Ethical Conundrums, Quandaries and Predicaments in Mental Health Practice: A Casebook from the Files of Experts
Ethical Conundrums, Quandaries and Predicaments in Mental Health Practice: A Casebook from the Files of Experts
Professor of Psychology, United States Naval Academy and Faculty Associate
Associate Provost and Professor of Psychology, Simmons College and Senior Lecturer
Cite
Abstract
Each of the 38 case studies in this book is authored by an expert in psychology, psychiatry, social work, or counseling. The cases have been clustered by work setting under the general headings of psychotherapy, forensics, medical centers, national security, organizations, schools, supervision, religious settings, and public service. Each manuscript follows a similar format; it begins with a case, followed by the author's discussion of the key ethical issues evoked, a summary of the primary ethical conundrums prevalent in the work setting, and a final personal reflection in retrospect regarding how he or she handled the ethical quandary. Each contribution concludes with a summary of salient ethical principles and standards as well as a list of resources for further reading.
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Front Matter
- Juggling Porcupines: Being Ethical in Challenging Roles and Work Settings
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Part I In the Psychotherapist’s Office
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1
But It’s a Really Nice Gift! Ethical Challenges in Responding to Offers of Gifts From Clients
Jeffrey E. Barnett
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2
Everyone I Know Knows Everyone I Know: Boundary Overlap in the Life of One Lesbian Psychotherapist
Laura S. Brown
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3
Hitler Should Have Finished the Job: Countertransference, Anti-Semitism, Abandonment, and Termination
Michael A. Grodin
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4
Suicidal Blackmail: Ethical and Risk Management Issues in Contemporary Clinical Care
David Jobes
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5
An Affair to Remember: Protecting Vulnerable Clients and Confidentiality When Spouses Cheat
Mary Ann McCabe
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6
Trapped by Trauma: When Clients Cannot or Will Not Protect Themselves From Harm
John Peteet
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7
To Warn or Not to Warn: That Is the Question
David L. Shapiro
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8
What Would She Think? Disclosure of Therapy Details After Death
Dan Shapiro
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9
It’s My Right! Working With a Terminally (or Chronically) Ill, Persistently Suicidal Client
James L. Werth
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1
But It’s a Really Nice Gift! Ethical Challenges in Responding to Offers of Gifts From Clients
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Part II In the Forensic World
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10
High Stakes Indeed: Forensic Psychology in Death Penalty Litigation
Richart L. DeMier
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11
Is That What I Said? Ethical Challenges When Parents Divorce During Treatment
Robin M. Deutsch
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12
Now You See It, Now You Don’t: When Releases of Information Are Rescinded
John C. Gonsiorek
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13
The Siren Song of Silence: Ensuring a Basis for Professional Judgments
Robert Kinscherff
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14
“Thera-mail” for a Quarter Century: Managing Complex Boundaries With a Former Client
Frederic G. Reamer
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15
Jonas and His Protective, Delusional, or Alienating Mother: Advocacy, Forensics, and Boundaries With Battered Women
Lenore E. Walker
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10
High Stakes Indeed: Forensic Psychology in Death Penalty Litigation
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Part III In Medical Center Corridors
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16
Determining a Patient’s Capacity to Refuse Dialysis and Die: When Professional Competence and Credentials Do Not Overlap
James DuBois
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17
When Boundaries Intersect in Cyberspace: Facebook, Multiple Relationships, and Confidentiality in a Hospital
Nabil Hassan El-Ghoroury
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18
Second Chances: Decision Making in Pediatric Transplantation
Lisa M. Farley
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19
On Being There: Boundaries in Emotionally Intense Contexts
Gerald P. Koocher
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16
Determining a Patient’s Capacity to Refuse Dialysis and Die: When Professional Competence and Credentials Do Not Overlap
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Part IV In National Security Settings
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20
“I’ve Got This Friend”: Multiple Roles, Informed Consent, and Friendship in the Military
W. Brad Johnson
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21
Establishing Rapport With an “Enemy Combatant”: Cultural Competency in Guantanamo Bay
Carrie H. Kennedy
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22
Psychotic, Homicidal, and Armed: The Delicate Balance Between Personal Safety and Effectiveness in a Combat Environment
Heidi S. Kraft
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23
“What Do You know That Can Help Us?”: Behavioral Science in National Security Settings
Susan E. Brandon
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20
“I’ve Got This Friend”: Multiple Roles, Informed Consent, and Friendship in the Military
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Part V In Organizations
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24
A Disaster in a Suit and Tie: When Organizational Policies Undermine Ethical Obligations
Charles A. Morgan III
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25
Risking Your Job: On Striving to be an Ethical Leader in Difficult Organizational Circumstances
Rodney L. Lowman
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26
When Bad Things Happen to People Who Try Really Hard: Ethical Quandaries in Test Validation
Nancy T. Tippins
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24
A Disaster in a Suit and Tie: When Organizational Policies Undermine Ethical Obligations
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Part VI In Schools and Colleges
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27
When in Doubt, Pull Them Out? Ethical Issues Related to Decisions on Child Removal From the Home
Lyvia Chriki
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28
A Near Fall: The Multifaceted Challenges to Work in Sport Psychology and Intercollegiate Athletics
Edward F. Etzel
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29
Doing Good Versus Avoiding Harm: Resolving Situational Contradictions
Alan G. Green
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27
When in Doubt, Pull Them Out? Ethical Issues Related to Decisions on Child Removal From the Home
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Part VII Supervising or Assisting Colleagues
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30
The Wink: Ethical Aspects of Encountering Clients in Unexpected Places
Stephen H. Behnke
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31
Can You Help Us? Supervising Graduate Students in a Crisis Situation
Clark D. Campbell
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32
Doing It by the Book: Ethical Issues in Teaching a Group Didactically and Experientially
Gerald Corey
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33
So, How Exactly Did You Get Interested in Eating Disorders? Confronting a Colleague’s Unhealthy Behaviors
Jennifer L. Derenne
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34
Knocked Off Kilter: Supervising in the Wake of Sexual Boundary Violations
Janet T. Thomas
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30
The Wink: Ethical Aspects of Encountering Clients in Unexpected Places
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Part VIII Religious Concerns and Settings
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Part IX In the Public Arena
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End Matter
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