Legal Considerations of Psychotherapy

Many studies have found that psychotherapy is as effective as psychopharmacology in terms of influencing changes in behaviors, symptoms of anxiety, and changes in mental state. Changes influenced by psychopharmacology can be explained by the biological basis of treatments. But how does psychotherapy achieve these changes? Does psychotherapy share common neuronal pathways with psychopharmacology?
Psychotherapy is used with individuals as well as in groups or families. The idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric-mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential.
For this Discussion, you will consider whether psychotherapy also has a biological basis and analyze the ways in which legal and ethical considerations differ in the individual, family, and group therapy settings.
To prepare:
• Review this week’s Learning Resources, reflecting on foundational concepts of psychotherapy, biological and social impacts on psychotherapy, and legal and ethical issues across the modalities (individual, family, and group).
• Search the Walden Library databases for scholarly, peer-reviewed articles that inform and support your academic perspective on these topics.
Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and explain how these differences might impact your therapeutic approaches for clients in group, individual, and family therapy. Support your rationale with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Required Readings
• Goldenberg, I., Stanton, M., & Goldenberg, H. (2017). Family therapy: An overview (9th ed.) Cengage Learning.
o Chapter 1, “Adopting a Family Relationship Framework”
o Chapter 6, “Professional Issues and Ethical Practice”
• Petiprin, A. (2016). Psychiatric and mental health nursing Links to an external site.. Nursing Theory. https://www.nursing-theory.org/theories-and-models/psychiatric-and-mental-health-nursing.php
• Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.
o Chapter 1, “The Nurse Psychotherapist and a Framework for Practice”
o Chapter 2, “The Neurophysiology of Trauma and Psychotherapy”
Required Media
• Bambling, M. (2013). Neurobiology of behavior change Links to an external site. [Video/DVD] https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/neurobiology-of-behavior-change
• Boyd, L. (2017, April 27). After watching this, your brain will not be the same Links to an external site. [Video]. [TEDxVancouver] YouTube. https://www.youtube.com/watch?v=LNHBMFCzznE
• Harrigan, J. (Director). (2007). Human brain development: Nature and nurture Links to an external site. [Video/DVD]. Davidson Films. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/human-brain-development-nature-and-nurture
• Shuttlesworth, M. (2013, August 14). Ethical and legal issues in abnormal psychology Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=pRXibYiorQ0

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