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PY 570 Systems of Psychotherapy — Week 1 Ethics Paper

THERAPEUTIC RELATIONSHIP  ·  INFORMED CONSENT  ·  CONFIDENTIALITY  ·  DUAL RELATIONSHIPS  ·  APA FORMAT

How to Answer All Three Questions

Three questions. Two to three pages. One source minimum. APA format. The Week 1 ethics paper for PY 570 looks manageable on paper — until you realise each question has multiple sub-parts that need real clinical grounding, not just textbook definitions. This guide walks through how to approach each one without padding your word count with generalities.

9–12 min read Graduate Psychology / Counseling PY 570 — Systems of Psychotherapy 2–3 page APA paper

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Guidance for graduate-level counseling and psychology ethics papers. Ethical standards referenced from the APA Ethics Code (2017). Confidentiality and dual relationship principles drawn from standard counseling ethics literature and the ACA Code of Ethics.

Ethics papers in graduate psychology programs aren’t testing whether you can define terms. They’re testing whether you can think like a clinician — someone who has to make real decisions with real consequences. The Week 1 paper sets the tone for the whole course. Get it right by treating each question as a clinical reasoning exercise, not a vocabulary drill. Here’s how to do that for each of the three prompts.

Assignment Requirements Question A: Therapeutic Relationship Question B: Informed Consent & Confidentiality Question C: Dual Relationships APA Format Tips Common Mistakes Source Strategy

Assignment Requirements at a Glance

Before you write a word, make sure you’ve read the submission rules. They’re specific. Times New Roman, 12-point, double-spaced, one-inch margins. Two to three pages — not one and a half, not four. APA format throughout, with at least one published source (textbook, peer-reviewed journal, or credible website). Lose marks on formatting and you’ve already made the paper harder than it needs to be.

Week 1 Paper Checklist

Q(a) — Ethical tasks in establishing a new therapeutic relationship — Multiple tasks, not one. Think through the sequence of ethical responsibilities a clinician carries from the very first contact with a new client.
Q(b) — Informed consent content + confidentiality limitations — Two sub-parts in one question. Both need substantive treatment. Don’t write three sentences on consent and call it done.
Q(c) — Define dual relationship + explain how it causes harm — Again, two parts. The definition alone won’t earn full marks. The harm analysis is where the clinical reasoning shows.
2–3 pages, APA format, minimum 1 source — The word count is the body of the paper. References page doesn’t count toward the page length. Use a peer-reviewed source or your course textbook — don’t rely on a website alone.
Times New Roman 12pt, double-spaced, 1-inch margins — no exceptions — The assignment sheet says “no exceptions.” Adjust your Word settings before you start typing, not after.
3 Prompts to Address (with sub-parts)
2–3 Pages Required (body only)
1+ Published or Peer-Reviewed Sources

Q(a): Ethical Tasks When Establishing a New Therapeutic Relationship

The question asks about “some of the ethical tasks” — plural, and qualified. That’s intentional. There isn’t one task. There’s a sequence of them. The paper isn’t asking you to list everything in the APA Ethics Code. It’s asking you to identify the key ethical responsibilities a therapist holds from the moment a new client relationship begins.

How to Approach This Question

Think in Sequence, Not in a List

The strongest answers organize the ethical tasks in the order a clinician would actually encounter them — before the first session, during it, and as the relationship develops. Pre-session tasks include things like assessing competence (is this client population within your training?), checking for conflicts of interest, and preparing disclosure documentation. First-session tasks include the informed consent process, establishing professional boundaries, and screening for dual relationship risks. Ongoing tasks include documentation, supervision consultation, and boundary monitoring.

Ethics Code anchor points: APA Ethics Code Section 3.10 covers informed consent. Section 2.01 covers boundaries of competence. Section 3.05 covers multiple relationships. Section 10.01 covers informed consent in therapy specifically. You don’t need to cite every section number, but knowing them helps you write with precision.

Pre-Relationship Ethical Tasks

  • Competence assessment — Is the presenting issue within your training and supervision scope?
  • Conflict of interest screen — Do you know this person from another context?
  • Disclosure statement preparation — Credentials, fees, cancellation policy, emergency procedures, confidentiality limits
  • Insurance/billing transparency — Will a third party receive clinical information?
  • Referral readiness — If you can’t take this client, do you have an appropriate referral available?

First-Session and Ongoing Ethical Tasks

  • Informed consent process — Not just signing a form. A genuine conversation about what therapy involves
  • Boundary establishment — Clear communication about the nature of the professional relationship
  • Risk assessment — Safety screening for self-harm, suicidality, harm to others
  • Mandatory reporter obligations — Identify and disclose reporting duties from the outset
  • Documentation — Beginning the clinical record; consent forms, intake notes, session records
  • Cultural competence — Assessing whether you have the cultural knowledge to serve this client effectively
Don’t Just List Tasks — Explain the Ethical Rationale

The assignment says “ethical tasks,” not “intake procedures.” The distinction matters. For each task you mention, the paper should briefly explain why it’s an ethical obligation — what harm it prevents, what principle it upholds, or what code section it reflects. “Conducting a competence assessment” becomes much stronger when you add: because practicing outside your competence area exposes the client to risk of harm and violates the principle of beneficence.

Informed consent is not a form. That’s the most common mistake students make with this question. The form is the documentation. The consent is a process — an active communication between therapist and client about what they’re agreeing to. Your paper needs to reflect that distinction.

Components of Informed Consent in Psychotherapy

Seven Elements the Literature Consistently Identifies

The core components of informed consent are well-established in ethics literature and the APA Ethics Code. Your paper should address: (1) the nature of the treatment — what therapy involves, what the therapist’s orientation is, what a typical session looks like; (2) goals and methods — what the therapeutic approach aims to achieve; (3) risks and benefits — therapy can be uncomfortable, change can be disruptive; (4) alternatives — other treatment options that exist; (5) confidentiality and its limits — this bridges directly into the second part of Q(b); (6) fees, cancellation policy, and administrative matters; and (7) the client’s right to withdraw consent at any time without penalty.

Critical point: Informed consent requires the client to actually understand what they’re agreeing to. APA Ethics Code Section 10.01(a) specifies that therapists must use “language that is reasonably understandable” to the client. That means adjusting for reading level, cultural context, and cognitive capacity. Mention this — it’s a detail that distinguishes a clinical answer from a textbook regurgitation.
Informed Consent Element What It Covers Why It’s Ethically Required
Nature of treatment What psychotherapy is, what sessions involve, therapist’s theoretical orientation Client autonomy — they can’t agree to something they don’t understand
Goals and methods Therapeutic objectives, approaches used, expected timeline Respects self-determination; allows the client to evaluate fit
Risks and benefits Potential discomfort, emotional distress, life changes; anticipated therapeutic gains Honest disclosure prevents later claims of misrepresentation
Alternatives Other treatment options (medication, group therapy, self-help, no treatment) Informed choice requires knowing what else is available
Confidentiality and limits What is protected; what is not (see Q(b) Part 2) Sets accurate expectations and trust from the start
Fees and administrative policies Session cost, cancellation policy, insurance, billing procedures Avoids exploitation; clarity prevents later disputes
Right to withdraw Client can terminate at any time without penalty Consent must be voluntary and ongoing — not a one-time signature

Q(b) Continued: What Are the Limitations of Confidentiality?

This is where students often go vague. “Confidentiality has some limits by law” is not an answer. Name the limits. Explain the legal and ethical basis for each. That’s what the question is asking for.

The Core Exceptions to Confidentiality

These Aren’t Optional — They’re Legal and Ethical Mandates

Every practising therapist knows these. Your paper should demonstrate that you do too. The major exceptions are: duty to warn/protect (the Tarasoff obligation — when a client poses a serious threat to an identified third party), mandatory reporting of child abuse, mandatory reporting of elder or dependent adult abuse, court-ordered disclosure, serious and imminent risk of harm to self (varies by jurisdiction but generally overrides confidentiality in emergencies), and incapacity situations where disclosure is necessary to protect the client.

The Tarasoff connection: Tarasoff v. Regents of the University of California (1976) is the landmark case that established the duty to warn. If your professor assigned any reading on confidentiality limits, Tarasoff is almost certainly referenced. It’s appropriate to mention it by name in a graduate-level ethics paper — it shows you understand where the legal obligation comes from, not just that it exists.
Duty to Warn / Protect

Tarasoff Obligation

When a client makes a credible, serious threat against an identifiable third party, the therapist has a duty to protect that person — which may include warning them and/or notifying law enforcement. Confidentiality yields to safety.

Mandatory Reporting

Child and Elder Abuse

Mental health professionals are mandatory reporters in all US states. Reasonable suspicion of child abuse, neglect, or exploitation — and in most states, elder/dependent adult abuse — must be reported to the appropriate authority regardless of client consent.

Court Orders

Legal Compulsion

A valid subpoena or court order can compel disclosure of otherwise protected records. Therapists should inform the client when they receive such orders, consult legal counsel when appropriate, and disclose only what the order specifically requires.

Imminent Self-Harm Risk

Emergency Disclosure

When a client presents an imminent and serious risk of harm to themselves, most jurisdictions permit (and ethically require) disclosure to emergency services or family members — even without the client’s consent. The threshold is imminent and serious, not every expression of suicidal ideation.

Insurance and Billing

Third-Party Payers

When insurance is involved, some clinical information must be shared with the insurer — diagnosis, treatment type, session dates. This is a confidentiality limit clients often don’t anticipate. It must be disclosed during informed consent.

Supervision and Consultation

Professional Consultation

Therapists discuss cases with supervisors and consultants. This is ethically permitted — and often required for trainees — but clients should be informed that their case may be discussed in a professional consultation context.

Key Source for Confidentiality Limits

The APA Ethics Code (2017) — specifically Standard 4 (Privacy and Confidentiality), Sections 4.01 through 4.07 — is the primary source for confidentiality obligations and exceptions in professional psychology. Cite it directly. If your program uses the ACA Code of Ethics (counseling), Standard B covers confidentiality in a similar structure. Using the actual code rather than a secondary paraphrase strengthens the paper significantly.

Q(c): Defining Dual Relationships and How They Cause Harm

Two parts. A definition first, then a harm analysis. Students who only write the definition get partial credit. The harm analysis is where most of the analytical weight sits — and where your paper has room to show real clinical reasoning.

How to Define a Dual Relationship

Not Just “Two Roles” — The Power Dynamic Is the Issue

A dual relationship (also called a multiple relationship) occurs when a therapist has a professional role with a client and simultaneously has another, distinct relationship with the same person — or someone closely related to them. The secondary relationship can be social (friends), financial (business partners), sexual, supervisory (you supervise their spouse), familial (a distant cousin), or community-based (same small religious congregation). The APA Ethics Code Section 3.05 defines multiple relationships and specifies that they are ethically problematic when they risk impairing the therapist’s objectivity, competence, or effectiveness — or when they risk exploiting or harming the client.

Clarify the distinction: Not all multiple relationships are automatically unethical. Rural and small-community settings often make some overlap unavoidable. The APA Ethics Code acknowledges this. What makes a dual relationship ethically problematic is the risk of harm, impaired objectivity, or exploitation — not the mere existence of two roles. Your paper should reflect this nuance rather than treating all dual relationships as equally impermissible.
How Dual Relationships Cause Harm

Three Distinct Harm Pathways

The harm analysis is where your paper distinguishes itself. There are three distinct ways dual relationships damage the therapeutic enterprise. First, they impair therapeutic objectivity — a therapist who socializes with a client has difficulty confronting that client’s avoidance patterns without risking the friendship. Second, they exploit client vulnerability — clients in therapy are often in a state of heightened emotional dependence; a therapist who enters a financial or sexual relationship with a client is leveraging that vulnerability for personal gain, whether or not they consciously intend to. Third, they can damage the client’s ability to trust future therapeutic relationships — a client harmed by a boundary violation often becomes hypervigilant and avoidant in subsequent treatment, compounding the original harm.

Use a concrete scenario: Abstract harm analysis is weaker than scenario-grounded reasoning. Pick one type of dual relationship — say, a therapist who becomes social friends with a client after sessions — and trace the specific harm pathway. How does that secondary relationship affect transference? How does it compromise the therapist’s ability to challenge the client? How does it change the power balance? That level of specificity is what a graduate-level paper requires.

Types of Dual Relationships Most Discussed in Ethics Literature

  • Sexual or romantic relationships with current or recent clients — always unethical; APA prohibits sexual contact with current clients and former clients within 2 years of termination (and often beyond)
  • Social relationships — becoming friends, accepting social invitations, following clients on social media
  • Financial relationships — business partnerships, accepting non-monetary payment (bartering), investments
  • Supervisory/evaluative conflicts — providing therapy to someone you also supervise, teach, or evaluate
  • Community or religious overlap — shared membership in small faith communities, cultural organizations, or social groups

The Harm Framework — What to Address in Your Paper

  • Impaired objectivity — secondary relationships make it harder to maintain therapeutic neutrality
  • Power imbalance exploitation — the therapist holds institutional and relational power; dual relationships can weaponize that asymmetry
  • Transference complications — secondary relationships contaminate the therapeutic container that makes transference work productively
  • Client reluctance to raise concerns — a client who is also a friend may avoid challenging the therapist or raising dissatisfaction
  • Downstream trust damage — ethical violations harm not just this client but their future therapeutic relationships

Structuring the Paper Across 2–3 Pages

Two to three pages at double spacing with one-inch margins is roughly 500–750 words of body text. That’s not a lot. You can’t be exhaustive — you have to be precise. Every sentence needs to earn its place.

A Workable Page Distribution

Allocate Space Before You Start Writing

A rough working structure: approximately half a page on Q(a) — three or four ethical tasks with brief rationale for each. About three-quarters of a page on Q(b) — one paragraph on informed consent components (you can use the seven elements as an organizing frame), one paragraph on confidentiality limits (name the major exceptions). About half a page on Q(c) — a clear definition paragraph, then a harm analysis paragraph that uses a specific example or scenario. That gets you to two pages of solid content. A short introductory sentence or two and a concluding sentence round it out without padding.

Don’t pad. Students who are running short on word count often repeat themselves or add general statements about “the importance of ethics in therapy.” Your professor can see this. Use that space to add another concrete example or a sentence connecting your discussion to a specific ethics code standard.
Don’t Write Three Separate Mini-Essays

The three questions are related. Informed consent (Q(b)) is one of the ethical tasks in establishing a therapeutic relationship (Q(a)). Dual relationships (Q(c)) are part of why boundary-setting is an ethical task from day one. If your paper can acknowledge these connections briefly — a sentence linking Q(b) back to Q(a), or noting that part of the informed consent process involves discussing the limits of the professional relationship — it reads as integrated clinical thinking rather than three disconnected question-and-answer blocks.

APA Format Requirements

The assignment specifies APA format with no exceptions. That covers both in-text citations and the references page. Here are the specifics you need to get right.

In-Text Citations

Author-Date Format

Every claim that comes from a source — a definition, a list of elements, a legal standard — needs an in-text citation at the point of the claim. Format: (Author, Year) or Author (Year) depending on sentence construction. For direct quotes, add the page number: (Author, Year, p. X).

APA Ethics Code Citation

Correct Reference Format

American Psychological Association. (2017). Ethical principles of psychologists and code of conduct (2010, amended effective June 1, 2010, and January 1, 2017). https://www.apa.org/ethics/code

Formatting Rules

What the Assignment Specifies

Times New Roman, 12-point, double-spaced, one-inch margins on all sides. APA 7 also requires a title page (title, author, institution, course, instructor, date) and a running head is optional in student papers under APA 7. Check with your professor on title page expectations.

Source Strategy for This Paper

One source minimum. In practice you’ll need at least two to cover the ground the paper requires — one for informed consent and therapeutic relationship ethics, one for dual relationship analysis or confidentiality standards.

Where to Look

The APA Ethics Code is your primary source and it’s freely available at apa.org/ethics/code — cite it as a primary source, not through a secondary reference. Your course textbook (likely Prochaska & Norcross’s Systems of Psychotherapy or a counseling ethics text like Corey, Corey & Callanan’s Issues and Ethics in the Helping Professions) counts as a published book source and is appropriate to cite. For peer-reviewed journal articles, search PsycINFO for “multiple relationships therapy ethics” or “informed consent psychotherapy” — filter for full text, peer-reviewed, last 10 years. The Ethics & Behavior journal and Professional Psychology: Research and Practice are good starting points. The ACA Code of Ethics is also citable if your program has a counseling orientation.

Mistakes That Cost Marks

Defining Without Reasoning

Writing “informed consent means the client agrees to treatment” and moving on. Definitions alone don’t demonstrate clinical understanding. The paper needs to show you understand why each element exists — what it protects against.

Definition + Ethical Rationale

Name the element, explain what it covers, then explain why it’s ethically required — what principle it upholds (autonomy, beneficence, nonmaleficence) or what harm it prevents. That two-sentence structure works for every component.

Missing the Confidentiality Sub-Part

Q(b) has two parts — informed consent content AND confidentiality limitations. Students who spend most of Q(b) on consent and tack on one sentence about confidentiality lose marks on the second sub-part.

Equal Treatment of Both Sub-Parts

Split Q(b) roughly evenly. A paragraph on informed consent components, a paragraph naming and briefly explaining the major confidentiality exceptions. Both sub-parts need substantive treatment — not just a mention.

Treating All Dual Relationships as Automatically Unethical

The APA Ethics Code doesn’t prohibit all dual relationships. It prohibits those that risk impairing objectivity or harming the client. A paper that says “all dual relationships are wrong” oversimplifies and misrepresents the ethical standard.

Reflect the Code’s Nuance

The code says dual relationships are problematic when they risk harm or impairment. Acknowledge that small-community settings may involve unavoidable overlap. What matters ethically is whether the secondary relationship creates a risk of harm — not whether two roles exist at all.

No Source Citation

The assignment requires at least one published source. Submitting a paper with no in-text citations and no references page is an automatic deduction — and risks an academic integrity flag, since every substantive claim in an ethics paper has a source.

Cite at the Claim, Not Just at the End

In APA format, citations go at the point of the claim — not at the end of the paragraph. If you name the seven components of informed consent, that claim needs a citation right there, pointing to wherever you found those components listed. The references page then gives the full entry.

Frequently Asked Questions

How many ethical tasks should I cover for Q(a)?
Three to five tasks is the right range for a 2–3 page paper. More than that and you’re spending so much space on Q(a) that Q(b) and Q(c) get squeezed. The goal isn’t an exhaustive list — it’s a thoughtful selection of the most clinically significant tasks, with a brief rationale for each. Competency assessment, informed consent, boundary-setting, mandatory disclosure, and dual relationship screening are five tasks that each have distinct ethical grounding and would give you strong material for the paper. Choose whichever you can write most substantively about given your reading and coursework so far.
Is the APA Ethics Code the right source, or should I use the ACA Code?
It depends on your program’s orientation. PY 570 is a psychology course, so the APA Ethics Code is the primary reference. If your program has a counseling psychology or professional counseling track, the ACA Code of Ethics is also directly relevant — and its Standard B covers confidentiality in similar depth. Many ethics papers cite both, since the standards are largely aligned. Check your syllabus for any guidance on which code your professor expects you to reference. When in doubt, the APA Ethics Code is the safe primary choice for a PY (psychology) course number.
Does the Tarasoff case need to be cited, or just mentioned?
If you reference Tarasoff by name, it should be cited. The correct citation is the legal case: Tarasoff v. Regents of the University of California, 17 Cal.3d 425 (1976). In a 2–3 page paper you don’t need to go deep into the case — a sentence or two naming it as the legal precedent that established the duty to warn/protect is sufficient. If you’re short on space, you can reference the duty-to-warn obligation and cite a secondary source (your textbook or a journal article that discusses it) instead of the primary legal case. Either approach is acceptable at this level.
Can I use a website as my one required source?
The assignment says you are “allowed to reference a credible website” — meaning it’s permitted, not that it’s sufficient. The requirement specifies “published books, textbook, or peer reviewed journal articles” as the primary expectations. If you use a website (like the APA Ethics Code at apa.org, which is a primary source document), that satisfies the format requirement and is a credible source. A general health website or a psychology-today-style article does not. The safest approach is to use your course textbook or a journal article as your primary citation and supplement with the APA Ethics Code online. That gives you two citable sources and both are academically appropriate.
What’s the difference between a dual relationship and a boundary violation?
A dual relationship is a structural situation — two simultaneous roles between therapist and client. A boundary violation is an action that crosses an established therapeutic boundary. They’re related but not identical. A dual relationship can exist without a boundary violation occurring (a therapist who is distantly acquainted with a client’s family member has a dual relationship but may manage it appropriately). And a boundary violation can occur within a single professional relationship — for example, a therapist who shares excessive personal information with a client (self-disclosure beyond what’s clinically indicated) has crossed a boundary without necessarily having a dual relationship. For Q(c), your paper is focused on dual relationships specifically — but understanding the distinction helps you write about it more precisely.
Does the paper need headers for each question?
The assignment doesn’t specify — but using APA-formatted Level 1 or Level 2 headers for each question section is both acceptable and practical. It signals clear organization, makes it easy for the professor to see that you’ve addressed all three questions, and is consistent with APA style for student papers. In APA 7 format, Level 1 headers are centered and bolded. If you label them to match the question prompts (e.g., “Ethical Tasks in the Therapeutic Relationship,” “Informed Consent and Confidentiality Limitations,” “Dual Relationships and Potential Harm”), that’s clean and professional. Check whether your professor has a preference before adding headers if you’re unsure.

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Ethics Papers Are Clinical Reasoning Tests in Disguise

The Week 1 paper isn’t really about whether you’ve memorised the informed consent components or can define a dual relationship. It’s about whether you can think like someone who actually has to apply these standards with real clients. That’s the lens to bring to every sentence you write.

The paper is short. That’s actually harder than a ten-page assignment — every sentence has to count. Don’t pad with generalities. Name specific tasks. Name specific exceptions. Name a specific harm pathway for dual relationships. When you do that, the paper demonstrates clinical reasoning, not just recall.

And Q(b) has two parts. Don’t let that slip by you in the rush of writing. Informed consent and confidentiality limitations are distinct sub-questions — both need substantive paragraphs, not a combined sentence that gestures at both.

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