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8 SHORT ANSWER QUESTIONS

Please provide thorough explanations for your answer – some answers may not be” black and white” or “right versus wrong” but depend on YOUR justification using the material in lectures and discussions and from your text book and supplemental guidelines.  Please write in complete sentences can be single spaced in WORD document.
1. Dr. Randy notices herself dressing differently for her client, Jim, and asking Jim questions that seem unrelated to the reason he came to therapy; i.e., to treat his panic attacks.  She is starting to realize that she finds Jim quite attractive.  Jim is Dr. Randy’s last client of the day.  At the end of the session, Jim is highly anxious as he cannot find his car keys and reports feeling as if he is about to have a panic attack.  Dr. Randy realizes that Jim lives quite close to her home and considers offering him a ride home, so he can get his spare set of keys.

If Dr. Randy does give Jim a ride home, would this be a boundary violation/break or boundary crossing/extension.  Please explain your logic.

Dr. Randy tells Jim that she lives close by.  What sort of self-disclosure is this?

What might be some ways that Dr. Randy could responsibly navigate this
situation?

Regardless of whether she gives Jim a ride, given Dr. Randy’s observations
about her feelings of attraction when with Jim, what steps should she take moving forward to make sure she is being ethical?

2.Maria, a client of Hispanic descent, gives Dr. Goldenberry a vintage bottle
of wine (worth roughly $70 dollars), and some freshly made baking, as Maria felt guilty for going 10 minutes over time in a session the week before when processing a complicated issue. (Of note: Dr. Goldenberry gladly decided to give Maria extra time, as Maria was quite distressed).

What considerations must Dr. Goldenberry make in determining whether to accept Maria’s the gift(s)?

Should Dr. Goldenberry accept this gift in whole or in part?

How might Dr. Goldenberry handle this gift sensitively in session with Maria?

3. Dr. Goldenberry is a professor at both the graduate an undergraduate level at several schools in Toronto.  She gets called by a former U of GH student who has just graduated.  The student used to be Dr. Goldenberry’s research assistant. The student wants to see Dr. Goldenberry professionally for therapy in Dr. Goldenberry’s private practice.  Dr. Goldenberry and the student have a strong rapport and therapy would seem like a natural fit.
What questions should Dr. Goldenberry ask herself before entering a therapeutic
relationship?

What are some possible conflicts that could arise?

The student does see Dr. Goldenberry, and it comes to Dr. Goldenberry’s attention that the student has significant psychological issues that could impact the student’s performance in the field. The student applies to graduate school and Dr. Goldenberry is on the admissions committee.  Dr. Goldenberry is one of only a few people who can attest to the student’s academic performance.  Please discuss ethical issues at play and what could have been done to avoid this conundrum.

4. You are developing a new test to measure risk for violent offending.

What steps must you take as an ethical test developer (what does it mean to standardize the test)?

b) The test is just released and Dr. Goldenberry wants to use this new test. What are her ethical duties to both test developers and more generally to the clients she assesses?

5. Studies suggest that the test (referenced in question 4) has poor specificity for indigenous populations.

a. What does that mean, practically, with respect to risk assessment for violent offenders, and what are the implications?

b.  You are called to court and will need to be able to defend the results of your psychological assessment with a client who recently immigrated from China. The client did not speak English so you used an interpreter to ask questions.  The client got tired due to jetlag, so you sent him home with the rest of the test for his granddaughter to read to him the next day. What factors could affect the results and your credibility?

6.  A therapist is seeing a client they find to be very attractive.  This client discloses sexual fantasies towards the therapist.
a) What things should the therapist reflect upon before handling this situation?

b) What would be some goals to handle this situation as professionally as possible?

c)  If the therapist capitalizes on the client’s attraction and pursues a sexual relationship, what is the most likely demographic and emotional makeup of the therapist?  What is the most likely demographic and emotional makeup of the client?

d)  What are the potential adverse side effects of pursuing sexual relations with this client (for the client).

7 Dr. Goldenberry wants to study the effects of a new treatment on homeless adolescents (12-17) who have schizophrenia  She sits outside a shelter for youth and offers residents $75 and a McDonalds Happy Meal to participate in her study.  Half the youth get placed in a wait-list control group, while the other half get a new experimental treatment using a combination of pharmacological and therapy interventions.
a) Please discuss, in detail, at least 4 issues that would come up when Dr. Goldenberry submits her research proposal to the Research Ethics Board.

How might she rectify the ethics board’s concerns?

8.      Dr. Dingle has worked with his client for many years.  His client commits a violent crime and Dr. Dingle (who is NOT a forensic psychologist) is asked by the lawyer to testify about his client’s risk to reoffend.
a)      What are Dr. Dingle’s ethical obligations? What information can he competently provide?
b)      Let’s say Dr. Dingle did complete a risk assessment based on his treatment and the client later civilly sued him for malpractice. What must be proven, for Dr. Dingle to be found negligent/sued for malpractice?
c)      Let’s say the client sees an actual forensic psychologist (Dr. Goldenberry) for a risk assessment – how is Dr. Goldenberry’s approach going to be different than Dr. Dingle’s?  Please also speak to the informed consent process.
d)      Dr. Goldenberry gets called to court to testify as an expert. How is her style of providing evidence about the defendant’s case likely to be different than the lawyer’s approach?  Please describe 2 types of differences in their approach, providing examples as it might apply to the defendant.

 

 

Category: Essays

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