What are the legal and ethical issues that come up while working with trauma patients? Pick one and talk about how it's used in organizations and in individual practice. do not plagrisee!!!

Answer:

When working with clients who have been through a traumatic situation, keep the following ethical considerations in mind:

Consent with knowledge.

Many professional requirements for physicians are outlined in the APA ethical code[3], including maintaining confidentiality, minimizing intrusions into private, and gaining informed consent. Informed consent ensures that the client is knowledgeable of the techniques and procedures that will be employed during therapy and the expected treatment timetable, and the repercussions of participating in specific tasks and goals. [3] When working with trauma survivors, physicians should emphasize trauma diagnosis and therapy and transparent rules for keeping secure and firm boundaries. Clients who have experienced complex trauma may test clinicians' boundaries by missing or arriving late for appointments, bringing gifts to the therapist, attempting to photograph the therapist, calling during non-office hours, or attempting to extend the session in person or with a follow-up phone call, according to some research. [4]

Management of risks

According to research, trauma survivors are more likely than non-survivors to report suicide ideation and participate in self-harming behaviors. [5] Furthermore, evidence shows that suicide attempts are linked to both childhood abuse and the severity of PTSD symptoms. [6] Clinicians treating trauma survivors should keep a close eye on their clients' suicide ideation, means, and plans, particularly around anniversary dates and triggering events. [2] When working with trauma survivors, client safety should be a top priority, with quick assessments of client safety following stressful sessions and frequent follow-ups with clients in between sessions. [4]

Creating and maintaining a solid therapeutic partnership.

The American Psychological Association (APA) outlines General Principles that psychologists should follow in striving for the most significant ethical standards. Principle A - Beneficence and Nonmaleficence, and Principle C - Integrity, are two of the General Principles. Clinicians who practice Beneficence and Nonmaleficence try to benefit individuals with whom they work and avoid causing harm. [1] Fidelity and responsibility entail building trusting relationships and understanding one's professional responsibilities. When a practitioner tries to form and sustain a solid therapeutic alliance with trauma survivors, both of these principles should be considered. [1]

Forming deep and trusting connections with others can be difficult for clients with a history of trauma, specifically those who have experienced betrayal trauma.

Clients may also relate horrifying, awful, or unsettling situations during treatment, generating emotional reactions from the therapist. [5] Distancing and emotional detachment are two potentially negative reactions, both of which may support clients' typically unfavorable schemas and self-image. Clinicians might add to the difficulty of forming a solid therapeutic bond by being overly curious about the client's traumatic history, leading to a lack of accurate empathy. As a result, clinicians working with people who have experienced trauma may have specific problems forming a solid therapeutic connection.

Transference and countertransference are two issues that need to be addressed.

Transference and countertransference can interfere with treatment in traditional therapy. It is conceivable for physicians treating people who have experienced trauma to suffer "a priori countertransference." [7] A priori countertransference refers to the feelings, emotions, and prejudices that may occur before meeting with a potential client due to knowing that the client has had a traumatic event. [nine] These first reactions may lead to ethical issues since the clinician's personal views, beliefs, and values may be jeopardized, increasing the clinician's countertransference toward the client. When personal circumstances interfere with a therapist's capacity to fulfill their duties satisfactorily, the APA ethics code 2.06(b) outlines what a therapist should do. Clinicians who are experiencing a priori countertransference should seek more regular consultations, undergo more personal therapy, or minimize, halt, or terminate their work-related responsibilities. [1]

Bonding after a traumatic event.

The term "traumatic bonding" was coined by Dutton and Painter [8] to characterize the relationship bond that arises between the offender and the victim of abusive relationships. Robust emotional ties are formed due to recurring cycles of positive and painful events that are resistant to alter. [eight] The phrase can also be used to describe a trauma clinician's relationship with a client. As the client reminisces about their traumatic memories and relives the accompanying solid feelings and sensations, they are likely to create an unusually close bond with their clinician. These emotionally charged encounters create ethical issues and hazards for the physician, such as responding overprotectively or distancing themselves from the client. The clinician's own similar trauma background may also activate them, leading to unwanted disclosures or the urge to reveal the client's tale to seek retribution or justice. According to the American Psychological Association (APA) code of ethics 2.06(a), clinicians should not practice if they know that their personal difficulties will prevent them from being objective or competent. [1] Clinicians who suspect traumatic bonding should increase consultations or think about restricting, suspending, or terminating their work-related responsibilities.

Step-by-step explanation

Trauma survivors are a unique group, with various levels of resilience, posttraumatic growth, and mental problems resulting from their experiences. When working with people or clients who have experienced trauma, mental health providers must consider specific ethical considerations.

Ethics are the rules of professional behavior in the discipline of psychology. The Ethics Code of the American Psychological Association (APA)[1] is a "common set of principles and norms upon which psychologists build their professional and scientific activity" (p. 8). Ethics aid doctors in thinking through and critically analyzing situations and providing ambitions and values to aspire for. [two] Working with trauma survivors can often be so difficult for both the patient and the physician that professional and ethical boundaries are jeopardized. [2]

References:

1. American Psychological Association (APA). (2002). 57(12), 1060-1073.

2. Frankel, A. S. (2017). Legal and ethical considerations in working with trauma survivors: Risk management principles for clinicians.

3. American Psychological Association (APA). (2002). 57(12), 1060-1073.

4. Ducharme, E. L. (2017). Best practices in working with complex trauma and dissociative identity disorder. Practice Innovations, 2(3), 150.

5. Ellis, A. E., Simiola, V., Brown, L., Courtois, C., & Cook, J. M. (2018). The role of evidence-based therapy relationships on treatment outcome for adults with trauma: A systematic review. Journal of Trauma & Dissociation, 19(2), 185-213.

6. Guina, J., Nahhas, R. W., Mata, N., & Farnsworth, S. (2017). Which posttraumatic stress disorder symptoms, trauma types, and substances correlate with suicide attempts in trauma survivors?. The primary care companion for CNS disorders, 19(5).

7. Dalenberg, Constance; Tauber, Yvonne; Palesh, Oxana (2001). "Recovered memory and a priori countertransference in the context of ongoing risk".

8. Dutton, Donald G.; Painter, Susan (1993). "Emotional Attachments in Abusive Relationships: A Test of Traumatic Bonding Theory". Violence and Victims. 8 (2): 105-120. doi:10.1891/0886-6708.8.2.105. ISSN 0886-6708. apa.org.