Mindful Continuing Education

Ethical Considerations for Marriage and Family Therapists

The Process of Pursuing Ethical Standards

1. According to the AAMFT Code of Ethics, marriage and family therapists have a responsibility to advance the welfare of families and individuals through such practices as non-discrimination, informed consent, the avoidance of multiple relationships, and appropriate sexual conduct.

A. True B. False

Boundary Crossings vs. Boundary Violations

2. Most boundary violations are related to exploitive dual relationships, such as sexual contact with current or former clients, while a boundary crossing is a deviation from classical therapeutic activity that is harmless, non-exploitative, and:

A. Is clinically effective B. Possibly supportive of the therapy itself C. Enhances the therapeutic environment D. Is initiated by the client

Multiple Roles

3. According to the article Ethical Decision-Making and Dual Relationships, when therapists are faced with the possibility of entering a dual relationship, which of the following is NOT one of the questions they may want to ask themselves to help make the correct decision?

A. Is the dual relationship necessary and could it be considered the dual exploitive? B. Who does the dual relationship benefit and is there any risk that the dual relationship could damage the patient? C. Is there a risk that the dual relationship could disrupt the therapeutic relationship? D. Have I been in a similar situation in the past, and what was the outcome?

Informed Consent

4. The Board of Directors of the American Association for Marriage and Family Therapy requires that clients be adequately informed of significant information concerning treatment processes and procedures, and that professionals obtain appropriate consent for services in the form of written or verbal consent.

A. True B. False

5. Integral parts of an informed consent agreement include what to expect from the therapeutic process, services offered, confidentiality factors and limits, practices relating to release of information, recordkeeping, fees, payment, and cancellation, and:

A. A summary of the professional credentials B. Potential risks of therapy C. Healthcare requirements and restrictions D. The therapist's philosophy

Confidentiality

6. While different state may have specific laws pertaining to therapist-client confidentiality, general exceptions to maintaining confidentiality are related to each of the following EXCEPT:

A. Child, elder, or dependent adult abuse B. Legal mandates C. Admissions of past crime involving a child D. The threat of harm to self or others

Confidentiality with Minor Clients

7. As the vignette involving Susie clearly demonstrates, when a minor child reveals participation in repeated risky sexual activity, the therapist has an obligation to report such behavior to the child's parents because of the 'self-harm' that is being exhibited.

A. True B. False

Professional Competence and Integrity

8. Marriage and Family Core Competencies were developed by AAMFT to improve the overall quality of services provided to clients in therapy, and competencies that fall under the domain of professionalism include:

A. Sets appropriate boundaries, manages issues of triangulation, and develops collaborative working relationships B. Establish and maintain appropriate and productive therapeutic alliances with the clients C. Know which models, modalities, and/or techniques are most effective for presenting problems D. Facilitate clients developing and integrating solutions to problems

Professional Misconduct

9. AAFMT guidelines state that marriage and family therapists respect the rights and responsibilities of professional colleagues, but also that therapists are in violation of the Code if they are convicted of a felony, are convicted of a misdemeanor related to their qualifications or functions, engage in conduct which could lead to conviction of a felony, or a misdemeanor related to their qualifications or functions.

A. True B. False

Professional Boundaries in Supervisorial Relationships

10. When MFTs serve as supervisors to other professionals or students, they are expected to maintain the same standard of professionalism they exhibit as therapists, and most codes of conduct address the need to avoid exploitation while in the supervisorial role and to act in a way to establish and preserve:

A. Confidence B. Respect C. Trust D. Competence

11. While cultural competence means having the self-awareness, knowledge, skills, and framework to make sound, ethical, and culturally appropriate decisions, _____________ acknowledges that we may never truly understand the experiences of another cultural group of which we are not members, but we will have a respectful attitude and approach toward different points of view.

A. Cultural reserve B. Cultural consideration C. Cultural reverence D. Cultural humility

Appendix B: AAMFT Complaint Process

12. In order to file an ethics complaint, the complainant must have first-hand knowledge about the issue or be able to provide relevant testimony related to it.

A. True B. False


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