Оглавление
Sharon K. Anderson. Positive Ethics for Mental Health Professionals
Positive Ethics for Mental Health Professionals. A Proactive Approach
Contents
Guide
Pages
About the Authors
Preface
Introduction. The Mansion of Psychotherapy and the Staircase of Ethics
Some Terminology
Developing and Exploring Your Moral and Professional/Ethical Identity
Ethical Acculturation
Practicing Ethics in the Real World: Tripping Points and Balancing Acts
Cultural Tripping Points
Stress and Tripping Points
Balancing Acts—Personal and Professional
Self-Care: The Basics
How to Get the Most Out of This Book
Activity
Awareness
Aspiration
Journal Entry: Chapter Reflections
Food for Thought: Big Questions
Coming Attractions
1 Basics of Awareness Knowing Yourself and Your Core
Professional Identity and the Moral Core
Food for Thought: Who Are You?
Needs and Motivations
Journal Entry: Needs and Motivations
Values
Journal Entry: Values and Values Conflicts
Food for Thought: Exploring Personal Needs, Motivations, and Values
Virtues
Journal Entry: Virtues
Social Identities
The Ethics Autobiography—Part 1
Journal Entry: Ethics Autobiography—Part 1
2 Basics of Awareness Privilege, Discrimination, Oppression, and Social Justice
Food for Thought: Your Favorite and Not-So-Favorite Client
Privilege
Food for Thought: Your Own Invisible Knapsack of Privilege
Discrimination and Oppression
Journal Entry: Don’t Judge a Book by Its Cover
Social Justice
Journal Entry: Social Justice and My Core (My Needs, Motivations, and Values)
Closing Thoughts
3 The Process of Acculturation Developing Your Professional Ethical Identity
Food for Thought: On the Street Where You Live
Journal Entry: Friends and/or Colleagues
The Process of Ethical Acculturation
Two Dimensions of Acculturation
Journal Entry: Surprise, Surprise
Four Strategies of Acculturation
Integration
Assimilation
Separation
Marginalization
Journal Entry: Acculturation Strategies
Acculturation Stress
Food for Thought: Acculturation Stress
Acculturation Stress in Professional and Personal Relationships
Food for Thought: More Acculturation Stress
Food for Thought: Acculturating to Using Social Media as a Professional
How to Deal with Acculturation Stress. Keep Learning
Keep Your Eyes Open
Keep Your Mind Open
Keep Your Mouth Open!
Keep Your Heart Open
Mismatch with the Profession?
4 Navigating the Ethical Culture of Psychotherapy
Guides to Acting Ethically
Journal Entry: Foundations
Psychotherapy Is a Unique Relationship
The Therapeutic Relationship Comprises Professional Care and Concern
Therapy Represents a Complex Power Relationship
The General Goal Is for Clients to Be Better After Experiencing the Relationship
Within the Relationship, Psychotherapists Offer Skill and Expertise
Trust Is the Foundation upon Which the Therapeutic Relationship Rests
Therapists Have Ethical and Legal Responsibilities
Competence: A Basic Ethical Obligation
Multicultural Competence
Journal Entry: My Current Location on the Road to Multicultural Competence
Ethical Choice Processes
Component 1—Ethical Sensitivity
Component 2—Formulating an Ethical Plan
Component 3—Ethical Motivation and Competing Values
Component 4—Ethical Follow-Through
Tripping Points Along the Way to Ethical Choices
A Compendium of Tripping Points
Ethical Fading
Anchoring
Bias Blind Spot
The Substitution Principle
The Availability Heuristic
The Affect Heuristic
Loyalty
Avoidance of Ambivalence and Annoyance
Situational Pressures
Self-Serving Bias
Rationalization
Confirmation Bias
Tripping Points in Action (or, Our Actions at the Tripping Points)
Precursors to Good and Bad Therapist Behaviors: Green and Red Flags
What Are Green Flags and Red Flags?
Behaviors That Indicate Green Flags
Green Flag: Ethical Explanations and Responsible Referrals
Behaviors That Indicate Red Flags
Red Flag: Logistical Laxity
Ethics Autobiography, Part 2
Conclusion
5 Boundaries and Multiple Relationships in the Psychotherapy Relationship
Food for Thought: Boundaries
Boundaries: What They Are and Why They Are So Important
Red Flags: Invidious Invitations and Reprehensible Rationalizations
Boundary Extensions, Boundary Crossings, and Boundary Violations
Red Flag: Counterproductive Curiosity About Clients
Red Flags: Spiritual Selling, Invidious Invitations, and Shared Secrets Seem Suspicious
Red Flag: Exciting Exceptions Equal Excruciating Effects
Common Boundary Issues
Giving Advice
Food for Thought: Acculturating to Giving Advice
Therapist Self-Disclosure
Food for Thought: Self-Disclosure
Food for Thought: Personal and Professional Considerations in Self-Disclosure
Touching: A Physical and Psychological Boundary
Journal Entry: To Touch or Not to Touch
Journal Entry: Tripping Points in Navigating Boundaries
Inadvertent Contact
Time Boundaries
Gifts
Social Media
Perspectives on Multiple Relationships
Even When Therapy Is Over, the Relationship Lives on
Unavoidable Multiple Relationships
Green Flag: Responsible Referrals
Conclusion
6 Confidentiality A Critical Element of Trust in the Relationship
Sensitivity and Understanding of Confidentiality. Personal—Your Core and Pre-existing Culture About Confidentiality
Journal Entry: Me and Secrets
Professional—Confidentiality in the Psychotherapy Culture
Red Flags: Compromised Confidentiality and Overlooked Oppression
Food for Thought: The Red Flag of Porous Privacy
Can We Ever Say ANYTHING?
Green Flags: Effective Ethical Explanations and Requests for Written Releases
Food for Thought: To Breach or Not to Breach
Limits to Confidentiality
Journal Entry: Once More into the Breach
Food for Thought: Spouse/Partner Abuse
It’s a Small World After All
Privilege and Confidentiality
Red Flags: Logistical Laxity and Porous Privacy
7 Informed Consent The Three-Legged Stool
The Basics
Journal Entry: Informed Consent in Our Cultures of Origin
The Three-Legged Stool
Ethical
Legal
Clinical
The Culture of Consent
Motivations and Virtues
Journal Entry: Personal Components of Informed Consent
Food for Thought: Getting Along with a Long Consent Process
Journal Entry: Informed Refusal
Not-So-Simple Consent
Food for Thought: Assent. Part 1
Part 2
Information: How Much, of What Kind, Presented in What Way, Is Enough?
Green Flag: Informative Information
Food for Thought: Persuasive Information
Journal Entry: Information, Please
Food for Thought: Perspective Taking on Documentation
Acculturation Tasks and Stresses
Red and Green Flags
Dr. Weeve
Dr. Kidder
Dr. Tully
Dr. Haive
Journal Entry: Credentials
Green Flag Story
8 Making the Most of Supervision
Food for Thought: That Was Some Good …
The Nature of Supervision
Food for Thought: Authority Figuring
The Ethical Complexity of Supervision
Journal Entry: Acculturation to Supervision—The Good, the Bad, and the Beautiful
Food for Thought: Your Favorite Student
Food for Thought: Your Favorite Supervisor
Role Obligations and Informed Consent
Food for Thought: Informed Consent and Supervision
The Therapy-Like Feel of Supervision: Boundary Issues and Beyond
Food for Thought: Therapy or Supervision?
Food for Thought: Boundaries. Scenario 1
Scenario 2
Power Differential
Making the Most of Supervision
Virtues
When Things Go Wrong
A Word About Consultation
Green Flag: Beneficial Boundary Bolstering
9 Ending Psychotherapy The Good, the Bad, and the Ethical
Journal Entry: Endings
The Good and the Ethical: Positive Elements of Termination
When Should Psychotherapy End?
Food for Thought: Is Therapy Over?
Who Initiates the Discussion of Termination?
Therapist-Initiated Termination That’s Just Right
Therapist-Initiated Termination That’s Too Soon or Too Late
Too Soon
Too Late
Red Flag: Sideline Solicitations
Journal Entry: Better Never than Late
Client-Initiated Termination
Too Soon
Food for Thought: How to Suggest More Treatment
Too Late
Green Flags: Good Goals and Ethical Endings
Worst Termination Ever: Getting Complained Against
10 Putting It All Together Toward Ethical Excellence
You and Your Professional/Ethical Identity
Journal Entry: Your Current View of You as an Ethical Person
You and Your Ethical Acculturation to the Profession
Food for Thought: I Don’t See or Think About Things the Way I Used to
Railings, Tripping Points, and Making Ethical Choices
Component 1—Ethical Sensitivity
Component 2—Formulating an Ethical Plan
Component 3—Ethical Motivation and Competing Values
Component 4—Ethical Follow-Through
Cases for Exploration
The Case of the Indispensable Insurance
The Case of the Relative Referral
The Case of the Tele-Transition
Reflections on the Cases
Journal Entry: Cultures
Ethics Autobiography—Update
Toward Ethical Excellence
A Final Word
Appendix A Possible Information to Be Shared with Clients
Issues to Address About the Logistics of Therapy
Issues to Address About the Therapeutic Process
Issues to Address About Ethics Policies
Issues About You and Self-Disclosure
Appendix B Policy Areas
References
Author Index
Subject Index
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