The ethical and professional practice of counseling and psychotherapy

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Bibliographic Information

The ethical and professional practice of counseling and psychotherapy

[by] Len Sperry

Pearson / Allyn and Bacon, c2007

Available at  / 2 libraries

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Includes bibliographical references and indexes

Description and Table of Contents

Description

In addition to providing foundational information about ethical codes and legal statues, this new text advocates for counseling personnel to view ethical issues as challenges for personal and professional growth. Written in an accessible, concise and easy to read style, this book endeavors to broaden the traditional focus of ethical study to include topics that students and practicing clinicians will find consistent with their own personal strivings and professional needs. While covering the traditional core percepts of professional ethics in considerable detail: confidentiality, informed consent, boundaries and the use of power, and competency and professional responsibility, it also advocates for counseling personnel to view ethical issues as challenges for personal and professional growth. And, it includes a number of critical topics that counselors and therapists face or will face in daily practice. These include organizational ethics, virtue ethics, and an expanded view of multicultural ethics with a focus on community values as well as on religious and spiritual issues. This new book includes a special chapter in the appendix that emphasizes ways in which counselors and therapists can grow and achieve excellence in their personal and professional lives. Unique and essential coverage of organizational ethics (OE) is addressed making readers aware of how organizational dynamics can exert such powerful influence on ethical decision making (Ch 4 & 10-14). Unique coverage of the ethical considerations involving spiritual and religious issues as well as the use of alternative interventions in counseling and psychotherapy are covered, including the common lawsuits brought against counselors and therapists using spiritual and alternative interventions (Ch 3). A unique section in the appendix describes the psychological and philosophical basis of ethical decision-making for readers who want and need a more in-depth discussion.

Table of Contents

Preface I. ETHICAL, PROFESSIONAL, AND CONTEXTUAL CONSIDERATIONS. 1. The Ethical and Professional Practice of Counseling and Psychotherapy. MAKING COUNSELING PRACTICE DECISIONS IN THE PAST MAKING COUNSELING PRACTICE DECISIONS TODAY Professional Domain Considerations Ethical Domain Consideration THE KEY ROLE OF ETHICAL CONSIDERATIONS IN MAKING COUNSELING PRACTICE DECISIONS PREMISES AND PERSPECTIVES ON ETHICAL AND PROFESSIONAL PRACTICE Basic Premises Three Perspectives on Ethical and Professional Practice BASIC TERMINOLOGY General Ethics Applied Ethics Ethical Dilemma Personal Ethics THE DOMAINS AND DIMENSIONS OF ETHICAL THINKING AND DECISION MAKING Professional Domain Ethical Domain Contextual Domain A STRATEGY FOR DECISION MAKING IN COUNSELING AND PSYCHOTHERAPY PRACTICE 2. Personal and Developmental Ethics. THE PROFESSIONAL DEVELOPMENT OF COUNSELORS AND THERAPISTS Levels of Counselor and Therapist Development Levels of Ethical Development ETHICAL VALUES IN COUNSELING AND PSYCHOTHERAPY Ethical Principles Ethical Values Ethical Values and Practices of Master Therapists ETHICAL THEORIES IN COUNSELING AND PSYCHOTHERAPY Six Ethical Theories Implications for Counseling and Psychotherapy Practice ETHICAL CODES AND PRACTICE BEHAVIOR FOSTERING ETHICAL DEVELOPMENT IN COUNSELING AND PSYCHOTHERAPY Ethical Autobiography Ethical Decision-Making Style Ethical Acculturation 3. Multicultural, Relational, and Spiritual Issues in Ethics. THE RELATIONAL DIMENSION The Relational Dimension in Counseling The Relational Dimension in Supervision The Relational Dimension in Ethical Decisions THE MULTICULTURAL DIMENSION Cultural Sensitivity and Competency Core Cultural Competencies The Primacy of Cultural Awareness Cultural Considerations and Ethical Decisions THE RELIGIOUS AND SPIRITUAL DIMENSION Spirituality Professional and Personal Stance Regarding Spirituality and Religion Levels of Professional Incorporation of the Spiritual Dimension in Counseling Practice Spiritual Assessment Spiritual and Religious Competencies for Counselors 4. Organizational Ethics. ORGANIZATIONAL SYSTEMS AND DYNAMICS Structural Subsystem Cultural Subsystem Administrative Subsystem Staff Subsystem Strategy Subsystem Environmental Subsystem DIFFERENTIATING PERSONAL, PROFESSIONAL, AND ORGANIZATIONAL ETHICS THE CENTRALITY OF ORGANIZATIONAL ETHICS FOR ORGANIZATIONAL SUCCESS The Central Role of Organizational Culture and Leadership Three Differing Perspectives SYSTEMIC FACTORS IMPACTING ORGANIZATIONAL ETHICS Conflict between Personal Ethics and Organizational Policy Impact of Organizational Dynamics on Ethical Dilemmas ORGANIZATIONAL ETHICS AND PROFESSIONAL ETHICS Confidentiality Informed Consent COUNSELING PRACTICE AND ORGANIZATIONAL ETHICS Financial Consideration Efficiency and Expediency Personal-Organizational Ethical Conflicts ASSESSING AND EVALUATING ORGANIZATIONAL ETHICS IN A COUNSELING SETTING Ethics Audits Organizational Ethics Inventory Ethics Compliance Audit COMMUNITY VALUES Impact of Community Values Recognizing Community Values 5. Ethical and Professional Decision Making in Counseling and Psychotherapy. DECISION MAKING IN COUNSELING AND PSYCHOTHERAPY Professional Considerations Contextual Considerations Ethical Considerations APPROACHES TO ETHICAL DECISION MAKING THE PROFESSIONAL AND ETHICAL PRACTICE DECISIONAL STRATEGY The Eight Steps of the Decisional Strategy CASE ILLUSTRATION OF THE ETHICAL AND PROFESSIONAL PRACTICE DECISIONAL STRATEGY PROFESSIONAL DIMENSION CONTEXTUAL DIMENSION ETHICAL DIMENSION APPLYING THE ETHICAL AND PROFESSIONAL PRACTICE DECISION STRATEGY II. ETHICAL STANDARDS OF PROFESSIONAL PRACTICE. 6. Confidentiality. THE CONTEXTUAL DOMAIN AND CONFIDENTIALITY THE ETHICAL BASIS OF THE CONCEPT OF CONFIDENTIALITY Beneficence and Confidentiality Nonmalificence and Confidentiality Care and Confidentiality Respect for Privacy and Confidentiality EMERGING BRAIN SCIENCE AND CONFIDENTIALITY Attachment and Confidentiality LEGAL ASPECTS OF CONFIDENTIALITY Privileged Communication The Health Insurance Portability and Accountability Act (HIPPA) of 1996 Personal-Developmental and Organizational Ethics in a Regulatory Context EXCEPTIONS TO CONFIDENTIALITY Abuse and Confidentiality Suicide and Confidentiality Threats to Others and Confidentiality RIGHTS OF CHILDREN AND CONFIDENTIALITY 7. Informed Consent. THE CONTEXTUAL DOMAIN AND INFORMED CONSENT THE LEGAL AND ETHICAL BASIS OF THE NEED FOR CONSENT FOR TREATMENT KEY ELEMENTS OF AN INFORMED CONSENT DOCUMENT SYSTEMIC AND MULTICULTURAL CONSIDERATIONS IN INFORMED CONSENT PROCEDURES INFORMED CONSENT AND MINORS Assent to Treatment Exceptions to the General Requirement of Parental Consent INVOLUNTARY COMMITMENT AND INFORMED CONSENT ON-LINE COUNSELING AND INFORMED CONSENT 8. Conflict of Interest, Boundaries, and the Use of Power. THE CONTEXTUAL DOMAIN AND CONFLICT OF INTEREST, BOUNDARIES, AND THE USE OF POWER Personal-Developmental Relational-Multicultural Organizational Ethics-Community Values POWER IN COUNSELING AND PSYCHOTHERAPEUTIC RELATIONSHIPS Abuse of Power as a Process and Not an Event DUAL AND MUTUAL RELATIONSHIPS BOUNDARY VIOLATIONS Process versus Event Therapist Self-Care: A Way of Avoiding Boundary Violations Sexual and Nonsexual Boundary Violations BOUNDARY CROSSINGS A TEMPLATE FOR EVALUATING THE ETHICS OF NONSEXUAL DUAL RELATIONSHIPS 9. Competency and Professional Responsibility. COUNSELING AS A PROFESSION Defining Profession and Professional The Counseling Profession COMPETENCE AND WORK ORIENTATION Three Work Orientations The Relationship between Work Orientation and Competence ETHICAL AND LEGAL ASPECTS OF COMPETENCE Ethical Aspects Legal Aspects PROFESSIONAL COMPETENCE Continuum of Competence Scope of Practice ACHIEVING AND MAINTAINING COMPETENCE Attaining Competence Maintaining Competence INCOMPETENCE Impairment versus Incompetence Three Types of Incompetence DISTRESS, BURNOUT, AND IMPAIRMENT Strategies for Preventing Burnout and Impairment NEGLIGENCE AND MALPRACTICE Negligence Malpractice VIEWING COMPETENCE FROM THE THREE PERSPECTIVES Perspective I Perspective II Perspective III MASTER THERAPISTS AND COMPETENCE COMPETENCE AND THE DEVELOPMENTAL, RELATIONAL AND ORGANIZATIONAL DIMENSIONS III. ETHICAL AND PROFESSIONAL PRACTICE IN SPECIALTY AREAS. 10. School Counseling. ROUTINE PRACTICE FOR SCHOOL COUNSELING CONTEXTUAL ISSUES IN SCHOOL COUNSELING Personal-Developmental Relational-Multicultural Organizational Ethics-Community Values CORE ETHICAL ISSUES FOR SCHOOL COUNSELORS Confidentiality Informed Consent Conflicts of Interest and Boundaries Competence LEGAL ISSUES AFFECTING THE PRACTICE OF SCHOOL COUNSELING Legal Rights of Parents and Confidentiality Mandatory Abuse Reporting Threat of Harm to Self or Others Case Law Related to the Practice of School Counseling Student Records Students with Special Needs Ethics and Sexual Behavior Spirituality and School Counseling CASE ILLUSTRATION OF ETHICAL-PROFESSIONAL DECISION MAKING IN SCHOOL COUNSELING 11. Mental Health Counseling. ROUTINE PRACTICE OF MENTAL HEALTH COUNSELING CONTEXTUAL ISSUES IN MENTAL HEALTH COUNSELING Personal-Developmental Relational-Multicultural Organizational Ethics-Community Values CORE ETHICAL ISSUES AND CODES OF ETHICS FOR MENTAL HEALTH COUNSELORS Confidentiality Informed Consent Conflicts of Interest Competency REPORTS OF THE ACA ETHICS COMMITTEES LEGAL ISSUES AND CASE LAW AFFECTING MENTAL HEALTH COUNSELORS Duty to Warn/Duty to Protect Immunity from Suit for Breaking Confidentiality Client-Counselor Privileged Communication/Confidentiality SPECIAL TOPICS IN MENTAL HEALTH COUNSELING Managed Care Substance Abuse/Drug Addiction Group Counseling Spirituality and Mental Health Counseling CASE ILLUSTRATION OF ETHICAL-PROFESSIONAL DECISION MAKING IN MENTAL HEALTH COUNSELING 12. Couples and Family Counseling and Therapy. ROUTINE PRACTICE OF COUPLES AND FAMILY THERAPY HIPAA Considerations CONTEXTUAL ISSUES IN COUPLES AND FAMILY THERAPY Personal-Developmental Relational-Multicultural Organizational Ethics-Community Values CORE ETHICAL ISSUES AND CODES OF ETHICS FOR COUPLES AND FAMILY THERAPISTS Confidentiality Informed Consent Conflicts of Interest Competency PREVALENCE OF ETHICAL BREACHES 323 LEGAL ISSUES AND CASE LAW AFFECTING COUPLES AND FAMILY THERAPISTS Child Abuse Immunity for Reporting Threats to Others Communication Regarding a Third Party Threats to Self SPECIAL ISSUES IN COUPLES AND FAMILY THERAPY Training, Licensure and Certifications CASE ILLUSTRATION OF ETHICAL-PROFESSIONAL DECISION MAKING IN COUPLES AND FAMILY COUNSELING 13. Rehabilitation Counseling and Career Counseling. INTRODUCTION TO CAREER AND REHABILITATION COUNSELING Career Counseling Rehabilitation Counseling ROUTINE PRACTICE OF CAREER COUNSELING ROUTINE PRACTICE OF REHABILITATION COUNSELING CONTEXTUAL ISSUES IN CAREER COUNSELING Personal-Developmental Relational-Multicultural Organizational Ethics-Community Values CONTEXTUAL ISSUES IN REHABILITATION COUNSELING Personal-Developmental Relational-Multicultural Organizational Ethics-Community Values CORE ETHICAL ISSUES IN CAREER COUNSELING Competency Informed Consent Confidentiality CAREER-SPECIFIC ETHICAL ISSUES Independent Practice Boundary Issues and the Use of Power Spiritual Issues LEGAL ISSUES IN CAREER COUNSELING CONCLUDING NOTE: PERSPECTIVE III AND RELATIONAL ISSUES CORE ETHICAL ISSUES IN REHABILITATION COUNSELING Competency Confidentiality Informed Consent Conflicts of Interest SPECIFIC ETHICAL ISSUES IN REHABILITATION COUNSELING Supervision The Use of Power: Giving It to Clients Spirituality LEGAL ISSUES IN REHABILITATION COUNSELING Privileged Communication Mandatory Reporting The Americans with Disabilities Act (ADA) and the Rehabilitation Act CONCLUDING NOTE: PERSPECTIVE III CASE ILLUSTRATION OF ETHICAL-PROFESSIONAL DECISION MAKING IN REHABILITATION COUNSELING 14. Ethical and Legal Issues in Supervision. THE ROUTINE PRACTICE OF SUPERVISION The Supervisory Agreement The Development Issues Contract Written Documentation of Supervision THE CONTEXTUAL DOMAIN OF SUPERVISION Personal-Developmental Relational-Multicultural Organizational Ethics-Community Values CORE ETHICAL ISSUES IN SUPERVISION Confidentiality Informed Consent Conflicts of Interest and Boundaries Competency SPECIAL CONSIDERATIONS IN SUPERVISION Fair Evaluation and Due Process in Supervision Multicultural Issues in Supervision Religious and Spiritual Issues in Supervision Clinical Supervision, Case Consultation, and Peer Consultation LEGAL ISSUES AND CASE LAW AFFECTING SUPERVISION Direct Liability and Vicarious Liability Proper Monitoring of Supervisees: Some Practical Considerations Key Legal Cases Involving Supervision CASE ILLUSTRATION OF ETHICAL-PROFESSIONAL DECISION MAKING IN SUPERVISION IV. ETHICS AND EFFECTIVE COUNSELING AND PSYCHOTHERAPY 15. Striving for Personal and Professional Excellence: Ethics as a Way of Life. A WEEK IN THE LIFE OF BILL JAMES Monday Tuesday Wednesday Thursday Friday Commentary A WEEK IN THE LIFE OF GERI JACKSON Monday Tuesday Wednesday Thursday Friday Commentary CONCLUDING NOTE REFERENCES Appendix A: Ethical Theories ETHICAL THEORY TYPES OF ETHICAL THEORIES Consequentialist Ethics Rights Ethics Duty Ethics Virtue Ethics Care Ethics Narrative Ethics CASE ILLUSTRATION: THE ETHICAL THEORIES IN COUNSELING PRACTICE Appendix B: Dictionary of Key Ethical and Legal Terms. Index.

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