Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
34 Cards in this Set
- Front
- Back
|
morals
|
relational - concerend with adering to personal standards of interpersonal behavior
|
|
|
ethics
|
Discipline w/in philosphy that is concerned with moral decisionmaking. Also a standard of conduct as est by a profession.
|
|
|
issues commonly faced by counselors
|
Confidentiality, boundary issues, informed consent, competency, duty to warn/protect, payment, conduct of colleagues, teaching/supervision
|
|
|
Principle ethics
|
"What should I do?"
|
|
|
Virtue ethics
|
"Who should I be?" "Is this act consistent with who I am?
|
|
|
Aristotle's golden mean
|
Moderation in all things
|
|
|
Characteristics of virtuous agents
|
integrity, discernment, acceptance of emotion, self-awareness, interdependence with community
|
|
|
Incontinence (Aristotle)
|
unintentional acts that violate our ethics...such as giving in to the temptation to disclose (w/o therapeutic intention), or ailure to confront
|
|
|
Utilitarianism
|
End justifies the means--what is right is that by which the greatest number benefit
|
|
|
Deontological
|
reasoning according to inherent principles of what is right. (duty/obligation
|
|
|
Kant's categorical imperative
|
"act as if what you do would become law for everyone. Ie - would you want everyone to act in the same way?
|
|
|
Joseph Fletcher
|
Situational ethics -- the highest moral act in any situation is the one based on love for everyone involved (agape)
|
|
|
fiduciary responsibility
|
in which the counselor, in a position of trust, has the responsiblity to protect the best interests of the client
|
|
|
benificence
|
take positive steps to help others
|
|
|
autonomy
|
acknowledging the right of the client to make choices, esp to consent to Tx
|
|
|
non maleficence
|
do no harm
|
|
|
justice
|
what is fair
|
|
|
fidelity
|
fulfilling one's responsiblity re trust in a relationship
|
|
|
veracity
|
truth
|
|
|
4 components of moral behavior (Rest)
|
sensitivity, reasoning, deciding, and implementing
|
|
|
Tarvydas and Cottone Integrative Decisionmaking Model of ethical behavior (reality is socially constructed)
|
Stage 1: Interpret the situation (fact finding)
Stage 2: Formulate an ethical decision (review the pro, decide what principles are at stake, generate probable courses of action, ID the pros and cons, consult, select the ethical course of action Stage III: Selecting an actionby weighing competing nonmoral values, personal blindspots, or prejudices; Stage IV: plan and execute a course of action |
|
|
REmley and Herlihy model
|
ID problem
Consider the moral principles Tune in to your feelings Involve your client in the decisionmaking process Identify desired outcomes Consider possible outcomes Consider possible actions Choose and act |
|
|
"pockets of objectivity"
|
reality is defined in social groups (in social constructivism) so within each, there are pockets of objectivity with each group defining what is "absolutely true"
|
|
|
Social constructivism
|
decisions made not "int he head" but in the social, interpersonal context. Decisions involve, consensualizing, negotiating, and arbitrating - interpersonal processes
|
|
|
self-tests
|
publicity, justice, universality, moral traces -slippery slope
|
|
|
materiality
|
information a typical client would consider sufficient to make an informed decision about tx
|
|
|
legal consent
|
1) client is competent
2) free from pressure 3) knowledgeable about the tx 4) aware of available alternatives |
|
|
privacy
|
freedom of individuals to limit access to information about themselves (14th amendment)
|
|
|
confidentiality
|
allows individuals to control access to info they have shared - based on principles of autonomy, fidelity, nonmaleficence, beneficence, utility
|
|
|
Jaffee v redmond (1996)
|
created psychotherapist-client privilege
|
|
|
Wigmores conditions (privilege)
|
Judges can grant privilege if
1) confidentiality is essential to the relationship 2) commmunication must originate in confidence; 3) society must want to foster the relationship 4) justice must be better served by granting privilege than by denying it |
|
|
tarasoff (1976)
|
mental health professionals have a duty to protect individuals who are being threatened with bodily harm by a patient
|
|
|
Specific VA exceptions to privilege
|
client's physical or mental condition is at issue in the legal action
child abuse or neglect Court's discretion New Va law re duty to warn |
|
|
VA legal requirement re reporting of abuse
|
must be reported within 72 hours of first suspicion; disclosure is required (no privilege). Immunity from civil or criminal liability as long as done in good faith.
|
