PSY BEH 164C Lecture Notes - Lecture 9: Intercultural Competence, Posttraumatic Stress Disorder, Primum Non Nocere
21 Jun 2018
School
Department
Course
Professor
Ethics
Background
oEthical dilemmas often in gray areas
What is a professional
oPrivileged work that impacts the lives of others
oUnique specialized knowledge that gives specialized influence over lives of
others
oWith role comes respect, trust, and credibility to public
oClients are vulnerable and expect professional treatment
Brief History
oNonmaleficence
Clinical providers should not cause harm
Ineffective treatment may leave clients feeling hopeless
Confrontational style likely to cause harm
Protecting confidentiality
Inaction: what if intoxicated client wants to drive away
oBeneficence
Actively promote clients welfare
Choose treatments most likely to benefit and least likely to harm clients
Empirically supported tenants
oEthical Balance
Four principles might not always be equally weighted
Beneficence vs. nonmaleficence
Beneficence vs. nonmaleficence
Exposure treatment for PTSD may cause short term increase in
distress
Self-Disclosure
Why you would disclose to clients
Goal is if its best for clients
1. Build relationship
2. Solidarity in recovery
3. Answering client questions
4. Desire to be forthcoming
Limits of Professional Expertise
"professional confidence"
When in doubt, seek consultation or refer out (have team [network to refer out]
approach if possible)
Line between addiction and other behavioral health problems can be blurred (highly
comorbid)
Record Keeping
Don’t put anything in a chart you would not want to defend in court or to a client
themselves
1. "Client reported ___" vs "Client did ___"
Special Populations
Cultural competence (regard clients as expert on themselves)
Don’t ignore culture or make assumptions based on culture
Barriers to treatment (appointment times/child care)
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Privileged work that impacts the lives of others. Unique specialized knowledge that gives specialized influence over lives of others o o. With role comes respect, trust, and credibility to public. Inaction: what if intoxicated client wants to drive away o. Choose treatments most likely to benefit and least likely to harm clients. Four principles might not always be equally weighted. Exposure treatment for ptsd may cause short term increase in. Goal is if its best for clients. When in doubt, seek consultation or refer out (have team [network to refer out] approach if possible) Line between addiction and other behavioral health problems can be blurred (highly comorbid) Don"t put anything in a chart you would not want to defend in court or to a client themselves. Cultural competence (regard clients as expert on themselves) Don"t ignore culture or make assumptions based on culture. In remission: absence of any symptoms of abuse or dependence for at least one month o.
