Counselors can only help strangers, and their relatives and friends can only be companions. Just an acquaintance studying psychology.
summary
Ethical issues of multiple relationships
Crossing and violating professional boundaries
Consultation on labor and commodity exchange
Accept gift box
Sexual attraction and physical contact in counseling
Sexual relations with individual cases
Multiple relationships refer to the development or maintenance of other relationships or roles between counselors and cases except their professional relationships, sometimes called dual relationships or non-professional relationships.
In the consultation relationship with unequal power, any behavior of using cases or using cases through multiple relationships is immoral.
Consulting relationship is a professional relationship.
1.7 psychologists should clearly understand the possible adverse effects of multiple relationships (such as developing family, social, economic, commercial or other close personal relationships with people seeking professional services) on their professional judgment and the potential dangers of harming the welfare of people seeking professional services, and try to avoid multiple relationships with people seeking professional services as much as possible.
When multiple relationships are inevitable, professional measures should be taken to prevent possible adverse effects, such as signing an informed consent form, telling the possible risks of multiple relationships, seeking professional supervision, and keeping relevant records to ensure that multiple relationships will not affect their professional judgment and will not cause harm to those seeking professional services.
Students, treat students as tourists. Take professional measures to prevent adverse effects. Sign an agreement to inform, confidentiality restrictions, how to do consultation under the dual relationship. Telling the supervisor what his consideration is is is beneficial to the visitors, and the advantages outweigh the disadvantages.
1.8 psychologists are not allowed to have any sexual or intimate relationship with current professional service seekers or their family members, including sexual or intimate communication and face-to-face communication or communication through electronic media.
(Family members of the case can't fall in love either) (You can't help your husband, wife, boyfriend and girlfriend to do psychological counseling, so it's difficult to establish a professional relationship) The relationship is simple.
Psychologists are not allowed to give psychological counseling or psychotherapy to people who have had sexual relations or intimate relationships with them. Once the relationship goes beyond the professional boundaries (such as initiation and intimacy), appropriate measures (such as seeking supervision or peer advice) should be taken immediately to terminate the professional relationship.
1.9 Psychologists shall not have any sexual or intimate relationship with professional service seekers or their family members for at least three years after ending their psychological consultation or treatment relationship with professional service seekers, including sexual or intimate communication in person or through electronic media.
If this relationship develops after three years, it is necessary to carefully examine the nature of this relationship to ensure that there is no possibility of exploitation, control and utilization of this relationship, and there must be a verifiable written record.
1. 10 When a psychologist has a non-professional relationship with a professional service seeker other than sex or intimacy, if it may cause harm to the professional service seeker, the psychologist should avoid establishing a professional relationship with him.
For example, psychologists are not allowed to establish professional relationships with their friends and relatives because they cannot remain objective and neutral.
Carefully evaluate whether multiple relationships will lead to conflicts of interest, loss of objectivity and destruction of therapeutic relationships.
When multiple relationships or crossing boundaries are inevitable, psychological counselors should pay more attention to their own behavioral motives and intentions.
When we put our own interests and needs above those of individual cases, it is a sign of deviating from professional ethics.
Slightly gentle, as a student. Conflicts of interest are relatively large, friends and relatives. Try to avoid it.
For who? You can do it for each other. If it is for your own benefit, try not to do it.
Case 7- 1 When the owner of the case is a work-study student in a student-study center,
Teacher Ke is a psychologist in the university counseling center, and Xiao Fang is a case of teacher Ke, who is also a work-study student in the counseling center (doing some work in the counseling center while studying), so they usually work in the counseling center. As a work-study student, Xiao Fang's duty is to help students who want to receive individual counseling register for interview time and introduce the expertise or characteristics of the center tutor. He is also responsible for helping the teachers in the center make copies and do shopping. In addition, Mr. Ke is also responsible for training and supervising the reform of students' working conditions. Therefore, in addition to talking time, Mr. Ke will still have a lot of time to interact with Xiao Fang, which makes Mr. Ke puzzled about their consulting relationship and boundaries.
If you are not a work-study program, then you are simple. But now it's a dual relationship. Be a consultant or work-study program. Every move of the center is seen by the other party, which makes it uncomfortable. Don't come when I come to work, because my working hours are staggered with those of my work-study classmates, so don't show up at the same time.
Crossing the border is the behavior of psychological counselors who deviate from the general practice standards.
Crossing the border is a serious deviation from the professional standards of psychological counselors, which leads to personal injury.
Do you want to help the visitors pour water, hang up their clothes and shake hands? Do you want to give him paper when you cry?
You can't go to a restaurant with tourists. At nine o'clock in the morning and eight o'clock in the evening, there is no consultation outside this time. It's all done in the consulting room
Consulting settings usually include the boundaries of time, space and relationship. It is through consulting settings and professional boundaries that we work with cases to help them improve their self-awareness and improve their problems.
Time, when to what time. Space, consulting room. Not in the cafe restaurant.
Help visitors through professional settings and professional knowledge.
Landslide phenomenon: psychological counselors are unaware of their own cross-border behavior, and gradually slide from some harmless cross-border behaviors to the point of crossing the border.
The interpersonal boundary between us and the case belongs to a professional relationship and a flowing state.
Visitors bring coffee to consultants? Continue to consult. Coffee sandwich cake, can we consult while eating? Shall we go to the restaurant together?
Intimate relationships and sexual relationships are not like this from the beginning. Teacher, if you are in a bad mood, things at home and things with your wife will cross the line. When you talk more and more, and the other person loves you and cares about you, social intimacy will gradually form. Consulting, setting and maintaining boundaries.
The degree of risk of exploitation cases. ? (is it using the case? )
The degree to which psychological counselors lose objectivity.
Considering your own interests, you can't help tourists from an objective perspective. )
The degree of injury to professional relations.
For example, if you are pursuing her, you can still face her. If it means using the case, don't do it. )
Case 7-2 Can the consultation be conducted outside the consultation room?
Sophomore student Lin Wen was diagnosed with mild bipolar disorder. She has excellent academic performance, is fluent in Japanese and English, and is also interested in literature. However, in the performance of life, the mood changes greatly, sometimes depressed and lost, sometimes excited and talkative. When she came to the student aid center, her first complaint was that she was troubled by interpersonal relationships, and there were few friends in her life who could accompany her and be close to her. Because as long as we know her better, she is talkative, strong and unwilling to listen, it will make people stay away from her.
Lin Wen once said to a psychologist, "No one has ever cared about me like you. I like talking with you very much. However, I don't like this very standardized way of meeting, which makes me feel that you are above me. Yuki, talking in such a small room makes me feel uncomfortable. Can we go out and stroll around the campus and talk while walking? Or in the school cafe? I think this will make me want to talk more and help me more! At this point, how should psychologists respond?
Why do you think so? It's hard to keep your secret. It is not easy for acquaintances to speak freely when they see or hear it. I feel embarrassed to cry if I want to, just like I bully you. Or choose to consult in the consulting room. If you must go out, I can't cooperate It's no use doing it.
Misunderstanding: falling in love with a case.
Case 7-3 When a customer borrows money from a psychologist,
Zhao's psychologist works in a hospital, which has signed a contract with the local court to provide psychological counseling for protected and controlled teenagers. The client of Zhao Psychologist was taken compulsory measures for theft and received psychological counseling.
During the first interview, Dr. Zhao informed about the restrictions on confidentiality. During the talks, Dr. Zhao has the responsibility to inform the guardian of any illegal acts.
Two months later, Bao Xiao began to trust the psychiatrist, and he was more willing to confide more about himself, and the consultation relationship became better and better. In the interview, Bao Xiao told the psychologist that his family's economic situation is not good, and he often only eats one meal a day. The reason why he stole in the first place was that he was caught stealing money to buy food for his mother.
In the tenth consultation, Bao Xiao told the psychologist that he had not eaten all day and wanted to borrow money from the psychologist to buy lunch. The psychologist felt sorry for this, so he lent it to Bao Xiao 50 yuan. After each consultation, Bao Xiao would make the same request, which made psychologists feel quite troubled.
Not including buying food for the case. Borrowing money or borrowing relationship. The relationship between creditors and debtors. I borrowed it once, and I can't refuse it next time.
If possible, do hospitals or consulting institutions have charitable funds to provide emergency assistance to poor cases or patients? Social workers help find charities.
Because of the unequal value conversion, labor exchange can easily hurt the consulting relationship. Vague professional relationship. The conversion of value is not equal. Be mistaken for taking advantage of individuals. If the workmanship is not careful. If you take care of children, hit your children.
Other alternatives: suspend counseling, reduce counseling fees, or refer cases to free or low-cost counseling institutions.
Come back when you have money.
Case 7-4 Discounting consulting fee with assistant salary
35-year-old Miss Xie turned to Zhang, a psychological counselor in a psychological counseling office, for help because of her lovelorn troubles. During the first interview, the psychologist Zhang asked Miss Xie to sign the consent form and negotiate the consultation fee.
After the first to fifth interviews, Miss Xie paid as promised. Later, because of the unstable work and reduced income, the finances seemed to be stretched. Miss Xie felt that she had gradually got out of the lovelorn relationship, but she still needed continuous psychological counseling, so she asked Zhang if she could use other ways to replace money charges.
Considering Miss Xie's situation and the fact that the assistant of the consultation office will leave in the near future, psychologist Zhang promised Miss Xie to use her salary as an assistant of the consultation office to offset the consultation expenses.
How much is the salary? You can look at the information of other cases. Work is not in place, dismissal, no money to continue consulting.
Don't let the current case or previous case be an assistant. It's embarrassing to see your information.
What is the value of the gift? It's free. It is cheaper. Maybe I took it the first time. Actually, you don't have to give me anything.
What is the clinical significance of accepting or rejecting gifts?
Just say it orally.
When should I give the box as a gift? Spring Festival, Mid-Autumn Festival, sometimes. On behalf of the organization, I accept your gift. Thank you for sharing this gift with colleagues in the organization. Don't send it again.
What is your motivation for accepting or rejecting gifts?
What is the cultural meaning of accepting gifts?
Cards are cheaper.
Case 7-5 Psychologists Accept and Send Case Gifts
Male, 15 years old, accompanied by his mother, sought help from the psychologist Li of the community psychological counseling center because of his self-identity problem. Since every interview is picked up by her mother, Li's psychologist will also have the opportunity to discuss the situation with her mother, who is very worried about the situation and thank the psychologist very much.
One day, my mother brought Hadron for an interview as usual. After the interview, she took out a large box of fruit gift boxes to give to Li's psychologist. Li said it was not convenient to receive gifts, but her mother insisted that Li accept them. Despite her mother's insistence, Li's psychiatrist accepted the gift. Every other week, Li, a psychologist, gives the mother a gift. He prepared a string of beads, two packs of beef jerky and a book on Parenting Education for his mother, hoping to help her.
Relationships become complicated and unnecessary. Can the consultant not send it back? Courtesy is reciprocated, so the cycle cannot stop. Guangxi psychoanalytic children see this gift as a transitional thing, otherwise they won't give it.
Counseling orientation and theoretical schools of psychologists.
Time of the case. The child touches his head and the old man helps him. Psychoanalytic schools generally do not engage in physical contact. I don't know how to splash water on my clothes or wipe my tears with toilet paper. As long as I am a case, the consultant will not do what I can, and I will help him do it myself.
The functional degree of the case. Physical function.
Having sex with a case is a serious violation of morality.
In 90% cases, the consequences of having sex with a counselor are harmful. And the damage caused by multiple sexual relations to the case will last for a long time.
Case 7- 13 fitness center encounter case
Miss A is the case of psychologist B in a psychological counseling center. She meets once a week. One weekend night two months later, psychologist B went to a fitness center near her home to attend an aerobic rhythm course. After a dance, she found Miss A in class, too. Both of them looked at each other in some surprise. In the following interview, psychologist B learned that Miss A is also a member of the fitness center.
Time stagger
1. Don't help him do what he can with his participation. If a child or a mental patient can't do it, we will help him do it.
2. The parents of the case cannot be employed as the staff of the consultation room. He will also see the information of the case and have private contact with the psychological counselor. He will find that the attitude towards other people's children is different from that towards her children, which will become very complicated. Become difficult to deal with.
3. These people send invitations in the circle of friends. Do tourists want to accompany them? no
4. What should I pay attention to in online consultation?
5. There is no need to write no gift in the consultation agreement, because there are two or three out of ten, so there is no need to write it. If the probability is high, then you can write it in the agreement.
Twenty years ago, hospitals in Taiwan Province Province gave gifts to doctors. The hospital will post one. This hospital doesn't accept gifts from patients. If the patient sends a fruit gift box, it will be sent to the discipline inspection department. . Forget it, give me a hard time. If you really want to send it, send it to the political engineering department.
6. Is it possible to receive two psychological consultations at the same time? This is not good. It's not completely impossible. If you talk to consultant A first and then to consultant B, he won't take the case. If you are willing to end with the original, then we will start from here.
7. There is one in the community and one in the hospital. Who is responsible for the accident? If the consultant's direction and advice are different, who should he listen to? The information about these two cases is incomplete.
8. Everyone in the small county knows and introduces everyone, and everyone knows who will enter the clinic.
Do the internet or go to other counties. If he doesn't want to, he will come to you. If you have to do it, but you have to tell the visitors, there will be problems of multiple relationships, all aspects of confidentiality will be affected, and others will point fingers. If you don't care, don't care, so be it.
9. Can counselors and strangers consult parents or siblings of cases?
I think it's ok. It is best for a counselor to be a family counselor. If it is the same time, the dual relationship of the same Li Bai will be more obvious, and secrecy is not realistic. What you told me was pain. Tell your parents. If you tell me something, it's like telling a child. No secrets. If you stagger the time, you can do it.
10. Menstruation, visitors, classmates who met the counselor. After the relationship is over, visitors come to the hospital to see a doctor and often contact the consulting room. Ask yourself, if you are not embarrassed, you can't refuse him to come to see you. Make an appointment It is best to maintain a consulting relationship.
Doctors can be friends of patients, but visitors can't be friends of visitors.
What would you think if visitors came to greet you every three days after the case was closed?
1 1. Can I do homework and psychological counseling at the same time?
This is a question of identity. The boundaries are blurred.
12. The sexual assault of this tourist is a thing of the past, and there is no record of being arrested.
I personally won't report it. Ask if it is a judicial officer, not a policeman, not a prosecutor. Let him turn himself in at most.
But according to the consulting settings.
Early warning is to prevent innocent third parties from being hurt, and only in this way will we be notified.
Promise me that you won't hurt anyone or do such a thing, otherwise, I will tell your family or the police that I can't keep a secret.
13. Personal information is generally not given to visitors. Although parents are curious, you don't need to answer. You can ask, oh, why? I told you, it didn't really help you. I choose not to tell you and don't ask me again. Refuse if you can.
14. Can the psychotherapist discuss the patient's inner thoughts and privacy in the doctor's office? Keep secrets from people other than medical staff. If tourists have special requirements, they should still abide by the agreement.
15. Consultants are purely consultants, not evaluations. Psychological counseling plays a more important role in evaluation and screening. The more roles, the more tasks and the more work items. Psychological teachers will have more restrictions when doing psychological counseling, and the effect is very poor, because the boundaries are blurred.