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Ethics > Scenarios and Responses > Flashcards

Scenarios and Responses Flashcards

1
Q

Delaying termination

issue and response?

A

Therapist Issue/Client dependence
competency/ dependency

response: unethical
process through personal therapy
consultation/education/supervision

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2
Q

Countertransference?

A

Therapist Issue/Countertransference

process through personal therapy
consultation/education/supervision

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3
Q

Pressuring client to make a decision

A

Therapist issue/manipulation

process through personal therapy
consultation/education/supervision

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4
Q

client transference

A

Client issue/transference

process with client

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5
Q

too many clients = stressed out

A

therapist issue/impairment or burnout

process through personal therapy 
consultation/education/supervision
self-care
boundaries 
possibly limit work
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6
Q

telling client information about yourself

A

Therapist issue/self-disclosure

process through personal therapy
consultation/education/supervision

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7
Q

giving advice

A

Therapist issue/value imposition
values = advice

dont impose values
process through personal therapy
consultation/education/supervision

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8
Q

When clients values conflict with yours

A

Therapist issues/conflicting values

A. keep the case (therapy/consult)

B. Don’t Keep the Case
Criteria:
a. You have tried all of the previous suggestions

b. Your moral, religious or political values are centrally involved
c. Your boundaries of competence have been reached.

d. Yet still, you
I. have extreme discomfort with a client’s values.
II. are unable to maintain objectivity.
III. have grave concerns about imposing your values on the client.
IV. have countertransference which cannot be managed.
= Referral

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9
Q

refer client to another therapist

A

Referral/abadonment

*always risk abandonment

must give 3 referrals

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10
Q

you decide to go on vacation

A

Abandonment

need to include in informed consent
inform client ahead of time
need to provide substitute
document

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11
Q

client wants to terminate therapy

A

Clients Rights/Termination

client has right to terminate
process with client to make sure they awnt to end therapy to avoid abandonment

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12
Q

you are dealing with a client that you are not experienced with

A

Competency

training
education
experience

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13
Q

client is of a different:

age
ethnicity
sexual orientation
SES

A

Diversity “Competency”/_____

process with client
understand client views/experience
consult/educ/supervision
personal therapy 
(possibly acknowledge/discuss limitations)
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14
Q

Dealing with a gay couple

A

Diversity “Competency”/ sexual orientation

competency:
training
education
experience

Diversity: 
process with client
understand client views/experience
consult/educ/supervision
personal therapy
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15
Q

client of different religion/spirituality

A

Diversity/Spirit or relig

ask permission prior to discussing
do FICA assessment
understand clients views/exp
incorporate into therapy/treatment

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16
Q

change of fees

A

Clients rights/informed consent

discuss fees first
include in informed consent
cannot change agreement

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17
Q

tried new treatment on client

A

Client’s rights/informed consent

must discuss risks/benefits prior
include it in informed consent

18
Q

former client asks for records to be sent to another therapist

A

Therapists Responsibilities/Record Keeping

if it is within 7 yrs of termination:

respond within 15 days

19
Q

minor wants to get treatment and

a. doesnt fit into exception
b. fits criteria

A

Therapist Responsibilities/Minor consent

a. process with minor
can’t consent to treat (parents)

b. 12-18, intelligent, rational, harmful if not treated 
birth control
pregnancy
drug
suicide
homicide
child abuse 
victim of crime
20
Q

therapist doesn’t respond to client’s emergency

A

therapist responsibilities/malpractice

  • “Duty of Care” – Professional relationship exists (Therapist and client)
  • “Standard of Care”–Negligence by therapist
  • “Demonstrable Harm” – Harm which can be confirmed
  • “Proximate Cause” – Causal relationship of “b” and “c.”
21
Q

client has medical issue and you do not refer them to a physician

A

Competency/referrals

22
Q

client says they want to hit child

A

Crisis

forget modality
take control of situation
ensure safety
change treatment

23
Q

client wants you to talk to their doctor

A

Confidentiality/ With Consent

process risks with client
get written release of info
share least amount of pertinent info

24
Q

minor client is having sex

A

Confidentiality/mandated child sexul abuse

call child abuse center immediately
written report w/in 36 hours
change treatment
referrals: medical and support groups

25
Q

client threatens to hurt someone

A

Confidentiality/Mandated “danger to others”

dangerousness assessment 
clarify if duty to warn and protect  (if so, warn polica and victim) 
possible involuntary hold 
document 
change treatment
26
Q

client is extremely depressed

A

Confidentiality/allowed “suicide”

suicide assessment 
ensure clients safety (involuntary hold) 
referrals (medication and medicine) 
document
change treatment
27
Q

you receive a subpeona about client

A

Confidentiality/Not an exception

notify client
try to get written relase of info
respond but DONT GIVE INFO

28
Q

you are court ordered

A

Confidentiality/allowable “court order”

clarify committment to ethics
try to resolve
give only pertinent info

29
Q

you consult another colleague about client

A

Confidentiality/allowable “prof consultation”

  1. conceal client identity
  2. share only pertinent info
30
Q

hospital call about client serious health problem

A

Confidentiality/allowable “emergencies”

  1. exception
  2. give only pertinent info
    conceal identity
31
Q

family calls concerned about client

A

Confidentiality/Not an exception

can neither confirm nor deny info
don’t talk to them
notify client
get written release of info in order to talk

32
Q

insurance wants clients info

A

Confidentiality/allowable “third party payer/insurance”

insurance has right to info
notify client of this
include in informed consent

33
Q

parent wants to know info about minor in therapy

A

Confidentiality/allowable “minor”

parents have right to child info

custody (clarify who has legal right to consent for treatment)

consent (clarify who has custody to sign for consent)

clarify confidentiality (what info you share with parent)

34
Q

parent of minor doesn’t have custody and

  1. wants to pull minor out of therapy
  2. wants information about therapy
A

Confidentiality/Minor

  1. no custody = can’t consent
    need written consent of legal caregiver
  2. parents right to info about child
    share pertinent info only
    notify other parent
35
Q

you begin seeing a family who wants to know info about others

A

Confidentiality/ Multiple clients

inform no guarantee of confidentiality
clarify secrets policy
include both in informed consent

36
Q

you’re treating a minor and the parent wants to start couples therapy with her fiance

A

Multiple Relationships/Dual ROles

clarify
process
rectify (possible referral)
personal therapy/consultation

DONT DO IT if it is exploitative or itnereferes with effectiveness

37
Q

A client wants to pay for therapy in exchange for goods/services

A

Multiple Relationships/Bartering

allowed only if not exploitative
if not, then 
determine value at onset
determine length of agreement 
document in informed consent
38
Q

friend of a friend wants to start therapy with you

A

Multiple Relationships/Social

risk of exploitation
process with client 
rectify
personal therapy/consultation 
DONT DO IT
39
Q

therapist engages in sexual intimacy with current client and relative of client

A

Multiple Relationships/Sexual Relationship

unethical to engage in sexual acts with current clients or people related to current client

process 
clarify
take steps to rectify:
personal therapy/consultation 
possible referral

it is always the fault of the therapist
DONT DO IT

40
Q

you go to a romantic dinner with a former client

A

Multiple Relationships/Sexual

allowable if:
2 yrs post termination
unusual circumstance
therapist must prove it is not exploitative

DONT DO IT 
but  therapist is always at fault 
former client always a client 
clarify, process, rectify
personal therapy/consultation
41
Q

you begin therapy with a former lover

A

Multiple Relationships/Sexual Relationship

unethical to begin therapy with anyone you’ve been sexually intimate with

process
clarify
take steps to rectify:
possible referral / consultation

it is always the fault of the therapist
DONT DO IT

42
Q

Client brings you a souvenir

A

Multiple Relationships/Gifts

process what gift means and why
clarify roles
don’t accept

Ethics (9 decks)

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