Legal or Ethical
Altering a Dx or Tx unit in order to get paid by insurance
Legal
Family Systems
BOWEN Theory
Bowen Theory, developed by psychiatrist Murray Bowen, is a family systems theory that views the family as an emotional unit and emphasizes the importance of differentiation of self in maintaining healthy relationships. It posits that emotional systems operate across generations, influencing individual behavior and family dynamics. Bowen's theory also highlights the role of triangles, nuclear family emotional process, family projection process, and multigenerational transmission in shaping family relationships
Learning to modify dysfunctional thought patterns
CBT
A client sees an LCSW at a local community clinic for court- mandated anger management groups. The client come to dislike the LCSW and becomes disruptive, frequently comparing the group to jail, and saying "I'm not free when I am here." In considering her ethical responsibilities the LCSW should:
a) Empathize and validate the client's feelings of disempowerment.
b) Terminate therapy with the client and refer them back to court.
c) Remind the client that he is free to attend any anger management group he wishes, or none at all.
d) Threaten to inform the court of his statements if he continues, and encourage him to become more open to the group process.
c) Remind the client that he is free to attend any anger management group he wishes, or none at all
A therapist's unconscious emotional reaction to a client, often influenced by their own past experiences and unresolved issues.
countertransference
Notify local law enforcement when a client has made a specific and serious (e.g., imminent) threat to an identifiable other
– LEGAL (mandated reporting)
Labeling Distortions
– CBT
Through both reparative experiences w/in the treatment relationships & from new insight into & modification of entrenched object relations pathology
– OBJECT RELATIONS
Object relations theory, a school of psychoanalytic thought, emphasizes the importance of early relationships, particularly with primary caregivers, in shaping an individual's personality and emotional development. It posits that these early relational experiences, internalized as mental representations of "objects" (people or parts of people), profoundly influence how individuals perceive themselves and others throughout their lives.
The most primitive stage of the personality is?
ID
Which of the following Erik Erikson's stages is characterized by the challenge of trust vs. mistrust?
A) Adolescence
B) Early Childhood
C) Infancy
D) Young Adulthood
C) Infancy
Soliciting clients from therapist or encourage clients to leave other therapists
– ETHICAL
Boundary Making within Families
STRUCTUAL
Structural family therapy, developed by Salvador Minuchin, focuses on the family's organization and how it affects individual behavior. It emphasizes the interconnectedness of family members and the importance of clear boundaries and hierarchies. The goal is to restructure the family system to improve communication, resolve conflicts, and promote healthier relationships.
Increase client’s self-awareness and challenging/modifying their fundamental premises, life goals, and basic concepts while looking towards future.
– ADLERIAN
Adlerian theory differs from some other schools of thought, such as psychoanalysis, by focusing on an individual's present and future goals rather than solely on past traumas. It also emphasizes the importance of social context and relationships, whereas some other theories may focus more on individual internal conflicts.
What are the 3 Structural Personality Developmental stages?
Id, Ego, & Superego
What is the primary purpose of a psychosocial assessment in social work?
A) To determine the client's eligibility for social services
B) To diagnose psychiatric disorders
C) To understand the client's social, emotional, and behavioral functioning
D) To provide a legal documentation
C) To understand the client's social, emotional, and behavioral functioning
Take appropriate preventive measures to avert harm to suicidal clients
– LEGAL And ETHICAL (both answers would be correct)
Unconscious drives and early childhood experiences
PsychoDynamic
Separate Patient from problem; create a new story
– NARRATIVE
A 32-year-old client presents for an initial assessment. She reports feeling “constantly on edge,” difficulty sleeping, irritability, and frequent headaches. She says these symptoms began after surviving a serious car accident 8 months ago. She avoids driving and gets anxious even as a passenger. She reports intrusive thoughts about the accident and sometimes feels as if it is happening again. Based on this information, what is the MOST likely diagnosis?
A. Generalized Anxiety Disorder
B. Panic Disorder
C. Acute Stress Disorder
D. Posttraumatic Stress Disorder (PTSD)
D. Posttraumatic Stress Disorder (PTSD)
Rationale:
The client's symptoms—including hypervigilance, sleep disturbance, irritability, avoidance of reminders of the trauma, intrusive thoughts, and flashbacks—persisting for more than one month after the traumatic event, are consistent with PTSD.
A (Generalized Anxiety Disorder) would involve excessive worry about multiple areas of life without a specific trauma trigger.
B (Panic Disorder) involves recurrent, unexpected panic attacks, not necessarily linked to trauma.
C (Acute Stress Disorder) has a similar symptom profile to PTSD but occurs within the first month after a trauma; this client is 8 months post-incident.
Which of the following principles is NOT included in the NASW Code of Ethics?
A) Social justice
B) Integrity
C) Competence
D) Financial gain
D) Financial gain
Inform clients of availability for emergencies and other contact between sessions
– EHTICAL
Accessing clients strengths and resources
– SOLUTION FOCUSED
Change occurs through increase awareness of “Here-and-Now” experience in dialogic relationship
– GESTALT
Gestalt theory, developed by German psychologists in the 1920s, asserts that the human mind perceives the world as structured wholes, rather than as individual, separate elements. It focuses on how our brains organize visual information into patterns, relationships, and meaningful forms. This theory has significant implications for design, psychology, and our understanding of human perception.
You are working with a Latina mother and her seven year old son in therapy, when you observe unusual bruises on the boys face an arms. The bruise is seen to be in several different stages of healing. When you ask how he got the bruises, both the boy and his mother refused to answer. You should:
A) report suspected child abuse
B) consider whether physical discipline is common in Latin cultures, and ignore based on this cultural information.
C) remind the mother of the limits of confidentiality
D) ask the child to remove his shirt to inspect his torso for additional injuries
A) report suspected child abuse
A social worker receives a subpoena demanding the release of a client's records. What should be the social worker's FIRST course of action?
A) Immediately release the records as requested by the subpoena.
B) Contact the client to inform them about the subpoena.
C) Consult with a legal advisor or supervisor to understand the obligations and rights.
D) Ignore the subpoena as client confidentiality is paramount.
C) Consult with a legal advisor or supervisor to understand the obligations and rights.