Dr. Jones has been working with a 14-year female for a few months. The adolescent has just revealed that she has been engaging in self-injurious behavior, cutting, for the past month. The client also revealed that her parents are unaware of her behavior. Discuss the ethical dilemma that Dr. Jones must address, and steps she might consider in deciding whether and how to disclose confidential information.
What will be an ideal response?
A good answer will include:
a. That the behavior places the client at risk
b. Disclosures can lead to physical protection and may increase parental monitoring
c. Recognition that parental reaction may not be therapeutic and must be considered before disclosure
d. Discussion of the four steps to consider: assess and clinically address risk behaviors; consider options if client is unable or unwilling to terminate or reduce behaviors; prepare client for disclosure; disclosing information to parents
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The school psychologist or social worker should always be appointed head interventionist because he or she has the most knowledge about crisis intervention. (p. 517)
Indicate whether the statement is true or false
Which of the following is a reason cited by the authors that group therapy can benefit caregivers?
a. Caregivers often have a common experience, group settings offer an atmosphere of support and understanding, and motivation. b. Group settings help enforce court orders. c. Group settings produce shame which then acts as a deterrent for future abuse. d. Caregivers who abuse often need more structure in their lives, and groups offer that.
In the context of family therapy, what is meant by the term joining?
a) A new person becomes a member of the family system. b) The therapist becomes a member of the system, using its rules and language. c) Joining occurs when the therapist helps the members of the family relate to each other. d) Joining occurs when two systems merge to form one system. e) Joining occurs when the therapist strengthens the marital bond in order to improve the family dynamics.
Which of the following is not true about the cognitive-behavioral/social learning model of recovery?
(a) It is based on social learning theory (b) It uses drive-reduction theory (c) It uses insight theory (d) It stresses the importance of self-efficacy