Ethics in Counseling and Psychotherapy Standards, Research, and Emerging Issues

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ISBN: 9780534628338 | 0534628338
Cover: Paperback
Copyright: 11/3/2005

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Prepare for practice with ETHICS IN COUNSELING AND PSYCHOTHERAPY! With a ten-step model of ethical decision making, this counseling text prepares you to deal effectively with the complex ethical and legal issues you will confront in practice. Numerous case studies, followed by the author’s analysis of the cases, helps you structure your thinking and apply professional standards to complex cases. Coverage includes ethics, legal research, and the professional literature in major topics in ethics (such as consent, confidentiality, and multiple relationships) and in applied settings (such as community mental health, private practice, schools, and teaching/research).

PART ONE A Framework for Understanding Professional Ethical Standards

(44)

Introduction to Professional Ethics: A Psychology and Philosophy for Ethical Standards

(17)

Literature from Developmental Psychology

(1)

Components of Moral Behavior

(3)

Codes of Ethics

(3)

Literature from Philosophy

(2)

Research on Professional Ethics

(1)

The Scope of Unethical Practice

(3)

The Impact of Unethical Practice

(1)

Ethics and the Law

(3)

Summary

(1)

Discussion Questions

(1)

Recommended Readings

(1)

A Model for Ethical Decision Making: Using Resources to Enhance Individual Judgment

(25)

Forms of Ethical Reasoning

(2)

A Model of Ethical Decision Making

(23)

Summary

(1)

Discussion Questions

(1)

Case for Discussion

(1)

Recommended Readings

(2)

PART TWO Major Ethical Issues for Counselors

(192)

Competence to Practice: Building a Foundation for Doing Good and Avoiding Harm

(18)

Components of Professional Competence

(3)

Competence as Performance, Not Capacity

(1)

Professional Standards for Practice

(2)

The Relationship Between Competence and Professional Credentials

(1)

Challenges in Defining the Limits of Competence

(1)

Limits of Competence with New Populations of Clients

(1)

Limits of Competence in Rural Environments

(1)

Additional Criteria for Evaluating Competence

(1)

The Limits of Competence: Case Examples

(2)

Distress, Burnout, and Impairment Among Professionals

(4)

Legal Ramifications of Incompetent Practice

(3)

Summary

(1)

Discussion Questions

(1)

Case for Discussion

(1)

Recommended Readings

(1)

Confidentiality: Supporting the Client's Right to Privacy

(38)

Ethical Principles and Virtues Underlying Confidentiality

(1)

Codes of Ethics

(2)

Confidentiality and Communication with Other Mental Health Professionals

(1)

Confidentiality and Communication with Significant Others of the Professional

(2)

Confidentiality and Privileged Communication

(2)

The Limits of Confidentiality

(15)

Confidentiality with Special Populations

(5)

Emerging Challenges to Confidentiality: Managed Care and Technology

(9)

Summary

(1)

Case for Analysis Using the 10-Step Model

(3)

Discussion Questions

101

(1)

Cases for Discussion

102

(1)

Recommended Readings

102

(1)

Informed Consent: Affirming the Client's Freedom of Choice

103

(20)

The History of Informed Consent

104

(1)

Underlying Ethical Principles

105

(1)

Codes of Ethics on Informed Consent

106

(3)

Informed Consent and the Health Insurance Portability and Accountability Act

109

(1)

Approaches to Informed Consent

110

(3)

The Interplay of Ethical and Clinical Considerations

113

(1)

Applications to Special Populations

114

(5)

Research Findings on Informed Consent

119

(1)

Cases for Discussion

120

(3)

Summary

121

(1)

Discussion Questions

122

(1)

Recommended Readings

122

(1)

Sexual Misconduct: Violations of Power and Trust

123

(26)

Rationale for the Prohibition

124

(1)

Factors That Affect Client Vulnerability to Exploitation

125

(3)

Effects on the Counselor

128

(1)

Effects on the Reputation of the Profession

129

(1)

Research on the Scope of the Problem

130

(1)

Sexual Contact with Former Clients: A Controversial Issue

131

(5)

Sexual Contact in Educational, Consultation, and Employment Settings

136

(3)

Distinguishing Between Sexual Feelings and Sexual Misconduct

139

(2)

The Place of Nonerotic Touch in This Context

141

(2)

Providing Effective Subsequent Therapy for Victims

143

(1)

Cases Reexamined

144

(5)

Discussion Cases

146

(1)

Summary

147

(1)

Discussion Questions

147

(1)

Recommended Readings

148

(1)

Multiple Relationships and Boundary Issues: Risking Objectivity and Client Welfare

149

(26)

Definition of Terms

151

(6)

Underlying Dynamics in Multiple Relationships

157

(3)

The Views of Ethics Scholars

160

(1)

Questions to Consider in Decision Making

161

(1)

Research Findings: Practitioners' and Consumers' Views

162

(1)

Accepting Gifts from Clients

163

(2)

Multiple Relationships and Rural or Small Community Practice

165

(3)

The Ethics of Barter

168

(2)

Cases Reexamined

170

(5)

Summary

172

(1)

Cases for Discussion

173

(1)

Discussion Questions

173

(1)

Recommended Readings

174

(1)

Group and Family Counseling: Unique Ethical Responsibilities

175

(21)

Group Counseling and Psychotherapy

176

(1)

Competence and Group Counseling

177

(1)

Informed Consent in Group Counseling

178

(1)

Confidentiality and Privilege in Group Counseling

179

(2)

The Ethics of Group Counseling with Minors and in the Schools

181

(1)

The Ethics of Multiple Relationships in Group Counseling

182

(1)

The Ethics of Concurrent Individual and Group Counseling

182

(1)

The Ethics of Involuntary Group Participation

183

(1)

Ethical Issues in Multicultural Groups

184

(1)

Family and Couples Counseling

185

(7)

Legal Issues in Family Counseling

192

(4)

Summary

194

(1)

Case for Discussion

194

(1)

Discussion Questions

195

(1)

Recommended Readings

195

(1)

The Ethics of Assessment: Using Fair Procedures in Responsible Ways

196

(26)

The Ethics of Diagnosis

196

(1)

A Rationale for Emphasizing Ethics in Diagnosis

197

(5)

The Ethics of Testing

202

(13)

Multicultural Issues in Psychological Testing

215

(2)

Tests in Employment Settings

217

(1)

Cases for Discussion

218

(1)

Analysis of the Cases

219

(3)

Summary

220

(1)

Additional Cases for Discussion

221

(1)

Discussion Questions

221

(1)

Recommended Readings

221

(1)

Ethical Counseling in a Multicultural Society: The Promise of Justice

222

(15)

The Language of Multicultural Counseling

223

(1)

The Context of the Current Ethical Standards

224

(1)

The Codes of Ethics on Multicultural Counseling

224

(1)

Promoting Client Welfare

225

(1)

Competence with Multicultural Populations

226

(2)

A Critique of the Current Ethics Codes

228

(1)

Cautions About a Multicultural Perspective

229

(1)

Cases for Discussion and Analysis

230

(2)

Multicultural Counseling Competencies

232

(5)

Summary

234

(1)

Discussion Questions

234

(1)

Recommended Readings

235

(2)

PART THREE Ethical Issues in Special Settings

237

(96)

Ethics in Community, Consulting, and Forensic Settings: Avoiding Conflicts of Interest

239

(32)

Responsibilities to Clients

239

(14)

Responsibilities to Colleagues

253

(3)

Responsibilities to Third Parties

256

(5)

The Ethics of Consultation and Coaching

261

(4)

The Ethics of Forensic Activities

265

(6)

Summary

268

(1)

Cases for Discussion

269

(1)

Discussion Questions

270

(1)

Recommended Readings

270

(1)

The Counselor in the Schools: Applying Professional Standards to the Educational Culture

271

(22)

Clash of Cultures: Open vs. Closed Communication Systems

271

(5)

Privilege for School Counselors

276

(1)

Parental and Community Values That Diverge from Professional Values

277

(2)

The Ethics of Peer Helping Programs

279

(2)

Legal Issues for School Counselors: State and Federal Statutes

281

(2)

Liability for School Counselors: An Emerging Reality

283

(1)

Liability for Student Suicides

284

(2)

Ethical and Legal Dimensions of School Violence and Sexual Harassment

286

(2)

Ethical Issues in Postsecondary Planning

288

(2)

Ethics of Group Counseling in Schools

290

(3)

Summary

290

(1)

Cases for Discussion

291

(1)

Discussion Questions

292

(1)

Recommended Readings

292

(1)

The Ethics of Supervision: Modeling Responsible Behavior

293

(19)

Competence to Supervise

294

(2)

Responsible Use of Supervisory Power

296

(3)

Informed Consent to Supervision

299

(2)

Sensitivity to Issues of Diversity

301

(1)

Other Personal Values and Beliefs

301

(2)

Responsibilities for Client Welfare

303

(2)

Boundary Violations in Supervision

305

(3)

Legal Aspects of Supervision

308

(2)

Relations with Third-Party Payors

310

(2)

Summary

310

(1)

Cases for Discussion

310

(1)

Discussion Questions

311

(1)

Recommended Readings

311

(1)

Counselors as Teachers and Researchers: Integrity, Science, and Care

312

(21)

The Ethics of Teaching

312

(11)

An Ethics of Care

323

(1)

Obligations to Colleagues

324

(1)

The Ethics of Research

324

(6)

Special Ethical Concerns for Counseling and Therapy Researchers

330

(3)

Summary

331

(1)

Cases for Discussion

331

(1)

Discussion Questions

332

(1)

Recommended Readings

332

(1)

PART FOUR When Prevention Fails: Ethical Responses to Unethical Behavior

333

(20)

Responsibilities for Self and Colleagues: Reporting, Recovery, and Rehabilitation of Misconduct

335

(18)

Accountability of Counselors and Therapists

336

(6)

Supporting the Client Through the Complaint Process

342

(1)

Responding If an Ethics Complaint Is Filed Against You

343

(1)

Self-Monitoring: Taking Responsibility in the Absence of a Complaint

344

(2)

Assessing and Responding to the Damage

346

(1)

Rehabilitating the Professional

347

(1)

Compassion and Empathy

348

(5)

Cases for Discussion

348

(2)

Summary

350

(1)

Discussion Questions

350

(1)

Recommended Readings

351

(2)

References

353

(30)

Appendix A American Counseling Association, Code of Ethics and Standards of Practice

383

(24)

Appendix B American Psychological Association, Ethical Principles of Psychologists and Code of Conduct

407

(16)

Appendix C List of Specialized Ethics Codes and Guidelines in Mental Health Disciplines

423

(2)

Author Index

425

(14)

Subject Index

439

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Ethics in Counseling and Psychotherapy Standards, Research, and Emerging Issues

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