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22 Cards in this Set

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  • Back
Multiple Relationships
from 2002 Ethics Code: occurs when a psychologist is in a professional relationship with a person & is in another role with the same person at the same time

are only unethical if objectivity & competence are impaired, or there's risk of exploitation
Action to take when threatened by the client or someone close to a client
"may terminate therapy when threatened or otherwise endangered by the patient or someone with whom the patient has a relationship"
Buckley Amendment
aka, Federal Educational Rights & Privacy Act, 1974 (FERPA)

parents have the right to inspect, review, & challenge contents of their child's educational record; prohibits schools from disclosing identifying information from student records without consent of parent or adult student

written notice is NOT needed to transfer a student's records to another school they plan to enroll in
Tarasoff v. UC Board of Regents

established a duty to warn then a duty to protect an intended victim (either 1 identifiable victim or a class/group of potential victimes)

protecting = notifying the intended victim, the police, and taking steps to keep the client and intended victim apart (e.g., hospitalization)
Jaffe v Redmond

therapist-patient privilege was recognized at a federal level
Waiving copayment fees
considered illegal & unethical, except if insurance company appproves the waiver & therapist is not increasing rates to get more money from the insurance company
Privilege in court-ordered evaluation
waived by the court
Use of a collection agency
ethical as long as the patient is informed first

preferable but not necessary to inform patient of your policy at the start of treatment
Definition of professional psychologist
person with a doctorate in psychology from a regionally accredited school

(can't call yourself a psychologist without a license)
Holder of privilege in court-ordered treatment
the patient
Psychologists may barter only if (1) it is not clinically contraindicated & (2) the resulting arrangement is not exploitative
re M'Naughten

basis for the insanity defense in most US states

insanity defense was successfully used by a person with paranoid schizophrenia who fatally wounded the secretary of England's Prime Minister
3 elements needed in a malpractice suit
1. psychologist must have a professional relationship with the individual

2. there must be some negligence or dereliction of duty by the psychologist

3. some harm must have come to the individual as a result of the negligence or dereliction
in order to practice in forensic settings, psychologists must:
ensure they are reasonably familiar with the judicial or administrative rules governing their roles

no requirement to complete a training program in forensic psychology
Sexual Harrassment
defined by the ethics code as sexual behavior which is either unwelcome, offensive, or creates a hostile work environment; the psychologist knows or is told this (& continues), or it is so severe that any reasonable person would see it as abusive
Fee Splitting
unethical if only based on referral

ethical only if based on services provided (e.g., consultation, administration, etc.)
termination of animals in research
must be done rapidly with an attempt to minimize pain
most frequently cited complaint against supervisers
untimely feedback
Withholding records due to nonpayment of fees is:
ethical according to the 2002 Ethics Code, except "Psychologists may not withhold records under their control that are requested and needed for a client's/patient's emergency treatment solely because payment has not been received."

illegal according to HIPAA (should comply with the law!)
patient's right not to have confidential information revealed in legal proceedings (narrower than the ethical concept of confidentiality)

can be waived by the court
how to respond when an insurance company asks for information about a former client:
when part of peer review process, provide the insurance company with the information it requests only after ensuring that the company will take steps to protect the client's confidentiality
Regarding record keeping, The Specialty Guidelines for Forensic Psychologists (1991) state that:
"the standard to be applied to such documentation or recording [i.e., to records in forensic settings] anticipates that the detail and quality of such documentation will be subject to reasonable judicial scrutiny; this standard is higher than the normative standard for general clinical practice."