Scenarios For Discussion

After receiving your doctorate in psychology, you decide you want to live in an area of the country you have never visited before. After a long search, you secure a job at the only clinic in a small town. You'll be able to secure the year's worth of postdoc supervised hours required for licensing. You pack up and move and find you love the new town and your job at the clinic. Ten months into the year, your supervisor says, I have some bad news. The clinic has decided to get rid of us...

Awareness Of Financial Factors Leading To Misusing Diagnosis

Third-party reimbursement has become so prevalent that most therapists have become acutely aware of which diagnostic categories are covered and which are not. Insurance companies, HMOs, and a wide variety of managed care organizations may authorize services for only a very restricted range of diagnoses. For example, the personality or character disorders are rarely covered. Unfortunately, the temptation to substitute a fraudulent but covered diagnosis for an honest but unreimbursable one can...

Responding to Ethics Licensing or Malpractice Complaints

E might as well discuss it now, before going on to other topics. It happens. A client, former client, or someone else files a formal complaint against you. This can happen regardless of whether you have done anything wrong. In some cases, someone may file a complaint against you because you refused to do something wrong. We recommend considering this possibility and how to respond to it early, as part of thinking through an approach to ethics and therapy, which is why we do not tack this...

Managed Care Organizations

One of the most easily overlooked aspects of confidentiality is how confidential information can circulate within health maintenance organizations and other managed care facilities. Many patients feel betrayed when records of their psychotherapy sessions become part of their general medical or health record in an HMO and may in turn find their way into the hands of third parties. One women was shocked to find her treatment mentioned on the employee relations bulletin board where she worked....

Emotional Competence For Therapy Knowing Oneself

Emotional competence for therapy, as described by Pope and Brown (1996), reflects therapists' acknowledgment and respect for themselves as unique, fallible human beings. It involves self-knowledge, self-acceptance, and self-monitoring. Therapists must know their own emotional strengths and weaknesses, their needs and resources, the abilities and limits for doing clinical work. Psychotherapy often provides the occasion for strong emotional reactions for both therapist and client. To the degree...

Your Mental Health Rights Right to Know

Individuals have the right to be provided information from the purchasing entity such as the employer or union or public purchaser and the insurance third party payer describing the nature and extent of their mental health and American Psychological Association. 1997 . Mental Health Patient's Bill of Rights. Retrieved from http www.apa.org topics rights , September 26,2006. Also available Bill of Rights, brochures, posters through 800 374-2721. Copyright 2007 American Psychological Association....

Use Denied Motivation as Misdirection

Instead of honestly stating the motivation, the speaker seeks self-exoneration by talking about what the motivation was not. Denying an irrelevant charge that no one has made can be an effective rhetorical tactic. The denials are often true. For example, the person who repeatedly embezzles pension funds, uses substandard materials to build high rises, speeds while drunk, and stresses that he or she never meant to hurt anyone was probably not acting with the intention of making other people...

Appendix C Disclosure Issues Diagram

Code Ethics For Internet Authors

The following steps may be taken, as appropriate Disclosure Issues Diagram The following steps may be taken, as appropriate American Psychological Association Statement on Services by Telephone, Teleconferencing, and Internet AUTHORS' NOTE According to Steve Behnke, The Ethics Committee voted that statements issued under a version of the ethics code are valid only as long as that version is in effect. So with the adoption of the 2002 version, the APA Statement on Services by Telephone,...

Ethics Committees Codes And Complaints

Professional associations of therapists and counselors are voluntary organizations membership is not a state or federal requirement for the practice of the profession. One can, for example, be licensed by the state and practice as a psychologist without being a member of the American Psychological Association APA or any other association. An association, through its ethics committee, holds its members accountable to the ethical principles it sets forth in the code it has developed. To...