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Laws and Counseling
Terms in this set (41)
Civil Rights act 1964
Protect people who were discriminated based on a genetic trait related to particular ethnic groups
Americans with Disabilities Act
Prohibits discrimination against individuals with disabilities including genetic disorders.
NO protections for unexpressed genetic conditions
Employers may request/require employees to provide medical/genetic information
Prohibit use of health information including genetic factors by GROUP health insurance plans to deny coverage, determine eligibility, or increase premiums
BUT preexisting conditions may be excluded for up to 12 months (if no symptoms present, not a preexisting condition)
Does not prevent charging higher premiums for a whole group.
Does not apply to those seeking insurance in the individual market.
Does not prohibit employers from refusing to offer coverage
Executive order 13145
Prohibited workplace genetic discrimination in federal departments and agencies including medical conditions and genetic tests of family members
Who is not protected by GINA?
-Federal employees health benefits plan
-Indian health service patients
-People who have manifested symptoms
-Does not protect against life, disability, and long term care
What is a crisis?
Stressful event that threatens an individuals psychological equilibrium to the point of overwhelming the normal coping responses
What is a situational crisis?
Occurs in response to a sudden, unexpected event in a person's life. Critical life events revolve around experiences of grief and loss
If a client is having a crisis, what do you want to do?
Perception is realistic?
Situational support adequate?
Coping mechanism adequate?
What are situations you'd need a crisis intervention?
Disturbed thought process
Chronic low self esteem
Risk of self harm
What is the best approach to crisis intervention?
Plan and determine a desired outcome.
Set realistic goals
--Need social support?
Use problem solving approach
Hostility towards the responsible person or situation
Avoid thinking about the situation or minimize the significance
Attempts to control ones emotions and actions
Searches for sources of information, emotional, or tangible help
Seeking social support
Acknowledging one's own role in the situation
Hoping for a miracle or wishful thinking, while avoiding the situation
Analyzing the situation and forming an action plan
Identifying positive outcomes of the situation
Process by which emotions and desires are transferred unconsciously to the counselor
Short-lived reaction characterized by psychic numbness and cognitive disorientation, dramastically decreased or disrupted mobility and speech
Panic-like response to initial sensing of a threat. Characterized by confusion, cognitive flooding, physiological symptoms, hyperventilation, excess perspiration, irritable stomach
Minimization or negation of chronicity, extent, and future implications associated with a condition. Selective attention, wishful thinking, unrealistic expectations, and sometimes neglect.
Realization of permanency, magnitude and future implications leads to feelings of despair, helpless, hopeless, isolation, and distress
Internalized resentment, bitterness, guilt, and self-blame characterized by antagonism, passive-aggressive actions and aggressive acts
Anger and hostility
Reorganization, reintegration, or reorientation characterized by cognitive reconciliation of condition, its impact, and chronic or permanent nature; affective acceptance; and eventually active pursuit
of personal, social, and/or vocational goals.
Complete rejection of the thought or feeling
"That's not true"
Vaguely aware of the thought or feeling, but try to hide it.
"I'm going to try to be nice to her"
Turning the feeling into its opposite
"This is great!"
You think someone else has your thought or feeling
"The counselor is just mad at me"
You redirect your feelings to another target.
"I hate this clinic and the doctor"
You come up with explanations justifying the situation while denying your feelings.
"She's so mean because she just had a bad day"
You delve into the content and use large words
"This situation resminds me of how Nietzshe said that anger is ontological dispair"
You try to reverse your feelings by doing something that indicates the opposite. It may be an 'apology' for the feeling you find unacceptable.
"I'll get him a gift"
You "think" the feeling but don't really feel it.
"I think I'm angry with her... sort of"
Isolation of affect
You revert to an old, usually immature behavior to ventilate your feeling
You redirect your feeling into a socially productive activity
"I'm going to write a poem"
Principles of Ethics
Providing benefit to the person
Principles of Ethics
Distributing benefits and harm fairly
Principles of Ethics
Balancing resulting benefits and harms
Principles of ethics
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