Cg Ethics & Clinical

Front 1

Sex w/clients

Back 1

- Therapist more likely to have other dual rels
- Can engage in 2 yrs after termination
- Never see new client who therapist used to have sex wtih

Front 2

Fact witness vs. Expert Witness

Back 2

Court ordered vs. approved expertise by the court

Front 3

Sanctioner

Back 3

People who have legitimate concern related to provision of psych svcs, e.g., court

Front 4

SI

Back 4

deal with "immediately"

Front 5

Fax

Back 5

Should code pt identity, even when to insurance company

Front 6

Obtain Consent before Breach of Confidentiality

Back 6

"Some of the time" -- refers to Tarasoff & abuse reporting w/o consent

Front 7

Quality Assessment

Back 7

1. pt satisfaction
2. tx effectiveness
3. access to svcs

Front 8

Baumrind

Back 8

Criticized Milgram's methods of research

Front 9

Milgram

Back 9

Wrong b/c deception w/resulting distress

Front 10

Subpoena

Back 10

Have to appear in person w/documents, but don't have to release documents unless ordered by judge

Front 11

Malpractice

Back 11

Dereliction of duty directly causing damage -- does not have to be "severe" or "extreme" damage; can be any harm

Front 12

HMO

Back 12

Fed Law: must provide -- 1. short-term outpt crisis intervention & 2. medical tx & referral for ETOH/drug addiction

Front 13

Referral fees

Back 13

Should be based on svcs provided, not on referral itself.
Can accept legit consulting fees on case that you previously referred (e.g. testing).

Front 14

Test Results

Back 14

Must provide in "simple & clear language."

Front 15

Raw Test Data

Back 15

May consist of raw & scaled scores, responses to stimuli, & behavioral observations during testing. Should not be given. Best to meet w/pt for results, in order to avoid misunderstanding. Should not be released to unqualified individual if it can be avoided.

Front 16

Utilization Review

Back 16

Cost containment technique. May result in denial of svcs.

Front 17

Terminating Therapy

Back 17

Provide:
1. pretermination counseling
2. alternative svc providers as appropriate

Front 18

Capitation

Back 18

Contract for svcs on a predetermined fee.

Front 19

Relationships w/former patients

Back 19

Friendships should be avoided b/c:
1. unequal situation
2. would preclude pt's rtn to tx

Front 20

Forensic Eval

Back 20

May not use data for any other purpose (e.g., book) w/o explicit waiver (even if data was presented in court).

Front 21

Exceptions/waiver to privilege

Back 21

May differ from state to state.

Front 22

Violence against Gays

Back 22

Acc. to Herek (1992) due to hetersexism.

Front 23

Ackerman

Back 23

Applied psychodynamic theory to families in 30s & 40s

Front 24

Whitaker

Back 24

Applied experiential/humanistic to families

Front 25

Kempler

Back 25

Applied Gestalt to family therapy

Front 26

Liberman

Back 26

Behavioral family therapy

Front 27

Richard Stuart

Back 27

Operant interpersonal therapy: combines operant conditioning w/social exchange theory marriage counseling.

Front 28

Bowen

Back 28

Family therapy, triangulation, differentiation (avoids triangulation), family emotional system, uses psychodynamic & systems theories

Front 29

Minuchin

Back 29

Structural family therapy, disengagement, therapist "joins" the family, mark boundaries, manipulate mood, escalate stress, utilize symptoms. Minuchin is manip & unyielding.
1. Triangulation
2. Detouring
3. Stable Coalition

Front 30

Ho

Back 30

Family therapy with ethnic minorities: use ecostructural model including extended family & church

Front 31

Caplan -- types of consultation

Back 31

1. Consultee-centered case
2. Client-centered case
3. Program-centered administrative
4. Consultee-centered administrative.
Theme interference = transference.

Front 32

Types of prevention

Back 32

Primary - prevent from occurring
Secondary - early i.d. & intervention
Tertiary - prevent from becoming chronic or a relapse

Front 33

Klein -- Object Relations

Back 33

Introjection - assimilation of parts of an object as part of oneself

Front 34

Cross Identity Model

Back 34

Pre-Encounter
Encounter
Immersion-emersion
Internalization

Front 35

Berry - Enculturation

Back 35

Vertical - from parents
Horizontal - from peers
Oblique - from others & institutions

Front 36

Kohut - Narcissism

Back 36

Results from mother's (self-object) lack of empathy to child

Front 37

Brief Psychodynamic Therapy

Back 37

Values positive transference -- negative is not approp. for brief therapy

Front 38

Fallon

Back 38

Inner/Outer externalizations

Front 39

Adler

Back 39

People are motivated by need to belong.
Need may be interrupted by:
1. attn
2. power
3. revenge
4. inadequacy

Front 40

Eysenck

Back 40

Therapy recovery is really just spontaneous recovery -- 50s

Front 41

Smith & Glass

Back 41

Tx better than 75% of pts w/no tx. Slight differences between theories, with beh more effective for some disorders.

Front 42

Instrumental vs. Expressive abuse in marriage

Back 42

Instrumental - brutal, dangerous, little provocation.
Expressive - rel to emot process of couple, results from escalating conflict.

Front 43

Brief Therapy

Back 43

Relieve pathological symptoms in brief period of time.

Front 44

Double-bind

Back 44

Used in cmmn family therapy- Jackson.

Front 45

Family Systems

Back 45

Positive Feedback - produces change
Negative Feedback - maintains status quo
Feedback Loop - contains both neg & pos
Circular Questioning - used to show differences in perceptions

Front 46

MOtivational Interviewing

Back 46

Designed to help pts build commitment & readiness to change.

Front 47

Gestalt therapy

Back 47

Contact - here&now
Conscious awareness - focused attn
Experimentation - goal is to increase understanding
"Response-ability"

Front 48

Helms - White Identity Model

Back 48

1. Contact
2. Disintegration
3. Reintegration
4. Pseudo-independece
5. Immersion-emersion
6. Autonomy