Ethics & Psychology
Ethics & Psychology
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Episdoe 25: The Assessment, Management, and Treatment of Suicidal Patients
11/17/2016
Episdoe 25: The Assessment, Management, and Treatment of Suicidal Patients
Suicide is the 10th leading cause of death in the United States and the most frequent crisis encountered by mental health professionals. This podcast reviews basic information about the assessment, management, and treatment of patients at risk to die from suicide. It fulfills Act 74 requirements for Pennsylvania licensed psychologists, social workers, marriage and family therapists, and professional counselors. Program Learning Objectives: At the end of this program the participants will learn basic information that will help them to Assess patients who are at risk to die from a suicide attempt; Manage the risks of suicide; and Treat patients who are at risk to die from a suicide attempt. Resources Bongar, B., & Sullivan, G. (2013). The suicidal patient: Clinical and legal standards of care. (3rd ed.). Washington, DC: American Psychological Association. Bryan, C. J. (2015). Cognitive behavior strategies for preventing suicidal attempts. NY: Routledge. Jamison, K. R. (2000). Night Falls Fast: Understanding suicide. New York: Random House. Jobes, D. (2016). Managing suicide risk (2nd Ed.). NY: Guilford. Joiner, T. (2005). The myths of suicide. Cambridge, MA: Harvard University Press. McKeon, R. (2009). Suicidal behavior. Cambridge, MA: Hogrefe & Huber. Disclaimer As an educational program, this podcast/video does not purport to provide clinical or legal advice on any particular patient. Listeners or viewers with concerns about the assessment, management, or treatment of any patient are urged to seek clinical or legal advice. Also, individual psychotherapists need to use their clinical judgment with their patients and incorporate procedures or techniques not covered in this podcast/video, or modify or omit certain recommendations herein because of the unique needs of their patients. This one-hour video/podcast provides a basic introduction to the assessment, management, and treatment of patients at risk to die from a suicide attempt. This podcast/video may be a useful refresher course for experienced clinicians. However, listeners/viewers should not assume that the completion of this course will, in and of itself, make them qualified to assess or treat individuals who are at risk to die from suicide. For those who do not have formal training in suicide, this podcast/video should be seen as providing an introduction or exposure to the professional literature on this topic. Proficiency in dealing with suicidal patients, like proficiency in other areas of professional practice, is best achieved through an organized sequence of study including mastery of a basic foundation of knowledge and attitudes, and supervision. It is impossible to give a fixed number of hours of continuing education and supervision that professionals need to have before they can be considered proficient in assessing, managing, and treating suicidal patients. Much depends on their existing knowledge base and overall level of clinical skill. It would be indicated to look at competency standards from noted authorities, such as those developed by the American Association of Suicidology ( http://www.sprc.org/training-events/amsr), by David Rudd and his associates (Rudd et al., 2008), or Cramer et al. (2014).
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Episode 24: The Nudge in Ethics, Psychotherapy, and Public Policy
02/08/2016
Episode 24: The Nudge in Ethics, Psychotherapy, and Public Policy
Nudge theory has gained popularity in behavioral science, mainly in the field of behavioral economics. The theory broadly indicates that indirect suggestions or contextual changes can influence choices or compliance with healthy behaviors or decisions. Nudge theory contrasts its approach with direct suggestions, instructions, and education. In psychotherapy, we nudge patients frequently. Sometimes we do it consciously, other times unconsciously. Because of this potentially powerful influence over our clients, we must remain vigilant about our nudges in the form of soft paternalism or projecting our values onto our patients. Psychologists must be mindful of the power imbalance in the psychotherapy relationship and our duty to respect client autonomy.
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Episode 23: Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision
07/23/2015
Episode 23: Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision
Podcasts 21, 22, and 23 will provide supervisors and supervisees with an understanding of the skills and ethical issues surrounding supervision, including the Pennsylvania State Board of Psychology’s Regulations dealing with postdoctoral supervision. The workshop will review the basic requirements for ethical supervision, common pitfalls, and give supervisors an understanding of the requirements that must be met for obtaining post-doctoral supervision.
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Episode 22: Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision
06/30/2015
Episode 22: Ethics and Skills for Psychologist as Supervisor-Post-Doctoral Supervision
Podcasts 21, 22, and 23 will provide supervisors and supervisees with an understanding of the skills and ethical issues surrounding supervision, including the Pennsylvania State Board of Psychology’s Regulations dealing with postdoctoral supervision. The workshop will review the basic requirements for ethical supervision, common pitfalls, and give supervisors an understanding of the requirements that must be met for obtaining post-doctoral supervision.
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Episode 21: Post-Doctoral Supervision-Ethics and Skills for Psychologist as Supervisor
05/26/2015
Episode 21: Post-Doctoral Supervision-Ethics and Skills for Psychologist as Supervisor
Podcasts 21, 22, and 23 will provide supervisors and supervisees with an understanding of the skills and ethical issues surrounding supervision, including the Pennsylvania State Board of Psychology’s Regulations dealing with postdoctoral supervision. The workshop will review the basic requirements for ethical supervision, common pitfalls, and give supervisors an understanding of the requirements that must be met for obtaining post-doctoral supervision.
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Episode 20: PA Act 31 Training (Part 2) - For All Licensed PA Professionals
01/31/2015
Episode 20: PA Act 31 Training (Part 2) - For All Licensed PA Professionals
In this continuing education program, John and Sam Knapp discuss the critical elements of the new Child Protective Service law. Act 31 of 2014 requires all mandated reporters who hold licenses to receive at least two hours of approved continuing education in the signs of child abuse and the reporting requirements for child abuse in Pennsylvania.
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Episode 19: PA Act 31 Training (Part 1) - For All Licensed PA Professionals
01/31/2015
Episode 19: PA Act 31 Training (Part 1) - For All Licensed PA Professionals
In this continuing education program, John and Sam Knapp discuss the critical elements of the new Child Protective Service law. Act 31 of 2014 requires all mandated reporters who hold licenses to receive at least two hours of approved continuing education in the signs of child abuse and the reporting requirements for child abuse in Pennsylvania.
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Episode 18: Critical Incidents and Psychologist Safety
12/20/2014
Episode 18: Critical Incidents and Psychologist Safety
If you have missed AM radio, then you will appreciate this episode. John experiments with conference call software with his guests to discuss ethics and safety from a psychologist's point of view. I apologize about the squeaks (Shannon's phone), scratches and other recording imperfections.
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Episode 17: Existential Angst, Ethics, and Your Professional Will
11/04/2014
Episode 17: Existential Angst, Ethics, and Your Professional Will
Are you a psychologist working independently? If so, do you have a professional will? If not, you need to listen to this podcast. John welcomes Drs. Mary O’Leary Wiley and Cathy Spayd to outline the important points in constructing a professional will. A professional will is part of your ethical obligation to your patients should you die suddenly or become incapacitated. The podcast will address the pragmatics of constructing a professional will and why it is important for all psychologists to have a professional will.
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Episode 16: Ethics and Telepsychology (Part 2)
09/27/2014
Episode 16: Ethics and Telepsychology (Part 2)
John welcomes Dr. Marlene Maheu back for Part 2 of Ethics and Telepsychology. The podcast starts out with a vignette on practicing psychology over state lines using telepsychology. John and Marlene review important aspects of informed consent, privacy and security laws, documentation, and interstate practice. Marlene gives a variety of tips, including the need to utilize a risk management tool for telepsychology practice, additional components of informed consent, and the need to document more information.
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Episode 15: Ethics and Telepsychology (Part 1)
09/11/2014
Episode 15: Ethics and Telepsychology (Part 1)
Ethics and Telepsychology involves the rise of technology in the healthcare sector. There are about 21 states that mandate insurance companies cover telehealth services. John is joined by Dr. Marlene Maheu, trainer, author, researcher, and the Executive Director of the TeleMental Health Institute, Inc., where she has overseen the delivery of professional training in telemental health to more than 5000 professionals in 39 countries since 2010. John and Marlene discuss the supporting research for telepsychology and its limitations; practitioner competencies; reimbursable, evidence-based models for telepsychology; and limitations with telepsychology.
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Episode 14: Ethics and Quality Enhancement Strategies
08/31/2014
Episode 14: Ethics and Quality Enhancement Strategies
In Episode 14, John welcomes Dr. Sam Knapp back to the podcast. Sam was fresh off his Lifetime Achievement Award in Ethics Education from the American Psychological Association. After John's first attempt at listener mail, the topic moves toward ethics education and ways to contemplate positive ethics. Rather than looking at remedial ethics or the ethics floor, John and Sam give plenty of examples about striving for the ethical ceiling. The focus on quality enhancement strategies grew out of risk management strategies. From a quality enhancement perspective, Sam and John give several examples of what may trigger the need for quality enhancement strategies. They also review four quality enhancement strategies: 1) consultation, 2) empower collaboration, 3) documentation, and 4) redundant protections. Sam and John also talk about psychologists' emotional reactions to patients.
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Episode 13: Ethics Education and Vignette Analysis
08/09/2014
Episode 13: Ethics Education and Vignette Analysis
Lucky Episode 13 mirrors Episode 6 in that the content is similar. In the first half of the program, John speaks with Dr. Donald McAleer, psychologist and ethics educator, and his pre-doctoral intern Reneh Karamians about ethics education in graduate programs and at internship sites. We sprinkle in personal experience and the Acculturation Model focusing on how students and early career psychologists may think about ethical decision-making. In the second half, the participants discuss Vignette #5, A Tricky Situation from the "Vignette Warehouse" at the Ethics and Psychology site. Dr. McAleer and Intern Reneh arrive at different conclusions as to how to handle the vignette, which nicely models that there can be more than one right answer when dealing with ethical dilemmas.
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Episode 12: Prescriptive Authority Illinois Style
07/26/2014
Episode 12: Prescriptive Authority Illinois Style
Dr. Beth Rom-Rymer from Illinois speaks with John about the recent RxP success in Illinois. Psychologists passed a law to permit appropriately trained psychologist to prescribe psychotropic agents. Beth shares many words of wisdom, including reasons for psychologists obtaining prescriptive authority, keys to advocacy, and the details of the prescriptive authority law in Illinois. While John laments that Pennsylvania may in the Precontemplative stage of change, Beth offers numerous suggestions to any state moving in a forward direction on RxP legislation.
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Episode 11: Why Marketing is our Ethical Duty
07/11/2014
Episode 11: Why Marketing is our Ethical Duty
In this episode, John talks with Pauline Wallin, PhD, expert in marketing, public education, and media as well as a cofounder of The Practice Institute, where she helps clinicians build their practices. It is important for psychologists need to understand why marketing a psychological practice helps protect the public and raise awareness of how psychotherapy can improve people's lives. Pauline makes the distinction between marketing and selling. We also discuss four ethical ways to market psychological services via public education.
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Episode 10: Social Media for Psychologists
06/08/2014
Episode 10: Social Media for Psychologists
In this episode, John talks with Dr. David Palmiter about the basics of social media. They discuss why it is important for psychologists to understand social media as their patients are likely using various forms of social media. Psychologists also need to know what social media is before they participate. They discuss their use of social media as part of professional development. Psychologists need to know at least the basics about social media to practice psychotherapy effectively.
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Episode 9: Psychologist as Collaborative Coach
05/21/2014
Episode 9: Psychologist as Collaborative Coach
In this episode, John interviews Lori Gephart, a psychologist from the Greater Pittsburgh area on her work as a collaborative coach. Collaborative coaching is yet another area of practice for specially trained psychologists. Lori talks about her role as a collaborative coach in the divorce process. Skills related to collaborative coaching include helping clients identify shared interests and engage in interest-based resolution. The collaborative coach also assists with improving communication, facilitating teamwork, providing information on marital transition, and referring for psychotherapy when needed. Lori also outlines information about training, networking, and becoming more involved in the collaborative coaching arena.
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Episode 8: The Dark Side of Ethics
05/11/2014
Episode 8: The Dark Side of Ethics
In this episode, John talks with Dr. Sam Knapp, Psychologist and Ethics Educator, about false risk management strategies. Using the acculturation model as a guide, Sam and John discuss how some psychologists have learned false risk management strategies. They discuss the possible erroneous rationale for these strategies. John and Sam provide good clinical and ethical reasons as how these strategies can actually hinder high quality of services. They also discuss ethics education in general and why learning about ethics codes do not necessarily enhance ethical practice.
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Episode 7: The Moral Self, Moral Injury, and Moral Emotions
04/27/2014
Episode 7: The Moral Self, Moral Injury, and Moral Emotions
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Episode 6: Ethical Analysis
04/13/2014
Episode 6: Ethical Analysis
Dr. Richard F. Small joins John to discuss ethical decision-making, ethics education, and vignette analysis. Rick and John will use information from Episodes 4 and 5 to demonstrate the differences among ethical issues, clinical concerns, legal matters, and risk management. They will utilize the SHAPE decision-making model in conjunction with the acculturation model to demonstrate ways to consider ethical and clinical decision-making. There will be some discussion on risk management and legal issues. They will also discuss possible emotional issues that complicate decision-making skills.
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Episode 5: Ethical Decision-making (Part 2)
03/25/2014
Episode 5: Ethical Decision-making (Part 2)
In Episode 5, John continues to outline relevant factors related to ethical decision-making. The psychologist's fiduciary responsibility is emphasized. Additionally, John outlines one ethical decision-making model as well as cognitive biases and emotional factors involved with ethical decision-making. John will make suggestions on how to improve ethical decision-making.
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Episode 4: Ethical Decision-making (Part 1)
03/10/2014
Episode 4: Ethical Decision-making (Part 1)
While John's introduction indicates the podcasts will be conversations, Episode 4 is a monologue. This episode provides didactic material about ethical decision-making, which does not lend itself to a conversation. The importance of this podcast and Episode 5 is to set up vignette analysis in future podcasts. Everyone needs to be on the same page in order to apply ethical decision-making in instructional or real life situations.
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Episode 3: Neurofeedback and Consciousness
02/25/2014
Episode 3: Neurofeedback and Consciousness
In this episode, John interviews Thomas Fink, PhD about the basic concepts of neurofeedback, its clinical utility, and case examples. Dr. Fink developed software for a home unit to augment gains made in the office. The purpose of this podcast is to help psychologists become more familiar with this neurofeedback in the practice of psychotherapy. Additionally, the podcast will address how neurofeedback offers novel conceptualizations of consciousness.
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Episode 2: Prescriptive Authority for Psychologists
02/11/2014
Episode 2: Prescriptive Authority for Psychologists
In this episode, John speaks with Robert McGrath, Ph.D. Bob is a psychologist and Director of the Masters in Science Program in Clinical Psychopharmacology at Fairleigh Dickinson in New Jersey. He is a tireless advocate of RxP for psychologists. John and Bob discuss the prescriptive authority movement as well as the benefits of a prescribing psychologists. Training issues, legislative advocacy, and the two states that granted psychologists prescriptive authority will be addressed.
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Episode 1: Divorce, Collaborative Law and Mediation
01/27/2014
Episode 1: Divorce, Collaborative Law and Mediation
In this inaugural podcast, John interviews Attorney James Demmel about divorce, litigation, mediation, and collaborative law. Psychologists frequently find themselves working with individuals contemplating a divorce or actually going through the divorce process. The purpose of this podcast is to give psychologists an overview of issues surrounding divorce, litigation, mediation, and collaboration.
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