HS 50 Ch. 7&8

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Boundary crossings
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Departures from commonly accepted practices that could potentially benefit clients
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What would maximize the risks inherent in dual or multiple relationships?
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Becoming romantically involved with the client
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What does Lazarus take into position in regards to boundaries in the counseling relationship?
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That certain ethics and boundaries actually diminish therapeutic effectiveness
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Boundary violation
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Serious breach that results in harm to clients and is therefore unethical
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What are situations that have potential to harm or exploit a client?
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Entering a business venture with a client, developing a sexual relationship with a client, and establishing a social relationship with client
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What does NOT have the potential to harm or exploit a client?
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Setting healthy boundaries during the initial visit
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If the counselor is psychoanalytically oriented, what is he or she most likely to do?
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Adopt stricter social boundaries and will be concerned about polluting the transference relationship
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Boundary management
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Is more challenging in rural areas than in urban areas
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What is a common reaction of therapists who realize they have sexual feelings towards their clients?
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To feel guilty, anxious, and confused
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How do therapists deal with powerful attractions to clients?
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By monitoring boundaries by setting clear limits on physical contact, self-disclosure, and client requests for personal information
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According to professional codes of ethics…
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Sexual relationships between client and counselor are not considered to be ethical under any circumstances
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What is possible if a client is unable to afford therapy?
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He or she may offer a bartering arrangement or exchanging goods in lieu of a fee
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In the authors’ view, nonerotic touching b/w counselor and client should be?
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A spontaneous and honest expression of the therapist’s feelings
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Slippery slope phenomenon
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The notion that certain actions will inevitably lead to a progressive deterioration of ethical behavior
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What roles do mentors take on?
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Teacher, counselor, role model, guide, and friend
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What role does a mentor NOT take on?
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Partner
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The ethics codes of most professional org.s provide guidelines for the ethical practice of bartering.
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Some recent codes (APA, NASW, AAMFT, and ACA) take a more flexible and less punitive attitude toward bartering.
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What can neglecting to attend family-of-origin issues lead to?
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Blind spots such as being attracted to clients
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Statements that are true about giving or receiving gifts:
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Lavish gifts certainly present an ethical problem; yet, we can go too far in the direction of trying to be ethical and actually damage the therapeutic relationship/ It is important to recognize when accepting a gift from a client is clinically contraindicated and that you will be willing to explore this with your client/ In working with culturally diverse client populations, clinicians often discover that they need to engage in boundary crossing to enhance the counseling relationship
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What is NOT true in accepting gifts?
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That accepting a gift at a later stage of a counseling relationship could be more problematic
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Bartering
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Can be a dignified and honorable form of payment for those who are cash poor but talented in other ways; can be part of a clearly articulated treatment plan; must be considered in light of client’s needs, desires, situation, and cultural background; is a healthy norm in many cultures; is not illegal or unethical
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Statements that are true with respect to counselor competence:
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Practitioners are required to practice within the boundaries of their competence; practitioner can develop competency by working w/ professionals with more experience; conferences, workshops, and continuing education are means toward developing competency
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What is NOT true of counselor competency?
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That only when the therapist completes a doctoral program are they competent to practice with all specialties
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According to the authors, a good training program encourages students to do what?
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Build on their life experiences and personal strengths and provides opportunities for expanding self-awareness
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As a part of the process of screening candidates for a therapist training program, counselor educators should complete all of the following:
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1) Provide candidates with info about what will be expected of them 2) Encourage candidates to screen the program to ensure a good fit 3) Inform candidates they are expected to engage in self-disclosure and to participate in various self-growth activities EXCEPT, place most of the emphasis on candidates’ GRE scores
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From an ethical perspective, counselor educators and trainers are expected to present?
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Varied theoretical positions
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Training programs would do well to?
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Offer students a variety of therapeutic techniques and strategies that can be applied to a wide range of problems with diverse clients
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Therapist competence
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The skills and training required to effectively and appropriately treat clients in a specific area of practice, and is both ethical and legal concept
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Summative assessment
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An end point evaluation typically completed at the end of a professional program or when applying for licensure status
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What do most professional organizations support efforts to make?
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Continuing education a mandatory condition of re-licensing
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Peer review
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An organized system by which partitioners within a profession access one another’s services
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When is referring clients to other professionals appropriate?
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When counselors do not have the clinical training or expertise to work with certain clients
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According to the American School Counseling Association, in order to apply our knowledge and skills competently professional school counselors monitor what?
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Emotional and physical health and practice wellness to ensure optimal effectiveness
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Even though mental health professionals may not intend to harm clients…
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Incompetence is often a major contributing factor in causing harm
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According to American Counseling Association, counselors practice only within the boundaries of their competence, based on their?
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Education and training, supervised experience, state and nat’l professional credentials, and appropriate professional experience
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To qualify as a substance abuse counselor, the CACREP (2009) standards identify specific knowledge, skills and practices in all the following areas:
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1) Counseling, prevention, and intervention 2) Diversity and advocacy 3) Research and evaluation EXCEPT, personal substance abuse experience
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When a practitioner has a license…
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He or she is not competent to work with all populations
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Formative assessment
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A developmentally informed process that provides useful feedback during one’s training and throughout one’s professional career
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Those who are responsible for educating and truing mental health professionals are ethically and professionally obligated to?
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Balance their roles as advocate and mentor of trainees with their gatekeeping role
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When therapists extend the boundaries of their practice, or when they branch out into an area requiring specialty competence, they should seek?
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Consultation with a competent practitioner
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Certification
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Is a voluntary attempt by a group to promote a professional identity
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Training programs have a responsibility to:
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1) Honor their commitment to the students they admit 2) Protect future consumers who will be served by those who graduate 3) Screen candidates so the public will be protected from incompetent practitioners Training programs do NOT have the responsibility to continue evaluating students up to five years after graduation
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When a therapist believes referring a client to be the appropriate course of action due to a lack of competence in the client’s issue it would be considered unethical to?
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Not refer to a more competent therapist
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Licensure statuses determine and govern:
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Professional practice
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Training
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A basic component of practitioner competence
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Students should be advised as early as possible if their behavior is problematic, and they should be given?
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Direction and opportunities to improve problem areas
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Continuing professional education is important because?
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A practitioner’s level of competence may diminish over time; changes in laws pertaining to mental health, evolving ethical standards, and new trends in professional and evidence-based practices cont. to be made

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