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30 Cards in this Set

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  • Back
What event was the basis of the informed consent?
Nuremberg Trials at the end of World War 2
3 elements involved in adequate informed consent
1. Capacity (Can they understand?)
2. Comprehension (Do they understand?)
3. Voluntariness (Will they understand and agree to it?)
the goal of the informed consent process
to provide clients continuous, adequate, and accurate information so that the participants may or may not consent to treatment (Corey)
Describe the Tuskegee Study
- began in 1932
- involved 600 black men (399 w/ syphilis, 201 no syphilis)
- no informed consent
- participants were told tx was for "bad blood"
- study continued for 40 years
- 1972 US government stopped study
- 1947 penicillin became d.o.c. for syphilis - not given to participants
What did the men originally recieve in exchange for being apart of the Tuskegee Study?
1. free medical exams
2. free meals
3. burial insurance
What did the participants (and their families) of the Tuskegee Study recieve after the settlement was reached in 1972?
- money (from $10 million settlement)
- lifetime medical benefits
- burial services
When was National Research Act signed and what commision resulted?
- 1974
- National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research
Ground rules for individual sessions (during marital therapy) as per Gottman
1. Everything is public: No secrets
2. Divulging information is at your discretion
Contra-indicators for marital therapy (7) as per Gottman
1. substance abuse
2. hx of violence (2x in past year) or marital rape
3. hx of violent crimes and violations of restraining orders
4. use of weapons
5. threats of aggression
6. obsession with partner
7. sadistic acts
Two Types of Violence
1. occasional/rare (35% of newlyweds in USA)
2. intimidation and control
Four parts of psychological abuse
1. social isolation
2. public humiliation
3. sexual coercion
4. threats and/or damage to property dear to abused person
Potential resistances to therapeutic contract in marital work, as per Gottman (7)
1. differential or low commitment
2. betrayals
3. psychopathology
4. past trauma
5. disorders in individuation
6. conflict in basic values
7. potential crisis (i.e., S.I., depression)
Six basic questions for marital work, as per Gottman
1. where are they each in the marriage?
2. what is the marital friendship like?
3. sentiment overide: positive or negative
4. what is regulation of conflict like?
5. life dreams and shared meaning system?
6. potential resistances
Gottman's schedule of assessment for marital therapy (3 sessions)
Session 1: conjoint, get narrative, oral hx/meta-emotion interviews, get sample of interaction (1.5 hours), they take home questionaire packet
Session 2: two individual sessions (45 minutes)
Session 3: conjoint, summary and perhaps the therapeutic contract
community work
a comprehensive helping framework of intervention strategies and services that promotes the personal development and well-being of all individuals and communities
most community work...
- occurs outside of the traditional agency setting
- brings about social change
one primary objective of community work
constituency self-determination
community work is meant to be preventative rather than
curative
community work skills include (5)
1. connecting people
2. developing leadership
3. inspiring confidence
4. promoting a culture of learning
5. mobilizing community resources
examples of community workers (8)
1. social workers
2. community organizers/developers
3. psychologists
4. psychiatrists
5. nurses
6. MFT's
7. human services workers
8. counselors
advocate
speaks on oppressed minority's (low in acculturation) behalf
change agent
confronts and brings about change in oppressive forces in the community through organizational education
consultant
help minorities learn skills to interact with community forces
advisor
initiates discussions and gives advice on topics (i.e., immigration papers, coping with job problems, or problems children face at school)
a facilitator of indigenous support systems is aware of (2)...
1. their own cultural factors that contribute to their problems
2. their own cultural resources for dealing with solutions
facilitator of indigenous healing systems
learn about their own cultural healing resources
online informed consent should include: (16)
1. counselor demographics
2. type of services provided
3. advantages and limits of service
4. suitability of treatment
5. back-up local services
6. alternative methods of communication
7. emergency contacts
8. point-of-service issues
9. client privacy and confidentiality
10. payment
11. alternative treatments
12. length of treatment
13. frequency of contact
14. goal setting and review
15. cancellations and no-shows
16. client signature and approval
5 advantages to eCounseling in addition to convenience
1. No time restraints (i.e. email)
2. access to any counselor
3. lower overhead cost
4. extended and flexible hours
5. less counselor sexual or social misconduct
5 malpractice pitfalls for therapists
1. self disclosure
2. dual relationships
3. scope of practice
4. documentation
5. consultation
5 types of laws
1. constitutional
2. statutes
3. regulations
4. rules
5. decisions