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Issues in Theory & Practice Ethical Issues in Couples & Family Therapy
Terms in this set (68)
- process of identifying emotional and/or behavioral problem and making statement about current client status
- practitioners often use multiple tools to assist them in process such as clinical
interviewing, observation, psychometric tests, and rating scales
- process involves identifying possible causes of person's emotional, cognitive, physiological, and behavioral difficulties, leading to some kind of treatment plan designed to ameliorate identified problem
- some approaches stress importance of conducting a comprehensive assessment of client and see it as initial step in therapeutic process
- crucial to consider cultural factors and how they may influence current
behaviors, feelings, thoughts, and symptom presentation
- process of distinguishing one form of mental disorder from another by determining which of 2 (or more) disorders w/similar symptoms person is suffering from
- DSM-5 deals w/variety of disorders pertaining to developmental stages, learning and cognition, trauma, personality, substance abuse, moods, anxiety, sex and gender identity, eating, sleep, impulse control, and adjustment
- Rogers believed diagnosis was detrimental to counseling b/c pulled clients away from internal and subjective way of experiencing themselves; resulted in tendency toward dependence
- typically done by an expert observing a person's behavior and experience from an external viewpoint, w/o reference to what they mean to the client
- diagnostic categories can minimize the uniqueness of the client
- reducing people to the sum of their symptoms ignores natural capacities
for self-healing
- deficits, limitations, problems, and symptoms, individuals are not encouraged to find and utilize their strengths, assets, competencies, and abilities
- diagnosis can lead people to accept self-fulfilling prophecies or to despair over their condition
- diagnosis can narrow therapists' vision by encouraging them to look for behavior that fits a certain disease category
- DSM diagnoses do not adequately consider contextual, social, and cultural factors
- DSM
diagnoses are based on assumption that distress in a family or social context is result of individual pathology, whereas a systemic approach views the source of distress as being w/n entire system
- some disorders, especially those associated with children, depend on adults in homes and schools to give subjective reports that are often self-serving in terms of trying to control the child or to protect themselves
- diagnosis assigned to clients can have implications for their employment and
future employability status
- often person w/ least power is the one being labeled, which can further silence oppressed clients and communities
- diagnosis label doesn't have capacity to describe totality of person
- therapists respect and guard the confidences of each individual client
- exceptions:
when mandated by law, such as in cases of physical or psychological child abuse, incest, child neglect, abuse of the elderly, or abuse of people
with a disability;
when it is necessary to protect clients from harming themselves or to prevent a clear and immediate danger to others;
when the family therapist is a defendant in a civil, criminal, or disciplinary action arising from the therapy;
when a waiver has previously been obtained in writing.
- if therapists use any material from their practice in teaching, lecturing, and writing, they take care to preserve the anonymity of their clients
HDEV5
6th EditionSpencer A. Rathus
380 solutions