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mandatory ethics
things you must do, act in compliance with minimum standards
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aspirational ethics
highest standards of thinking and conduct. (e.g., pro bono services)
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6 moral principles in ethics:
- 1. Autonomy: the promotion of self-determination, or the freedom of clients to choose their own direction. (e.g., Clients right to withdraw from services)
- 2. Nonmaleficence: avoiding doing harm, including refraining from actions that risk hurting clients. (e.g., dual and multiple relationships)
- 3.Beneficence: Promoting good for others.
- 4. Justice: To be fair by giving equally to others; providing equal treatment for all.
- 5. Fidelity: To make and keep promises
- 6. Veracity; Truthfulness; represent yourself to the public in a truthful manner. (e.g., not practicing beyond your competence)
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What are the steps in making ethical decisions?
- 1.Identify the problem/dilemna
- 2. Identify potential issues involved
- 3. Review relevant ethics involved
- 4. Know the applicable laws and regulations
- 5. Obtain consultation
- 6. Consider possible and probable courses of action
- 7. Evaluate the consequences of various decisions
- 8. Decide the best course of action.
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Tranference
The process whereby clients project onto their therapists past feelings or attitudes they had toward significant people in their lives; the "unreal" relationship in therapy.
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countertransference
Projections by therapists that distort the way they perceive and react to a client.
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experiential learning
counselors seeking therapy themselves
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What are the biggest sources of stress for counselors?
- 1. suicidal statements
- 2. severely depressed clients
- 3. lack of motivation by clients
- 4. clients premature termination
- 5. aggression and hostility by clients
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informed consent
the right of clients to be informed about their therapy and to make autonomous decisions pertaining to it
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informed consent document
used to define boundaries and clarify the nature of the therapeutic relationship
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Legal aspects of informed consent
- Capacity: client hasthe ability to make rational decisions
- Comprehension of information: therapists must give clients information in a clear way and check to see that they understand it.
- Voluntariness: the person giving consent is acting freely in the decision-making process and is legally and psychologically able (competent) to give consent.
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Tarasoff Case
- Duty to warn of harm to self or others
- Duty to protect
- Client informs therapist that he is going to harm his girlfriend
- Therapist calls the campus police and sent a formal letter
- Client kills his girlfriend
- family sues b/c therapist didn't do enough to make sure clients girlfriend was safe
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Bradley Case
- duty not to negligently release dangerous client
- client is in an inpatient unit
- threatened earlier to kill his wife and her lover
- was given an unrestricted pass to visit his children living with his life
- kills his wife and her lover
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Jablonski Case
- duty to commit a dangerous individual
- Kembel brings boyfriend to be evaluated twice
- boyfriend is evaluated and released twice
- boyfriend kills Kembel
- negligent because failed to obtain prior medical history
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Hedlund Case
- extends duty to warn to anyone who might be near the intended victim and who might also be in danger
- couple in counseling and man reports he is going to hurt his wife in front of his child
- child must be warned but was not
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Jaffee Case
- communications between licensed psychotherapists and their clients are privelaged and therefore protected from forced disclosure in cases arising under federal law
- police shot and killed a suspect
- police was seeing a therapist and suspects family tried to get records from the therapist
- court sided with the therapist that the records were privelaged information
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