The case study analysis paper should be 8–10 pages, double-spaced, using 12-point Times New Roman font, one-inch margins, and discipline-appropriate APA citations.

Textbook: Ethics in Psychology and the Mental Health Professions:

9-2 Final Project: Submission

Submit your final case study analysis to your instructor for grading.

Submit your assignment here. Make sure you’ve included all the required elements by reviewing the guidelines and rubric.

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Final Project Guidelines and Rubric.html

PSY 570 Final Project Guidelines and Rubric

Overview

The final project for this course is the creation of a case study analysis. The final project represents an authentic demonstration of competency. This competency is shown by the development of specific skill sets including: case study identification, understanding ethical conflict in a psychology-related work settings, increased knowledge in the origin and rationale for ethics orientation in the psychology profession, specific knowledge of the core ethical principles that govern professional behavior, an overview of specific standards as they apply to sub-specialties in psychology, a practical model for ethical decision making, and consideration of alternative decision-making models. The project is divided into four milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, Five, and Seven. The final project will be submitted in Module Nine.

By understanding the ethical principles of the psychology profession, you will learn how to inform your decision making when it comes to protecting and serving the populations we serve. It is also important that the contemporary psychologist be able to address issues that are unique to our time. Some of these challenges ask us to reconsider ethical frameworks and to be more precise in the language we use to define ethical decision making. This course allows you to explore and apply important ethical concepts to potential situations. These skills are essential for proper behavior in the psychology profession. This assessment addresses the following course outcomes:

  • Assess the impact of the current and emerging ethical codes on the practice of psychology for their influence in developing ethical decision-making strategies
  • Assess the influence of culture and social orientations on the development and practice of ethical standards of conduct for consideration when developing ethical strategies
  • Distinguish between ethically supported and ethically unsupported strategies for resolving ethical dilemmas in practice
  • Develop strategies for incorporating empathy for diverse perspectives into ethically responsible practices
  • Develop strategies for evaluating and resolving ethical dilemmas that integrate ethical decision-making models

Prompt

The summative assignment for this course is a case study analysis. The case study is one way for you to showcase the skill sets you have learned in this course coupled with your area of professional interest. You will choose a case study from a pre-determined list. You should choose a case study that is relevant to your concentration and/or a particular career field in which you are interested in working. You will utilize codes of ethics pertinent to your chosen area of interest in psychology to approach this case study analysis. You will develop an ethical strategy for addressing the ethical issues present in your case study and analyze your strategy for how it relates to important ethical concepts in psychology. Your case study choice, including the ethical conflict in the case study will be submitted once for peer and instructor review, and then be resubmitted as a developing case study analysis following feedback that incorporates suggestions.

Specifically, the following critical elements must be addressed:

  1. Introduction: For this part of the assessment, begin your case study analysis by examining the many factors that influence codes of ethics in psychology.
    1. Summarize the chosen case study. Be sure to include the important people and key interactions in the case study. This will be used later in your analysis.
    2. Assess culture and social orientation and their influence on ethical behavior and the existing codes of conduct. Be sure to provide examples to support your claims.
    3. Assess how interactions between the important roles (client, psychologist, researcher, participant, etc.) in psychology are influenced by culture and social orientation and how that influence informs ethical conduct in psychology.
    4. When making ethical decisions in your chosen area of concentration, how would you go about deciding whether or not an ethical strategy is supported or unsupported? In other words, what criteria should professionals in your selected concentration or area of interest use to determine which opinions on ethics to consider in shaping their response to the particular situation?
    5. How do contemporary problems impact the need for reconsidering supported opinions on ethics in your concentration or chosen area of interest in psychology? Be sure to provide examples to support your claims.
  2. Ethical Analysis: For this part of the assessment, use the Eight Step Ethical Decision-Making Model to show how you would resolve the conflicts or ethical issues in your case study.
    1. Describe the ethical issues in your chosen ethical scenario and relate the issues to the important people identified previously. You might consider the following: What are the questions you wish to answer and the ethical issue that must be addressed?
    2. Develop an ethical strategy using an Eight Step analysis to address the ethical issues and which could be applied to the chosen scenario. Be sure to explain how your ethical strategy follows supported ethical guidelines. You might consider the following: What series of steps would you take to address the issue? What ethical principles and standards inform this strategy?
    3. Assess how your strategy differs with an opposing ethical strategy that could be used to address this situation and justify why your strategy would be more preferable. Be sure to explain whether or not the opposing strategy follows supported ethical guidelines. You might consider the following: What other principles or standards could be implemented? What counter arguments may arise in response to your strategy? How would you answer them?
    4. Assess your strategy for how it addresses ethical problems associated with multiple role relationship issues. You might consider the following: Does your strategy consider the appropriateness of the different relationships psychologists can have with clients?
    5. Assess your strategy for how it addresses ethical problems associated with multicultural competence issues. You might consider the following: Does your strategy consider issues of diversity and culture with regard to your chosen ethical issue?
    6. Assess your strategy for your chosen ethical scenario for how it aligns with current and emerging ethical codes in your chosen area of interest on the practice of psychology in your concentration or area of interest. You might consider the following: How does your strategy follow more modern opinions on ethics? How does your strategy reflect that ethics in psychology is not stagnant?
  3. Conclusion: For this part of the assessment, develop a conclusion explaining the different influences on your own strategy. Be sure to incorporate peer and instructor feedback you have received in order to properly reflect on your strategy.
    1. Explain the influence of culture and social orientation on the development of your ethical strategy. You might consider the following: What cultural implications did you feel you had to consider when developing your strategy?
    2. Explain the influence of diversity and equality on the development of your ethical strategy. You might consider the following: What issues of diversity and equality were in the ethical scenario, and how were they addressed? How did this influence your thought process and decisions while developing your ethical strategy?
    3. Explain how controversial issues in ethics have shaped emerging ideas in ethics. Be sure to provide your thoughts on this and how the development of your strategy was or was not influenced by controversial issues. You might consider the following: Did you follow a strictly traditional model, or did you use a more modern approach? How did this influence your thought process and decisions while developing your ethical strategy?
    4. Explain how your strategy could be changed to further address issues of multiple role relationships and justify your claims. In what ways does your strategy lack in its consideration of multiple role relationships?
    5. Explain how your strategy could be changed to further address issues of multicultural competence and justify your claims. In what ways does your strategy lack in its consideration of multicultural competence?
    6. Develop a conclusion summarizing your ethical strategy and how you believe it could be implemented to solve the chosen ethical scenario.

Milestones

Milestone One: Case Study Selection In Module One, you will select a case study in your area of interest to analyze for your final project, the Case Study Analysis. In the Case Study Selection discussion, you will identify your selected case study, describe your interest in the case, and identify the central ethical conflict. This milestone will be graded with the Milestone One Rubric.

Milestone Two: Case Study Analysis Outline In Module Three, you will identify the ethical conflict in the case study and produce an outline of your final case study analysis using a template provided. You addressed the first four elements (title page, case study abstract, detailed case study description, and ethical conflict) in Milestone One and will add more details in this milestone. This milestone will be graded with the Milestone Two Rubric.

Milestone Three: Applying the APA Code of Ethics Five Principles and Exploring Ethical Standards In Module Five, you will go back to your outline and explain the five general guiding ethical principles found within the APA Code of Ethics. This milestone will be graded with the Milestone Three Rubric.

Milestone Four: The Ethical Decision-Making Process, Alternative Considerations, Diversity Issues, and Multiple role Relationships In Module Seven, you will list the eight-step ethical decision-making model, discuss an alternative or opposing model of decision-making, and put your case study conflict through the eight-step model. This milestone will be graded with the Milestone Four Rubric.

Final Submission: Case Study Analysis In Module Nine, you will submit your final project. It should be a complete, polished artifact containing all of the critical elements of the final project. It should incorporate feedback gained throughout the course. This submission will be graded with the Final Project Rubric.

What to Submit

The case study analysis paper should be 8–10 pages, double-spaced, using 12-point Times New Roman font, one-inch margins, and discipline-appropriate APA citations.

Final Project Rubric

Criteria Exemplary (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value
Introduction: Summary Meets “Proficient” criteria and uses industry-specific language to establish expertise Comprehensively summarizes the chosen scenario, the important people, and the important interactions present in the case study Summarizes the chosen scenario, the important people, and the important interactions present in the case study but is lacking in detail or breadth Does not summarize the chosen scenario, the important people, and the important interactions present in the case study 4
Introduction: Culture Meets “Proficient” criteria and offers keen insight into the influence of culture and social orientation on ethical behavior Assesses the influence of culture and social orientation on ethical behavior and adherence to codes of conduct Assesses the influence of culture and social orientation on ethical behavior and adherence to codes of conduct but examination lacks depth or detail Does not assess the influence of culture and social orientation on ethical behavior and adherence to codes of conduct 6
Introduction: Interactions Meets “Proficient” criteria and offers keen insight into the interactions between important roles in psychology Assesses how interactions between different roles in psychology affects the cultural development of ethical practice Assesses how interactions between different roles in psychology affects the cultural development of ethical practice but examination lacks depth or detail Does not assess interactions between different roles in psychology affects the cultural development of ethical practice 6
Introduction: Supported or Unsupported Meets “Proficient” criteria and clearly articulates how the opinions on ethics relate to the area of interest Distinguishes between supported and unsupported opinions on ethics for resolving ethical dilemmas in area of interest Identifies supported and unsupported opinions on ethics for resolving ethical dilemmas in area of interest but does not differentiate between them Does not distinguish supported and unsupported opinions on ethics for resolving ethical dilemmas in area of interest 6
Introduction: Contemporary Problems Meets “Proficient” criteria and offers keen insight into the impact of contemporary problems on the reconsideration of supported opinions on ethics Assesses the impact of contemporary problems on the reconsideration of supported opinions on ethics in area of interest Assesses the impact of contemporary problems influencing the reconsideration of supported opinions on ethics but examination lacks depth or does not connect to the area of interest Does not assess the impact of contemporary problems influencing the reconsideration of supported opinions on ethics 6
Ethical Analysis: Ethical Issues Meets “Proficient” criteria and described ethical issues encompass a variety of types of ethical dilemmas Describes the ethical issues and potential questions and how the important people in the case study relate to the ethical issues Describes the ethical issues and potential questions and how the important people in the case study relate to the ethical issues but description lacks depth or detail Does not describe the ethical issues and potential questions and the important people in the case study 6
Ethical Analysis: Ethical Strategy Meets “Proficient” criteria and uses industry-specific language to establish expertise Develops an ethical strategy using Eight Step analysis and explains how the strategy follows supported ethical guidelines Develops an ethical strategy but does not use Eight Step analysis or does not explain how it follows supported ethical guidelines Does not develop an ethical strategy using Eight Step analysis 6
Ethical Analysis: Opposing Ethical Strategy Meets “Proficient” criteria and justification acknowledges counter arguments and the relationship between the arguments and strategy presented Justifies why developed strategy is more preferable than an opposing strategy Explains how developed strategy would be more preferable than an opposing strategy but does not justify claims Does not explain how strategy would be more preferable than an opposing ethical strategy 6
Ethical Analysis: Multiple role Relationship Issues Meets “Proficient” criteria and offers keen insight into how the strategy addresses issues with multiple role relationships Assesses strategy for how it addresses ethical problems associated with multiple role relationships Assesses strategy for how it addresses ethical problems associated with multiple role relationships but examination lacks depth or detail Does not assess strategy for how it addresses ethical problems associated with multiple role relationships 6
Ethical Analysis: Multicultural Competence Issues Meets “Proficient” criteria and offers keen insight into how the strategy addresses issues with multicultural competence and social awareness and competence Assesses strategy for how it addresses ethical problems associated with multicultural competence and social orientation awareness and competence Assesses strategy for how it addresses ethical problems associated with multicultural competence but examination lacks depth or detail Does not assess strategy for how it addresses ethical problems associated with multicultural competence 6
Ethical Analysis: Codes Meets “Proficient” criteria and provides cogent reasoning with regard to how current and emerging ethical codes shape ethical decision making in area of interest Assesses strategy for how it aligns with current and emerging ethical codes in area of interest Assesses strategy for how it aligns with current and emerging ethical codes in area of interest but examination lacks depth or detail Does not assess strategy for how it aligns with current and emerging ethical codes in area of interest 6
Conclusion: Culture and Social Orientation Meets “Proficient” criteria and provides cogent reasoning with regard to the influence of culture and social orientation on ethical strategies Explains the influence of culture and social orientation on the development of ethical strategy Explains the influence of culture and social orientation on the development of ethical strategy, but discussion lacks detail or depth Does not explain the influence of culture and social orientation on the development of ethical strategy 6
Conclusion: Diversity and Equality Meets “Proficient” criteria and provides cogent reasoning with regard to the influence of diversity and equality on ethical strategy Explains the influence of diversity and equality on the development of ethical strategy Explains the influence of diversity and equality on the development of ethical strategy but discussion lacks detail or depth Does not explain the influence of diversity and equality on the development of ethical strategy 6
Conclusion: Controversial Issues Meets “Proficient” criteria and provides cogent reasoning with regard to the influence of controversial issues on the development of ethical strategies Explains how ethical controversies shape ethical frameworks and how they influenced or did not influence development of strategy with regard to emerging ideas in ethics Explains how ethical controversies shape ethical frameworks and how they influenced or did not influence development of strategy with regard to emerging ideas in ethics but lacks detail or depth Does not explain how ethical controversies shape ethical frameworks and how they influenced or did not influence development of strategy with regard to emerging ideas 6
Conclusion: Issues of Multiple role Relationships Meets “Proficient” criteria and clearly articulates elements of strategy that are lacking Justifies how your strategy could be changed to further address issues of multiple role relationships Explains how your strategy could be changed to further address issues of multiple role relationships but does not justify claims Does not explain how your strategy could be changed to further address issues of multiple role relationships 6
Conclusion: Issues of Multicultural Competence Meets “Proficient” criteria and clearly articulates elements of strategy that are lacking Justifies how strategy could be changed to further address issues of multicultural competence Explains how strategy could be changed to further address issues of multicultural competence but does not justify claims Does not explain how strategy could be changed to further address issues of multicultural competence 6
Conclusion: Conclusion Meets “Proficient” criteria and uses industry-specific language to establish expertise Comprehensively summarizes your ethical strategy and discusses how it could be implemented to address the scenario Summarizes ethical strategy and discusses how it could be implemented to address the scenario, but is lacking in breadth or detail Does not provide a summary of ethical strategy 4
Articulation of Response Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy to read format with language that is appropriate to the intended audience Submission has no major errors related to citations, grammar, spelling, syntax, organization or audience-appropriate terminology Submission has major errors related to citations, grammar, spelling, syntax, organization, or audience-appropriate language that negatively impact readability and articulation of main ideas Submission has critical errors related to citations, grammar, spelling, syntax, organization, or audience-specific language that prevent understanding of ideas 2
Total: 100%

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5

The Ethical Decision-Making Process

Student Name

Institution Affiliation

Date

The Ethical Decision-Making Process

In the realm of psychology and therapeutic practice, ethical dilemmas are not uncommon. Practitioners often face complex situations that require careful consideration of various ethical principles, professional responsibilities, and potential consequences. This paper delves into a case study involving Dahlia Discord, an MSW psychotherapist, and her patient, Melissa Malfunction.

Ethical Decision-Making Process

In this ethical dilemma, Ms. Discord needs help to balance her commitment to her client's well-being with maintaining her professional integrity. In such situations, adopting a systematic approach to ethical decision-making is crucial. This ensures that ethical principles and obligations are consistently upheld (APA, 2016). The APA's eight-step paradigm for making ethical decisions provides a well-structured framework for addressing this complex situation. The first step in this process is identifying the problem. The issue, in this case, centers on whether Ms. Discord can provide accurate testimony regarding Ms. Malfunction's disability claim without compromising her role as a therapist. Ms. Discord must then review the APA Code of Ethics and other pertinent resources to understand the ethical implications of her decisions. The next step in the process is considering possible solutions. Ms. Discord should consider various options, including recommending an independent evaluation, submitting a statement describing her treatment, and testifying in a limited capacity. Discussing the situation with colleagues can offer diverse perspectives and insights that may help Ms. Discord make an informed decision. Another crucial step in the process is reviewing the legal and ethical standards related to confidentiality, professional roles, and conflicts of interest is crucial. Developing contingency plans by anticipating potential outcomes and planning for how to address any challenges that may arise from the chosen course of action is crucial. The impact of each decision on Ms. Malfunction's well-being, the therapeutic relationship, and Ms. Discord's professional reputation must then be evaluated. Lastly, the course of action that aligns with ethical principles, professional standards, and the client's best interests must be chosen, and the decision must be implemented with integrity and transparency.

Ethical Strategy Application

In this case, an ethical strategy that could be applied involves Ms. Discord thoroughly discussing the situation with Ms. Malfunction. She should openly communicate the possible consequences and conflicts arising from her dual roles as a therapist and a witness. This transparency allows Ms. Malfunction to make an informed decision about whether she wants Ms. Discord to testify. Through the client's involvement in the decision-making process, Ms. Discord respects Ms. Malfunction's autonomy and empowers her to shape the case outcome. This approach aligns with ethical principles of respect for autonomy and informed consent (APA, 2016).

Alternative Considerations

Apart from the ethical decision-making process outlined, Ms. Discord could consider alternative approaches to resolve the ethical conflict best. Consulting with reliable coworkers or ethics panels can provide her with a more comprehensive grasp of the moral intricacies involved. The perspectives they offer can assist Ms. Discord in making a choice that aligns with ethical values by offering diverse perspectives. Another alternative Ms. Discord could explore is engaging an impartial assessor who can offer a comprehensive evaluation of Ms. Malfunction's situation can enhance impartiality and guarantee that her client's utmost welfare is acknowledged and safeguarded during the intricate legal proceedings. This approach maintains the integrity of the therapeutic relationship while involving an external expert to address the legal aspect of the situation. Considering these alternatives would provide Ms. Discord with a well-rounded exploration of her options and enable her to make an informed decision that aligns with ethical standards and her client's best interests.

Diversity Issues

Due to the complex interactions of variables like Ms. Malfunction's socioeconomic background and mental health history, diversity concerns are crucial in this situation. Ms. Discord must consciously recognize how these elements may considerably affect Ms. Malfunction's assessment of her circumstances and future choices. To comprehend her requirements and concerns thoroughly, it is essential to be aware of how these factors could affect Ms. Malfunction's outlook. Furthermore, Ms. Discord must demonstrate the utmost respect for Ms. Malfunction's autonomy and cultural heritage when suggesting potential remedies. This considerate approach recognizes Ms. Malfunction's journey as unique, and it promotes an environment where her decisions are made with due care for her circumstances.

Navigating Multiple Role Relationships

The situation underscores the complex challenge of managing multiple role relationships within the therapeutic context. Ms. Discord faces the challenge of balancing her role as a supportive therapist while avoiding any conflicts of interest arising from serving as an expert witness. Preserving the trust and effectiveness of the therapeutic alliance relies heavily on maintaining the boundaries of the therapist-client relationship. By deciding not to assume the role of an independent evaluator, Ms. Discord ensures that the professional relationship remains centered on providing Ms. Malfunction with psychological support and promoting her well-being without any interference from external responsibilities.

References

American Psychological Association. (2016).Ethical principles of psychologists and code of

conduct. Retrieved from www.apa.org/ethics/code/

Case 13-4 Dahlia Discord

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2

5-2 Milestone Three: Applying the APA Code of Ethics

Student's Name

Name of the Institution

Course Number and Name

Professor

Due Date

Applying the APA Code of Ethics

Case Study Abstract

The identified case study is Dahlia Dicord, MSW. The case involves a psychotherapist, Ms. Discord, and her patient, Melissa Malfunction, who was involved in an automobile accident that left her with anxiety and mild depression. Ms. Malfunction wants Ms. Discord to testify for her before an administrative judge so that she can receive disability insurance payments. Ms. Discord cannot be an independent evaluator and witness in her client's case, so she should recommend an independent counselor to interview Ms. Malfuction and make recommendations for her before the judge.

Case Study Description

The case involves a psychotherapist, Ms. Discord, and her patient, Melissa Malfunction, who was involved in an automobile accident that left her with anxiety and mild depression. Ms. Malfunction wants Ms. Discord to testify for her before an administrative judge so that she can receive disability insurance payments. In this way, Ms. Malfunction wants Ms. Discord to simultaneously be her therapist and evaluator, complicating their working relationship. The important people in the case scenario include the therapist, Ms. Malfunction, the client Ms. Malfunction, the judge, and another stakeholder.

Applying the APA Code of Ethics Principles

The APA Code of Ethics provides five basic principles that psychologists and other therapists use to manage different cases of clients. The principles are justice, respect for people s rights and dignity, integrity, fidelity and responsibility, and beneficence and nonmaleficence (APA, 2017).

The principles of beneficence and nonmaleficence require that psychologists balance the benefits accrued from the causation of harm. Psychologists should make conscious efforts to ensure that their activities and decisions are in the client's best interest, thereby ensuring that no harm is caused to the patient (APA, 2016). Professionals in this realm are expected to be cautious not to cause harm to all stakeholders involved in the case and resolve conflict in the best professional way. The second principle is that that ensures fidelity and responsibility. These principles call on professionals to develop and sustain trusting relationships with clients and coworkers. They must know their professional duties and responsibilities to clients, society, and communities (APA, 2017). They are required to minimize any form of conflict of interest by observing professional standards and consulting with others when there is a need.

The third principle of APA Ethics is the principle of integrity. Psychologists are required by the principle of integrity to support actions and practices that promote accurate reporting of findings and align with colleagues that do the same (APA, 2017). Professionals in the realm are expected to adhere to developing a trusting relationship when forms of mistrust crop up. The principles call on professionals in the field to ensure they can be trusted by the clients and other stakeholders impacted by the case. The fourth principle is that of justice. All clients and people affected by the case should be treated fairly and justly. Therefore, psychologists are expected to be fair when dispensing their mandate to ensure justice is served. Professionals should ensure that their professionalism is upheld and that no forms of bias compromise their practices (APA, 2016). They have to operate and practice within their boundaries of competence. Finally, respect for people's rights and dignity is a fundamental APA Code of Ethics principle. Psychologists must respect their clients' dignity and rights to establish a strong and trustworthy work relationship. This should be done regardless of the client’s demographics.

Analysis of the principles reveals that all principles apply to the case of Ms. Discord and her patient, Melissa Malfunction. Firstly, Mr. Discord must ensure that her client receives treatment and avoid her as expected by the principle of Beneficence and Nonmaleficence (Koocher & Keith-Spiegel, 2016). Therefore, Dr. Discord must do what is in her patient's best interest, which testifying in this case is not. Mr. Discord is responsible for providing the best care to the client. However, it is not her responsibility to testify in court on her behalf because it may compromise her trust in the client for giving false testimony, interfering with the requirements of fidelity and responsibility. By testifying in court and following the conditions that Ms. Malfunction wants, Dr. Discord will have violated the principle of integrity because she will have gone against her professional ethics and standards (Koocher & Keith-Spiegel, 2016). The principle of fairness and justice will also be violated as she will not be telling the truth based on her client's evaluation. She will likely be unfair, unjust, and biased when she chooses to testify for Ms. Malfunction as her therapist.

APA Code of Ethics: Standards

There are also ten Standards that APA therapists should adhere to in practice. The standards include (1) Resolving Ethical Issues- which implies that etiquette must be the foundation of practice. (2) Competence requires the client to be referred to another therapist who can handle the client's needs in emergencies. (3) Human Relations- therapists are not expected to involve in multiple-role relations or harassing or discriminative (APA, 2016). (4) Privacy and Confidentiality- information and data about clients cannot be displayed publicly or discussed with other people or clients. (5) Advertising and Other Public Statements- all adverts done by professionals or on their behalf should be accurate since they are held accountable. (6) Record keeping and Fees- files of clients should be kept orderly, and fees should never be misrepresented. (7) Education and Training- Psychologists who educate or train others must provide effective training sessions that provide accurate and verifiable benefits, programs, and requirements (APA, 2017). (8) Research and Publication- professionals can conduct research and publish findings accurately after getting approval from relevant institutions. (9) Assessment- professionals should conduct assessments and report accurate outcomes using established procedures and standards. (10) Therapy- emphasizes the kind of relationships a therapist must NOT involve in during practice.

Statement of Culture and Social Orientations in the Case Study

Although there may be no cultural consideration for Ms. Discord and her patient, Melissa Malfunction's case, several elements of social considerations must be addressed. The issue of client confidentiality will be violated if Ms. Discord decides to testify on behalf of the client. Professional psychologists should ensure that they handle client information with high confidentiality and ethical and legal standards (Koocher & Keith-Spiegel, 2016). Suppose Ms. Discord chooses to testify for the client, and the case comes out negative. In that case, the client's trust regarding her competency and capability will decline, damaging the working relationship between the psychiatrist and the client. The client will feel that the therapist did not do much to help her and will be ashamed to deal with the patient going forward. The client may not also be willing to continue working with Ms. Discord if they lose the case hence compromising the professionalism of the therapist.

References

American Psychological Association. (2016).Ethical principles of psychologists and code of conduct.Retrieved from www.apa.org/ethics/code/

American Psychological Association. (2017).Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations.Retrieved fromhttp://www.apa.org/pi/oema/resources/policy/provider-guidelines.aspx

Koocher, G. P., & Keith-Spiegel, P. (2016).Ethics in psychology and the mental health professions: Standards and cases(4thed.). New York, NY: Oxford University Press.

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7

Can A Therapist Testify For His Her Client In A Gainful Case?

Sule Umit

Southern New Hampshire University

PSY 570: Ethical Practice in Psychology

07/17/2023

Can A Therapist Testify For His Her Client In A Gainful Case?

I. Case Study Abstract

The identified case study is Dahlia Dicord, MSW. The case involves a psychotherapist, Ms. Discord, and her patient, Melissa Malfunction, who was involved in an automobile accident that left her with anxiety and mild depression. Ms. Malfunction wants Ms. Discord to testify for her before an administrative judge so that she can receive disability insurance payments. Ms. Discord cannot be an independent evaluator and witness in her client's case, so she should recommend an independent counselor to interview Ms. Malfuction and make recommendations for her before the judge.

II. Case Study Description

The case involves a psychotherapist, Ms. Discord, and her patient, Melissa Malfunction, who was involved in an automobile accident that left her with anxiety and mild depression. Ms. Malfunction wants Ms. Discord to testify for her before an administrative judge so that she can receive disability insurance payments. In this way, Ms. Malfunction wants Ms. Discord to be her therapist and evaluator simultaneously, which will complicate their working relationship. The important people in the case scenario include the therapist, Ms. Malfunction, the client Ms. Malfunction, the judge, and another stakeholder.

III. The Ethical Conflict

the ethical issue in the case is that Ms. Malfunction wants Ms. Discord, the therapist, to testify in court that she is disabled to get insurance payments. Nevertheless, based on the evaluation of Ms. Malfunction, Ms. Discord has concluded that she can still work (Koocher et al., 2016). Therefore, completing disability for Ms. Malfunction to get insurance payment will be contrary to her professional finding and will be going against her conscience as it will compromise her professional integrity. She is a therapist in this case and cannot act as an expert witness to avoid multiple role relationship conflicts.

IV. The APA Code of Ethics Principles

Based on the APA Ethics principles, the principles that will apply to this case include justice, respect for people s rights and dignity, integrity, fidelity and responsibility, and beneficence and nonmaleficence (APA, 2016).

V. The APA Code of Ethics Standards

section 1 of the provided standards requires solving an ethical issue. The APA Code of Ethics Standards applicable to this case include privacy and confidentiality, human relations, resolving ethical issues, competence, assessment, therapy [y, and record keeping and fees (APA, 2016).

VI. Statement of Culture and Social Orientations

When developing the cultural and social orientation statement in this case, the focus should be on the economic and social situation of Ms. Malfunction presently. In this way, she uses pain medication and cannot care for herself, so she needs any income (Koocher et al., 2016). Because of accidents that altered her lifestyle, she may have lost her social and economic bearing in the community. She may have also lost her connections with family and friends; any financial support will elevate her status again in the community.

VII. Statement of Multiple Relationship Issues

Ms. Malfunstion was expected rather than required to be open about the intended therapeutic relationship between her and Ms. Discord which she did not. Ms. Discord's relationship with Ms. Malfunction is purely therapeutic, and she cannot be an expert witness as it will result in conflicts from multiple role relationships.

VIII. The Ethical Decision-Making Model (Eight Step Model)

The eight-step decision-making model steps include determining the ethical problem, researching applicable guides, and lines, thinking about possible factors, discussing the issues with peers and making recommendations, reviewing legal beliefs and arising issues, creating contingency decisions, identifying issues that may emanate from the decision, make decisions and implement it (APA, 1990). Based on the case, all eight steps in the decision-making model will apply to the scenario.

IX. Ethical Strategy

Ms. Discord has to identify an independent counselor to evaluate and review Ms. Malfunction’s case and make recommendations to the court. This ethical strategy will help preserve the client and therapist's dignity. By using an independent counselor to write a report or testify on her behalf, she will avoid the unethical implications synonymous with multiple-role relationships (APA, 2016, s 2.01.a).

X. An Alternative Decision-Making Model

In this case, the alternative decision-making strategy will use the restorative justice model, which will bring the parties to the issue together and solve the conflicts amicably (Koocher et al., 2016). here, a solution will be brainstormed, and a plan will be formed and adopted to move the people forward.

XI. Conclusion

Based on the case scenario, Ms. Discord has to identify an independent counselor to evaluate and review Ms. Malfunction’s case and make recommendations to the court. This ethical strategy will help preserve the client and therapist's dignity. Similarly, it is the best strategy since no conflict of interest that may emanate from multiple role relationships which compromise professional ethics will be experienced.

References

American Psychological Association. (2016).Ethical principles of psychologists and code of conduct.Retrieved from www.apa.org/ethics/code/

American Psychological Association. (1990).Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations.Retrieved fromhttp://www.apa.org/pi/oema/resources/policy/provider-guidelines.aspx

Koocher, G. P., & Keith-Spiegel, P. (2016).Ethics in psychology and the mental health professions: Standards and cases(4thed.). New York, NY: Oxford University Press.

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Module Overview19.html

Contemporary Ethics Topics and Human Rights

A man without ethics is a wild beast loosed upon this world.

—Albert Camus

Human rights and ethics

Figure 9.1 (wyndhamworldwide.com)

We study ethics in order to integrate our understanding of personal and professional morality as applied to serving people in specific settings such as counseling, research, consulting, teaching, and advising.

Module Nine explores two main themes. We take a look at technological advances and ponder our ethical stance on the future-based ability to engineer morality and other behaviors. Can or should we attempt to change the way people are? Is this at the core of what psychology is about? Additionally, we will take a look at the risks involved in being a professional in the field of psychology. There are very real risks associated with working in the field of psychology. There are personal risks that come by way of compassion fatigue, burnout, and secondary posttraumatic stress. Psychologists can be stalked, assaulted, and murdered. There are professional risks such as loss of a license to practice. And, there are combinations of risks that affect the psychologist, personally and professionally, such as malpractice lawsuits.

Let’s take a look at some examples of advances that began with an innovative thought. Keep in mind that many ethical mistakes began with a great idea. Those great ideas garnered support and in no time the energy to finish a pursuit overrode the potential perils to human beings or other animals. We seek innovation, we aspire toward greatness, and yet we must consider all ethical ramifications over innovation, prestige, status, and greatness. Take the case of the atomic bomb dropped by the United States on Hiroshima, Japan during World War II. Many of you are likely familiar with the Manhattan Project. Albert Einstein (from Nazi Germany) and Enrico Fermi (from Fascist Italy) were two scientists who fled their countries of origin. They were aware of the development of atomic technology in Germany and feared the Germans would bring the atomic bomb into fruition. After migrating to the United States, they and others worked in a think tank that was collectively referred to as the Manhattan Project. In time the atomic bomb, by way of the innovation of nuclear fission, became a viable and dangerous weapon. Einstein later regretted steps he took toward the development of the bomb, indicating that he would not have let the United States know of preliminary atomic technology had he known a bomb would be developed and used for the destruction of people. Sometimes innovation in technology, although a brilliant step for science, becomes a stain on humanity and ethical choice.

Behavioral Therapy

The beginning of behavioral therapy involved what was known as behavioral modification. In order to extinguish an unwanted behavior in a human being, there were steps taken therapeutically to effect change. These included positive and negative reinforcement and the presence of punishment. This punishment could assume the form of restraints, electric shock, ridicule, and denial of basic needs. Behavioral modification has evolved since its origin around 1911 and is now the cornerstone of popular cognitive behavioral therapies. In the beginning, however, behavioral therapy was highly controversial. Some examples of historical and contemporary ethical controversy resulting from this therapy include:

  • Sexual aversion therapy was developed for use with homosexuals. It was determined to be dangerous and yet was used until the DSM (Diagnostic and Statistical Manual of Mental Disorders) removed homosexuality as a disorder in 1974. This 1973 APA position statement discusses the DSM II and homosexuality.
  • Aversion therapy was and is still used with children and teens labeled as sexually deviant. Methods such as olfactory aversion, which involves smelling noxious scents such as ammonia, were popular forms of treatment. Skim through this 1970 research abstract and this 2012 research abstract and note the use of electrical aversion therapy in each study.
  • Shock collars were developed for use with dogs to teach obedience to commands. Animal-rights groups have protested this form of control as well as choke collars. There have been instances of parents abusing children by placing the dog-designed shock collars on them. This Huffington Post article provides a short history of how shock collars have been used on humans.

Technological Advances and Medicine

In medicine, the development of the drug Antabuse was seen as a miracle for the treatment of alcoholism as an addiction. If an individual drinks alcohol while on Antabuse, he or she will become violently ill. A link to a 1970 journal article on alcohol aversion therapy is provided. Notice the cavalier attitude about the use of harm and aversion. Antabuse is still being used today for the treatment of alcoholism.

Shock aversion therapy was developed for use with pedophiles and anyone who was determined to be a sexual deviant. Throughout time, the definition of who is a sexual deviant has changed. Herein lies one of the problems. The penile plethysmograph was developed as a device that fits over the penis. The “offending clients” would be shown images of a pornographic nature. If they became aroused, it became grounds for belief the deviant would engage in re-offending behavior.

Political and Governmental

Interrogation and torture of detainees in jails, prisons, and at the Guantanamo Bay detention center make for shocking news. The rationale often used, which does not follow the eight-step model we discuss in this course, is that hurting a few in order to protect thousands justifies the inhumane treatment.

In summary, we will continue to consider what new technologies have to offer our field. Our job as psychologists is to stay current in developments in our field and allied fields. We welcome innovation, but not at the cost of eroding our ethical beliefs or our moral compass. It is an honor and challenge to work within the field of psychology. It is a profession that offers hope, brings inspiration, and creates trust and healing. It is also a field of work where any significant misstep can have enormous human ramifications. Lives can become altered, lives may be lost, suffering can be counted by emotional scars, and generations later necessary healing may not have taken place. You are encouraged to go forward with mindfulness as you consider your professional and personal choices, while also considering the choices of others.

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Required Resources

Reading: What Drives Public Attitudes Towards Moral Bioenhancement

and Why It Matters: An Exploratory Study

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This article explores the issue of moral bioenhancement, considering

that moral behavior and rationality are part of human behavior, to explain

public attitudes toward moral bioenhancement.

Reading: Table 3 Arguments For and Against Moral Bioenhancement,

Presented in the Reviewed Literature

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The table presents an overview of the clusters of arguments and

sub-arguments identified both for and against moral bioenhancement.