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Irina, a 13-year-old girl of Arabic cultural heritage living in Boston, Massachusetts,<\/p>\n

was brought by her parents to a hospital emergency room after an assault by a<\/p>\n

stranger. Based on her injuries, the hospital staff suspected that the attacker had<\/p>\n

also sexually assaulted the girl, but she and her parents refused medical evaluations<\/p>\n

for rape. The family received a referral to see Janet Matthews, a clinical psychologist<\/p>\n

specializing in adolescent trauma. During their initial meeting with Dr. Matthews,<\/p>\n

the parents asked the psychologist not to discuss any sexual aspects of the assault<\/p>\n

with their daughter but to treat the psychological trauma from the assault in general.<\/p>\n

They told the psychologist that admitting a rape had taken place would cast a<\/p>\n

stigma on their daughter and make her ineligible to be married to men in their<\/p>\n

closely knit ethnic community. When asked in private, the girl also requested that<\/p>\n

sexual issues not be discussed for the same reason.<\/p>\n

Ethical Dilemma<\/p>\n

Dr. Matthews does not know if she should agree to the parents\u2019 and child\u2019s<\/p>\n

request.<\/p>\n

FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.<\/p>\n

NOT FOR DISTRIBUTION, SALE, OR REPRINTING.<\/p>\n

ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.<\/p>\n

Appendix B\u2014\u2014357<\/p>\n

Discussion Questions<\/p>\n

1. Why is this an ethical dilemma? Which APA Ethical Principles help frame the<\/p>\n

nature of the dilemma?<\/p>\n

2. Who are the stakeholders and how will they be affected by how Dr. Matthews<\/p>\n

resolves this dilemma?<\/p>\n

3. How might Irina\u2019s age and parents\u2019 involvement in the referral affect how<\/p>\n

Dr. Matthews can resolve this dilemma? How might state law on treatment<\/p>\n

of minors and HIPAA rules on access of guardians to a minor\u2019s health care<\/p>\n

records influence Dr. Matthew\u2019s decision? (See sections on \u201cA Word About<\/p>\n

HIPAA\u201d in the Preface of this book, on parental rights under Standards 3.10b,<\/p>\n

Informed Consent, in Chapter 6, and the Hot Topic at the end of Chapter 7<\/p>\n

\u201cConfidentiality and Involvement of Parents in Mental Health Services for<\/p>\n

Children and Adolescents.\u201d)<\/p>\n

4. What attitudes, knowledge, and skills are required to develop a culturally<\/p>\n

competent treatment plan for Irina (see the Hot Topic for Chapter 5<\/p>\n

\u201cMulticultural Ethical Competence\u201d)?<\/p>\n

5. Is Irina likely to benefit from the treatment if the possibility of sexual aspects<\/p>\n

to the trauma is not explored?<\/p>\n

6. How are APA Ethical Standards 2.01a, b, and c; 2.04; 3.04; 3.06; 4.01; 4.02;<\/p>\n

and 10.10a relevant to this case? Which other standards might apply?<\/p>\n

7. What are Dr. Matthews\u2019s ethical alternatives for resolving this dilemma?<\/p>\n

Which alternative best reflects the Ethics Code aspirational principles and<\/p>\n

enforceable standards, legal standards, and Dr. Matthews\u2019s obligations to<\/p>\n

stakeholders? Can you identify the ethical theory (presented in Chapter 3)<\/p>\n

guiding your decision?<\/p>\n

8. What steps should Dr. Matthews take to ethically implement her decision<\/p>\n

and monitor its effect?<\/p>\n<\/div>\n<\/div>\n

<\/div>\n

<\/div>\n<\/div>\n \n

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