Final Exam Flashcards
define multiple relationship or boundary extension
a connection with a client beyond the professional relationship ex. buying groceries at a market where a client works
define boundary crossing
an acceptable additional client contact grounded in intent to help and has some credible evidence that benefit to the client is likely to result
boundary violation or boundary break
an unethical additional client contact that is likely to harm the client ex. hiring a client as an office manager
circumstantial relationships
a relationship only under a specific circumstance ex. buying gasoline at a gas station and seeing a client doing the same
concurrent relationship
providing therapy to a neighbour
treating someone you currently have a connection with
dual relationship is occurring while in therapy
consecutive
providing services either before or after another connection with a client
ex. treating someone with whom the therapist has served on the PTA board
the 3 dynamics of multiple relationships
fiduciary relationships
Emotional involvement
power imbalance
what does the fiduciary relationship dynamic of multiple relationships entail?
- fiduciary relationship
o the professional’s primary obligation is to promote the client’s well-being. - Duty to abstinence
o The only acceptable profits from therapy are the fee paid and the satisfaction received from a client’s therapeutic gains - The duty to neutrality
o A therapist is ethically bound to enhance the client’s autonomy and independence
o A duty to objectivity and disinterest in any particular aspect of the client’s ife other than attaining therapeutic aims
what does the emotional involvement dynamic of multiple relationships entail
- Emotional involvement
o multiple relationships are risky because the therapist might become an important person in the life of the client in a professional context. When another relationship outside of therapy is created it can be confusing emotionally for the client. The client may be confused about when therapy has ended or started and when it is the appropriate setting to discuss therapy
what does the power imbalance dynamic of multiple relationships entail
- power imbalance
o the imbalance may make clients acquiesce to the therpiast’s wishes even when doing so it at offs with their own desires
define role slippage
the more powerful therapist may loosen the boundaries between the therapeutic relationship and the other relationship
when the therapist discusses both parts of the relationships in the same time. Ex. going out to coffee to discuss therapeutic problems or ending a therapy session discussing something pertaining to the other relationship
when can u accepts gifts form a client
o it promotes rather than endangers the client’s welfare
o it does not compromise the therapists objectivity or capacity to provide competent service in the future
o It is a token of appreciation consistent with the client’s cultural normal and with a small monetary value
o It is a rare event
what are the two responsibilities specific to working with groups
o The first specific requirement is to screen prospective members for compatibility with the group
o Second it to protect the clients from harm
confidentiality in group settings
It is limited because you are I a setting where you are 100% that the other people in the group are going to keep the information confidential
Duty to explain confidentiality and its limits with its form of service
To clarify which persons are clients and to ensure that all involved understand the limits of confidentiality
Avoid role playing situations that may tempt members to violate confidentiality
Consent in group settings
In informed consent there is disclosure of the limits of confidentiality as well as the discussion of the power of multiple person therapy and the disclosure of what’s called ownerships of the records of multiple person therapy. Responsibilities of those who drop out of the therapy or do not participate in the therapy
Therapists must make clients aware of how group therapy is siddferent to regular therapy
Clients are able to stop group therapy at any point but it is encouraged that they attend at least one final session before deciding. But the therapist cannot force anyone to stay if they don’t want to
competence in group settings
Therapist power is increased in multiple person therapies. Learning group leadership skills is essential
This is because client vulnerability is greater. Screening each client before group therapy is very important
Competence to lead one group therapy does not mean you are competent to lead all group therapies. Ex. just because you are competent in substance abuse group therapy doesn’t mean you are competent in assertiveness group therapy. Therapists must match the type of group therapy with prior training an experience.
Not everyone benefits from group therapy and the therapist must be competent enough to recognize which people benefit and which people don’t
define fact witness
a witness who is in the court to describe what he or she has observed, and has been a therapist for one or both parties
define expert witness
employed by the court to evaluate the parents and has had no prior contact with either person
what are the two major goals when clients seek the professional help of counselors and therapists
(1) to find solutions to their problems and (2) to gain a better understanding of themselves
what are the two aspects of assessment are especially vulnerable to abuse
1) diagnostic categories to describe client problems and (2) the use of psychological and education tests
define diagnose
- To diagnose means to define in professional terms the nature, limits, and intensity of a problem a client brings to counselling
define drapetomania
- Diagnosis can serve as a form of social control. Slaves who ran away from slaveholders used to be labeled with drapetomania
