Therapist has a Bad Boss

Psychology In Seattle Podcast

Kirk Honda

Mental Health, Health & Fitness

4.6 • 1.2K Ratings

🗓️ 24 July 2024

⏱️ 128 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dr Kirk reviews an ethical violation case.

This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month.

00:00 What ethical standards are therapists held to?
26:22 A supervision ethical case brief
36:52 High-risk clients & the start of the therapeutic relationship
53:18 Inadequate supervision
1:08:45 Client red flags
1:18:22 Safety planning & client suicide
1:38:01 The court case
1:52:51 Dr. Kirk's ethical recommendation

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July 24, 2024

The Psychology In Seattle Podcast ®

Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.

Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com

Transcript

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0:00.0	Hey, news German listeners. When I started out as a therapist in the mid 90s and I started learning about ethics,
0:07.6	I thought that ethics were a set of rules that us therapists were supposed to follow and I kind of wanted it that way because
0:17.3	then it would be easier to know what to do. Like in this situation you're supposed to do this and in this situation you're not
0:26.3	supposed to or you're never supposed to do X Y and Z like a common one would be never accept a gift or a tip from a client.
0:37.0	That kind of thing.
0:38.0	And as I progressed into my career and particularly as I became a professor and a supervisor myself, I kind of
0:47.6	slowly realized because I didn't really have proper guidance around this and or I'm just slow to learn the sort of
0:56.8	I don't know but I slowly realized over the span of years honestly that ethics and ethical decision making is a
1:06.2	complex system of various different considerations like the standard of care and
1:13.7	consensus and how you can justify certain actions.
1:19.6	Your process, you know, like you can do something that is harmful to what not, well, how do I words,
1:28.0	if you take actions that result in the harm of a client, but you went through a very
1:37.4	rigorous decision-making process, then on average it's more likely that you're not going to be considered liable or
1:47.4	having committed an ethical violation even though harm happened to the client
1:51.7	whereas if you do the exact same harm to a client,
1:57.1	but you just decided on your own,
2:00.6	you didn't consult with others,
2:02.0	you didn't think about it, you didn't consult with others you didn't think about it you didn't document
2:03.9	your decision-making process or your or the pros and cons that kind of thing then
2:11.5	you will on average be be more likely to be more likely to be you'll be more likely to be
2:16.7	liable or having committed an ethical violation.
2:21.9	You know just things like that. Also, understanding different pockets of research
	...

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