Term
| When does a multiple relationship occur according to the APA "Ethics Principles of Psychologists and Code of Conduct"? |
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Definition
| when a psychologist is in a professional role with a peraon 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 associateed with or related to the person with whom the psychologist has a 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 |
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Term
| According to the APA Ethics Code, when should a psychologist avoid entering into a multiple relationship? |
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Definition
| if it could reasonably be expected to impair the psychologist's objectivity, competence, or effectiveness in performing his or her functions as a psychologist , or otherwise risks exploitation or harm to the person with whom the professional relationship exsists |
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Term
| what should a psychologist do according to the APA Ethics Code if due to unforseen factors a potentially harmful multiple relationship has arisen? |
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Definition
| the psychologist takes reasonable steps to resolve it with due regard for the interests of the affected person and maximal compliance with the Ethics Code |
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Term
| Relationship factors related to good patient outcomes |
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Definition
| the ability to form a therapeutic alliance; collaborate in establishing treatment goals; show empathy, positive regard and congruence; manage countertransference; and repair disrupted alliances |
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Term
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Definition
| refers to the context in which this productive relationship occurs |
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Term
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Definition
| refer to any activity that moves therapists away from a strictly neutral position with their patients; may be helpful or harmful |
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Term
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Definition
| a harmful boundary crossing |
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Term
| Boundaries and patient factors |
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Definition
| otherwise benign boundary crossings are more likely to be problematic when they are done with patients with high-risk factors; you need to have a clinical justification for any boundary crossings |
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Term
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Definition
| if context characteristics suggest high risks, psychologists should be especially prudent about engaging in multiple relationships or crossing boundaries; psychologists who work in patients' homes need to be especially scrupulous about boundaries |
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Term
| What therapist factors increase one's ability to make wise decisions concerning the maintenance of proper boundaries |
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Definition
| general knowledge of how to develop and maintain effective psychotherapy relationships, emotional competence, ethical decision-making skills, self-awareness, and technical competence |
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Term
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Definition
| how to establish and maintain helpful psychotherapeutic relationships |
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Term
| Informed consent and boundaries |
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Definition
| bring up informed consent, the manner in which this discussion occurs is as important as whether it occurs |
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Term
| documentation and boundaries |
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Definition
| document all multiple relationships and why you believe that each was, was not, could become, or would likely become clinically contraindicated or exploitative. Always document unavoidable multiple relationships and how effors were made to act in accordance with the APA Ethics Code. Document all incidental social contacts and how they were handled when the patient or context suggests a high-risk situation |
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Term
| Consultation and boundaries |
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Definition
| often the very process of discussing the patient with a consultant will help psychologists to clarify their goals, and the advantages, and the disadvantages of the boundary crossing |
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Term
| Sexual relationships and boundaries |
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Definition
| although every case of sexual misconduct started with a boundary crossing, not all boundary crossings lead to misconduct |
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Term
| Frequency of sexual misconduct by psychologists |
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Definition
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Term
| Factors that make a psychologist more likely to be a sexual offender |
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Definition
| serious personality disorders, paraphilia, susceptibility to becoming "love sick" due to context, "rescue fantasies" , not discussing or acknowledging counter-transference feelings |
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Term
| individually focused risk management suggestions for boundary/multiple relationship issues |
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Definition
| psychologists should be technically competent in relationship skills, act to ensure their emotional competence, embed themselves in a protective social framework, and have considerable self-awareness |
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Term
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Definition
| properly trained psychologists recognize that they will have strong feelings toward patients. If the feelings continue to interfere with effective treatment, and the issues are not overcome through consultation, personal therapy, or supervision, it is highly recommended that the psychologist transfer the patient to another professional |
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Term
| professionwide risk management suggestions for boundary/multiple relationship issues |
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Definition
| there may be a need to shift the culture of psychology so that there is an increased emphasis on self-awareness and relationship maintenance |
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