Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psych3371G Therapeutic Therapy > Week 3: Couselling Ethics and Self-Care > Flashcards

Week 3: Couselling Ethics and Self-Care Flashcards

1
Q

Definition of Ethics

A

“moral principles that govern a person’s behavior or the conducting of an activity” (Google Dictionary, 2017)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

College of Registered Psychotherapists of Ontario (CRPO) (2)

A

Psychotherapy Act 2007 was proclaimed April 1st 2015 which brought CRPO into full operation as health regulatory college and act proclaimed on Dec 31st 2017 (2 year grace period)

Purpose is to “Regulate the members in the public’s interest ” (CRPO, 2015)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The controlled act of psychotherapy is:

A

“treating by means of psychotherapy technique, delivered through a therapeutic relationship, an individual’s serious disorder of thought, cognition, mood, emotional regulation, perception or memory that may seriously impair the individual’s judgment, insight, behaviour, communication or social functioning.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ethical Guidelines
Sommers-Flanagan & Sommers-Flanagan, 2004 (3)

A

Have three key features:
a) provide a knowledge base
b) describe activity sanctioned within the profession
c) offer a clear picture of boundaries of the professional activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Code of Ethics: Goal
(CCPA) Canadian Counselling & Psychotherapy Association (2007) (4)

A

A code of ethics also:

  • Expresses ethical principles and values
  • Serves as a guide to the professional conduct of all its members
  • Informs the public of the standards of ethical conduct for which members are to be responsible and accountable
  • Reflects values such as integrity, competence, responsibility, understanding and respect for cultural diversity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Is the Code of Ethics static? Why?
(1+2)
Canadian Counselling & Psychotherapy Association (2007)

A

The code is not static.

  • It is revised over time to account for the fact that ethical knowledge continues to develop and that there is emerging consensus on challenging ethical issues.*
  • There continues to be ongoing discussions regarding best standards of practice and codes of ethics.*
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Six Ethical Principles
Canadian Counselling & Psychotherapy Association (2007)

A

Beneficience

Fidelity

Nonmaleficence

Autonomy

Justice

Societal interest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Beneficience (Six Ethical Principles)

A

~ being proactive in promoting the client’s best interest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Fidelity (Six Ethical Principles)

A

~ honouring commitments to clients and maintaining integrity in counselling relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Nonmaleficence (Six Ethical Principles)

A

~ not willfully harming clients and refraining from actions that risk harm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Autonomy (Six Ethical Principles)

A

~ respecting the rights of clients to self-determination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Justice (Six Ethical Principles)

A

~ respecting the dignity and just treatment of all persons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Societal interest (Six Ethical Principles)

A

~ respecting the need to be responsible to society

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ethical Principles (CRPO) (6)

A

Autonomy and Dignity of All Persons –

Excellence in Professional Practice –

Integrity –

Responsible Citizenship –

Responsible Research –

Support of Colleagues –

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ethical Principles (CPRO): Autonomy and Dignity of All Persons –

A

Respect diversity and dignity and rights of all; to reject all forms of harassment and abuse; maintain appropriate therapeutic boundaries at all times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ethical Principles (CPRO): Excellence in Professional Practice –

A

Work in the best interests of clients; to work within abilities and competencies; and to pursue personal and professional growth throughout career

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Ethical Principles (CPRO): Integrity –

A

To openly inform clients about options, potential risks and benefits of professional services; to recognize and strive to challenge my own professional and personal biases; and to consult on ethical dilemmas

18
Q

Ethical Principles (CPRO): Responsible Citizenship –

A

To participate in community as responsible citizen, always mindful of role as a trusted professional; and to consult on potential conflicts-of-interest and other personal-professional challenges

19
Q

Ethical Principles (CPRO): Responsible Research –

A

To conduct only such research as potentially benefits society, and to do so safely, ethically and with the informed consent of all participants

20
Q

Ethical Principles (CPRO): Support of Colleagues –

A

To respect colleagues, co-workers, students, and members of other disciplines; to supervise responsibly; to work collaboratively; to inspire others to excellence

21
Q

A. Principle-based Ethical Decision-Making (6)
Ethical Decision-Making Processes
(Canadian Counselling & Psychotherapy Association (2007))

A

Step 1 What are the key ethical issues in this situation?

Step 2 What ethical articles from the CCPA Code of Ethics are relevant to this situation?

Step 3 Which of the six ethical principles are of major importance in this situation?

Step 4 How can the relevant ethical articles be applied in this circumstance and any conflict between principles be resolved and what are the potential risks and benefits of this application and resolution?

Step 5 What do my feelings and intuitions tell me to do in this situation?

Step 6 What plan of action will be most helpful in this situation?

22
Q

B. Virtue-Based Decision-Making
Ethical Decision-Making Processes
(Canadian Counselling & Psychotherapy Association (2007))
(3+5)

A

Based on the belief that counsellors are motivated to be virtuous and caring because it is the right thing to do.

Virtue ethics focuses on the counsellor as an ethical agent with the capacity to make complex ethical decisions.

No step-by-step methodology, the following questions may be helpful guides:

  1. What emotions and intuition am I aware of as I consider this ethical dilemma and what are they telling me to do?
  2. How can my values best show caring for the client in this situation?
  3. How will my decision affect other relevant individuals in this ethical dilemma?
  4. What decision would I feel best about publicizing?
  5. What decision would best define who I am as a person?
23
Q

C. Quick Check (3)
Ethical Decision-Making Process Canadian Counselling & Psychotherapy Association (2007)

A

Publicity ~ Would I want this ethical decision announced on the front page of a major newspaper?

Universality ~ Would I make the same decision for everyone? If every counsellor made this decision would it be a good thing?

Justice ~ Is everyone being treated fairly by my decision?

24
Q

What is Self Care? (4)

A

Self-Care =“Although no consensus exists about a ‘true’ definition of self-care (Lee & Miller, 2013), it is often seen as proactive and intentional” (Thompson et al., 2011 as cited in Koenig & Arnold, 2017).

  • Self care is the combination of activities, behaviours, or practices that people participate in to ensure that their needs are met in healthy ways
  • It involves an awareness of caring for various aspects of the self – physically, mentally, spiritually, emotionally, psychologically

While many can engage in self care practices, it is essential for those in helping professions to maintain regularly

25
Q

Personal Care Examples (3)

A

Creative expression

  • Writing (journal, fiction, non-fiction, poetry), drama, photography, cooking, drawing, painting, dancing

Skill Development

  • Learn something new
  • E.g., musical instrument, construction, sport, etc.

Spiritual practices and Meditation

  • Shown to improve breathing, increase relaxation, increase feelings of hope and well-being (Trippany et al., 2004)
26
Q

Professional Care (2)

A

Balance
- Have an attitude of altruistic egotism!
Continual behavioural monitoring of one’s other-care-self-care balance

Boundaries/limitations
- “Know your limit, play within it”

27
Q

General warning signs

A

If noticing these things, time to meet own therapist/ more self-care

Feeling Hopeless or Helpless
Sense one can never do enough
Hypervigilance
Diminished Creativity
Inability to embrace complexity
Minimizing
Chronic exhaustion/physical ailments
Inability to listen/deliberate avoidance
Dissociative moments
Guilt
Fear
Anger and cynicism
Inability to empathize/numbing
Addictions
Grandiosity

28
Q

Burnout (1+3+1+3)

A

“a progression of unsuccessful attempts by an individual to cope with a variety of conditions that are perceived to be threatening”

Operationalized as
- Emotional exhaustion
- Depersonalization
- Lack of personal accomplishment
(Maslach & Johnson, 1981)

Workplace related

Brought on by long-term emotionally demanding situations
- Feeling of physical, emotional, mental exhaustion
- Emotional distress
- Potential exploitation of client

29
Q

Example Statements of Burnout

A
  • Emotional Exhaustion
    “I am just so emotionally fried”
    “I really don’t want to get up this morning to deal with another day on the job”
    “It feels like I’m a hamster in a running wheel”
  • Depersonalization
    “I don’t really care what happens to Bob”
    “So this depressed kid came to me and said…”
  • Lack of Personal Accomplishment
    “I don’t make a difference at my job”
    “I get all tense when people come to me with emotional problems”
30
Q

Burnout Consequences

A

Anger
Cynicism
Impatience
Hopelessness
Helplessness
Denial of feelings
Hard headedness (rigid in perspective)
Physical ailments

31
Q

Compassion Fatigue (Secondary Traumatic Stress) (6)

A

Develops due to the emotionally shocking material

  • Related to interactions with clients and the traumas they have experienced

More acute consequence of work

  • Reduced capacity or interest to bear witness to those suffering

Like PTSD but do not personally experience the trauma

“the natural consequent behaviours and emotions resulting from knowing about a traumatizing event experienced by a significant other” (Figley, 1995, p. 5)

32
Q

Symptoms of Compassion Fatigue (3)

A

Arousal
= heightened/persistent arousal – difficulty sleeping, becoming irritable, being hypervigilant

Re-experiencing
= dreams, recollections, flashbacks

Avoidance
= numbing reminders of the trauma through detachment from others, physiologic amnesia, diminished affect

Other CF Consequences
– headaches, high rates of illness, somatization, distancing from loved ones, absenteeism, guilt, desensitization, difficulty separating personal from professional life, resentment, lose creativity, disproportionate reaction

33
Q

Compassion Fatigue is a concern because… (5)

A
  • Helpers may be more likely to engage in boundary violations, dual roles or role reversal
  • May be more difficult to maintain a therapeutic stance (not objective)
  • May delay returning phone calls, being pleased about cancelled appointments
  • Helpers may be more likely to question the efficacy of therapy
  • May feel reluctant to start the day, daydream
34
Q

Other Compassion Fatigue Consequences

A

Sadness
Depression
Sleeplessness
Generalized anxiety
Can affect helper’s family, friends, colleagues (Contagion)

35
Q

Vicarious Trauma (4)

A

Results from cumulative exposure to client trauma

Changes in cognitive schemas
- Identity, worldview, belief system/spirituality

Intense empathic engagement with clients

Gradual onset

36
Q

VT Consequences (6)

A

Depression
Despair
Cynicism
Alienation from colleagues, family and/or friends
Premature job changes
Other psychological and physical symptoms

37
Q

What increases Burnout, CF, VT

A

Heightened emotions of client’s families
Inability to maintain self-care
Lack of social support
Uncontrolled work stressors
Lack of defined boundaries
Lack of experience
Own experiences of trauma
Stressors in personal life
Typical coping style
Lack of training
Increased workload/demands/pressures
Feelings of isolation
Organizational rules

38
Q

Professional Considerations: Integrity in the relationship (Everall & Paulson, 2004) (7)

A

therapist needs to be able to have meaningful relationship, meet needs in life

avoid over-involvement with client’s problem

being obsessed with client, the problem

withdrawal from other clients, family

deviating from professional behaviour, wishing the case would terminate

those who are overly idealistic or dedicated may be more likely to become enmeshed with client (‘needing to fix, solve problem’)

important for therapist to model appropriate boundaries

39
Q

Professional Considerations: Responsible Caring (Everall & Paulson, 2004) (4)

A

refer to ethical guidelines in the CCPA or other regulatory body or organization

need to have control over clientele – i.e., not too many trauma cases

most difficult situation are those in which the therapists’ own issues get triggered

need sound clinical supervision, therapy

40
Q

Professional Considerations: Implications for Practice (Everall & Paulson, 2004) (3)

A

Self-monitoring – ‘know thyself’; an ethical responsibility

Obtaining supervision – ways of maintaining psychological and physical health

Intervention and support of colleagues – ongoing support and connection with colleagues is important; be aware of, and open to, discussing stressors

41
Q

The ABCs of Self-Care (Gamble (2002)) (3)

A

Awareness
- ‘waking up’ to one’s experience rather than distracting oneself. A need to slow down, do less, be mindful*

Balance
- how clients are scheduled, being open to restoration and growth, not just trauma, setting limits, appropriate boundaries with clients; personal priorities

Connection
- supportive relationships with colleagues, family, friends; nonjudgmental places to talk

Psych3371G Therapeutic Therapy (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions