Halgin6e ppt ch15
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Richard P. Halgin Susan Krauss Whitbourne University of Massachusetts at Amherst slides by Travis Langley Henderson State University Abnormal Psychology Clinical Perspectives on Psychological Disorders 5e yright © The McGraw-Hill Companies, Inc. Permission required for reproduction or displ
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Transcript of Halgin6e ppt ch15
Richard P. Halgin
Susan Krauss Whitbourne
University of Massachusetts at Amherst
slides by Travis Langley
Henderson State University
Abnormal Psychology
Clinical Perspectives on Psychological Disorders 5e
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Ethical and Legal Issues
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Ethical Issues
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
ROLES and RESPONSIBILITIES OF CLINICIANS
Therapist Competence
Informed Consent
Confidentiality
Privileged Communication
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EXCEPTIONS TO PRIVILEGED COMMUNICATION
Mandated Reporting
Duty to Warn
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RELATIONSHIPS WITH CLIENTS
The therapist must keep therapeutic boundaries. Most ethical codes forbid romantic and sexual involvement.
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THE BUSINESS OF PSYCHOTHERAPY
Payment Issues Paid by client or, more often, third party. Health maintenance organizations and
managed care health systems arose to keep insurance affordable.
Conflicts arise between managed care and client treatment needs.
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SPECIAL ROLES FOR CLINICIANS
EXPERT WITNESS EVALUATION IN CHILD PROTECTION
CASES GUARDIAN AD LITEM EVALUATIONS OF PEOPLE WITH
COGNITIVE DISORDERS
ALL HAVE INHERENT ETHICAL DILEMMAS: SOMEONE OTHER THAN THE ONE THEY ARE EVALUATING IS
PAYING FOR THEIR SERVICES.
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COMMITMENT OF CLIENTS
COMMITMENT:An emergency procedure for the
involuntary hospitalization of a person who is deemed likely to create harm for self or other people as a result of mental illness.
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COMMITMENT ISSUES
BALANCE CLIENT’S RIGHTS WITH CLIENT’S BEST INTERESTS
RIGHT TO LEAST RESTRICTIVE TREATMENT
RIGHT TO REFUSE MEDICATION
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ForensicIssues
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INSANITY DEFENSE
Contrary to popular belief, this is a legal term, not a psychological term.
The argument, presented by a lawyer acting on behalf of the client, that, because of the existence of a mental disorder, the client should not be held legally responsible for criminal actions.
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INSANITY DEFENSE
Unable to appreciate wrongfulness of their conduct and to control their actions due to a severe mental disturbance.
Generally require DSM-IV-TR diagnosis of psychotic disorder, severe mood disorder, dissociative disorder.
Personality disorder will not be sufficient.
In question is the individual’s state of mind at the time of the criminal action.
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• M’Naghten Rule
• Durham Rule
• American Law Institute
• Insanity Defense Reform Act
INSANITY DEFENSE:HISTORY
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COMPETENCY TO STAND TRIAL
Whether a defendant is aware of and able to participate in criminal proceedings against him or her.
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Mental health professionals play an increasingly important role in the legal system and find they must familiarize themselves with a whole array of forensic issues.
The intersection between psychology and law will continue to grow as society looks for interventions that are humane, ethical, and effective.
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