Ethics final (shared)

Duty to warn

Limit of confidentialty requiring you to break confidentiality when you believe a specific party is in danger of imminent harm

Duty to protect

Limit of confidentiality requiring you to break confidentiality when you believe the client presents an imminent danger to themself.

Duty to report

Limit of confidentiality requiring you to break confidentiality if you believe there is abuse or neglect to a child, an elderly person, or a disabled person

Compassion fatigue

a state of exhaustion in which healthcare professionals are desensitized to others' needs, causing them to develop a lack of empathy for future patients

vicarious trauma

a shift in the clinicians attitude and worldview after prolonged exposure to patients' suffering

secondary trauma

cognitive shift that may occur suddenly, after hearing a patient's story one time

burnout

a state of physical, emotional, and mental exhaustion created by long-term involvement in an emotionally demanding situation and accompanied by lowered performance and motivation

autonomy, non-maleficience, beneficience, justice, fidelity, and veracity

Six philosophical moral principles

self-of-the-therapist

The therapist's self-knowledge regarding his/her values, beliefs, biases, strengths, and weaknesses. Also refers to the ways in which therapists make use of their personal experiences during therapy and the nature of the emotional bond offered to clients.

Person-of-the-therapist

Symbolic-Experiential Theory that attributes the psychological health and authenticity of the therapist as a person being a primary factor in effective therapeutic outcomes. The therapist is encouraged to be authentic and real with his or her clients, recognizing their signature themes and remaining mindful of how they appear in therapy

historical account, supervisor use, legal use, risk management, own accountability, billing

Purposes of documentation

1. what happened, 2) what clients said, 3) how they appeared, 4) how we intervened & 5) how they responded to our intervention

required inclusions of notes

accurate, descriptive, objective

required attributes of notes

7 years

How long must notes be maintained?

TRUTHFUL & ACCURATE representation in professional titles, affiliations, education, licensing status & specialization

AAMFT marketing requirements

No

If you are doing therapy, is it ethical to do EVALUATIONS for court/cross-purposes with the same clients?

Fact witness

The type of witness you would be if a client you are working with gets involved in a lawsuit and you get called to the stand

Guardian ad litem

court-appointed advocate to represent a minor in litigation

Parental Alienation

When a child is alienated from one parent by the other, turned against, or blocked access/Long term damage to kids, even as an adult. Typically in the process of a divorce

Accurate, Objective, Fair, and Independent

Best practices for giving Testimony

Spirituality

The feelings, thoughts or experiences & behaviors that arise from a search for the sacred. (Internal)

Religion

A setting or context that is designed to foster the search for the sacred. / Organized social entity with boundaries, rituals & practices (External)

Conversion therapy

therapy designed to change the sexual orientation of a person, usually homosexual to heterosexual. Proven to cause harm

non-discrimination

Avoiding discrimination

anti-discrimination

Actively interrupting discrimination and patterns of discrimination

Tarasoff case

a case in which the Supreme Court of California held that mental health professionals have a duty to protect individuals who are being threatened with bodily harm by a patient.

multiple role relationship

A situation in which a therapist has both a professional relationship and a nonprofessional relationship with the same person.

HIPAA

a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed.

PHI

Abbreviation for a client's protected health information

Privilege

The legal right owned by the Client to not have their private information disclosed in court proceedings

Malpractice

Lawsuit brought by a Therapist's Client or 3rd party claiming that the T acted NEGLIGENTLY or RECKLESSLY (unintentionally) or that they intentionally injured another

Confidentiality

The concept that a therapist may not voluntarily disclose Therapist-Client communication to a 3rd person

Consent

An agreement given by a client to allow the therapist to provide services, acknowledging understanding of what these services entail and the potential risks involved.

Assent

Agreement given by a minor to accept that the therapist will provide services, acknowledgin understanding of what these services entail and the potential risks involved

Ethics

moral principles that govern a person's behavior or the conducting of an activity

metaethics, normative, and applied

the 3 branches of ethics

Utilitarianism

Ethical theory that espouses the

“Greatest good for the greatest number of people drives the decision.”- John Stuart Mills

aristotle

Philosopher who believes we are all morally good and know what to do. “Aspire to be virtuous. If you are a good person, you will do good things”

the golden mean

the balance between deficiency and excess. For example, courage is this between cowardice and recklessness.

Kant

the philosopher who argues for universalizability.

Universalizability

it has to be the recommendation for “every person in every situation”

Buber

the philosopher who says you should acknowledge the humanity in others. You should not use people as a means to an end (I-it vs I-thou)

incidental and prolonged

2 types of multiple role relationships

person, place, and time

If a person is “oriented x3” what are they oreinted to?

respond, but you do not have to show up in court without a court order signed by a judge

Required actions when you recieve a subpeona

transference

the redirection of feelings about a specific person onto someone else. In therapy, this refers to a client's projection of their feelings, including sexual feelings, about someone else onto their therapist

countertransference

the redirection of a therapist's feelings, including sexual feelings, onto the client

Never

Accorning to the AAMFT code of ethics, how long after you last saw a client until you can have sex with them?