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How does a therapists’ values impact the therapeutic relationship?
Therapists values influence every phase of psychotherapy includes
Therapeutic change
Assessment strategies
Goals of treatment
Design and selection of interventions
What are personal values?
what we believe is right or wrong shaped by culture, religion, upbringing, life experiences and personal morals
What is the law?
Shaped by governments, legislation and society’s standards at a given time
What is spirituality?
Relationship with a higher power and faith that may be used to find meaning in life
What is religion?
shared set of practices that is associated with specific religious groups
How can spirituality and religion be used in therapy?
Need to be integrated in therapeutic approach because
it plays an important part in the lives or clients
may be enabler of growth
component of wellness
this can be a critical source of strength
acknowledge and respect beliefs
support emotional wellbeing
explore without imposing your own values
work with their values, not against them
maintain professional boundaries
“my role is to support you, not enforce and discuss your religious views”
How do therapists need to manage their own religious values?
HOWEVER
we need to be aware of own religious values
Be aware of verbal and non verbal messages that are being communicated by the therapist
Countertransference
interreligious (different)
Intrareligious (same)
What are the 5 values pertaining to abortion?
Millner and Hank (2002)
1. make a comprehensive examination of your own moral views on abortion
2. determine when your own personal ethics would make it difficult for you to be objective and respectful
3. be prepared to refer clients to other professionals when it is appropriate
4. become familiar with state and federal laws pertaining to abortions
5. anticipate circumstances that would make it difficult for you maintain a sense of objectivity because of a value conflict
What are some ways to handle abortion and a therapist?
respect autonomy
explore her feelings and decision
support relational concerns
check emotional support
follow up
What are the 11 values pertaining to sex?
Sex only for marriage
Expression of love and commitment
Casual sex
Group sex
Extramarital sex
Premarital sex
Teenage sex
Gay, lesbian, bisexual and transgender
Internet sex sites
Pornography
Sex work
What are the ethical principles surrounding suicide?
Risk assessment
What are the warning signs of suicide?
What are the 6 end of life decisions?
Aggressive treatment of the medical conditions
life-sustain treatment
medical intervention indent to alleviate suffering
withdrawing life-sustain treatment
voluntary active euthanasia
physician-assisted suicide - dr gives the means for patient to commit suicide themselves
What is rational suicide?
Decided to end his or her life because of the extreme suffering involved with terminal illness
What is euthanasia?
What is assisted suicide?
What is hastened death?
When would people explore making decisions about death?
How would you support someone who is considering death?
listen without judgment
explore her decision making process
assess mental state
discuss alternatives
clarify you role and ethical boundaries
support the family dynamic
self-awareness and supervivion
What is refusal of treatment?
What are some examples of reproductive technology?
How is transplanation used?
What is death?