CT CH 2 & 3

Evidence- Based Practice (EBP)

The integration of the best available research with clinical expertise in the context of patients characteristics, culture, and preferences

Culture

The values and behaviors shared by a group of individuals

A boundary crossing could potentially benefit a client.

True

A diagnosis provides a working hypothesis that guides the practitioner in understanding the client.

True

Becoming an ethical practitioner is not a final destination but a journey that will continue throughout your career.

True

Contemporary therapy approaches are grounded on a core set of values, which are neither value-neutral nor applicable to all cultures.

True

Counselors from all cultural groups must examine their expectations, attitudes, biases, and assumptions about the counseling process and about persons from diverse groups.

True

Human change is complex and difficult to measure beyond such a simplistic level that the change may be meaningless.

True

If you are successful in establishing boundaries in various aspects of your personal life, you have a good foundation for creating sound boundaries with clients.

True

If you try to figure out in advance how to proceed with a client, you may be depriving the client of the opportunity to become an active partner in her or his own therapy.

True

It is not our function to persuade clients to accept or adopt our value system.

True

The American Counseling Association uses the term "nonprofessional relationships" when referring to dual or multiple relationships.

True

Your role as a counselor is to provide a safe and inviting environment in which clients can explore the congruence between their values and their behavior.

True

Confidentiality must be breached and information must be reported by practitioners when all of the following take place, except:

a child under the age of 16 requests counseling sessions

Privileged Communication

a legal concept that protects clients from having their confidential communications revealed in court without their permission

During her sessions, Justine questions whether she is trying to meet her clients' needs or her own needs. Justine is:

actively working toward expanding her self-awareness and learning to recognize her areas of prejudice and vulnerability.

Positive Ethics

approach to do what is best for the client rather than meet the minimum standards

Evidence-based practices:

are the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences.

With regard to the role of the counselors' personal values in therapy, it is appropriate for counselors to

avoid imposing their values through a process of bracketing

An authentic counselor is best described as

being willing to look at his or her own life and make the changes wanted; he or she can model hat process to be the way it is revealed to the client

Effective counseling must take into account the impact of culture on the client's functioning, including the:

client's degree of acculturation.

The __________factors-the alliance, the relationship, the personal and interpersonal skills of the therapist, client agency, and extratherapeutic factors-are the primary determinants of therapeutic outcome

contextual

Value Imposition

counselors directly attempting to define a cx's value, attitude, beliefs, and bx's.

Mandatory Ethics

ethical functioning at a minimal level

Assessment consists of:

evaluating the relevant factors in a client's life to identify themes for further exploration in the counseling process.

In becoming an ethical practitioner, a crucial task is to:

exercise prudent judgment when it comes to interpreting and applying ethical principles to specific situations.

Both the feminist perspective and the postmodern approaches charge that diagnoses:

ignore societal contexts

Privileged communication applies to:

individual counseling

informed consent

involves the right for cx to be informed about their therapy and to make autonomous decisions pertaining to it

Confidentiality

legal duty of tx to not disclose info about cx

Clients have a right to know aboutbefore making highly personal disclosures.

limits of confidentiality

The first step in making an ethical decision is to:

look at the relevant ethics codes

___________ cannot be reduced simply to cultural awareness and sensitivity

multicultural competence

Clients place more value on the personality of the therapist than the...

specific techniques use

Informed consent in counseling can be provided in all of the following forms except:

through third party

Culturally encapsulated counselors would be most likely to:

use their powers to influence clients to accept or adopt their value system

A therapist should consult with colleagues or specialists under all circumstances except:

when discussing past life choices.

According to the text, positive ethics is an approach taken by practitioners:

who want to do their best for clients rather than simply meet minimum standards to stay out of trouble.

The author describes the characteristics of an effective counselor too..

you should develop yips wn concept of what personality traits you think are essential to strive for to promote your own personal growth

It is especially important for counselors who work with culturally diverse client populations to do all the following

- Be aware of their own cultural heritage - Have a broad base of counseling techniques that can be employed with flexibility - Examine their own assumptions about cultural values

When can confidentiality be broken?

- Child abuse - Abuse of elderly - Abuse of dependent adult - Danger to self or others - Information is made an issue in court action - Client request records be released to 3rd party

Personal values of the counselor influence all of the following

- our views of the goals of counseling - the way we conduct client assessments - interventions we choose

Which of the following is not considered essential knowledge for a culturally competent counselor?

Knowing how to analyze transference reactions

Countertransference

TX projections that influence the way we perceive and react to a client

Ideally, our self-care should mirror the care we provide for others.

True

The central aim of evidence-based practice is to require psychotherapists to base their practice on techniques that have empirical evidence to support their efficacy.

True

The general goals of counselors must be congruent with the personal goals of the client.

True

The skill of immediacy involves revealing what we are thinking or feeling in the here and now with the client.

True

The vast majority of mental health professionals have experienced personal therapy, typically on several occasions.

True

Marcus, a therapist in a community agency, recently divorced his wife and seems to be harboring anger towards women in general. His colleagues, who have noticed a change in his attitude and behavior lately, have encouraged him to seek personal counseling to work through his issues. They are:

acting ethically by recommending counseling for Marcus; as counselors, they recognize that personal issues that have not been worked through are likely to be projected onto clients.

Essential components of effective multicultural counseling include all of the following except:

counselors avoid becoming involved in out-of-office interventions.

Diagnosis

id a specific mental disorder based on a pattern of symptoms

Personal characteristics of an effective counselor

- Have an identity - Respect and appreciate themselves - Open to change - Make choices that are life oriented - Authentic, sincere, and honest - Have a sense of humor - Admit to mistakes - Live in the present - Appreciate the influence of culture - Sincere interest in the welfare of others - Possess effective interpersonal skills - Deeply involved in work, and find meaning in it - are passionate - maintain healthy boundaries

Regarding psychotherapy treatment, research suggests

- tx as person is an integral part of successful treatment - therapeutic rx is an essential component of effective treatment - both the therapy methods used and the therapy rx influence the outcomes of treatment

Three dimensions go multicultural counseling

1.) Beliefs and attitudes 2.) Knowledge 3.) Skills

Thee pillars that incorporate EBP

1.) Looking for the best available research 2.) Relying on clinical expertise 3.) Taking into consideration the cx's characteristics, culture, and preferences

Three ways therapist benefit from personal therapy...

1.) Tx can use it as a model fro what is helpful and what is not 2.) can increase interpersonal skills 3.) Help tx deal with ongoing stresses with clinical work

You are working with an ethnic minority client who is silent during the initial phase of counseling. This silence is probably best interpreted as:

A response consistent with his or her cultural context

________ ethics focuses on doing what is in the best interest of clients.

Aspirational

Which of the following is not considered an essential skill of an effective culturally competent counselor?

Being able to get clients to intensify their feelings by helping them to vividly reexperience early childhood events

Assessment

Evaluating the eleven factors in cx's life to id themes for further exploration in the counseling process

A meta-analysis of research on therapeutic effectiveness found that the personal and interpersonal components are, at best, only moderately related to effective psychotherapy.

False

Clinicians who work in community mental health agencies, private practice, and other human service settings are generally expected to assess client problems within the framework of the National Association of Social Workers' Diagnostic and Assessment Protocol Manual (3rd ed.).

False

Confidentiality can be considered an absolute

False

If we are inauthentic, it is unlikely that our clients will detect it.

False

It is optional for therapists to inform their clients that they may discuss certain details of the relationship with a supervisor or a colleague.

False

Multiple relationship issues can be resolved with ethics codes alone

False

Overemphasizing cultural differences is always appropriate in a counseling context.

False

Practitioners must have had the same experiences as their clients in order to have empathy for them.

False

The ethics codes mandate avoidance of all dual or multiple relationships.

False

The only setting in which one might be forced to manage multiple roles is in community mental health centers.

False

Therapists need to be free of conflicts before they can counsel others.

False

Therapists should not admit their mistakes since that could diminish their clients' confidence in them.

False

Truly dedicated therapists carry the problems of their clients around with them during leisure hours.

False

Aspirational Ethics

Focuses on doing what is best for the cleints

During an initial session, an adolescent girl tells you that she is pregnant and is considering an abortion. Which of the following would be the most ethical and professional course for you to follow?

Help her to clarify the range of her choices in light of her own values.

_________ involves the right of clients to be informed about their therapy and to make autonomous decisions pertaining to it.

Informed consent

________ ethics involves a level of ethical functioning at the minimum level of professional practice.

Mandatory

Which of the following statements is not true about guidelines for ethical practice in counseling and psychotherapy?

Practitioners are free to formulate any ethics they choose.

________ is a legal concept that protects clients from having their confidential communications revealed in court without their permission.

Privileged communication

Which of the following is not a method of increasing effectiveness in working with diverse client populations?

Realize that practicing from a multicultural perspective will probably make your job very difficult