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Applying Positive Ethics to Difficult Patients Sam Knapp, Ed.D. John Gavazzi, Psy.D.
Who are “difficult” patients? ,[object Object],[object Object],[object Object]
Multiple Dimensions ,[object Object],[object Object],[object Object]
Patient Factors ,[object Object],[object Object],[object Object]
Avoid overemphasis on diagnosis ,[object Object],[object Object],[object Object]
Intense Negative Affect ,[object Object],[object Object],[object Object]
Relationship deficits ,[object Object],[object Object],[object Object]
Lack of insight ,[object Object],[object Object],[object Object]
Context of Therapy ,[object Object],[object Object],[object Object],[object Object]
Psychologist Factors ,[object Object],[object Object],[object Object]
Self-Protection ,[object Object],[object Object],[object Object],[object Object]
Early Screening ,[object Object],[object Object],[object Object]
Focus on the relationship ,[object Object]
Alliance ruptures and repairs ,[object Object],[object Object]
Ethical Issues Additional attention to ethical principles with high risk patients
Boundary issues ,[object Object],[object Object],[object Object]
Informed Consent ,[object Object],[object Object],[object Object],[object Object]
Quality Enhancing Strategies Consultation Empowered Collaboration Documentation Redundant Protections
Quality Enhancing Strategies ,[object Object],[object Object]
Consultation ,[object Object],[object Object],[object Object],[object Object]
Consultation ,[object Object],[object Object],[object Object]
Empowered Collaboration ,[object Object],[object Object]
Empowered Collaboration ,[object Object],[object Object]
Documentation: Legal Purposes ,[object Object],[object Object],[object Object]
Documentation: Quality Enhancing ,[object Object],[object Object],[object Object]
Redundant Protections ,[object Object],[object Object]
Transparency ,[object Object]
Questions, answers and more discussion
Vignettes Looking the exercise what you have learned Not looking for the “correct” answer
Important Issues ,[object Object],[object Object]
Important issues ,[object Object],[object Object],[object Object],[object Object]

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