Ethics and Decision Making in Counseling and Psychotherapy
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Completely revised and updated to reflect the new 2014 ACA Code of Ethics and current ethics codes in psychology, social work, and marriage and family therapy. This unparalleled text guides helping professionals in the use of ethical decision-making processes as the foundation for ethical approaches to counseling and psychotherapy. The book focuses on ethical and legal challenges and standards across multiple professions emphasizing counseling. It not only identifies relevant ethical issues in clinical mental health, rehabilitation, group, school, addictions, and career counseling, it also addresses couple and family therapy, clinical supervision, and forensics. The text illuminates the particular application of ethical standards within each specialty. The book features five new chapters that clearly define how ethical standards are interpreted and applied: Privacy, Confidentiality, and Privileged Communication; Informed Consent; Roles and Relationships With Clients; Professional Responsibility; and Counselor Competency. Under the umbrella of each broad topic, the particular nuances of ethical standards within each specialty are analyzed to facilitate comparison across all specialties and settings.The text also addresses current issues in office and administrative practices, technology, and forensic practice that are crucial to school, clinical, and private practice settings. Compelling case studies illustrate the connection between ethical decision-making models and ethical practice. Learning objectives, a comprehensive review of scholarly literature, and a robust ancillary package for educators contribute to the fourth edition‚ value for use in upper-level undergraduate and graduate classrooms. Cover......Page 1 Title......Page 4 Copyright......Page 5 Contents......Page 6 Contributor......Page 12 Preface......Page 14 Acknowledgments......Page 16 Share Ethics and Decision Making in Counseling and Psychotherapy, Fourth Edition......Page 18 Part I: Overview of Ethics and Decision Making in Counseling and Psychotherapy......Page 19 Objectives......Page 21 Defining Ethics......Page 23 Professional Ethics Versus Legally Mandated Ethics......Page 26 Ethics Governance......Page 30 Decision-Making Skills......Page 38 Conclusion......Page 39 Objectives......Page 41 Counseling and Psychology: Two Closely Related but Now Distinct Mental Health Professions......Page 42 Licensing and Credentialing in the Mental Health Professions......Page 44 Conclusion......Page 55 Objectives......Page 57 Values......Page 58 Morals, Ethics, and Values......Page 59 Values in Counseling......Page 61 Values of Counselors and the Counseling Relationship......Page 63 Values Clarification......Page 67 Values Conflict Resolution......Page 70 Conclusion......Page 73 Objectives......Page 75 Ethical Judgment......Page 76 A Review of Ethical Decision-Making Models......Page 77 Theoretical or Philosophical Models of Individual Choice......Page 78 Quantification as a Means to Individual Choice......Page 79 Models of Relational Influence......Page 80 Empirical Findings on Models or Premises......Page 83 Willingness or Resoluteness as a Factor in Decision Making......Page 84 The Tarvydas Integrative Decision-Making Model of Ethical Behavior......Page 85 Cottone’s Social Constructivism Model of Ethical Decision Making......Page 96 Applying the Social Constructivism Model of Ethical Decision Making......Page 98 Conclusion......Page 108 Objectives......Page 111 Background......Page 112 The Historical Importance of Ethical Principles to Mental Health Professions......Page 113 The Principles......Page 114 Principles, Challenges to the Principles, and Codes of Ethics......Page 120 Beyond Ethical Principles: Defining Ethical Standards......Page 121 Conclusion......Page 122 Objectives......Page 123 Ethical Standards in Mental Health Practice......Page 124 Decision Making in Context......Page 159 Conclusion......Page 160 Part II: Ethical and Legal Challenges Across Counseling Specialties......Page 161 Objectives......Page 163 Clinical Mental Health......Page 164 Health and Rehabilitation......Page 168 Couple and Family Therapy......Page 171 School Counseling......Page 174 Addictions......Page 185 Group Counseling......Page 188 Career......Page 192 Clinical Supervision......Page 194 Forensic Practice......Page 195 Conclusion......Page 196 Objectives......Page 197 Clinical Mental Health......Page 198 Health and Rehabilitation......Page 199 Couple and Family Therapy......Page 201 School Counseling......Page 202 Addictions......Page 203 Group Counseling......Page 204 Clinical Supervision......Page 206 Forensic Practice......Page 209 Conclusion......Page 210 Clinical Mental Health......Page 211 Health and Rehabilitation......Page 212 Couple and Family Therapy......Page 214 School Counseling......Page 217 Addictions......Page 218 Group Counseling......Page 219 Career......Page 220 Clinical Supervision......Page 221 Conclusion......Page 224 Objectives......Page 225 Health and Rehabilitation......Page 226 Couple and Family Therapy......Page 228 School Counseling......Page 229 Group Counseling......Page 232 Clinical Supervision......Page 235 Forensic Practice......Page 236 Conclusion......Page 237 Objectives......Page 239 Clinical Mental Health......Page 240 Health and Rehabilitation......Page 242 Couple and Family Therapy......Page 244 School Counseling......Page 245 Addictions......Page 246 Group Counseling......Page 247 Career......Page 248 Clinical Supervision......Page 251 Forensic Practice......Page 255 Conclusion......Page 256 Part III: Organizational, Administrative, and Technology Issues......Page 257 Objectives......Page 259 Organizational Culture......Page 260 Organizational Climate......Page 264 Accountability to the Organization......Page 266 Impaired Professionals......Page 267 Burnout and Job Stress......Page 268 Boundary and Harassment Issues in Employment and Supervision......Page 270 Substance Abuse......Page 272 Mobbing......Page 273 Whistle-Blowing......Page 274 Conclusion......Page 278 Objectives......Page 281 The Layout of the Office......Page 282 Fee Setting, Billing, and Collections......Page 284 Agreements With Nonprofessional Staff Members......Page 288 Advertising......Page 289 Credentials......Page 290 Maintenance of Records and Files......Page 292 Communications With Other Professionals......Page 293 Disagreements With Employers or Supervisors......Page 294 Conclusion......Page 295 Objectives......Page 297 Electronic Capability—A Historical Perspective......Page 298 Standards Across the Mental Health Professions......Page 299 Ethical Management of Electronic Media......Page 301 Electronic Media, Information, and Storage......Page 302 Mobile or Smartphones......Page 304 Computer-Assisted Counseling......Page 305 Online Counseling Forums......Page 308 Ethics and Policy Developments in Online Mental Health Services......Page 310 Computer-Assisted Assessment......Page 311 Computer-Assisted Counselor Education......Page 314 Ethical Use of Software......Page 317 Acknowledgments......Page 318 Part IV: Conclusion......Page 319 Objectives......Page 321 Consequences of a Breach of Ethics for the Mental Health Professional......Page 322 Consequences of a Breach of Ethical Standards for the Client......Page 324 The Development of the Ethical Mental Health Professional......Page 326 Conclusion......Page 328 References......Page 329 Index......Page 353
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