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Ethics > Multiple Relationships ch 7 > Flashcards

Multiple Relationships ch 7 Flashcards

1
Q

What is multiple relationships?

A

The blending of a professional relationship with one or more other
relationships.

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2
Q

Ethics code on Multiple relationships?

A

therapist refrains from entering into a multiple relationship with a current client, former client or anyone closely associated with client if:

it impairs therapists competence in therapy OR risks exploitation/harm to client

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3
Q

multiple relationships are always unethical?

A

FALSE

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4
Q

ethical issues surrounding multiple relationships?

A 
exploiting client
satisfying therapist needs
harm to client
detrimental to therapy 
roles blurred
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5
Q

What can prevent multiple relationships?

A

boundaries *constantly monitor

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6
Q

What type of boundaries should you have to prevent multiple relationships?

A

physical: (no touching/seeing clients outside of therapy)
emotional: (use clients to satisfy needs) ex. loans money

Psychological: (countertransference) control

sexual: (clothing, behavior, non-verbal, verbal)

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7
Q

What are the types of multiple relationships?

A
  1. social relationships
  2. sexual relationships
  3. bartering
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8
Q

What are examples of social relationships?

A 
events (weddings/grad)
time together
financial (business)
daily life 
family activities
interpersonal (friends)
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9
Q

What is it appropriate to engage in social relationship with client?

A

it is appropriate: being an integral part of the process (aka graduation)

*best if client initiates

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10
Q

What are the pros of social relationships?

A

gives insight into personal life

builds trust

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11
Q

What are the cons of social relationships?

A

codependence
roles blurred
no work/life balance
changes transference (if they don’t know about you then their assumptions about you are their own projections)

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12
Q

How do you resolve multiple relationships?

A

consult other professionals
clarify roles
process with client
rectify situation

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13
Q

When is a client legally and ethically a “former client”?

A

legally: 2 years after termination
ethically: never

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14
Q

What is the exception of multiple relationships?

A

when they are no longer a client (2 years after termination) & therapist can prove it is not exploitative & under unusual circumstances

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15
Q

Why is sexual attraction common in therapy?

A

trust
intimacy
vulnerability
privacy

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16
Q

What is the definition of sex?

A

broad and general

touching, verbal, non-verbal, emotional

17
Q

what does CA law say about multiple relationships?

A

it is illegal, unethical & unprofessional to engage in sexual activity with current client & to terminate therapy to pursue sexual relationships

18
Q

What do you do when a client tells you of a sexual relationship with their former therapist?

A

you are MANDATED to:

give them and discuss the pamphlet “prof therapy never includes sex”

19
Q

What client risk factors increase likelihood of sexual activity in therapy?

A 
hospitalization 
low level of functioning
borderline/dependent personality
past sexual abuse, hurt, fear
innapropriate parent relationships
20
Q

What therapist risk factors increase likelihood of sexual activity in therapy?

A

feelings of inadequacy & low self-esteem
child experiences of seductive behavior
limited fantasy life
lack of parental boundaries
unable to tolerate transference of client
unable to tolerate countertransference of feelings towards client

21
Q

What are the guidelines for nonsexual touching?

A

discuss prior
ask permission
consider clients background (trauma/abuse)
process all touch
not just at termination
you don’t know what a touch means to a client

22
Q

What is bartering?

A

Exchange of therapeutic/professional services for something other
than money such as services or goods.

23
Q

Is bartering allowed?

A

only if: it is suitable to client & it is not exploitative

24
Q

guidelines for bartering?

A

informed consent: determine value of goods and length of agreement

25
Q

What are the pros, cons and alternatives to bartering?

A

pros: allows services that wouldn’ totherwise happen
cons: unequal exchange

alternative: referrals, adjust fee, pro bono

Ethics (9 decks)

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