Week 3 Flashcards
Mandatory Ethics
involves a level of ethical functioning at the minimum level of professional practice. Prescribed to us.
Aspirattional Ethics
focuses on doing what is in the best interests of clients. Functioning at the aspirational level involves the highest standards of thinking and conduct. Aspirational practice requires counselors to do more than simply meet the letter of the ethics code. Our personal ethics and values
Fear Based Ethics
acting in a way to avoid punishment
Concern Based Ethics
how can you be the best nurse possible?
Positive Ethics
practitioners focused on doing their best for their client
What needs of the practitioner may get in the way of prescribing to the needs of the client?
- the need for control and power
- the inordinate need to be nurturing
- the need to change others in the direction of our own values
- the need for feeling adequate, particularly when it becomes overly important that the client confirm our competence
- the need to be respected and appreciated. It is crucial that we do not meet our needs at the expense of our clients.
4 Purposes of Professional Codes of Ethics
- Education on the responsibilities of the profession
- Provide basis for accountability
- Protect clients from unethical practices
- Provide basis for reflecting on and improving practice
8 Steps to Making Ethical Decisions
- Identify Problem
- Identify potential issues
- Look at relevant codes of ethics and consider own values
- Consider applicable laws and regulations
- Seek consultation from various sources
- Brainstorm courses of action
- Reflect on implications of each course of action
- Decide on best course
Informed Consent
Involves the right of clients to be informed about their therapy and to make autonomous decisions pertaining to it.
Informed Consent is an _________ and _________ requirement
Ethical and Legal
9 Aspects of the Informed Consent Process
- the general goals of counseling
- the responsibilities of the counselor toward the client
- the responsibilities of clients
- limitations of and exceptions to confidentiality
- legal and ethical parameters that could define the relationship
- the qualifications and background of the practitioner
- the fees involved
- the services the client can expect
- and the approximate length of the therapeutic process.
Confidentiality
an ethical concept, and in most states, it is the legal duty of therapists not to disclose information about a client.
Privileged Communication
a legal concept that protects clients from having their confidential communications revealed in court without their permission
Why is the Western Therapeutic Ethical Model’s focus on individualism limiting?
- Focussed on individualism and autonomy compared to collectivism; have some limitations when applied to special populations and cultural groups such as Asian and Pacific Islanders, Latinx, Native Americans, and African Americans
- Some of these approaches may not be applicable to clients from different racial, ethnic, and cultural backgrounds.
3 Pillars of EBP
(1) looking for the best available research
(2) relying on clinical expertise, and
(3) taking into consideration the client’s characteristics, culture, and preferences.
Dual/Multiple Relationships
Occur when counselors assume two (or more) roles simultaneously or sequentially with a client. This may involve assuming more than one professional role or combining professional and nonprofessional roles.
Boundary Crossing
a departure from a commonly accepted practice that could potentially benefit a client; brief excursions across professional lines of behaviours. Can be done ethically and enhance therapeutic relationship
Boundary Violation
a serious breach that harms the client and is therefore unethical. A boundary violation is a boundary crossing that takes the practitioner out of the professional role, generally involves exploitation, and results in harm to a client
What are 6 warning signs of boundary crossing
- Excessive Self Disclosure
- Special treatment
- Believing you are the only one that can help client
- Flirtation
- Overprotective behaviour
Secretive behaviour
Nightingale Effect
when nurses continue working despite being physically or psychologically compromised
Describe Freud’s View of Human Nature
Our behavior is determined by irrational forces, unconscious motivations, and biological and instinctual drives
Libido/Life Instincts Purpose
Survival or the individual/human race
Oriented towards growth, development, creativity
Goal of life = gaining pleasure and avoiding pain
Death Instincts
Aggressive drive
How does Freud view the structure of personality
the personality consists of three systems: the id, the ego, and the superego.
Id
ruled by the pleasure principle, which is aimed at reducing tension, avoiding pain, and gaining pleasure, the id is illogical, amoral, and driven to satisfy instinctual needs.
Ego
Ruled by the reality principle, the ego does realistic and logical thinking and formulates plans of action for satisfying needs.
Superego
Developed over time and includes a person’s moral code, the main concern being whether an action is good or bad, right or wrong