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Related Flashcards
Cards In This Set
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Primary value underlying the existence of Ethical Principles is:
a. confidentiality of therapist-client communication b. advancement of welfare of society as a whole c. continued prosperity of the field of psychology d. advancement and protection of the welfare of the patients and clients of psychologists |
D
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If an ethical issue is not addressed in the Ethics Code it indicates that any related conduct:
a. is ethical b. unethical c. is ethical, if not prohibited by any law or regulation d. may be ethical or unethical |
D
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What is the goal of the Preamble and General Principles section of the EPP and Code of Conduct
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The Preamble and General Principles lay out the values (i.e., the aspirational goals) upon which the Standards are based. It is the Ethical standards that provide specific, enforceable rules.
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In cases where the ethical Standard and the law are not in complete agreement, what is the psychologist's responsibility (e.g., there are activities that are unethical but not illegal, or when upholding an ethical standard would violate the law).
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The psychologist must meet the higher ethical standard. if upholding an ethical standard violates the law, the psychologist must make known their commitment to the ethics Code and take steps to resolve the conflict. if unresolveable without breaking the law, psychologies may adhere to the requirements of the law, regulations, or other governing legal authority.
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You are contacted by the APA Ethics Committee in regard to a complaint filed against you by your client. The committee asks for your records related to the clients' therapy with you. You should:
a. cooperate fully with the Committee's request b. contact the client and obtain a release of information before cooperating c. contact the client and attempt to settle the matter informally with him. |
A: when you are contacted by an ethics committee in response to a complaint from a client, you must cooperate fully. Confidentiality is not an issue, since the committee must obtain a signed waiver of confidentiality from the complainant before it takes any action. Failure to cooperate with an ethics committee is a violation in itself. No ethics committee can press an inquiry about a client, unless an appropriate waiver of confidentiality has been obtained. However, confidentiality issues can arise, e.g., case of couple's therapy. if only one member of couple files complaint, it is necessary to get other partner's permission for release of records, but only release info pertaining to wife (or partner who makes complaint).
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Informal resolution vs. reporting of ethical violation
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Depends on likeliness that violation will bring harm. e.g., having sex with client or drunk at session, can report without attempting informal resolution (however, cannot be heresay). or if attempts at informal resolution do not bring about change - can report.
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A psychologist who is having marital problems begins to notice that during marital therapy he is siding with the husband. He should:
a. explain to his clients the reason for his countertransference b.seek consultation c. refer his marital therapy clients d. suspend doing marital therapy until his marital problems are resolved. |
B. Standard 2.06 Personal Problems and Conflicts requires psychologist to take appropriate measures, e.g., consultation, and determine whether they should limit, suspend, or terminate their work-related duties.
Within this standard, psychologists would refrain form initiating an activity when they know or should know that there is a substantial likelihood that their personal problems will prevent them from performing their work-related activities in a competent manner. e.g., don't take gay clients if homophobic |
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The use of interpreters in psychotherapy is:
a. always unethical due to the lack of confidentiality b. always unethical b/c psychologist must refer clients if they cannot communicate directly in the same language c. is ethical if the interpreter has signed an agreement to maintain the client's confidentiality d. may be ethical if steps have been taken to avoid a multiple relationship between the interpreter and the client. |
Using an interpreter in psychotherapy raises clinical and ethical concerns, but it is not prohibited by the Ethics Code, standard 2.05 Delegation of Work to others, require psychologies who delegate work to others, including interpreters take reasonable steps to "avoid delegating such work to persons who have a mulitiple relationship with those being served that would likely lead to exploitation or loss of objectivity." It might be appropriate to discuss with the interpreter the importance of maintaining the client's confidentiality, but there is no ethical standard requiring an interpreter to sign a confidentiality agreement.
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Multiple relationships
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-avoided wheneverpossible, unless it clearly poses not threat to the client's best interests.
-example of client beginning to date a friend. first step is to discuss issue with client. -professor dating a student - always uethical |
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Conflict of interest
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-example of avoiding being an expert witness and testifying about a therapeutic relationship, even if it occurred in the past.
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Third party requests for services
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-clarify who is the client and what is the nature of the relaitonship with all involved parties. applies to work in schools, miliatry, prisons, medical centers, govt agencies, courts, etc.Where to loyalties lie?e.g., with business proprieter or employee, paying parents or kids, research results that go against company?
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You are working for a large corporation as an industrial psychologist. you observe more than 1 incident of racism. what is your best course of action?
a. observe the incidents and be ready to discuss them if questioned later b. observe the incidents and, if possible, take active steps to intervene c. don't do anything unless the perpetrators are psychologies and APA members d. file a report with the APA ethics committee |
B - standard 3.04 which states that psychologies attempt to minimize harm to those with whom they work, suggests that this would be the best course of action.
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Privilege
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Privilege is a legal term (not an Ethical standards term) that refers to a client's right to prevent confidential information from being released in a legal proceeding.
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You are seeing a family and you notice bruises on the son's body. The parents say that their child has been seen by a pediatrician but that they forgot to mention the bruises to him. When asked how the boy got hurt, the parents say that he 'fell down the stairs,' but cannot provide any further details the boy is silent and withdrawn and seems afraid of you. You should:
a. conduct further investigation to determine if a child abuse report is necessary. b. file a child abuse report with the appropriate state agency. c. contact the pediatrician |
B. the circumstances presented would arouse a suspicion of child abuse in any reasonable person.
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During a session, a client you you know is HIV-positive, casually claims hat he has been engaging in unprotected sex. You believe he is telling the truth. Is this sufficient grounds for you to break confidentiality, and notify the authorities?
a. yes, you should always break confidentiality whenever an individual makes a claim like this. be. yes, if you genuinely believe he is making a truthful statement. c. No, b/c there is no identified third party who is at risk d. No, you never break confidentiality under any circumstances. |
The issue of confidentiality and people who have tested positive for HIV or who have AIDS, when they engage in risky sexual is a complicated issue. In this question, based on the comments made by your client, you do not have sufficient grounds to break confidentiality. APA proposes that disclosure is only permitted if 1) there is an identifiable third party who is at risk, 2)the third party is unaware he or she is at risk, and 3)the client has refused or is not considered reliable to inform the third party.
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