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Corey Chapter 6
Terms in this set (26)
a multiple relationship occurs when a psychologist is in a professional role with a person and (1) at the same time is in another role with the same person, (2) at the same time is in a relationship with a person closely associated with or related to the person with whom the psychologist has the professional relationship, or (3) promises to enter into another relationship in the future with the person or a person closely associated with or related to the person.
is a departure from commonly accepted practices that could potentially benefit clients (changes in role)--boundary crossings can lead to a pattern of blurring of professional roles.
is a serious breach that results in harm to clients (exploitation of the client at some level)
combining roles and responsibilities
slippery slop phenomenon
this argument is based on the premise that certain actions will inevitably lead to a progressive deterioration of ethical behavior. furthermore, if professionals do not adhere to rigid standards, their behavior may foster relationships that are sexual or in some way harmful to clients.
when a client is unable to afford therapy, he or she may offer a bartering arrangement, exchanging services in lieu of paying a fee. Defined by APA: barter is the acceptance of goods, services, or other non-monetary remuneration from clients/patients in return for psychological services. psychologists may barter only if (1) it is not clinically contraindicated, and (2) the resulting arrangement is not exploitative. Corey believes that bartering should be evaluated within a cultural context.
an integral part of training helping professionals and is one of the ways in which trainees can acquire the competence needed to fulfill their professional responsibilities. supervision is a process that involves a supervisor overseeing the professional work of a trainee with four major goals: (1) to promote supervisee growth and development, (2) to protect the welfare of the client, (3) to monitor supervisee performance and to serve as a gatekeeper for the profession, and (4) to empower the supervisee to self-supervise and carry out these goals as an independent professional
informed consent in supervision
is as essential as informed consent in counseling. it is beneficial to discuss the rights of supervisees from the beginning of the supervisory relationship, in much the same way as the rights of clients are addressed early in the therapy process
have a position of influence with their supervisees; they operate in multiple roles as teacher, mentor, consultant, counselor, sounding board, adviser, administrator, evaluator, recorder, and empowerer
supervisors are ethically vulnerable for 3 main reasons
1. the power differential between the participants
2. the "therapy-like" quality of the supervisory relationship
3. the conflicting roles of the supervisor and supervisees
Legal Aspects of Supervision
three legal considerations in supervisory relationship are informed consent, confidentiality and its limits, and liability
direct liability can be incurred if supervisors are derelict in the supervision of their trainees, if they give trainees inappropriate advice about treatment, or if they give tasks to trainees that exceed their competence
pertains to the responsibilities that supervisors have because of the actions of their supervisees. from both a legal and ethical standpoint, trainees are not expected to assume final responsibility for clients; rather, their supervisors are legally expected to carry the decision-making responsibility and liability.
encompasses a broad definition of culture that includes race, ethnicity, socioeconomic status, sexual orientation, religion, gender, and age
model as a collaberative respectful prcess characterized by a balance between supervisory responsibility and supervisee autonomy
multiple-role relationships in supervision
occur when a supervisor has concurrent or consecutive professional or nonprofessional relationships with a supervisee in addition to the supervisor-supervisee relationship.
a process in which a human service professional assists a consultee with a work-related (or caretaking-related) problem with a client system, with the goal of helping both the consultee and the client system in some specific way. consultation is a specialized professional process, and it is being carried out by many different groups in diverse work settings, which presents some unique ethical challenge
one way to clarify the shared responsibility in a therapeutic relationship is by a contract, which is based on a negotiation between the client and the therapist to define the therapeutic relationships
also called empirically supported treatments, implies that clinicians are accountable to their clients and need to have up-to-date information on which treatments have been demonstrated to work
consists of evaluating the relevant factors in a client's life to identify themes for further exploration in the counseling process
which is sometimes part of the assessment process, consists of identifying a specific mental disorder based on a pattern of symptoms that leads to a specific diagnosis found in the DSM-IV
psychodiagnosis (psychological diagnosis)
a general term covering the process of identifying an emotional or behavioral problem and making a statement about the current status of a client.
the process of distinguishing one form of mental disorder from another by determining which of two (or more) disorders with similar symptoms the person is suffering from.
practitioners controlled both the supply and the demand dimensions of service delivery. practitioners decided what clients needed, how and when to treat them, and how logn therapy would last.
stressed time-limited interventions, cost-effective methods, and focused on preventive rather than curative strategies. managed care offered a plan to businesses that would reduce the costs of care, which was easy to sell to businesses.
the use of predefined criteria to evaluate treatment necessity, appropriateness of therapeutic intervention, and therapy effectiveness. this process may take place before, during, and after treatment. utilization management and review involves making decisions regarding types of treatment, setting, and the duration of treatment.
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