NRNP 6650: Psychotherapy With Groups and Families

8 hours ago

Idalmis Espinosa 

Week 1- Main discussion

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NRNP 6650: Psychotherapy With Groups and Families

Initial post

HIPPA is an act that is used to guide the practices of the nurses in the group and family therapy. It requires considerations of the ethical and legal aspects like the confidential information of the patient based on the guidelines of HIPPA. The discussion of this paper is therefore aimed at looking at the variations in the legal and the ethical aspects concerning family and individual therapy and how these variations can affects the therapeutic approaches for the patients in the group and family therapy (Wheeler, 2014).

The differences in the legal and ethical considerations for the group and family therapy and the individual therapy

The ethical considerations in the group therapy are focused on the family system therefore it is based on the relationship. There are some ethical and legal considerations to be made and they are focused on responsibility, informed consent, and confidentiality. The differences in the ethical consideration in group and family therapy and individual therapy are on the responsibility.  It is the responsibility of the therapists to consider the interest of the parties while creating interventions since the group and the family therapy is always characterized with several dilemmas as opposed to individual therapy. A therapeutic plan for the family or group involves some conflicting objectives and different interests from the parties involved. This is contrary to individual therapy where the therapist is motivating the clients to exhaust the potential ramifications of their actions (Nichols & Davis, 2020).

The individual therapy and the group and family therapy also differ in terms of the content of the interactions. Individual therapy is characterized by the process whereby a single patient is talking about his or her feeling and there is higher maintenance of privacy. On the other hand, the group or family therapy is involving two or more individuals and there is no observation to the privacy and it is possible to criticize the individual perception thus making another person have a feeling that his or her feelings are not being considered or respected (Nichols & Davis, 2020).

There is a lower level of confidentiality in the group or family therapy as compared to individual therapy. This is contrary to the promises being made during the therapeutic process that there is higher maintenance of confidentiality. Therefore, there are higher chances of breaching confidentiality in group and family therapy as compared to individual therapy.

Based on the legal perspectives, the two therapies require informed consent before the start of the therapeutic procedure. In the family or the group and individual therapy, it is expected that the therapists explain the dos and the don’ts of the session, the objectives, and the expected outcome after the therapy lesson. The client is expected to sign a confidential form before the start of the program (American Psychiatric Nurses Association, 2014).

The impact of the differences on the therapeutic approaches for the clients in the group or family therapy

Individual therapy is more likely to be successful as compared to group and family therapy. This is basically due to the greater observation of the privacy and confidentiality of the information shared during the treatment. Therefore, these differences concerning confidentiality are likely to affect the overall outcome of the patients in the group and family therapy due to a high possibility of failure to reveal the detailed information by the clients as a result of fear of his or her secrets being shared with other people. There is some confidential information that might play an important role in the success of the group and family therapy. Nevertheless, due to the fear of poor confidentiality during the therapeutic process, the client might choose not to share such information thus making the entire therapeutic process not to be successful. It is also possible that the group and family therapy might not end due to the withdrawal of the client. This is because a client might consider the group to be disrespectful and sharing their private information with others (Wheeler, 2014).

 

 

References

American Psychiatric Nurses Association. (2014). Psychiatric Mental Health Nursing. Silver Spring, Maryland.

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7 ed.). Boston, MA: Pearson.

Wheeler, K. (2014). Psychotherapy for the advanced practice psychiatric nurse (2 ed.). New York, NY: Springer Publishing Company.

 
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