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26 Cards in this Set
- Front
- Back
definition of Ethics
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the study of moral standards and how they affect conduct . Law and ethics codes provide guidelines, yet neither offers clear-cut answer to situational problems.
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purpose of code so ethics
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Safeguard the welfare of lcients by porviding what is in their best interest.
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Community Standards
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What professionals do as a group- accepted standards of conduct in a professional communtiy.
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Profesionalism
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Acting ethically in the profession.
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Levels of ethical practice
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mandatory: Professional act accordingly to minimal standards-acknowledging the basis "must and must nots:
Aspirational: practicioners go further and reflect on the effects theri interventions may have on the welfare of their clients. |
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Codes of ethcis
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Practiciones must act in accordance with relevant fedeal and state statues and governmental regulations.
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Principle and virtue ethics
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Virtue ethics: Professionals do that which is right for client regardless of consequences. Principle ethics: focus on acts and choices , and they are used to facilitate the selection of socially and historicaly acceptable answer to the questions "What shall I do?"
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Steps in ethical decision making
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recognizing a problem
defining the problem (collaborating with client is essenttial at this stage) Developing solutions (with cient) choosing a solution Reviewing the process (with client) and rechoosing implementing and evaluating (with client0 continuing reflection. |
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Pros of Personal therapy
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Self awareness, Self examination,Self understanding, self confidence acceptance of limitations and vulneravility, review of belief and behavior
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Cons of Personal therapy
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requiring personal therapy for trainees or converting supervision sessions into therapy sessions for supervisees.
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Transference
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Is the process whereby clients project onto their therapist past feeling or attitudes they had toward significant people in their lives.
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Countertransference
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any projection by a therapist that can potentially get in the way of helping a client.
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Informed consent
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Part of ethical practice is talking with clients about their rights. Responsibilities of the therapist toward the client, the possibility of involuntary hospitalization, the possibility of being forced to submit to certain types of medical and psychological treament, matters of privacy and confidentiality.
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record keeping
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Providers have an obligation to keep records for a minimum of 7 years following the termination of a client. In the absence of a record keeping policy records should be kept for a minimum of 3 years after the last contact with a client. records of a summary , should then be maintained for an addiotional 12 years before disposal.
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Confidentiality
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confidentiality rule does not apply if clients disclosed of any information regarding risk of harm to themselves and/or others.
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Privacy
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Counselors respect client rights to privacy. Counselors solicit private information from clients only when it is beneficial to the counseling process.
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Priviliged communication
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Privielege is the clients right to prevent a mental health professional from revealing confidentail communication is a legal preceeding. Provileged conmmunication that is established by statute can protect clients from disclosure in a legal proceeding.
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Duty to warn and duty to protect
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Mental health professionals, have a double professional responsibility: to protect other people from potentially dangerous clients and to protect clients from themselves.
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Tarasoff: duty to warn
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mandated to report when they believe that someone is in danger of harming another person.
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Bradley
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Duty not to negligently release a dangerous client.A therapist has a duty to take reasonable care to prevent a potentially dangerous patient from inflicting harm.duty to control imposed on mental hospital as to patient within control of hospital
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Jablonski
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Duty to commit a dangerous individual.Failure to obtain dangerous individual's prior medical history constituted malpractice. Negligent failute to commit.
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Heldund
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Professional negligence: Duty to warn anyone who might be near the intended victim and who might also be in danger. A theapist must exercise reasonable care toprotect the forseeable victim of theat danger.
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Jaffee case
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Extended the Confidentiality privilege. Court ruled that comminications between licensed psychoterapists and their clients are priviliged and therefore protected from forced disclosure in cases arising udner federal law.
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Guidelines with dangerous and suicidal clients
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Examine your informed consent document. Is it clear in terms ofthe forfeiture of privilege because of a threat of violence to self or others?
Know to contact the legal counsel of your professional organization. Familiarize yourself with professionals who are expereinced in dealing with violence. Such experts can be located through your professional organization. If there is any hing of violence in the client's history, request clinical records from prevois therapists, if they exist. Take at least one workshop in the assessment and management of dangerous clients. Determine that the limits of your professional liability insurance are adequate. |
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Duty to warn indicative signs
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Special relationship exists between client and therapist -b- a reasonalbe prediction of harmful conduct is made, and c_ a potential victim can be identified.
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Confidentiality and HIV/AIDs clients.
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CURRENT POSITION IS THAT BREACH OF CONFIDENTIALITY IS NOT WARRANTED BECAUSE THERAPIST CAN NOT EVALUATE TRUTHFULNESS OF CLIENTS HIV/AID STATUS- IT IS NOT DEFINITE THT HIV/AIDS CAN BE TRANMITTED TO PARTINER DURING ONE OR EACH SEXUAL CONTAC. IT IS NOT DEFINITE THAT HIV/AIDS IS ALWAYS A LIFE THREATENING ILLNESS. -LEGAL CASES HAVE NOT YET OCCURRED TO PROVIDE DEFINITE GUIDELINES AROUND THIS ISSUES.
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