Ethics Midterm Flashcards

(67 cards)

1
Q

Ethics

A

Pertain to the ideal standards that are adopted by a professional group to govern the conduct that profession; consequences may include professional sanctions

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2
Q

Laws

A

body of rules that govern the affairs of people within a community, state, or country; they are minimum standards to keep society functioning as enforced by the government

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3
Q

Values

A

pertains to beliefs and attitudes that provide direction to everyday living

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4
Q

Morals

A

One’s perspective of what is right and proper conduct.

Evaluation of actions based on broader cultural context or religious standard.

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5
Q

Levels of Laws effecting counselors

A

Federal (i.e., HIPAA)
State (i.e., mandatory reporting of child abuse)
Local - (i.e. Zoning Laws)

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6
Q

Principle Ethics

A

Type of ethic that aims to solve a particular dilemma and establish a framework to guide thinking and behavior. “Is this situation unethical?”

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7
Q

Virtue Ethics

A

Type of ethic that focuses on the character of the counselor and nonobligatory ideals. “Am I doing what is best for my client?”

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8
Q

Mandatory ethics

A

Level of ethical functioning wherein counselors act in compliance with minimal standards, acknowledging the basic ‘musts’ and ‘must nots’. Focus is on behavioral rules, such as informed consent.

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9
Q

Positive ethics

A

Focuses on how counselors can do better at helping clients, not just focusing on how counselors can cause harm to clients . Focus on what can be, vs. avoiding what should not be.

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10
Q

Aspirational ethics

A

The highest standard of thinking and conduct counselors seek. Goes beyond the code, to the spirit of the code.

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11
Q

Core Professional Values of the Counseling Profession

A
  1. Enhance human development throughout the lifespan
  2. Honor diversity and embrace multicultural approach in supporting the worth, dignity, potential and uniqueness of people within their social/cultural contexts
  3. Promote social justice
  4. Safeguard the integrity of the counselor-client relationship
  5. Practice in a competent and ethical manner
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12
Q

Core Professional Values of the Counseling Profession

A
  1. Enhance human development throughout the lifespan
  2. Honor diversity and embrace multicultural approach in supporting the worth, dignity, potential and uniqueness of people within their social/cultural contexts
  3. Promote social justice
  4. Safeguard the integrity of the counselor-client relationship
  5. Practice in a competent and ethical manner
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13
Q

Basic Moral Principles

A
  1. autonomy
  2. nonmaleficence
  3. beneficence
  4. justice
  5. fidelity
  6. veracity
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14
Q

Autonomy

A

promote self-determination; one’s ability to direct their own life; decrease clients’ dependence

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15
Q

Nonmaleficence

A

Avoid doing harm, exploitation, or the potential of hurting; necessitates awareness of the client’s cultural context

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16
Q

Beneficence

A

Do good for others and promote well-being of clients. Part of social justice - doing good for a community

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17
Q

Justice

A

To be fair be giving equally to others and treating others justly. “Would I do this for all my clients?”

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18
Q

Fidelity

A

Make realistic commitments and keep these promises. “Do what you say you are going to do”

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19
Q

Veracity

A

Be truthful and deal honestly with clients

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20
Q

Purpose of ACA Code of Ethics

A
  1. sets ethical obligations guiding practice
  2. identifies ethical considerations relevant to the field
  3. clarifies the ethical responsibilities for professionals
  4. assists members in constructing a course of action
  5. supports the mission of ACA
  6. standards are the basis for processing inquiries and ethics complaints
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21
Q

Ethical Considerations about ACA codes

A
  • May not align with all states
  • tend to be reactive vs. proactive
  • continue to be updated and require continuing education
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22
Q

Ethical Decision Making Model (EDMM) Steps

A
  1. Identify the Problem or Dilemma
  2. Identify the potential Issues Involved
  3. Review the Relevant Ethics Codes
  4. Know the applicable laws and regulations
  5. Obtain consultation
  6. Consider possible and probable courses of action
  7. Enumerate the consequences of various decisions
  8. Chose what appears to be the best course of action
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23
Q

EDMM Step 1: Identify Problem/Dilemma

A

Recognize that there is a problem or dilemma
What is the nature of the problem
Gather necessary information
Consult with the CLIENT throughout the process
Reflect throughout - what is at the heart of this, who all is involved, what are my own values and beliefs on this situation?

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24
Q

EDMM Step 2: Identify Potential Issues

A

List and describe the relevant issues
List and assess the rights, responsibilities, and welfare of all who are involved in situation
Apply and prioritize the six moral principles - where do the compliment/conflict with one another

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25
EDMM Step 3: Review Relevant Ethics Codes
Is there a solution in the codes? What cultural issues pertain to this situation? Do my own values come into conflict with those in the code?
26
EDMM Step 4: Know Applicable Laws and Regulations
Keep current on these, know and apply them
27
EDMM Step 5: Obtain Consultation
Review with unbiased colleague, broader perspective
28
EDMM Step 6: Consider possible and probable courses of action
Consider actions including no action including ethical, legal and clinical ramifications of each solution. Brainstorm - what if?
29
EDMM Step 7: Enumerate consequences of various decisions
consider the consequences of each action as they might play out for client and others involved. work with client if possible.
30
EDMM Step 8: Choose what appears to be the best course of action
Review process and choose best course of action engage in the action Document, document, document Reflection - what did I learn by this? What will I do differently next time?
31
Counselor's Self-Awareness
``` Important to help identify what may be obstructing work with clients: Unfinished business Personal conflicts Defenses Vulerabilities ```
32
Options for counselors in dealing with struggles with clients
``` Supervision Consultation Faculty Mentor Family member Own counseling ```
33
Transference
When a client responds to the counselor from past feelings or attitudes with other caregivers or significant people in their lives, projecting these onto counselor
34
Countertransference
Projections by the counselor that distort the way he/she perceives and reacts to the client (the counselor's own stuff from their past intervening into the counseling relationship)
35
Effects of Stress: Empathy Fatigue
Not being able to be empathic with clients due to stress experience by listening to multiple stories of trauma
36
Effects of Stress: Empathy Balance
Can I maintain emotional boundaries? Can I enter client's world without getting lost in it?
37
Effects of Stress: Impairment
something that prevents counselor from being able to deliver effective services, subpar standards
38
Effects of Stress: Burnout
Physical, emotional, intellectual and spiritual depletion characterized by feelings of helpless /hopelessness
39
Effects of Stress: Physical Reactions
Somatic complaints: depleted immune systems, gastrointestinal problems, headaches, fatigue, physical discomfort
40
Effects of Stress: Emotional Reactions
Apathetic, anxious, depressed, resistant to client needs for empathy, decreased self-esteem
41
Effects of Stress: Professional Reactions
underserve clients, provide ineffective services, leave job or profession, suffer loss of personal satisfaction
42
Self-Care: Strategies
6 domains of wellness: 1. Professional 2. Personal 3. Psychological 4. Spiritual 5. Physical 6. Emotional
43
Values in Counseling
Issues concerning counselor's personal values. Where is the line when they impede and cause harm in the counseling relationship?
44
Ethical Bracketing
setting aside the counselor's personal values in order to provide ethical and appropriate counseling to all clients
45
Multicultural considerations: Self-Awareness
Starts with our own understanding of personal and professional cultural awareness
46
Cultural Tunnel Vision
Perception of reality is based on very limited set of cultural experiences
47
Culturally encapsulated
Defines reality according to one set of cultural assumptions Accepts assumption without proof/ignores proof Insensitive to cultural variations
48
Cultural Pluralism
Perspective that recognizes the complexity of cultures, and values the diversity of beliefs/values
49
Multicultural Counseling
Uses modalities and defines goals consistent with the life experiences and cultural values of the client; recognizes client identities include individual, group and universal dimensions; advocates the use of universal and cultural strategies and roles in healing process balances importance of individualism and collectivism in assessment diagnoses and treatment
50
Multicultural Counseling Competencies
Development began in 1981 with 11 competencies 1992 competencies list grew to 31 ACA endorsed in 2003 Definition of MCC: counselor's attitudes/beliefs, knowledge, and skills in working with clients from a variety of ethnic, racial and cultural groups (defined by gender, social class, religion, sexual orientation, disabilities, etc.)
51
Social Justice
Moves beyond cultural awareness to active support and advocacy: a way to respond to how racism, sexism, homophobia effects our clients a way to help clients outside counseling session
52
Multicultural and Social Justice Counseling Competencies
Endorsed by ACA in 2015 Offers a conceptual framework to implement multicultural and social justice competencies into counseling theories, practice and research
53
Goals of understanding and using MSJCC
Bring awareness to attitudes, beliefs, knowledge, skills and actions Recognition of assumptions, generalizations, and stereotypes about potential clients Bring awareness to counseling relationships - what is going on before, during, and after sessions Connect with social justice and advocacy on multiple levels
54
Confidentiality
to protect a client's right to privacy by ensuring that matters disclosed in counseling are not relayed to others without informed consent by the client
55
Privileged Communication
The legal right of protecting clients from having disclosures to certain professionals, including counselors, revealed during legal proceedings without informed consent
56
Privacy
The constitutional right of individuals to be left alone and to control their personal information
57
When is it permissible to share info about a client?
* client requests release of information * Reimbursement for services * Clerical assistants who handle client info * Consultation/supervision * Treatment team - other counselors request info about client
58
Exceptions to client confidentiality
When the client poses a danger to self or others | Evidence of child, elder, dependent/vulnerable adult abuse
59
Mandatory reporting: WAC
must report no later than 20 days after a determination of abuse is made
60
Informed Consent
right of clients to be informed about their counseling, make autonomous decisions pertaining to it. Counselor must provide adequate info for a client to make an informed decision about treatment *informed consent document, AND * verbal conversation *Ongoing process
61
Intake Informed Consent to include:
``` goals risks benefits qualifications what services will be provided techniques, procedures, approaches financial arrangements duration/frequency of counseling between session communication missing a session confidentiality AND ITS LIMITS ```
62
Multiple/Dual Relationships
a counselor is in a professional role with a person in addition to another role with that same individual, or another person who is close to that individual. May: * impair judgment/objectivity * affect ability to be effective * result in harm/exploitation of client
63
ACA Codes of Ethics
* Sexual/romantic relationships absolutely forbidden with current clients or their family members * Prohibited to counsel friends or family members with inability to remain objective * No virtual relationships with clients
64
Extending Counseling Boundaries
To attend a graduation of a client, for example Counselors must take appropriate precautions such as informed consent, consultation/supervision, documentation demonstrating judgment not impaired and no harm occurs. *Must document before interaction (ACA)
65
Considerations before entering a multiple relationship:
* Counselor motivation * Client's history, culture, values, diagnosis * Rational documented * Discussed in advance with client * Consultation
66
Boundary Crossing
Could potentially benefit clients by doing something like attending a student's school play
67
Boundary Violation
Gradual erosion of boundaries, leads to a serious breach that results in harm to client, unethical (sexual exploitation of client)