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High Risk Temptations and the Ethics of Multiple Role Relationships - Test
by Gerald P. Koocher, Ph.D., ABPP and Patricia Keith‑Spiegel, Ph.D.

Course content © copyright 2010-2016 by Gerald P. Koocher, Ph.D. and Patricia Keith-Spiegel, Ph.D.. All rights reserved.

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1. Therapists who commit high risk boundary violations: Help
Usually have degrees from lower rated schools.
Are mentally ill.
Are virtually all psychopathic.
May be highly intelligent and well-trained individuals who usually behave ethically.
2. Employing a client, even in a position that does not involve access to confidential information, is risky because: Help
The client would be too disturbed to do a good job.
Therapists would expect more than clients could deliver.
The role of helping professional and the role of an employer are incompatible.
The client is very likely to become dissatisfied with therapy.
3. Caution must be exercised when accepting gifts from clients because: Help
The symbolism attached to the gift is not always clear and may cause conflicts.
Some clients may be attempting to manipulate the relationship dynamics.
A client could later charge exploitation.
All of the above
4. Which of the below is NOT considered a high-risk temptation? Help
Feeling sexual attraction towards a client
Employing a client
Accepting a small appropriate gift at holiday time
Setting up practice in one's own home
5. Therapists who practice in an isolated setting without ongoing interactions with other professionals are: Help
More likely to look to their clients to fulfill their own needs.
Less likely to face ethical dilemmas.
Less stressed.
6. According to the authors, a therapist should not respond IN KIND to a client's negative review posted online because: Help
The poster of the negative comment may press ethics charges for defamation of character or breaching confidentiality.
It is easier to just have the negative review removed.
No one will likely ever see it.
Licensing boards monitor online reviews.
7. Therapists who also engage in forensic work must remain aware of: Help
The role shift that occurs.
The fact that attorneys seeking the services of mental health professionals and counselors have their clients' needs at the top of their agenda.
The potential incompatibility of therapeutic and advocacy roles.
All of the above are reasons to remain aware when engaged in forensic work.
8. Which of the following is NOT a likely "warning sign" that a therapist may be too attracted to a client? Help
Having sexual fantasies about a client
Daydreaming about seeing the client socially
Having trouble focusing during the therapy sessions
Moving the client to a morning session
9. Therapists who engage in sexual intimacies with clients may have which of the following personal problems: Help
Social isolation
Crises in their personal sex, love, or family relationships
Feelings of failure as a professional
All of the above
10. The national professional associations representing social workers, psychologists, counselors, and marriage and family therapists currently hold that sexual relationships with former clients: Help
Are acceptable so long as at least one year has passed since therapy was terminated.
All disallow such acts in perpetuity.
Raise concerns about such alliances even though they do not hold the same time limitations.
Are acceptable upon the termination of therapy so long as they are adults capable of consenting to such an arrangement.
11. What is the most important factor in avoiding high risk temptations? Help
Practicing in a setting with many other professionals close by
Minimizing eye contact with clients
Openly discussing any sexual attraction directly with the client
12. When charged with an ethics violation, therapists may experience: Help
Intense feelings of shame, anxiety, and new physical ailments.
Insurance companies not renewing contracts.
Loss of friendships and peer support.
All of the above



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