1. Richard P. Halgin Susan Krauss Whitbourne University of Massachusetts at Amherst slides by Travis Langley Henderson State University Abnormal Psychology Clinical Perspectives on Psychological Disorders 5e Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

2. Ethical and Legal Issues

3. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Ethical Issues Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

4. ROLES and RESPONSIBILITIES OF CLINICIANS Therapist Competence Informed Consent Confidentiality Privileged Communication

5. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. EXCEPTIONS TO PRIVILEGED COMMUNICATION Mandated Reporting Duty to Warn

6. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. RELATIONSHIPS WITH CLIENTS The therapist must keep therapeutic boundaries. Most ethical codes forbid romantic and sexual involvement.

7. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. THE BUSINESS OF PSYCHOTHERAPY Payment Issues Paid by client or, more often, third party. Health maintenance organizations and managed care health systems arose to keep insurance affordable. Conflicts arise between managed care and client treatment needs.

8. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. SPECIAL ROLES FOR CLINICIANS EXPERT WITNESS EVALUATION IN CHILD PROTECTION CASES GUARDIAN AD LITEM EVALUATIONS OF PEOPLE WITH COGNITIVE DISORDERS ALL HAVE INHERENT ETHICAL DILEMMAS: SOMEONE OTHER THAN THE ONE THEY ARE EVALUATING IS PAYING FOR THEIR SERVICES.

9. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. COMMITMENT OF CLIENTS COMMITMENT: An emergency procedure for the involuntary hospitalization of a person who is deemed likely to create harm for self or other people as a result of mental illness.

10. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. COMMITMENT ISSUES BALANCE CLIENT’S RIGHTS WITH CLIENT’S BEST INTERESTS RIGHT TO LEAST RESTRICTIVE TREATMENT RIGHT TO REFUSE MEDICATION

11. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Forensic Issues Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

12. INSANITY DEFENSE Contrary to popular belief, this is a legal term, not a psychological term. The argument, presented by a lawyer acting on behalf of the client, that, because of the existence of a mental disorder, the client should not be held legally responsible for criminal actions.

13. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. INSANITY DEFENSE  Unable to appreciate wrongfulness of their conduct and to control their actions due to a severe mental disturbance.  Generally require DSM-IV-TR diagnosis of psychotic disorder, severe mood disorder, dissociative disorder.  Personality disorder will not be sufficient. In question is the individual’s state of mind at the time of the criminal action.

14. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. M’Naghten Rule Durham Rule American Law Institute Insanity Defense Reform Act INSANITY DEFENSE: HISTORY

15. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. COMPETENCY TO STAND TRIAL Whether a defendant is aware of and able to participate in criminal proceedings against him or her.

16. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Mental health professionals play an increasingly important role in the legal system and find they must familiarize themselves with a whole array of forensic issues. The intersection between psychology and law will continue to grow as society looks for interventions that are humane, ethical, and effective.

17. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. http:/ www.mhhe.com/halgin6e For more information on material covered in this chapter, visit our Web site: