Module 5: Technical and Professional Relationships

Question 1

An example of a dual relationship (dual role) is?

Answer 1

Meryl Streep in Prime, where the relationship becomes an unequal power relationship which can be exploitive or harmful. Objectivity can be compromised and it becomes a conflict of interest.

Question 2

Relationships can be either?

Answer 2

incidental or accidental and boundary-crossing (e.e crying in front of a client or attending a clients event).

Question 3

Examples of crossing boundaries are?

Answer 3

Hugging
giving gifts
accidental contact. i.e bump into a client at a coffee shop
Telling a client information about yourself

Question 4

Examples of types of boundaries?

Answer 4

Role, going overtime, gifts, money, clothing, language, physical contact, accepting gifts

Question 5

Purest

Answer 5

disclose nothing

Question 6

Problems?

Answer 6

Informed consent process not followed.
No agreed boundaries - provide local psych services for after-hours
Maybe the psych is not competent and should have referred
Set out clear boundaries, consent and level of services
Consider referral

Question 7

Boundary Issues?

Answer 7

Provides a sense of trust and safety
Be aware of client vulnerability and potential for exploitation
Have a plan to resolve or minimise harm prior to a dual relationship
Ensure objectivity is not compromised

Question 8

Multiple relationships

Answer 8

Avoid if possible, or carefully manage

Discuss with the client what you will do if you bump into them

Question 9

Boundary crossings

Answer 9

Attending a clients special event, i.e birth of a baby - OK

A home visit to the elderly - OK

Question 10

Boundary violation

Answer 10

sexual misconduct

Question 11

Slippery slope

Answer 11

Exists but not as bad

as thought.

Question 12

The ethics acculturation model

Answer 12

ethical and value traditions
contact and participation - the degree to which students adopt the norms and values. If they use both then they use an integration strategy

Question 13

What happens if you develop an assimilation strategy?

Answer 13

They demonstrate literal compliance with rules and laws but lack a moral foundation that leads to overly simple applications

Question 14

What may happen if the psych is overly strict?

Answer 14

He may not use interventions when he should

Question 15

Integrations strategy

Answer 15

Psych is high on maintenance and contact. Best because the psych incorporates both ethics and personal values.

Question 16

Separation

Answer 16

Is high in maintenance but low in contact and participation - more likely to make decisions on their personal values believing that they do not need to follow rules

Question 17

Values of model maintenance

Answer 17

The degree to which psych retains ethical and value traditions

Question 18

Contact and participation

Answer 18

The degree to which students adopt norms and values

Question 19

Strategy - assimilation

Answer 19

The student over identifies with the professional standards, where they may lose their own value. Literal compliance with laws and values but loses the moral foundation

Question 20

Strategy - marginalisation

Answer 20

Most problematic

Identify with both personal values and the professional culture. They are lax about following rules.

Question 21

Positive ethics

Answer 21

More balance and integration where psych aspires to high standards. Is derived from biomedical inspirational principals

Question 22

Behavioural economics

Answer 22

1. Psychs fail to acknowledge their own biases and may rely on automatic, unconscious and intuitive heuristics or decision making.
2. Making decisions that unconsciously favour the self

Question 23

Self-serving bias

Answer 23

Result of empirical work in social psych and behavioural economics

Question 24

What are the 4 independent factors of risk (Bloom)

taxonomy - intellectual

Answer 24

1. patient characteristics
2. context or setting
3. potential disciplinary consequences
4. psychotherapist factors

Question 25

Blooms 6 levels of education

Answer 25

1. knowledge - remembering memorised info
2. comprehension - can translate and explain
3. application - ability to apply info
4. analysis, being able to break down to better understand
5. synthesis - to combine info into meaningful structures
6. evaluation - can judge how good is a strategy or view

Question 26

How do students apply info at the application level?

Answer 26

routinely and mechanically

Question 27

How do students apply info at the synthesis level

Answer 27

Apply strategies based on overall comprehensive principals

Question 28

Youngren

Answer 28

Informed consent - not possible to anticipate all probs
Peer consultation - they foster the integration strategy
when boundary issues have been identified document suggestions in client records

Question 29

New models

Answer 29

Take psychotherapist factors into account but theoretical. Now need to test to find which are the best at predicting behaviour