Mft Ethics Final

Front 1

Considerations for multiple clients:

Back 1

Individual goals/interests may conflict
Identify "the client" as the family or couple (system)

Front 2

Confidentiality

Back 2

Cine up with your definition and discuss it in the first session

Front 3

Confidentiality: Two concepts unique to MFT:

Back 3

Secrets
Change from systemic to individual formats in therapy

Front 4

Three types of secrets:

Back 4

Shared family secret
Internal family secret
Individual secret

Front 5

Shared family secret

Back 5

Know to all members

Front 6

Internal family secret

Back 6

Known to some and not to others

Front 7

Individual secret

Back 7

Know to only one member (private)

Front 8

Two perspectives on confidentiality & secrets:

Back 8

Pro-secrets & Anti-secrets

Front 9

Pro-secrets:

Back 9

Therapist encourages disclosure, but respects the individual's privacy if they choose not to share.

Front 10

Anti-secrets:

Back 10

No-secrecy policy

Front 11

Middle ground:

Back 11

Some are okay if beneficial to the client system

Front 12

Secrecy vs. Privacy

Back 12

Depends on how relevant info is to person unaware of the information.

Front 13

Privileged communication suggestions for therapists:

Back 13

- Do NOT testify without a subpoena
- Learn provisions of your state
- Obtain written agreement from all parties

Front 14

Childhood trauma that is now resolved and not affecting clients:
(privacy/secrecy)

Back 14

Privacy

Front 15

Past affair during a previous marriage and not affect clients:
(privacy/secrecy)

Back 15

Privacy

Front 16

Withholding adoption information:
(privacy/secrecy)

Back 16

Secrecy

Front 17

Current affair during a current marriage:
(privacy/secrecy)

Back 17

Secrecy

Front 18

Informed consent

Back 18

- CRITICAL!
- MFT may have desirable outcomes for some and not for others
- Clearly state goals

Front 19

Inequity & Imbalance:

Back 19

- Gender differences
- Partnership vs. marriage
- Triangulation

Front 20

Power: (two types)

Back 20

1. Legitimate power
2. Expert power

Front 21

Legitimate power:

Back 21

Power with superiority

Front 22

Expert power:

Back 22

Power with knowledge

Front 23

Creating distress for change:

Back 23

- Weigh risks and benefits of distress
- Always lead to well-being of client(s)

Front 24

Convening multiple clients (involving other relationship members beyond client):

Back 24

- Encourage participation
- Writing a letter (homework)
- Enforcing
- Enabling

Front 25

Enforcing

Back 25

Use indirect pressure (can be coercion)

Front 26

Enabling

Back 26

Increase attractiveness of therapy

Front 27

Paradoxical interventions:

Back 27

Designed to block or change dysfunctional sequences by "encouraging" rather than confronting symptoms & objectionable behavior