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Nov 24, 2024
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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
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Breach of Confidentiality
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Apply Ethical Standard: APA Ethical Principle 4.01 (Maintaining Confidentiality)
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Duty to Warn/Protect
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Apply Ethical Standard: APA Ethical Principle 4.05 (Disclosures)
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Supervision Responsibilities
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Apply Ethical Standard: APA Ethical Principle 10.02 (Therapy and Ethical Education)
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Deontological Ethics
Virtue Ethics
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Focus on Duties and Rules
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Emphasis on Moral Character
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Rule-Oriented Framework
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Focus on Personal Integrity
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Emphasis on Universal Principles
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Holistic View of Ethical Behavior
Comparison of Deontological & Virtue Ethics Theories
Ethical Decision Making with the Fisher's Eight-Step Decision-making Model
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Step 1:
Develop and sustain a professional commitment to doing what is right.
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Establish a commitment to ethical decision-making and adherence to professional standards.
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Acknowledge cultural variations in defining what is considered ethically right, considering diverse perspectives on morality.
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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
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Step 2: Acquire Sufficient Familiarity with APA's "Ethical Principles"
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Familiarize with ethical principles to anticipate and identify ethical situations.
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Recognize cultural nuances in ethical principles, understanding that interpretations may vary across diverse cultural backgrounds.
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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
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Step 3:
Gather Additional Facts Relevant to the Ethical Situation
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Collect additional information from guidelines, laws, and policies.
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Consider how cultural factors may influence the ethical situation and information gathering, recognizing diverse cultural perspectives on confidentiality and disclosure.
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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
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Step 4:
Understand the Perspectives of Different Stakeholders
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Consider the impact on all parties involved and consult with colleagues.
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Recognize diverse cultural perspectives among stakeholders, ensuring a culturally sensitive approach to understanding their views.
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Dr. Thompson and Sarah must navigate cultural variations in understanding Mark's perspectives, ensuring a holistic consideration of cultural factors.
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Step 5: Apply Steps 1-4 to Generate Ethical Alternatives
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Apply ethical theories and principles to generate alternatives.
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Consider how cultural factors may influence the generation of alternatives, recognizing diverse cultural approaches to ethical decision-making.
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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
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Step 6: Select and Implement an Ethical Course of Action
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Choose an ethical response.
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Recognize that cultural variations may impact the chosen course of action, ensuring a culturally competent and sensitive approach.
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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
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Step 7: Monitor and Evaluate the Effectiveness of the Course of Action
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Assess the effectiveness of the chosen action.
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Consider how cultural factors may influence the effectiveness of the chosen action, recognizing diverse cultural responses to interventions.
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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
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Step 8: Modify and Continue to Evaluate the Ethical Plan
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Adjust the ethical plan if necessary.
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Recognize that cultural variations may necessitate modifications to the ethical plan, ensuring ongoing cultural competence (Fisher, Fried & Masty, 2007).
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Dr. Thompson and Sarah must be open to modifying their ethical plan based on ongoing cultural considerations and evolving ethical dynamics.
Proposed Resolution
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Summarized Resolution
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Inform Dr. Thompson of the potential harm to Mark's family
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Collaborate with Dr. Thompson on the appropriate course of action
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Provide guidance to Sarah on navigating confidentiality dilemmas in supervision
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Justify your resolution
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Grounded in a careful consideration of ethical principles, professional obligations, and the welfare of all involved parties
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References
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American Psychological Association. (2017). Ethical Principles of Psychologists and Code of Conduct. https://www.apa.org/ethics/code
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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.
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Fisher, C. B. (2023). Decoding the ethics code: A practical guide for psychologists (5th ed.). Sage.
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Fisher, C. B., Fried, A. L., & Masty, J. K. (2007). Critical thinking and ethics in psychology. Critical thinking in psychology, 271-288.
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Trianosky, G. (1990). What is virtue ethics all about?. American Philosophical Quarterly, 27(4), 335-344.