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Ethical Boundaries in Balancing the Power Dynamic in the Therapeutic Relationship
Ethics Boundaries continuing education social worker CEUs

CE Post-Test
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs | Boundaries

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What is rationalization some have about abuse of the personal contact boundary with clients?
2. What are some biases against the validity of the topic of the Sexual abuse of Power between client and therapists?
3. What is one key factor that adds to the power imbalance between client and therapists?
4. What are hurdles that remain after the client leaves the abusive relationship?
5.  What are characteristics of a boundary violation?
6. What are four warning signs that a client may be vulnerable to an abusive balance of power?
7. What are the categories listed in Schoener's typology of abuse?

Answers:
A. Indulgence of professional privilege, role reversal, secrecy, and a double bind.
B. The Bad Apple bias; Victim Blaming; Sexism; the Eunuch idea; and Codes of Ethics.
C. Naive and uninformed, healthy or mildly neurotic, severely neurotic, character disorders, sociopath or narcissistic, and psychotic or borderline personality disorders.
D. Faith
E. Idealization of the professional; wishes for a rescuer; intense feelings bound up in the relationship; and traumatic transfer.
F. Sexual abuse of clients mainly happened in the 90’s, and before. Today therapist are too lawsuit conscious for this to be an issue.
G. Seeking and finding support from friends and seeking professional help,

Course Content Manual Questions The Answer to Question 8 is found in Section 8 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions..

Questions:
8. What are primary hallmarks of boundary failures in the borderline client?
9. What are two definitions of manipulation?
10. What does the NASW Code of Ethics have to say about taking unfair advantage of professional relationships?
11. What are potential clients warned about concerning boundaries and the power dynamic in consumer information?
12. What is Otto Fenichel’s definition of transference?
13. What are some interventions to counteract the power dynamic with clients who exhibit exaggerated silence?
14. What types of therapist/patient relationships need to be balanced regarding supportive versus excessive therapeutic relationships?
Answers
A. "The act of changing others by unfair means to serve one’s own purpose" and "the act of improving one’s life situation through the skillful management of another person or system without consent from the effected party".
B. 1. The real, uninterpreted relationship, which is like any other relationship 2. The transferential relationship, which is dominated by fantasies and expectations on the part of the patient.
C. Misunderstanding the present in terms of the past.
D. Social workers should not take unfair advantage of any professional relationship or exploit others to further their personal, religious, political, or business interests.
E. Relabel behavior, schedule a silent session, prescribe the silence, provide structure, provide freedom, create a game, and use nonverbal sources.
F. Acting out behavior, chaotic relationships, and inability to control effect.
G. The relationship feels uncomfortable, ambiguous, or confusing to the patient.


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