Law and Ethics Practice Exam

How should a therapist respond when given a gift card from a client’s family as gratitude for services?

1. Acknowledge the parent's appreciation and accept the gift

2. Acknowledge the parent's appreciation and decline the gift

3. Determine whether "fee for service" is acceptable in the area

4. Explore the cultural importance of providing gifts

The correct answer is: Acknowledge the parent's appreciation and decline the gift

A therapist should acknowledge the parent's appreciation and decline the gift to maintain professional boundaries and adhere to ethical standards. Accepting gifts from clients or their families can create a potential conflict of interest, affect objectivity in the therapeutic relationship, and blur the lines of professionalism. The ethical guidelines in many therapeutic frameworks emphasize that therapists should avoid situations that might lead to a dual relationship with clients, which could compromise the therapeutic process. Declining the gift demonstrates respect for the professional relationship and the therapeutic boundaries in place. It also maintains the integrity of the therapeutic environment, ensuring that the focus remains on the client's needs and well-being rather than any perceived obligation or expectation tied to accepting a gift. This approach is crucial for fostering trust and promoting a healthy and ethical therapeutic dynamic. Additionally, some ethical codes specifically recommend refusing gifts above a modest value to avoid any potential implications of favoritism or manipulation. In contrast, while acknowledging cultural aspects of gift-giving and the importance in various communities could provide valuable insights and deeper understanding in specific contexts, it does not negate the necessity of maintaining professional boundaries when it comes to the acceptance of gifts in therapy.