CT’s mother demands to see their file, do you consent?

A

No

41
Q

Who do you provide a No Surprise / Good Faith estimate to?

A

CTs who are paying out of pocket

42
Q

If a 14yo has sex with a 12yo, is that reportable?

A

Yes, the cutoff is 14

43
Q

What are some different categories of elder abuse? (5)

A
  1. Neglect
  2. Isolation
  3. Abduction
  4. Self-neglect
  5. Abuse
44
Q

Is it possible to question elder abduction due to dementia?

A

Yes

45
Q

What’s the goal of HIPAA?

A

To increase CTs confidentiality

46
Q
A

PSY623 Law and Ethics (5 decks)

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