Problem:
Reply the discussion, use citations and references
Provide your personal reflection on both videos, including any personal biases and how they were addressed.
After watching both videos I felt they both offered a lot of insight concerning the morality, legality, and the weight of the perspectives of the clinician, and the patient; as well as the individuals potentially affected by the actions of both the clinician and patient. Elyn Saks's TED Talk provided interesting insight into the "noise" and the flight-of-ideas that are cumbersome to someone diagnosed with chronic schizophrenia. In her account she tells of the events leading to her hospitalization for her illness, and the perception of others close to her in her life-however, this did not prevent her from achieving prestigious levels of success in academia and her career (Saks, 2012). The video by Feldman et al. (2020), provided a very in-depth and relevant overview of the issues faced previously by mental health professionals that are still relevant and impact how we provide treatment and practice to those individuals. This video really stimulated the complicated thought process surrounding each principle covered-duty to warn, duty to protect, confidentiality, privilege, abuse, and HIPAA (Feldman et al., 2020).
My own unconscious bias began to surface as she described the experience she had with her colleagues while she attended Yale and suffered her third psychotic episode. I started to assume that there was no way she could have continued and finished after spending five months in a psychiatric hospital. However, she did, she persevered and is now a prominent, successful author, professor, and trained Research Psychoanalyst (Saks, 2012). I realized I had deemed her incompetent of achieving success because she suffered with her mental illness, and this made me appreciate her testimony even more because it helped me gain insight that will help me grow and explore ways to overcome a bias I held. Despite individuals suffering with mental illnesses and complications that may arise with them, this does not set them automatically on a path for an unsuccessful life.
Identify the concept of 'dual relationship' and describes consequences or complications for the therapeutic relationship.
The consequences or complications that may arise within the therapeutic relationship between the client and the clinician involve the existence of relationships in multiple contexts that may threaten or "blur" the line of how a client may be treated or the crossing of ethical boundaries (American Association of Sexuality Educators, Counselors, and Therapists [AASECT], n.d.). A dual relationship refers to when the clinician and client retain a secondary or more relationship-whether that is a personal or business connection. This may create complications, especially in smaller or more rural areas, because the professional and social or personal relationship roles may not be clearly understood or upheld and this in turn may cause ethical or moral implications.
Identify/describe or compare/contrast privilege and confidentiality.
Privilege and confidentiality were discussed in depth in the Feldman's video, and although these terms are often used interchangeably, they are vastly different. Confidentiality is a term that refers to the responsibility of the clinician to keep any information they are given during therapy private and prevents the release of anything to third parties (Boland et al., 2021). Privilege refers to the right of the patient to prevent the disclosure of information from treatment in the event of judicial hearings (Boland et al., 2021). Need Assignment Help?
Identify/describe the subpoena process.
A subpoena is an order issued by a judge that requires someone to appear as a witness in court or at a deposition, and physicians or providers may also be served with a subpoena duces tecum (sdt) which requires that in addition they produce their documents or treatment records that are requested by an attorney representing a party to action (Boland et al., 2021). In reference to the protection of privilege afforded to patients, the patient may decline that the clinician provide the records or release their information even in the event that a sdt is ordered; however, this can be overridden only by a judge, but the judge must find that there is an absolute necessity for the privilege to be overridden (Feldman et al., 2020).