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Ethical boundaries in clinical psychology
Ethical boundaries in clinical psychology
Ethical boundaries in clinical psychology
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Obstacles in Protecting Confidentiality There are a number of problems that present in modern practice that can significantly affect or compromise confidential client information. Primarily, these types of problems are usually categorized as belonging into one of two areas of violation that provide unauthorized access to confidential information. The first area of disturbance of confidentiality occurs when the professional boundaries of the client-therapist relationship are breached, such as when practitioners partake in multiple relationships or decide to access public information about a patient online. Formulating boundaries, while not always easy to do, is often necessary in order to protect the practitioner from allegations of malpractice, negligence, or any other type of ethical violations for that matter, including breaches in confidentiality. Unfortunately, since ethics are not clearly defined in terms of simply black-or-white or right-or-wrong, it becomes that much more difficult to determine where one line of the professional boundaries starts and another begins. The result of these inconsistencies tends to be somewhat …show more content…
Security problems generally involve a leak of information because of the type of technology being used in clinical and online practice, such as computers, mobile devices (e.g., cell phones or tablets), email, voicemail, fax machines, electronic records on large servers, and the Internet when administering psychological services online. Regrettably, protection of confidentiality has yet to catch up with the majority of these technological advancements. Some of the primary threats to the security of confidentially information originates from things like web or email viruses, online hackers looking to access information, flaws in software or firewalls, damage or malfunction to the technology itself, and user error (Regueiro et al.,
There is much debate about how psychiatric patients should be cared for and treated. Especially in an in patient setting, many healthcare providers will choose to care for mentally ill patients in their own way. Patients who are mentally ill have restrictions on certain aspects of their care such as access to certain things along with the environment they are in. Although confidentiality is important and should be maintained in all aspects of medical care, I do think that psychiatric patients should have the same have the opportunity to keep as much information confidential as they wish. Given the circumstances there are reasons to breach that confidentiality in mentally ill patients in order to keep the patient safe and out of harms way.
...y. 7) Continuing to meet a client only because it is enjoyable. We counsel to help clients towards treatment goals, and when these are met, the relationship should come to an end, and Heading One, Standard Two, Part C emphasizes this. 8) Claiming the “CDPT” title before the application is approved. While we might be eager to claim titles, Heading Four, Standard Two, Part A reminds us to honestly represent our qualifications (NAADAC, 2011). 9) Presenting educational materials from a source without citing it. Similar to academic integrity, professionals must give credit where it is due when using materials, and this is described under Heading Nine (NAADAC, 2011). 10) Failure to disclose confidential information in a crisis that leads to greater harm. Confidentiality is of the utmost importance in counseling, but there are limits, as described in Heading Three, Part A.
There are many ethical practices that are advocated for in every profession in the world. These ethics are supposed to promote integrity and also ensure that the profession in question does not violate the rights of any of the parties that might get involved in it. The most common example that almost everyone in the world is conversant with is “the doctor-patient confidentiality”. Other professions also have their own codes of ethics, which are supposed to safeguard the interest of the parties involved without violating an individual’s liberties. However, there have been numerous scenarios that make doctors and other professions feel the need of sharing information of use to other parties (Stone 1985). This is more so when it comes to the welfare of a patient or other intended victims. This research paper writes for the “duty to warn” ideology.
Discussing confidentiality with a client provides great benefits for the client/helper relationship. The client should feel informed about the therapeutic process, and providing them with such information at the beginning can help to ease the client’s concerns about what can and cannot be done with their information. The client should feel at ease when the helper informs him or her that their information is strictly confidential except given the circumstance noted above. It is also an opportunity for the client to ask question for clarification and feel empowered from the beginning.
When working as a counselor or psychologist there will be various dilemmas that will require the therapist to make the decision to break confidentiality with the client. Sometimes therapist are stuck in the dilemma whether it is ethical appropriate to bridge that therapist-client confidentiality. The article, “Adolescent Health Risk Behaviors: When Do Pediatric Psychologist Break Confidentiality?” discusses a study conducted to determine when pediatric psychologist deemed it appropriate to break confidentiality between their adolescent patients. The study included vignettes about patients engaging in health risk behaviors. Participants had to respond to the survey based on when they would break the confidentiality with their patients. The
Advances in nanotechnology, wearable computer devices, apps for smartphones etc. are just some of the technology that will revolutionize health care. However, with technology comes potential risks to patient safety, privacy, and confidentiality. Weaknesses must be considered in the system in order to prevent HIPPA violations, cyberterrorist threats, or hackers that may alter patient information (Katona,
The doctor-patient relationship is built upon a foundation of trust- this has not changed and should not change despite how patient information is stored and shared. Living in a world where there is a push to be technologically savvy, the medical profession has gone to keeping all records and patient information electronically- this has not come without drawbacks for some people. Whether or not it is understandable, there is still a stigma attached to computerized record keeping: looming questions such as identity theft and who can/does access my data plague many, causing them to not only wonder how honest with their doctor should they be, but to also take security into their own hands by withholding important health information. While these concerns may be valid, there is a great benefit to on-line record keeping and many are beginning to see the light. The hurdle the health industry is facing is this: how to secure patient health information in such a way to ensure a person’s autonomy and privacy and yet, allow important research and advancements to continue.
Autonomy is the word that is often used, yet poorly understood. Health profession is told to respect the autonomy of the patient but is given little guidance understanding the true meaning of this theoretical concept. Privacy is a fundamental right of individuals (O’keefe,2001). In this case study, we will be discussing and go in depth about the ethics, autonomy and confidentiality of the patients in this particular scenario.
Firstly, breaking confidentiality presents a significant potential for damaging the therapeutic relationship. Once the trust has been broken, it can be quite difficult to repair relationships, if it is repairable at all. Revealing information which was not permitted by the client beforehand can be viewed as disrespectful and unprofessional. However, limitations for confidentiality place therapists or clinicians in a position which could elicit distrust. As a precaution, it is imperative for initial sessions and communication with clients to include the details surrounding confidentiality agreements and the limitations to those agreements, should an incident arise. These established codes of ethics designed for the mental health profession details mandated rules and regulations for therapists to adhere to as guidance for professionally, moral and ethical practice (Shallcross, 2011; Greene & Heilbrun, 2014; Remley & Herlihy,
Privacy issues have become a concern to not only the patients, but to the healthcare provides too. This has led to informatics being a nightmare to the health sector since there is fast distribution of health information among people especially with weak or no security measure (Thede, 2010). This means that informatics has caused a lot of privacy issues since unauthorized people can access the private information.
A family is not always able to be involved in the plan of care. In my current role as a nurse it is more common for families not to be involved in the patient’s services. Similar to the scenario you discussed, there are those situations where family needs to be involved in the plan or decision, but it is more the exception versus the norm in my current clinical setting. Mckee, Rubin, Campos and O’Sullivan (2011) discuss issues that physicians face with providing services to adolescents from allowing time alone during the visit to seeing the adolescents unaccompanied. Confidentiality is a struggle the more complicated the situation becomes such as a teenager that is pregnant (Mckee, Rubin, Campos, & O’Sullivan, 2011). We service many teenagers
The healthcare providers are always required to maintain a high level of ethical standard when they are carrying out their activities. They have an obligation to follow the stipulated codes of ethics as well as perform their required responsibilities. Ethics are an essential and an integral part of the healthcare profession, and everyone involved should ensure that he or she adheres to them. It also encourages health professionals to report events that may cause or already causes a potential harm. There are several reasons such as making decisions, patient care and medical research that require the healthcare providers to practice a high level of ethics.
At one point one of these situation will open the thruway of permitting the therapist to warn and protect. It is very important to explain confidentiality to the client, and get a written sign document that the client understands the confidentiality. There is a difference between duty to warn, and duty to protect. Duty to Warn is when the therapist can contact
The social media has affected many different aspects of our practice in the healthcare. Social media and mobile phones have become an integral part of our daily life. Our everyday lives are being recorded and shared with or without our permission. Technology is an essential part of our clinical practice and continually improving to do more impressive things. Along with the advancement in technology, our thinking process and culture is also changing. Healthcare used to be a safe harbor of privacy and technology has brought its own concerns to privacy of patients. Recently the use of technology in different aspects of healthcare by patient and provider has increased the legal responsibility, with financial consequences, for any adverse occurrence.
E-health is coming a fast moving trend, for instance, having a medical treatment for example- clinic at home. According to J.Cheng, Q.Cheng and Y.Wang(2006), “E-health, including telemedicine featured by conducting health-care transactions over the Internet, has been revolutionizing the well-being of human society”. Transferring information between heath care facilities can be a challenge daily so using e-health providers which help in order to transmit information through the internet in a time efficient way. Patients’ personal medical data should be transferred in a safe, secure and private way to avoid invaders. However, by using the internet to transmit these sensitive data, they are challenges and threats of information misemploy. The Concepts and Requirements- As cited from J.Cheng, Q.Cheng and Y.Wang (2006), “Security in e-health is an integrated concept requiring the confidentiality, accountability, integrity, and availability of medical