NP0009 Handling Today's Hidden Ethical Dilemmas

This blog focuses on discussion regarding the course NP0009 Handling Today's Hidden Ethical Dilemmas.

NP0009, Ethics, Session 4, William Doherty


Learn from veteran therapist William Doherty as he’ll delve into complicated ethical situations by showing video clips from the HBO series, “The Sopranos” and “In Treatment” to lead discussions on useful and unbeneficial ways to bring up terminations when clients are no longer benefiting from therapy. Doherty will explain the most common scenarios when termination is—or should be broached—and will go over strategies for initiating termination topic at the right time and in the right way. 

After the session, please take a few minutes to engage in the Comment Board and let us know what you think. What did Doherty discuss that was new to you? What struck you the most? We invite you to share your thoughts, questions, and revelations, as well as including your name and hometown with your comments.

If you have any technical questions, please feel free to contact support@psychotherapynetworker.org. Thanks for your participation.

09.15.2011   Posted In: NP0009 Handling Today's Hidden Ethical Dilemmas   By Psychotherapy Networker
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  • 0 avatar Norene Gonsiewski 09.20.2011 12:56
    I love Bill's wisdom, and although I also love the topic at hand, I wish Bill would give us an entire session on the ethics of couples counseling. I appreciate his candor in helping us to look at our reactions to the upset of the client. It is an important area to be able to model healthy communication, which includes validation.
  • 0 avatar Eileen Epstein 09.20.2011 13:05
    I didn't see the play button for the In Treatment clip. Overall, a very thoughtful and informative presentation.
    • 0 avatar Psychotherapy Networker 09.21.2011 09:15
      Hi Eileen,
      To view the "In Treatment" clip, you'll just need to scroll down on your screen and there's a separate viewing screen for it.
      To view the session again (and the clip), just log in to the website and find the course under the yellow Your Purchased Items tab on the menu bar. If you're having any issues with this, feel free to email support@psychotherapynetworker.org and they'll assist you. Thanks for your participation.
      -Psychotherapy Networker
  • Not available avatar VeLora Lilly 09.20.2011 13:18
    VeLora ,San Francisco
    Thank you for your thoughtful insights. I would like to hear more about how to terminate with long term clients when the therapist is retiring and the in session process with clients when a intern is leaving an agency due to time limits of their assignment. It is extremely hard to find relevent material on these matters. Thank you so much
  • 0 avatar Cynthia McKenna 09.20.2011 13:41
    I have the sense that this speaker knows tons and that this one hour format plus questions/guidance from Rich didn't allow him to pass on that knowledge. I really want to know more and I would suggest bringing him back for a 3 or 4 hour CE that is just him, and allowing his flow.
  • 0 avatar carole webb 09.20.2011 14:03
    What about the potential for "abandoning" the clent, if we initiate the termination discussion. The client may not hear the nuances of our discussion, and still walk away feeling abandoned?
  • 0 avatar Dale Blumen 09.20.2011 18:04
    I appreciate Bill's emphasis on early and ongoing evaluation of both the client-therapist relationship and progress toward client's goal(s). I've found the Client Directed Outcome Informed forms very helpful in this regard. At every session, I ask for client feedback re: progress using the Client Outcome Rating Scale (takes about 2 minutes for client's to rate). I graph these scores so we have a visual of the trajectory of change that helps track progress. And at the end of every session, I ask for relationship feedback using the Session Rating Form. This takes a lot of pressure off me, as the client evaluates his/her progress and their satisfaction with the relationship; their feedback opens up doors for collaboratively discussing topics like lack of progress - exploring alternative therapies and therapists - and allows for the possibility of "failing successfully." Using outcome measures also helps us stay focused and on the same page.
    Dale Blumen, Newport, RI
  • Not available avatar Liz Schoebs 10.29.2011 15:36
    This was an excellent discussion and presentation about the ethics of termination. The insights and suggestions are very helpful.
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