Psychoanalysis Ethical Standards and Practice 2

Question 1

A psychoanalyst discovers their patient is a close friend's spouse. The most ethical course of action is to:

Accepted Answer

Refer the patient to another qualified analyst

Answer

Continue treatment but document the dual relationship

Answer

Consult with a colleague but keep the patient

Answer

Disclose the relationship to the patient's spouse

Question 2

Which ethical principle is most directly violated when an analyst uses information shared in session to benefit themselves financially?

Accepted Answer

Fidelity

Answer

Beneficence

Answer

Non-maleficence

Answer

Justice

Question 3

When a patient asks to record their psychoanalytic sessions, the analyst's primary consideration should be:

Accepted Answer

The impact on free association and the analytic process

Answer

The cost of storage for the recordings

Answer

The patient's legal rights to documentation

Answer

Whether the request is covered by insurance

Question 4

An analyst begins experiencing strong romantic feelings toward a patient. The first ethical step should be:

Accepted Answer

Seek personal supervision or consultation

Answer

Immediately terminate treatment and refer the patient

Answer

Increase session frequency to work through countertransference

Answer

Disclose the feelings to the patient to maintain transparency

Question 5

Under what circumstance may an analyst breach confidentiality without the patient's consent?

Accepted Answer

When there is imminent danger to an identifiable third party

Answer

When a family member expresses concern about the patient

Answer

When the patient discusses illegal past behavior

Answer

When the analyst is conducting peer consultation

Question 6

A patient brings the analyst an expensive gift at the end of treatment. The most clinically and ethically appropriate response is to:

Accepted Answer

Refuse it and explore the meaning of the gesture analytically

Answer

Accept it graciously to avoid harming the therapeutic relationship

Answer

Accept it only if the monetary value is below a set threshold

Answer

Donate it to charity on the patient's behalf

Question 7

Which of the following best describes the analyst's obligation regarding informed consent?

Accepted Answer

Patients should be informed of the nature, risks, and alternatives to treatment

Answer

Informed consent is only required for research participants, not clinical patients

Answer

Consent must be obtained once at intake and is valid for the entire treatment

Answer

Informed consent is implied when a patient voluntarily seeks treatment