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7 Misconception about boundaries - CORRECT ANSWER: #1: "I want to be natural with
clients; boundaries create barriers."
#2: "I'll just use my common sense"
#3: "I've learned technique, and that's all I need to know"
#4: "I don't need to know anything about psychological dynamics;
I'm not a psychotherapist."
#5: "I have needs, too."
#6: "My connection with my clients is through the healing energy in my hands,
and that's what's important."
#7: "But I know practitioners who are careless about boundaries and still
are successful."
Absolute non negotiable ethical standards - CORRECT ANSWER: 1. Confidentiality
2. Scope of practice
3. Record Keeping or fraud
4. Verbal or physical abuse
5. Draping and informed consent
6. Sexual relationships or sexual harassment
7. Impaired client or practicing under the influence
8. Treatment, Environment and Hygiene
Bartering - CORRECT ANSWER: Exchanging a manual therapy session for goods or
services other than another manual therapy session
,Basic Session Framework - CORRECT ANSWER: - Clients know what to expect & what
is expected of them
- Sessions start and end on time
- Sessions occur at the same time and place at regular intervals
- Nothing interrupts a session
- Avoid discussing treatment with clients outside office
- Carefully safeguard client's rights to privacy and confidentiality
- Don't ask Clients to attend to your needs
Boundaries - CORRECT ANSWER: a boundary is like a protective circle around the
professional relationship that separates what is appropriate within that relationship from
what is not.
Client's passivity - CORRECT ANSWER: - Rarely express unhappiness with what we're
doing
- Don't speak up when we make them uncomfortable
- Power difference can be exaggerated by certain circumstances: A male therapist
working on a female client, A client who is in crisis
Clients Asking Personal Questions - CORRECT ANSWER: - Consider carefully how you
respond
- Avoid giving more information than client needs or than you want to reveal about
yourself
- If you don't know why a client is asking a question & are uncomfortable answering say,
"I'm curious why you're asking."
- Turn focus back on client in a friendly way
- If client is just trying to make polite conversation, clarify that he or she can just relax &
focus on his or her own concerns
Clients Asking Questions Outside Your Scope of Practice - CORRECT ANSWER: - Be
willing to say, "I don't know"
, - Say, "Sorry, but I don't have training in that area."
- Don't pretend to know more than you do
- Clients will appreciate your honesty
- Showing that you honor your limits helps them trust you
- Acknowledging your own limits is freeing to you, too
Clients Who Are Demanding - CORRECT ANSWER: - Don't take their behavior
personally
- Avoid negative countertransference
- Keep in mind clients may be acting out of fear from past trauma
- Responding with impatience or difficulty might only reinforce their fears
- Acknowledge client's dissatisfaction
- Let them know you are doing your best & ask what else you can do to help them
Code of Ethics (https://cmtbc.ca/law-standards/code-of-ethics/) - CORRECT ANSWER:
- Duty to patients
- Duty to public
- Duty to the professions
- Duty to oneself
- Practicing if impaired prohibited
- Sexual Conduct prohibited
- Guarantees of Cure prohibited
- Conflict of interest
Common problems with
dual relationships - CORRECT ANSWER: - Becoming friends with clients
- Working with friends and relatives
- Mixing social occasions with work