Ebook Red Flags in Psychotherapy: Stories of Ethics Complaints and Resolutions, by Patricia Keith-Spiegel
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Red Flags in Psychotherapy: Stories of Ethics Complaints and Resolutions, by Patricia Keith-Spiegel
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This book delves into risks that can easily bedevil any psychotherapist and what can happen if they are ignored. Dramatic storytelling, based on actual incidents from the author’s experiences as a member of ethics committees and as an ethics teacher and consultant, explores actions prompting clients to issue formal complaints. Set in the context of an ethics committee meeting over the course of a weekend, twelve psychologists face their peers who will stand in judgment. Issues include the fallout from losing one’s temper with a difficult client, a personal disclosure gone terribly wrong, a bartering arrangement that literally falls apart, a private life revealed in a most public way, a vengeful act that sullies the reputation of an entire department, breaking confidentiality when a client threatened harm, and the slippery slope to sexual exploitation.
The stories are absorbing, enlightening, sometimes shocking, and often stranger than fiction. Narrative nonfiction puts human faces and emotions on what would otherwise be cursory statistics. What led to the formal complaint from both the vantage point of the complainant and the psychologist offers insights not otherwise available unless the dynamics of their private lives leading up to the conflict are revealed. An author’s commentary and discussion questions follow every story. Both new and seasoned practitioners, as well as those still in training, will find this to be an invaluable resource.
- Sales Rank: #996465 in Books
- Published on: 2013-09-19
- Original language: English
- Number of items: 1
- Dimensions: 8.90" h x .60" w x 5.90" l, .0 pounds
- Binding: Paperback
- 264 pages
Review
'Keith-Spiegel has used her skills and experience well. Red flags in psychotherapy opens the debate on these important issues, and describes just how easily well-meaning therapists can get caught out. There is though one further key point: namely that therapists with a capacity and willingness to reflect on their own, within supervision and with peers, can and do protect their clients and themselves. Beware of thinking this book
is not for you. Just thinking that you do not need it proves that you do!!' - Lesley Haswell, Metanoia Institute,British Journal of Guidance and Counselling
' All in all, even as the evidence is not wholly consistent, Marks makes a strong case for the dominant and increasingly dominant role of achievement in the allocation process. This argument does not mean that this trend will inexorably continue, that ascription does not condition chances for achievement, or that there are no persisting and significant inequities. Gender? Race? Yet to those who deny the relatively large impact of achievement and the “decline of the social,” the gauntlet is down.'- Paul Kingston, Chicago Journals
"This superb book by Professor Keith-Spiegel, one of our preeminent ethicists, gives us what so many ethics texts lack: real people facing real problems in the messiness of real life. She shows us ourselves without our make-up; holds up the mirror to our complex motivations and blind spots; and opens the door to a living ethics. This unique and invaluable book should find its way not just into each ethics curriculum and every psychologist's library but into our minds as we face each day's ethical challenges." - Kenneth S. Pope, PhD, ABPP, Diplomate in Clinical Psychology
"Through real life, visual details, and ordinary daily struggles, Patricia Keith-Spiegel presents stories that open the heart to understanding the ethical challenges, blind spots, red flags, and impairments found in the practice of psychotherapy and those who practice. This is an excellent resource for teaching ethics." - Jane Warren, PhD, LPC, LAT, LMFT, Assistant Professor, University of Wyoming
"Patricia Keith-Spiegel has given every psychotherapist a gift – an engaging, powerful, and helpful discussion of the ethical issues they will face in their practices, if they haven’t already. If you are thinking about putting this book back on the shelf – don’t. You owe it to yourself and to your clients to read this book, learn the red flags in psychotherapy, and take its message to heart." - Anthony R. Pratkanis, PhD, Professor, University of California, Santa Cruz; co-author Age of Propaganda and Weapons of Fraud
‘The cases are presented from the perspective of those who have violated the ethics code and those sitting on the panel, providing narratives and information on how the decisions were made, bringing seemly abstract concepts into real life situations, taking in details that decide the penalties issued, if any. Each chapter concludes with thought-provoking questions to aid reflection for anyone with interests in psychology, regardless of their background and experience.’ – Kathy Williams, Assistant Psychologist in Learning Difficulties and Adult Mental Health
"The members of the fictional ethics committee are a mixed but likeable group. Their initial, sometimes quite emotional responses are quickly channelled towards a clear and logical conclusion. The humour can be surprisingly appropriate in context. Overall, the committee acts professionally but with heart, demonstrating considerable empathy and compassion. Written for psychologists and psychotherapists in the US, the ethical dilemmas and the way they are investigated are equally relevant to therapists working in the UK. Despite its US focus, I would highly recommend it." – Angela Cooper, BACP senior accredited supervisor, therapytoday.net
"I recommend this book highly. It is a quick and interesting read, its cases are drawn from real life, and it is full of practical wisdom. For better or worse, we typically teach ethics to graduate students who lack sufficient experience to find ethical reflection and rules highly relevant. It is not entirely clear that we can learn from the experiences of others―but it sure seems worth a try." – James DuBois, PsycCRITIQUES
About the Author
Patricia Keith-Spiegel, PhD, is the Voran Honors Distinguished Professor of Social and Behavioral Sciences Emerita at Ball State University, where she was the director of the Center for Teaching Integrity. She was a member of the Ethics Committee of the California State Psychological Association and was also on the Ethics Committee of the American Psychological Association for six years, serving two terms as Chair.
Most helpful customer reviews
7 of 8 people found the following review helpful.
An entertaining and informative ride in psychotherapy
By Don Hoernschemeyer
The beautifully written introduction gave me a good sense of the structure of the book, and the style carried me along, looking forward to what lay ahead. The chapter on Junk Yard Therapy wove multiple life roles into a story that had me laughing aloud. The story in chapter five (the John) makes abundantly clear that therapists are not immune to human foibles, particularly when they have an emotional blank spot in their psyche, or they are sexually dissatisfied. Many of us men can relate to this story even if we are not psychotherapists. In a mere ten pages in the chapter, Baby Steps Off a Cliff, the reader gets a crystal-clear picture of a therapist-client relationship gone far astray. This chapter could be made into an excellent 30 minute TV episode. The Star Catcher chapter beautifully developed the personality of the therapist and captured and held my interest. This story conveyed to me the fact that psychotherapy must be difficult profession, with innumerable ways of going wrong. In the last chapter I especially liked the sentence, "Her thoughts were like debris in the wind." Wonderful! It is a short story, powerfully told.
8 of 10 people found the following review helpful.
Ethics Wisdom Crafted to Come to Mind When You Need it Most
By Jerome E. Paul
Rarely is a book so accessible and entertaining, while it so thoroughly satisfies the rigors of graduate-level academia and the ongoing needs of professional practitioners. Yes, Red Flags in Psychotherapy by Dr. Patricia Keith-Spiegel is an ethics textbook by someone with first-rate, orthodox credentials. However, it clearly is not your grandma’s ethics textbook: it features twelve decidedly colorful and entertaining short stories which seized my interest as do the best works of fiction. You might expect that such a competently and authoritatively written ethics text might be dry and full of “Don’t do this!” and “Don’t do that!”, but instead I found myself living the unusual lives of the characters, feeling their feelings and wrestling with their dilemmas. Thus, the lessons I have learned are now deeply and firmly implanted in my viscera.
These are not just stories of the misdeeds of psychotherapists. For one thing, sometimes said therapists were not so much “guilty” as faced with an intractably problematic client. Secondly, I was particularly drawn in by the multi-faceted nature of each story: the pre-stories of each client and each therapist, the story of how therapy unfolded, the story of what happened behind the closed doors of the ethics review board, and the stories of the characters’ lives thereafter. Thirdly, the author skillfully managed our point of view to reveal the characters’ private thoughts and feelings, including the personal, colloquial and downright whacky--showing, for instance, how idiosyncratic and human ethics board members can be.
Each story is accompanied by several sections which provide academic rigor and increase the breadth of the subject matter:
• a brief introduction
• comment on the case
• comment on similar cases, the general field, and/or what official ethics codes say
• discussion questions which both engage and test the reader (I pondered these at some length, just out of human interest. I was fascinated by many of the questions, which often were not black-and-white, but matters of degree. In a classroom setting they would serve well for discussion, homework and testing.)
• a hefty bibliography
• suggestions for additional reading
The introduction fairly shocked me as to how easily mundane matters can give rise to major ethics problems. It is not to be skipped. Although the word “Psychotherapy” appears in the title, much of the wisdom in Red Flags could greatly benefit purveyors of goods and services of many kinds.
You don’t just read Red Flags. You are taken on a highly memorable journey of the emotions, with humor, color and masterful, lingering questions. This book is pivotal: seize it to keep yourself blissfully out of trouble.
8 of 10 people found the following review helpful.
Great inside stories, fun read, but not enough depth
By Aimee Yermish
As a clinical psychologist, I am always thinking through everyday clinical dilemmas which I know have the potential to blow up into crises and ethical complaints. In the forward to this book, the authors discuss their goals: (1) to present stories that show the gradual step-by-step slips that become compounded into problems, to help clinicians become more attuned to the early decisions we all make that may seem innocuous at the time but which create risks down the line. (2) to present stories that do not evoke the usual, "Well, *that* person was clearly evil or stupid or horrible, but *I* would *never* do something like that," defense which tends to blind us to the possibility that we might very *well* get drawn down those paths. It's important for us to realize that no one gets up in the morning planning to act unethically. That's what got me to buy the book -- I wanted to develop more empathic understanding so that I could better understand my own areas of risk.
Of the twelve stories cited, I have to say that three of them fell well short of the second goal -- the violations were so massive and we were brought in only at the end of the story, when the clinician had gone way past anything that could possibly be seen as reasonable (one probably should have been screened out before licensure, the other two were chronic and intentional offenders). The reader did not get the chance to see in those cases how someone who started out as an honestly well-meaning clinician might, over time, have gotten from here to there, so it was very difficult to see them as the intended cautionary tales.
The book was a fun and pleasant read -- I blew through it in a couple of hours, and I'm glad I read it. I particularly appreciated hearing some of the inside story about how the board made its decisions. But I really found myself wanting more of the information that would have served the authors' first goal. I remember one of my professors in graduate school telling with great empathic detail how one type of ethical-screwup story tends to evolve (from her own experience adjudicating ethical complaints) -- it didn't take many more words than were used in the stories in this book, but evoked much more clearly the gradual sense of, "It seemed like a good idea at the time, it seemed like it wasn't going to cause any harm, one step leads to an effort to cover it up which leads to the next step..." The book could easily have been more informative without overshooting the reading level of the professional audience, and I would have appreciated more of the story that led up to the therapist getting the letter so that I could better calibrate my own thoughts.
That said, I think it was a worthwhile read and I do recommend it.
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