Psychosocial / Ethics Flashcards
What are the 4 principles of medical ethics?
- respect for autonomy
- nonmaleficence
- beneficence
- justice
What is the principle of respect for autonomy?
the notion that rational agents are making informed and voluntary decisions
What is the principle of nonmaleficence?
to not intentionally create a harm or injury to the patient through acts of commission or omission
What is the principle of beneficence?
provider should be of benefit to the patient and take positive steps to prevent and remove harm
What is the principle of justice?
fairness and fair distribution of goods
What is problem-focused coping?
directed toward changing the circumstances facing the individual
What is emotion-focused coping?
directed toward reducing emotional distress
Repression
feelings, perceptions, memories are lost to consciousness
Denial
the reality of a situation is not consciously experienced or recognized
Intellectualization
emotional responses are repressed and the situation is addressed through rational, cognitive processes
Displacement
when an emotion is expressed to an inappropriate, but more socially acceptable or less anxiety-provoking recipient
(ie anger at GC instead of partner who passed on a dominant allele)
Sublimation
when wishes or drives deemed unacceptable are channeled into a more socially acceptable activity
(ie pain and anger over a child with a serious disability channeled into work for a parent support group)
Reaction formation
use of the opposite action or emotion to ward off unacceptable emotions or wishes
Projection
when repressed or unacceptable emotions or wishes are perceived as residing in others
Projective identification
in which an individual’s behavior induces a repressed or unacceptable emotion in another person
What are the 3 mimics of denial?
- disbelief
- deferral
- dismissal
Disbelief
when the information is heard but not accepted because it does not appear to make sense
Deferral
information is accepted but the implications are not; deferral is employed because it helps prevent the impact of the information from exceeding one’s psychological or physical resources
Dismissal
devaluing or attacking the legitimacy of professional or profession giving the information
Guilt
involves a sense of the self as a responsible agent
Shame
involves feelings of exposure/judgement by the world
primarily experienced physiologically (blushing) and emotionally (feelings of inadequacy, failure, exposure)
sympathy vs. empathy
sympathy: emotional response based in the counselor’s personal life
empathy: accurately understand the client’s experience as if it were your own and communicate this understanding to the client
Transference
when one brings old patterns of expectation to new situations in attempts to create familiar structure for the event
Countertransference
the reaction or response to transference; may be associative or projective
