Section 11 Flashcards
Under the HPA, psychologists do not have the authority to prescribe and administer medications. In regards to medications, what are some things psychologists can do? (Section 11, p. 755)
- Discuss medications with a client generally if the topic is related.
- Acknowledge that certain symptoms might be attributed to side effects of medications (for clients who are already on meds) and refer them to their physician/psychiatrist.
- Talk/refer to a physician/psychiatrist if a client is considering ceasing medication.
- Observe changes in the client’s cognitive, emotional, and behavioural functioning during the course of treatment involving medications (and share this information with the treating physician/psychiatrist).
In regards to medications, what are some things psychologists should refrain from doing? (Section 11, p. 756)
Making definitive statements about: the need for medication, dosages of medication, specific symptoms being caused by meds, how/what a physician/psychiatrist should prescribe.
Also, they should refrain from administering meds.
What is the psychologist’s primary purpose? (Section 11, p. 757)
To serve the best interests of their clients.
In regards to recovered memories, psychologists acknowledge that a definite conclusion that a memory is based on objective reality is not possible unless what? (Section 11, p. 758)
Unless there is incontrovertible, corroborating evidence.
If a client wishes to make a complaint to the police about an alleged perpetrator, what should the therapist do? (Section 11, p. 758)
Discuss the meaning of this with the client, the probably consequences, and various options. They may also refer the client to a lawyer for professional information.
Psychologists require specialized competence in order to address recovered memories. What should a psychologist do if a client discloses recovered memories of abuse? (Section 11, p. 758-759).
Psychologists must be ready to consult, obtain supervision, or refer the client to another therapist without abandoning the client.
Can a psychologist compromise the client-therapist relationship to bring about changes in society that could potentially be harmful? (Section 11, p. 760).
No - the primary obligation is the client’s welfare.
What is the definition of aversive procedures or techniques? (Section 11, p. 761)
Procedures/techniques that restrict the rights or inflict measures of mental or physical discomfort on an individual.
When should aversive techniques be implemented? (Section 11, p. 761)
After professional consultation, if the client chooses this treatment, and if it is professionally irresponsible to withhold such treatment.
Behavioural interventions using aversive techniques should be considered the most __________ of behavioural procedures. Also, when should these procedures be applied? (Section 11, p. 761)
The most invasive of behavioural procedures. They should only be applied with documented evidence that all less intrusive techniques have been tried without success.
When charging fees, the charged fees should reflect what? (Section 11, p. 767)
Reflect the amount of time involved in providing the service, reasonably reflect the expertise of the psychologist, and a breakdown of charges must be provided.
What is the CGPA? (Section 11, p. 773).
Group therapy, group training, and group facilitation - they work together to foster and provide education and training for mental health professionals in group psychotherapy across Canada.
What are some reasons why groups work in therapy? (Section 11, p. 776)
- Altruism
- Catharsis
- Corrective recapitulation of primary family group
- Developing of socializing techniques
- Direct advice
- Existential factors
- Imitative behaviour
- Imparting of information
- Instillation of hope
- Interpersonal learning
- Universality
What are some responsibilities of clients who participate in group therapy? (Section 11, p. 779)
- attending regularly
- being prompt
- taking risks
- be willing to talk about oneself
- giving others feedback
- maintaining confidentiality
- asking for what one needs
What should a psychologist do if there is a crisis that arises as a direct result of participating in group therapy? (Section 11, p. 779)
Consult with the client, refer the client to receive appropriate help
In group therapy, when might a group leader by open to a malpractice suit? (Section 11, p. 780).
If a group member can prove that personal injury or psychological harm was caused by the leader’s failure to render proper services (either through negligence or ignorance)
What is the best way to protect yourself from getting involved in a malpractice suit? (Section 11, p. 780)
Taking preventative measures - do not practice outside the boundaries of your competence.
What are 3 possible consequences that may be enforced if a group member violates confidentiality? (Section 11, p. 782-783)
- removal from group
- financial sanction
- civil suit by the group member who was the object of the violation
Discuss 3 reasons why it is important to share reactions within the group when chance meetings occur between group members in an outside setting? (Section 11, p. 782-783)
- rewards the members for handling the situation well
- allows for the correction of mistaken impression
- it enables members to recognize other possible responses to handling the situation
- underscores the importance of all matters related to confidentiality
Define informed consent as it relates to group work? What does it mean to be informed and to give consent? (Section 11, p. 782-783)
Informed refers to the right of the group members to know all of the crucial aspects associated with the group treatment. Consent refers to the entering member’s agreement to participate int he group in cognizance of these crucial aspects.
What is the difference between a member paying for individual group sessions and paying for a seat in the group? (Section 11, p. 782-783)
If a member is paying for individual sessions, they only pay when they attend. If they are paying for their seat, they pay regardless of attendance.
What are some ways the therapist can help preserve privacy and confidentiality of group members in record keeping? And 2 ways group therapists can make note taking efficient? (Section 11, p. 782-783)
The therapist should write separate notes for each group member and should not write specific information about a group member in another group member’s chart.
Notes about the group should not contain identifying information.
What are the 4 stages of group development? (Section 11, p. 784)
- Forming
- Storming
- Performing
- Adjourning
In supervision, who is the hidden client?
S11: 763
The Student
What are some slippery slope ethical issues in supervision?
- Supervision really likes talking about themselves
- superviser becomes your therapist
What are the stages of supervisee development?
Level 1: It’s about me, can I make this work. What does the client think about me? (Content supervision)
Level 2: It’s about the client: can I help?? (content supervision)
Level 3: Its abut us: client + supervisor (process supervision)
