Informed Consent Documents of Marriage and Family Therapists in Private Practice: A Qualitative Analysis

Haslam, Darryl R.; Harris, Steven M.

doi:10.1080/01926180490455231

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…Chappelle (2000) suggested that specific informed consent should be obtained from client and supervisor before using explicit spiritually oriented interventions (e.g., referencing sacred writings; see Exhibit 4.2). Professional disclosure statements (see Exhibit 4.3) have also been used as part of the clinical intake stage during informed consent to further orient potential clients to mental health professionals' qualifications, view of the therapeutic process, and philosophy associated with therapy (e.g., Haslam & Harris, 2004). In line with these practices some schools of thought suggest that the first session should be considered a time in which therapists discuss their value system surrounding healthy functioning, various interventions, and so on.…”

Section: Intake Formsmentioning

confidence: 99%

Noting the importance of spirituality during the clinical intake.

Leach¹,

Aten²,

Wade³

et al. 2009

Spirituality and the Therapeutic Process: A Comprehensive Resource From Intake to Termination.

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o a great extent, it is the therapist who determines how the concems and questions of religion and spirituality will be approached and examined, and indeed, whether they will be approached at all.-^J. T. ChirbanThe clinical intake can play a pivotal role in setting the course for theiapeutic exchange between therapists and clients, especially around issues related to client spirituality and spiritual experiences. However, there is little empirical and nonempirical guidance from the literature that informs readers of means to include spirituality during the intake portion of treatment, the primary purpose of this chapter. This chapter offers a glimpse into ideas and strategies for addressing spirituality and overcoming barriers to including spirituality during the clinical intake and interview, on the basis of the current literature available as well as our own clinical experiences. Specifically, we discuss how theiapists can integrate spirituality into the clinical intake through (a) facilitation of spiritual acceptance, (b) agency climate, (c) intake forms, (d) referral sources, and (e) the clinical interview. THE CLINICAL INTAKEThe clinical intake is usually the first exposure clients have to the counseling process, and this exposure often determines whether clients will return for additional sessions. In Sue, McKinney, and Allen's (1976) well-referenced 75

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Section: Intake Formsmentioning

confidence: 99%

Noting the importance of spirituality during the clinical intake.

Leach¹,

Aten²,

Wade³

et al. 2009

Spirituality and the Therapeutic Process: A Comprehensive Resource From Intake to Termination.

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show abstract

“…Once therapy convenes, specific goals and criteria for the successful completion of those goals create the foundation for how therapy will ultimately end. Therapists may address the issue, thereby preparing clients for termination, by discussing procedures for termination in informed consent documents and discussed at intake (Haslam & Harris, 2004). The therapist should present his or her procedures for termination in a manner that supports their conceptual foundation to accurately determine when sufficient change has occurred to warrant a termination of services.…”

Section: Therapist-initiated Terminationmentioning

confidence: 99%

Termination: Legal and Ethical Considerations for Marriage and Family Therapists

Rappleyea

Harris

White

et al. 2009

UAFT

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Every Marriage and Family Therapist (MFT) must carefully plan how to initiate, convene, and terminate therapy. Determining how to ethically terminate therapy in a variety of therapeutic contexts can be challenging. Though termination is a common aspect of all therapeutic relationships, a lack of empirically based information on how to terminate therapy leaves practitioners alone in determining how best to end the treatment relationship. Furthermore, the subject of termination is discussed so scarcely in MFT literature that few authors have attempted to establish a standard for ethical termination. In the current climate of evidence-based services, predetermined session limits, and increased litigation for malpractice, MFTs must examine their termination procedures. This paper identifies the current available literature on termination and discusses the ethical and legal considerations for practicing MFTs as outlined by the AAMFT Code of Ethics (2004). Directions and suggested methods for future research are set forth.Termination of services is an event of therapy that occurs with greater frequency than any other aspect of the therapeutic relationship. Clients may terminate therapy prior to them ever receiving services (Vesper & Brock,

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“…But little agreement exists regarding how to go about satisfying these three conditions. Instead, informed consent often is customized by each psychotherapist for each client, resulting in a wide variety of informed consent practices across clinicians and clients ( Haslam & Harris, 2004 ;Johnson-Greene, 2007 ;Pope & Vasquez, 2007 ).…”

Section: How Should Informed Consent Be Obtained?mentioning

confidence: 99%

Informed consent to psychotherapy (empowered collaboration).

Pomerantz¹

2012

APA Handbook of Ethics in Psychology, Vol 1: Moral Foundations and Common Themes.

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Like few other topics in the ethics of psychology, informed consent illustrates the range between the ethical fl oor and the ethical ceiling. It is possible to view informed consent as a mandate, a chore to be completed near the outset of psychotherapy to avoid legal trouble and ensure minimal adherence to the ethical standards set forth in the Ethical Principles of Psychologists and Code of Conduct (the Ethics Code; American Psychological Association [APA], 2010 ). Yet it is equally possible to view informed consent as a golden opportunity to strive for the highest level of ethical ideals, which in turn may maximize positive clinical outcome. The latter of these two approaches is, deservedly, receiving increasing attention in recent years (e.g., Anderson & Handelsman, 2010 ;Fisher & Oransky, 2008 ;. This chapter takes a fl oor-to-ceiling approach to reviewing the empirical and theoretical research on informed consent. That is, it will discuss minimal standards of informed consent that psychologists often have chosen to employ (the ethical fl oor), but ultimately it emphasizes the ways in which the principle of informed consent can inspire psychologists to endeavor toward the highest possible level of ethical behavior (the ethical ceiling).As described in other chapters of this handbook, numerous terms have been used to describe these two discrepant perspectives on psychology ethics. The ethical fl oor approach has been called remedial ethics, medicolegal ethics, or simply minimum standards, while the ethical ceiling has been called positive ethics, active ethics, or participatory ethics . Language regarding informed consent in particular has refl ected a similarly dichotomous view of the concept, especially with terms such as empowered collaboration , shared decision making , and informed choices appearing in recent years as supplements to the more basic term informed consent , suggestive of the ceiling as opposed to the fl oor of this ethical issue (e.g., Barnett, Wise, Johnson-Greene, & Bucky, 2007 ;Wise, 2007 ). The emergence of these new terms refl ects an important movement regarding informed consent in psychotherapy that will be explored throughout this chapter: More than they have in the past, scholars and clinicians are recognizing that the informed consent process has a tremendous upside. Viewed as an aspiration rather than a directive, it undoubtedly can help rather than hinder the therapy process.The Ethics Code, of course, includes both aspiration-and directive-based sections ( APA, 2010 ). The directives are listed as standards, many of which explicitly mention informed consent. The standards most relevant to informed consent to psychotherapy are Standards 3.10 and 10.01 (although several others, including Standard 3.07, Third-Party Requests for Services; Standard 4.03, Recording; and Standard 6.02, Maintenance, Dissemination, and Disposal of Confi dential Records of Professional and Scientifi c Work, are relevant as well). Standard 3.10, Informed Consent, states that psychologists should "obtain th...

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Informed Consent Documents of Marriage and Family Therapists in Private Practice: A Qualitative Analysis

Cited by 7 publications

References 8 publications

Noting the importance of spirituality during the clinical intake.

Noting the importance of spirituality during the clinical intake.

Termination: Legal and Ethical Considerations for Marriage and Family Therapists

Informed consent to psychotherapy (empowered collaboration).

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