cf_ethics_case_study

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Navigating Ethical Dilemmas in Professional Psychology [Your Name] Ethical Consultant Harmony Wellness Center
Case Study Overview Professional Setting: Harmony Wellness Center Individuals Involved Dr. Alex Thompson, Clinical Psychologist Sarah Williams, M.S., Intern Therapist Mark Johnson, Client Ethical Dilemma: Confidentiality concerns arise when Sarah, the intern therapist, discovers a potential harm to Mark's family during therapy sessions.
Ethical Concerns Breach of Confidentiality Apply Ethical Standard: APA Ethical Principle 4.01 (Maintaining Confidentiality) Duty to Warn/Protect Apply Ethical Standard: APA Ethical Principle 4.05 (Disclosures) Supervision Responsibilities Apply Ethical Standard: APA Ethical Principle 10.02 (Therapy and Ethical Education)
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Deontological Ethics Virtue Ethics Focus on Duties and Rules Emphasis on Moral Character Rule-Oriented Framework Focus on Personal Integrity Emphasis on Universal Principles Holistic View of Ethical Behavior Comparison of Deontological & Virtue Ethics Theories
Ethical Decision Making with the Fisher's Eight-Step Decision-making Model Step 1: Develop and sustain a professional commitment to doing what is right. Establish a commitment to ethical decision-making and adherence to professional standards. Acknowledge cultural variations in defining what is considered ethically right, considering diverse perspectives on morality. Dr. Thompson and Sarah must navigate their differing cultural backgrounds in determining what constitutes the right ethical course of action.
Ethical Decision Making with the Fisher's Eight-Step Decision-making Model Step 2: Acquire Sufficient Familiarity with APA's "Ethical Principles" Familiarize with ethical principles to anticipate and identify ethical situations. Recognize cultural nuances in ethical principles, understanding that interpretations may vary across diverse cultural backgrounds. Dr. Thompson and Sarah, with distinct cultural backgrounds, need to navigate the interpretation of ethical principles in the context of their multicultural perspectives.
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Ethical Decision Making with the Fisher's Eight-Step Decision-making Model Step 3: Gather Additional Facts Relevant to the Ethical Situation Collect additional information from guidelines, laws, and policies. Consider how cultural factors may influence the ethical situation and information gathering, recognizing diverse cultural perspectives on confidentiality and disclosure. Dr. Thompson and Sarah must be attuned to potential cultural variations in Mark's views on confidentiality and disclosure.
Ethical Decision Making with the Fisher's Eight-Step Decision-making Model Step 4: Understand the Perspectives of Different Stakeholders Consider the impact on all parties involved and consult with colleagues. Recognize diverse cultural perspectives among stakeholders, ensuring a culturally sensitive approach to understanding their views. Dr. Thompson and Sarah must navigate cultural variations in understanding Mark's perspectives, ensuring a holistic consideration of cultural factors. Step 5: Apply Steps 1-4 to Generate Ethical Alternatives Apply ethical theories and principles to generate alternatives. Consider how cultural factors may influence the generation of alternatives, recognizing diverse cultural approaches to ethical decision-making. Dr. Thompson and Sarah need to integrate their multicultural perspectives to generate alternatives that align with ethical principles and respect cultural nuances.
Ethical Decision Making with the Fisher's Eight-Step Decision-making Model Step 6: Select and Implement an Ethical Course of Action Choose an ethical response. Recognize that cultural variations may impact the chosen course of action, ensuring a culturally competent and sensitive approach. Dr. Thompson and Sarah must collaborate to select an ethical course of action that respects cultural differences and aligns with ethical principles.
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Ethical Decision Making with the Fisher's Eight-Step Decision-making Model Step 7: Monitor and Evaluate the Effectiveness of the Course of Action Assess the effectiveness of the chosen action. Consider how cultural factors may influence the effectiveness of the chosen action, recognizing diverse cultural responses to interventions. Dr. Thompson and Sarah need to monitor the impact of their chosen course of action, being mindful of cultural variations in Mark's response and well-being.
Ethical Decision Making with the Fisher's Eight-Step Decision-making Model Step 8: Modify and Continue to Evaluate the Ethical Plan Adjust the ethical plan if necessary. Recognize that cultural variations may necessitate modifications to the ethical plan, ensuring ongoing cultural competence (Fisher, Fried & Masty, 2007). Dr. Thompson and Sarah must be open to modifying their ethical plan based on ongoing cultural considerations and evolving ethical dynamics.
Proposed Resolution Summarized Resolution Inform Dr. Thompson of the potential harm to Mark's family Collaborate with Dr. Thompson on the appropriate course of action Provide guidance to Sarah on navigating confidentiality dilemmas in supervision Justify your resolution Grounded in a careful consideration of ethical principles, professional obligations, and the welfare of all involved parties
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References American Psychological Association. (2017). Ethical Principles of Psychologists and Code of Conduct. https://www.apa.org/ethics/code Benlahcene, A., Zainuddin, R. B., Syakiran, N., & Ismail, A. B. (2018). A narrative review of ethics theories: Teleological & deontological Ethics. Journal of Humanities and Social Science (IOSR-JHSS), 23(1), 31-32. Fisher, C. B. (2023). Decoding the ethics code: A practical guide for psychologists (5th ed.). Sage. Fisher, C. B., Fried, A. L., & Masty, J. K. (2007). Critical thinking and ethics in psychology. Critical thinking in psychology, 271-288. Trianosky, G. (1990). What is virtue ethics all about?. American Philosophical Quarterly, 27(4), 335-344.