Question at position 12 Dr. Frazier serves on the admissions committee at a local college, and also sees clients in her outpatient private practice for psychotherapy. During an admissions meeting with her colleagues, Dr. Frazier notices that one of her clients from the practice has applied for the school program. Dr. Frazier is concerned that this person would be an irresponsible student and shares this opinion with the committee. What ethical principle has Dr. Frazier violated?Statements A, B, and C are all true regarding Dr. Frazier's behavior as a therapist.She violated confidentiality in sharing that the client was "irresponsible," but was within ethical guidelines in acknowledging the client's participation in therapy.She violated the client's confidentiality by revealing to her colleagues that the applicant is being seen in therapy.She disregarded the client's goal of being able to attend college.Dr. Frazier did not violate any ethical standards.单项选择题
A
Statements A, B, and C are all true regarding Dr. Frazier's behavior as a therapist.
B
She violated confidentiality in sharing that the client was "irresponsible," but was within ethical guidelines in acknowledging the client's participation in therapy.
C
She violated the client's confidentiality by revealing to her colleagues that the applicant is being seen in therapy.
D
She disregarded the client's goal of being able to attend college.
E
Dr. Frazier did not violate any ethical standards.

Question

Question at position 12 Dr. Frazier serves on the admissions committee at a local college, and also sees clients in her outpatient private practice for psychotherapy. During an admissions meeting with her colleagues, Dr. Frazier notices that one of her clients from the practice has applied for the school program. Dr. Frazier is concerned that this person would be an irresponsible student and shares this opinion with the committee. What ethical principle has Dr. Frazier violated?Statements A, B, and C are all true regarding Dr. Frazier's behavior as a therapist.She violated confidentiality in sharing that the client was "irresponsible," but was within ethical guidelines in acknowledging the client's participation in therapy.She violated the client's confidentiality by revealing to her colleagues that the applicant is being seen in therapy.She disregarded the client's goal of being able to attend college.Dr. Frazier did not violate any ethical standards.单项选择题

A

Statements A, B, and C are all true regarding Dr. Frazier's behavior as a therapist.

B

She violated confidentiality in sharing that the client was "irresponsible," but was within ethical guidelines in acknowledging the client's participation in therapy.

C

She violated the client's confidentiality by revealing to her colleagues that the applicant is being seen in therapy.

D

She disregarded the client's goal of being able to attend college.

E

Dr. Frazier did not violate any ethical standards.

BlackTom AI · Accepted Answer

Confidentiality and fidelity to a client’s treatment goals are the central ethical principles at stake here.

Relevant knowledge points:
- Therapists must protect client confidentiality: disclosure of identifying information or substantive information about a client’s treatment or character to third parties requires the client’s informed consent or a clear ethical/legal exception.
- “Substantive” disclosures (opinions about character, diagnosis, reliability) are more clearly breaches than minimal factual statements, but even factual confirmations of treatment status are generally protected unless consented to or legally required.
- Therapists owe a duty to support client goals and avoid actions that foreseeably harm those goals.

Step-by-step reasoning:
1. Dr. Frazier told the admissions committee that the applicant (who is also her client) would be an “irresponsible student.” That is an evaluative, substantive statement about the client communicated to third parties without consent. This is a breach of confidentiality and professional boundaries.
2. She also revealed to colleagues that the applicant is being seen in her outpatient practice (the committee now knows the applicant is in therapy). Even if the content disclosed was minimal, revealing that someone is a therapy client is normally confidential and requires the client’s consent except in narrow legal/ethical exceptions. Thus this disclosure also constitutes a confidentiality violation.
3. By discussing the client’s perceived unsuitability and thereby potentially harming the applicant’s chance of admission, Dr. Frazier acted contrary to the client’s goal of attending college and failed to protect the client’s interests.

Why the correct answer is correct:
- Statement A (she violated confidentiality by calling the client “irresponsible,” but acknowledging participation can sometimes be seen as a different category of disclosure) is intended to highlight that the evaluative comment was a clear breach while factual confirmations have different ethical status. The key point: the evaluative disclosure was unethical.
- Statement B (she violated confidentiality by revealing the client is being seen) is true because revealing client status to colleagues without consent is protected information.
- Statement C (she disregarded the client’s goal of attending college) is true because her comments could directly interfere with that goal.

Why other options are incorrect:
- Option 2 isolates a partial claim and implies acknowledging participation was ethically acceptable here; that is misleading because any disclosure without consent is problematic.
- Option 3 is true as a statement but omits the additional breaches and the harm to the client’s goals.
- Option 4 and 5 are false because they ignore the confidentiality breaches and the conflict with the client’s goal.

Conclusion: All three listed statements (A, B, and C) accurately describe aspects of Dr. Frazier’s unethical behavior; therefore the correct choice is that Statements A, B, and C are all true. This matches the provided answer.