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53 Cards in this Set

  • Front
  • Back
mandatory ethics
Minimum professional standards
principle ethics
behavior expected of the therapists in a given situation
aspirational ethics
highest ethical attitudes and behaviors aspired to by therapists
virture ethics
highest moral character of the therapist
nonmaleficence
do no harm
beneficence
do good
autonomy
respect self-determination
justice
treat everyone fairly
fidelity
be trustworthy
veracity
tell the truth
competence
completed academic training and supervised experience
scope of practice
boundaries of competence
standards of care
the consensus treatments and interventions that competent professional colleagues do in the same situations
malpractice
negligence that results in injury or loss
What the client must show to prove therapist malpractice
duty, breach of duty, injury, causation
most common therapist malpractices (9)
1. failure to abtain or document informed consent
2. client abandonment
3. marked departure from established therapieutic practices
4. practicing beyond scopes of competency
5. misdiangosis
6. repressed of false memory
7. unhealthy transference relationships
8. sexual misconduct with a client
9. failure to control a dangerous client
informed consent parts (12)
1. goals
2. services
3. acces to their files
4. expecations
5. risks and benefits
6. qualifications of provider
7. financial arrangements
6. duration
7. limitations of confidentiatlity
8. duty to warn/protect/report
9. disclosure of rellevant values
10. release of information
11. termination
12. policy on minors
as part of the informed consent: what are the benefits and risks of treatment?
a clear description of common effects that counseling will have on clients
confidentiality v. confidences
confidentiality: the ethical and legal right of the client to have disclosures and information protected.

confidences: social agreement to keep information private.
confidentiality v. privileged communication v. right to privacy
confidentiality: ethical standard

privileged communciation: legal right

right to privacy: constitutional right
Tarasoff's duty to warn and protect
duty to warn: reasonable effort to communicate to identifiable victim(s) and law enforcement

protect: take steps (e.g. clinical interventions, reassessments, medications changes, referral, or hospitalizations)
transference
the distorted and projected reality the client places on the therapist and the theraputic relationship based on the client's dysfunctional past experiences
counter-transference
the therapist's distorted and projected reality of the client and the client's transference
person-of-the-therapist issues (5)
1. therapist's worldview
2. motivations
3. self-awareness
4. self-regulation
5. impairment
blended roles
dual relationships that are considered beneficial to the client's therapeutic process
boundary crossings
crossings of boundaries that are helpful for treatment outcomes
boundary violations
crossings of boundaries that harm the client or the therapeutic effectiveness
exposition of values
the disclosure of the therapists values in the service of obtaining or maintianing informed consent
imposition of values
the inappropriate presumption of the therapist's values without respect to the client's autonomy
stereotyping
oversimplification and uncritical generalization of a client or culture
racism
denial of access to opportunities or privileges based solely on race
minority
differential and unequal treatment of a group
burnout
a syndorme characterized by psychological, physical and interpersonal exhaustion
fraud
misrepresentation of the facts with the intent to decieve
impairment
a temporary condition of the therapist or client where they are unable to function at previously competent levels due to mental illness, physical predisposition or convergence of life stressors, never before attained competence
supervision v. consultation
supervisors are legally and ethically liable for their supervisee's behavior

consultations are not binding and therefore no liablity is incurred
direct liability v. vicarious liability
direct liability refers to liability that comes from the supervisor's own behavior

vicarious liability pertains to behavior done by their supervisee
limits of confidentiality in family/group therapy v. individual therapy
members of the family/group are not bound by legal or ethical codes, so client disclosures are not protected at the same level of confidentiality as in individual therapy
Development of a profession
1. Informal entrance and practices
2. professional associations
-certification (title acts)
3. government oversight
-licensure (practice acts)
psychologist responses of ethically troubling incidents (top 4)
1. Confidentiality
2. Blurred, dual, or conflictual relationships
3. academic settings, teaching delemmas, and concerns about training
4. forensic psychology
Most pressure
Pressure to graduate students
Questions to evaluate dual relationships
Does it increase expliotation?
Does it decrease objectivity?
consevrative view of dual relationships
don't do them, slippery slope
moderate view of dual relationships
they can be beneficial
Descriptive ethics v. normative ethics.
Descriptive ethics seeks to discover and describe what moral beliefs are held in a given culture.

Normative ethics seeks rather to prescribe an appropriate belief or value.
Abuse flows in a pattern:
psychological (therapist getting needs met inadvertently), covert (therapist getting needs met delibrilty but without the knowledge of the client), and overt (Known by both).
ethical decision making process (8 steps)
id the type of problem (legal, moral, clinical, professional, ethical)
id the potential ethical issues (justice, veracity, nonmaleficence)
review code
review laws
consultation
consider options
consequences of options
choose the best course of action
informed consent is ongoing throughout the theraputic relationship
yes
4 teir relationship of supervision
supervisor, supervisee, client, system
Supervision is heirarchical relationship with...
evaluation as a key component along with no to low choice
Two key differences b/w supervision and consultation
supervision is hierarchical, evaluative, and no to low choice for the supervisee

consultation is not legally binding
clinical supervision is
focused on the supervisee's actions with their clients
administrative supervision is
focused on supervisee's actions in the organizations