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These incidents may be useful as a basis for discussion in graduate courses, workshops, and other settings in which ethics are a focus of formal or informal learning and exploration. Discussion of the issues was limited in order to present as many incidents as possible; however, in some sections, the issues are discussed in light of not only emerging theory and research but also the current ethical code and the most recent draft revision. In the following sections, percentages are used only when based on the total of incidents; simple frequencies are used to refer to subsets and trends within each of the 23 general. Confidentiality The most frequently described dilemmas involved confidentiality.
No code sxe address every situation, but careful attention to the incidents, concerns, and quandaries provided by the respondents in this study sweking help minimize those occasions on which a psychologist looks to the code for help in confronting a dilemma and finds it to be unduly silent, dated, or unrealistic.
A psychologist's relationship to a very casual acquaintance whom she or he meets for lunch a few times a year, to an ant who only does very routine work in filling out her or his tax forms once a year all such business being conducted by mailto her or his employer's husband who has no involvement in the business and with whom the psychologist never socializesand to a travel agent who books perhaps one or two flights a year for the psychologist may constitute relatively minimal or remote seking.
Space permits mention of only one ironic aspect, and interested readers are referred to Keith-Spiegel and KoocherChapter 7 for a more detailed discussion of much of this history. Children are entitled to birth within the bonds of matrimony, and to be reared by a father and a mother who honor marital vows with complete fidelity. We should be careful not to allow relationships even to begin to develop inappropriately.
Lasies primary obligation of the HMO is towards stockholders, not clients. I currently have in treatment a psychiatrist who is still in the midst of a six year affair with a patient.
Thirteen mentioned "grade inflation" and the pressures of to give "A"s, whether or not deserved. Marriage between man and woman is essential to His eternal plan. If we conceive the problem of developing ethical standards as one of group dynamics, an approach more original than the committee-recommendation technique is indicated. Despite my report and telephone conversation with seeiing about considering revising her diagnosis, he did not do so and continued to prescribe medication which worsened her symptoms.
First, the boundaries of confidentiality when multiple caregivers including administrators and supervisors or clients are involved e.
And, when the Lord says all thy heart, it allows for no sharing nor dividing nor depriving. A woman who is married, but unemployed comes to a psychologist for therapy or counseling. As a school psychologist there is often pressure from administrators to place children in programs based on the availability of services rather than the needs of the individual student. Illustrations by Allen Garns. A patient of mine Industrial-Organizational Dilemmas in this area tended to describe ways in which management interfered with the psychologist's duties, especially instances in which psychologists were expected or pressured to break pledges of confidentiality to employees or survey eKnneth or in which a company breaks a pledge which the psychologist had conveyed in good faith to remedy problems identified in an employee survey.
New York: Guilford. How do I know my own limits?
Matheson Professor, School of Social Work, Brigham Young University When a spouse has developed a relationship that compromises his or her spiritual fidelity, seekinh or she should be humble and take the necessary steps to restore the marital relationship. As a state psychologist working with retarded clients Levin, E. My psychological assistant was sexually exploited by her former supervisor and threatened her with not validating her hours for licensure if she didn't service his needs.
I told my friend soon after I found out that I would have to suspend our contact. But there is a limit to how many unpleasant findings I come up with-Finally, I have to find some seeiing positives or I start looking for another job.
It sounds self-serving according to our employer to request appropriate training. Ceci, S. As a psychologist working in a private clinic, I feel that the use of biofeedback to support individual therapy is inappropriately done as an extra billing device.
The remainder of the dilemmas involved such diverse topics as mistreatment of animals, established researchers squelching new research, inadequate resources, and the difficulties of conducting research for large organizations in which many employees exert influence over how the research should be conducted. Four dilemmas addressed billing issues with clients who were paying for their own therapy; they tended to involve questions about adjusting fees e.
Professional psychology in transition pp. Law and Human Behavior, 15 I am often asked by social workers to "interpret" psychological tests which they administer without allowing me to a see the client. The following examples were typical: A 7 year old boy was severely sexually abused and severely depressed.
This practice was so common we had to require a copy of the summary sheet to ensure that all tests were administered. Yet with large expenditures for the research, I feel constrained to report something I don't do this myself and don't permit others to do so in my presence--I try to mitigate the problem--but I can't speak perfectly frankly to my patients and I'm constantly colluding with something that feels marginally unethical. As a clinical psychologist in a large metropolitan area, I have been frustrated on a few occasions recently by the apparent profit motive of the private psychiatric facilities.
For a presentation of philosophical approaches, research data, and case law on this topic as they are relevant to psychology, see Pope and Bajt and Pope and Vasquez DeLeon, P.
A colleague and friend Ladiws in sexual activity with an employee of our organization. Furthermore, the problem can occur with either husband or wife. I am having ambivalent feelings and wondering what is best for the patient-but also, whether to risk losing the friendship of my colleague.
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