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Ethics
final exam for Ethics
115
Other
Undergraduate 1
12/04/2012

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Term
clear boundaries around sex, touch, and intimacy create what?
Definition
the foundation for safety and trust which is the basis for healing in all therapeutic relationships, especially in somatic therapies
Term
where does touch begin?
Definition
in the womb
Term
numerous studies show that for lower and higher mammals, receiving touch that is pleasurable, safe and appropriate reduces what?
Definition
reduces sickness, depression and aggressive behaviors
Term
Montagu asserts that touch is?
Definition
basic behavioral need and that the absence of it causes abnormal behavior and abnormal physical development as well..
Term
describe the gender difference around touch.
Definition
girls are touched more frequentlyand less roughly than boys as boys reach puberty, non-sexual touch decreases just as sexual experiences increase
Term
describe positive transference: crushes
Definition
practitioners are warned not to take crushes personally. Do not assume that a crush means the client wants to have a romantic relationship. Even though there may be a hint of sexual interest, crushes are usually not the same as grown-up feelings of sexual attraction. Innocent crushes need to be treated as a sign of their clients trust. the client has judged you to be sage,and you shouldn't make any more of it than that.
Term
describe positive counter transference: special clients
Definition
felling that one client is exceptional and different from your other clients, want to rush into dating that client, and thinking that others wouldn't understand the "special"
Term
name the four phases of sexual response cycle
Definition
1.excitement
2.plateau
3.orgasmic
4.resolution
Term
name the four family sex types
Definition
1.sex repressive-family squelches sexuality in children
2.sex obsessive-sex is main issue
3.sex avoidant-can learn about it, but don't talk about it.
4.sex expressive-talk openly with limits
Term
what does sexuality encompass?
Definition
biological, psychological and cultural
Term
what are the 8 steps in the intervention model? and why are they used
Definition
1.stop treatment using assertive behavior
2.describe the behavior
3.clarify the client's
4.educate the client
5.re-state your intent
6.continue or discontinue the session as appropriate
7.refer client to other professionals as appropriate
8.document the situation
are to be used when verbal and non-verbal communication from a client is unclear or when a practitioners feel their boundaries are being violated.
Term
what does sexual harassment generally involve?
Definition
demand for sexual favors in exchange for job benefits
Term
name two forms of sexual harassment?
Definition
unwelcome acts such as physical or verbal conduct or visual displays that create the hostile environment, making the individuals job difficult.
Term
what are the areas of the body, when touched, stimulate nerve pathways that lead to the genitals and there by induce a sexual response?
Definition
abdomen, lower extremities and buttocks
Term
Describe parasympathetic nervous system response.
Definition
controls the sexual response including vaso-congestion, the increase of blood supply to the genitals and the myotonia
Term
describe sympathetic nervous system response
Definition
fight or flight if the stimulus is perceived as threatening.
Term
describe emotional oriented bodywork
Definition
manual therapy that is based on the idea that physical tension and restriction are related to unconscious patterns of holding that the client has adopted early in life.
Term
describe a well dressed professional
Definition
clean, neat, loose clothes that don't draw attention to your body.
Term
have you ever had a professional massage in which the draping wasn't adequate? were you uncomfortable because of it? if you weren't could you imagine circumstances in which you would be?
Definition
no, but I hope they would apologize and correct the drape.
Term
give examples of when and how poor communication has affected your life?
Definition
ex-husband,
not writing home work down correctly and receiving half credit.
Term
what are some ways you can improve you listening skills?
Definition
1. reflective listening
2. say "you think"
3. you feel
4. you're saying
5. your point of view
Term
define therapeutic relationships
Definition
is a relationship between the therapist and client that seeks to support his or her therapeutic goals
Term
state interpersonal skills of the therapeutic relationship
Definition
involves ethical behavior, professional boundaries, confidentiality and conflict resolution
Term
contrast and compare legal and ethical issues
Definition
legal issues are associated with laws, rules, and regulations.
ethical issues are human duty, appropriate right conduct and responsibility
Term
contrast and compare disclosure with confidentiality
Definition
disclosure-hones and open sharing of knowledge as well as insights and ideas.
confidentiality-nondisclosure of privileged information
Term
define boundaries and state their importance int he therapeutic relationship
Definition
-boundaries are parameters indicating a border or unit
-boundaries in therapeutic relationship delineate differences between clients and therapists
Term
identify characteristics of healthy boundaries
Definition
awareness, mutuality, protection, flexibility and adaptability
Term
list and describe types of boundaries
Definition
physical, be open to a variety of solutions, take full responsibility for your own behavior
Term
counter transference
Definition
when a therapist brings unresolved emotional issues or personal needs into the therapeutic relationship
Term
transference
Definition
when the client transfers feeling, thoughts, and behaviors related to a significant person in his or her early life onto the therapist
Term
define dual relationship
Definition
more that just a therapeutic relationship with the client
Term
dual relationship why they may become problematic
Definition
interweaving of roles challenging, boundaries become blurred
Term
define sexual misconduct
Definition
any sexual contact between a therapist and client as well as any sexualizing of the therapeutic relationship
Term
examples of sexual misconduct
Definition
-telling sexual jokes
-filming the client without there permission
-asking client for a date
Term
discuss sexual risk management and steps to take when a session is terminated
Definition
-remove hands from client and step back to the door
Term
discuss sexual risk management and steps to take when a session is terminated
Definition
tell client the massage is over
Term
discuss sexual risk management and steps to take when a session is terminated
Definition
call 911 and stay on the phone until the client leaves
Term
discuss sexual risk management and steps to take when a session is terminated
Definition
document events leading to the session termination and what actions were taken
Term
outline possible consequences of sexual misconduct by the therapist
Definition
loss of income, reputation, marriage, friendships, criminal charges, time in jail
Term
permeable boundary is
Definition
wide open
Term
semi-permeable boundary is
Definition
flexible
Term
rigid boundary is
Definition
thick/rigid
Term
describe effective communication
Definition
listening, setting boundaries, asking for what you want
Term
a person's verbal communication is also accompanied by?
Definition
non-verbal signals
Term
describe boundaries
Definition
through words, body language and described through words, body language and behaviors.
Term
how are boundaries negotiated and maintained?
Definition
sincere and clear communications is important
Term
describe self-disclosure
Definition
refers to how much personal information is exchanged between the practitioner and the client
Term
anxiety and fear reactions include what ?
Definition
holding breath, clenching fists, gripping the jaw
Term
describe reflective listening
Definition
active listening, feelings can be more important than the content of the message
Term
why is the client's expression is the most important thing he/she can wear?
Definition
it reinforces what the person is saying and send a contradictory message
Term
an assertive person maintains what?
Definition
dignity, self worth and respect
Term
describe framework?
Definition
the ways that we present ourselves in advertising.
Term
what should the setting for a therapy room should feel like?
Definition
a special environment that is focused solely on the clients well-being, safe and inviting
Term
define sessions Start and End times?
Definition
they separate the professional situation from a social one and put limits on the nature of the relationship
Term
why should you obtain permission from you client to obtain information about the client from another practitioner?
Definition
HIPPA(health insurance portability an accountability act, client must sign release form.
Term
describe good professional manner
Definition
-don't talk about yourself
-don't give advice
-use good communication skills
Term
if you have a sexually abused client part of your frame work should include what and why?
Definition
supervision from a health professional
Term
describe a red flag situation?
Definition
you invite others to treat you as if you are not professional, like making special exceptions.
Term
why do you think consistency is need in this type of work?
Definition
let the client know what to expect from you the professional
Term
is it a good idea to contact client who quits seeing you and why?
Definition
yes, it is an opportunity to let them know you missed them and you hope all is well.
Term
how much noticed should you give a regular client if you want to change their routine/pattern?
Definition
discuss changes you would like to make with the client,and if it seems necessary , you may have to explain why you wish to change the routine/pattern
Term
who sets forth strict confidentiality guidelines?
Definition
HIPPA
Term
has the appearance of a manual therapist's office or work environment ever been off putting for you? what made you uncomfortable?
Definition
yes, Dr. subnani's office, outside is dirty and in shambles
Term
dual relationships
Definition
is overlapping of professional and social roles and interactions between two people
Term
sequential relationships
Definition
when one set of roles completely ends, before another role begins
Term
8 ranges of dual relationship
Definition
dating
family
friendship
financial arrangement
group affiliation
sex
socializing
students
Term
bartering
Definition
occurs when a practitioner and client exchange service for service rather than money for service.
Term
what is the most important factor to remember about professional helping relationships?
Definition
deals with people's well being
Term
describe intimacy levels
Definition
minimal-acquaintances
moderate-friendships
high-sexual relationship
Term
describe the power differential
Definition
the professional has the skills and knowledge base to meet the clients needs. The client and the professional both understand how each relationship needs to be handled
Term
what are the consequences of non-participation
Definition
the professional risks a loss of income, loss of referrals or a loss of a professional relationship
Term
failure in a dual relationship can affect what?
Definition
financial, educational, professional, social or personal elements.
Term
what are the issues to be considered before engaging in a dual relationship
Definition
include the role of a helping professional
Term
describe trades and bartering
Definition
are an exchange of service for service instead of using money for the particular service
Term
the basis for true professionals lies in
Definition
integrity
Term
the four key factors that influence SCOPE are?
Definition
1. the law
2. educational training
3. competency
4. self accountability
Term
the three regulatory methods affecting SCOPE?
Definition
certification
licensure
registration
Term
a good motto is When in doubt _______?
Definition
refer out
Term
the eight major areas to cover in your policies are
Definition
1.appointment policies
2.client/practitioner expectations
3.confidentiality
4.finances
5.personal relationship
6.recourse policy
7.type of service
8.training and experience
Term
confidentiality is defined as the client's guarantee that what occurs in the therapeutic setting remains private and____________?
Definition
protected
Term
the 3 major factors that impact ethical decision-making while working with minors are the child's stage development, the therapeutic constellation and the________________?
Definition
specific therapeutic goals
Term
in general a parent or other ________ should always be present in the room when a practitioner works with an infant or young child
Definition
caretaker
Term
the key skills needs for effective case management and critical thinking ____and ______?
Definition
communication and collaboration
Term
the major areas for friction when working in a group environment are_____________?
Definition
-incompatible personalities
-conflicting visions of the image of the business
-desired clientele and how the business should operate
-marketing
-client care
-finances
Term
do you consider your self a professional?
describe the terms of professionalism.
Definition
confident in my attitude, knowledge of technical skills, good listening and communication, confident in my ability to maintain boundaries. High morals and ethics, plus I dress neat and tidy.
Term
describe a well dressed professional
Definition
modest in dress, no loose clothing
Term
describe good professional manner
Definition
courteous, good morals, values and demeanor
Term
who sets forth strict confidentiality guidelines?
Definition
Health Insurance Portability and Accountability Act
Term
Describe Trades and Bartering
Definition
are when a practitioner and client exchange service for services rather then money for service.
Term
name to forms of sexual harassment
Definition
-demand for sexual favors in exchange for job benefits
-physical or verbal unwelcome displays of conduct
Term
what occurs when the client transfers feelings, thoughts, and behaviors related onto the therapist?
Definition
transference
Term
the sensual bond to another that involves choice, mutuality, reciprocity, trust, and delight is?
Definition
intimacy
Term
what occurs when the therapist brings his or her own unresolved issues or personal needs into the therapeutic relationship?
Definition
counter transference
Term
interactive speaking involves
Definition
speaking, inviting, and reflecting
Term
having more than one relationship with a client is called a
Definition
dual relationship
Term
set of guiding moral principles that govern one's course of action is
Definition
code of ethics
Term
boundaries are established and maintained through
Definition
communication
Term
intimacy is classified into three major groups the are
Definition
verbal, physical, and emotional
Term
when two or more principles are in conflict, and regardless of your choice something of value is comprised you have an ?
Definition
ethical dilemma
Term
a report to document unusual things that happens to a client during a session is an?
Definition
incident report
Term
the kind of boundary that allows information and feelings to flow easily in and out without barriers is?
Definition
permeable
Term
because of ______ _______clients have the right to participate voluntarily in their own health care and also must be fully informed of treatment procedures before agreeing to treatment, this is called ________________?
Definition
-informed consent
-standard of practice
Term
true
Definition
charging either too much or too little for your services can adversely affect your practice?
Term
true
Definition
our personal ethics directly affect our professional ethics
Term
false
Definition
it is perfectly safe and ethically correct to have a dual relationship in a professional client relationship as long as you are both mature adults?
Term
when a practitioner allows unresolved feelings and personal issues to influence his relationship with a client, it is considered to be transference
Definition
false
Term
who you are and what you do when no one is watching is considered to be professionalism?
Definition
false
Term
a semi-permeable boundary is thick boundary which is very firm and distinct. it limits the flow of information and feelings moving in and out?
Definition
false
Term
ethical behavior means bringing the highest values to one's best in all interactions?
Definition
true
Term
there are 6 steps in the intervention model?
Definition
false, there are 8
Term
sex, sexual talk, sexual relations, sexual acts, sexual pleasures, sexual intercourse or being any way involved in a a sexual manner with clients is always unethical and must never occur in the professional relationship?
Definition
true
Term
touching certain areas of the body such as the abdomen, lower extremities and buttocks may stimulate nerve pathways that lead to the genitals and thereby induce a sexual response?
Definition
true
Term
describe the
Definition
Term
describe the activities and modalities in your SCOPE OF PRACTICE
Definition
psoas release, diaphragm release, tfl are all with in my scope of practice
Term
describe modalities that are with in your scope of practice but which might be ethically questionable for you to perform?
Definition
anything below the waste might seem unethical, but is not. need to explain to client and show client book diagram
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