NP0017 Handling Today's Hidden Ethical Dilemmas

This blog focuses on discussion regarding the course NP0017 Handling Today's Hidden Ethical Dilemmas.

NP0017, 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 popular 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 let us know what you think. What did Doherty discuss that was new to you? What was most interesting or relevant? 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.

03.08.2012   Posted In: NP0017 Handling Today's Hidden Ethical Dilemmas   By Psychotherapy Networker
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  • Not available avatar Shirley Hanson 03.08.2012 14:16
    I signed up for the ethics series to fulfill my own CEU requirements. I am enjoyed this course very much and since I do alot of supervision, I can pass some of this along to my supervisees. I just listened to Bill Doherty giving guidance related to termination. That is a first time I have ever heard a discussion about that. I will try to find what you wrote about that Bill. I enjoyed seeing you recently in Seattle. Thank you Bill and Rich. Shirley
  • 0 avatar Amanda Westmoreland 03.11.2012 19:11
    Valuable indeed! And I enjoyed seeing you in Louisville, KY several years ago. Termination (we called it discharge at my agency) was a very hot topic that created major division within my department (community-based for children with autism). Parents were often very upset every time termination was brought up mainly because their children (IP) would always need professional help in relation to meeting certain developmental milestones. Boundary issues were a constant theme throughout my supervision sessions as I tried to process my theory of change and explore my role as a therapist. My question Dr. Bill is this, how would you discuss your relationship with a client and their family when there is a lifelong disability and the family sees termination as cutting off their hope? And is there a way to have an agency-wide discussion on the meaning of termination that could create less division and more unity amongst therapists?
  • 0 avatar Gary Bailey 03.12.2012 11:00
    I very much appreciated the entire Ethics Training series. What I may have missed is a discussion related to therapist initiated termination based on agency or supervisor's clinical judgement when it is contrary to what is a clinical or ethically sound judgement by the clinician in charge. I served on my clinical social work licensure board for a number of years as a board member and then as an investigator. I also currently serve on an employee assistance licensure board. Finally, it would have been nice to have had excerpts from the various profession's ethical codes when referencing various topics. While I am a member of the APA, there were some NASW codes that were more specific in some circumstances.
  • 0 avatar John Lambdin 06.19.2012 21:18
    I enjoyed the session and found it refreshing to hear some clear thinking about what really happens in termination, instead of the usual text-book approaches. Bill has an easy way with difficult topics. I had hoped, however, that he would touch on the issue of the termination of "interminable" therapy which many older therapists must confront.
    Maybe another time?
  • -0.1 avatar Andrea Scott 06.27.2012 09:30
    I am interested in comments about writing notes to patients who simply stop coming. Is this ever appropriate and under what circumstances?
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