Breakthru Ethics

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Breakthru has embraced the MFT code of ethics as the foundation of trust, safety, and justice. This slide presentation is a helpful picture of the principles that rule our ethical discourse.

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Breakthru Ethics

  1. 1. Ethical Concerns: Working with More than One Member of a System Thorana S. Nelson, Ph.D.
  2. 2. Overview <ul><li>Decision Making Principles </li></ul><ul><li>Working with More than One Person </li></ul><ul><li>Examples </li></ul><ul><li>Resources </li></ul>
  3. 3. Ethical Decision Making Principles <ul><li>Kitchener Model (Zygmond & Borhem) </li></ul><ul><li>Two levels </li></ul><ul><ul><li>Intuitive </li></ul></ul><ul><ul><li>Critical evaluative </li></ul></ul>
  4. 4. Kitchener Model <ul><li>Facts Moral Sense </li></ul><ul><li>Intuitive Level </li></ul><ul><li>Rules Critical-Evaluative Principles Level </li></ul><ul><li>Theory </li></ul>
  5. 5. Intuitive Level <ul><li>Facts </li></ul><ul><li>Ordinary moral sense </li></ul><ul><li>Problems </li></ul>
  6. 6. Problems at Intuitive Level <ul><li>May not result in ethical decision </li></ul><ul><li>Situation may be very unique </li></ul><ul><li>Does not allow critical evaluation </li></ul>
  7. 7. Critical-Evaluative Level <ul><li>Ethical rules (code) </li></ul><ul><li>Ethical principles </li></ul><ul><li>Ethical theory </li></ul>
  8. 8. Ethical Principles <ul><li>Autonomy </li></ul><ul><li>Nonmaleficence </li></ul><ul><li>Beneficence </li></ul><ul><li>Fidelity </li></ul><ul><li>Justice </li></ul>
  9. 9. Ethical Theory: Universalizability <ul><li>Act is ethical only </li></ul><ul><li>if it can be generalized </li></ul><ul><li>to similar situations </li></ul>
  10. 10. Ethical Theory: Balancing Principle <ul><li>Do the least amount of </li></ul><ul><li>avoidable </li></ul><ul><li>harm </li></ul>
  11. 11. Personal Model (tsn) <ul><li>Intuition (my “itch”) </li></ul><ul><li>Code of ethics </li></ul><ul><li>Law </li></ul><ul><li>Consult with colleague (consultation group) </li></ul><ul><li>Consult with client (optional) </li></ul><ul><li>AAMFT ethical or legal consultation </li></ul>
  12. 12. Personal Model <ul><li>Action </li></ul><ul><li>Documentation </li></ul><ul><li>Evaluation </li></ul>
  13. 13. Working with More than One Person: Issues <ul><li>Confidentiality/privilege </li></ul><ul><li>Informed Consent </li></ul><ul><li>Confidentiality/privacy/secrecy </li></ul><ul><li>Reporting </li></ul><ul><li>Duty to Warn/Protect </li></ul><ul><li>Keeping records </li></ul><ul><li>Release of records </li></ul>
  14. 14. Examples <ul><li>Couples </li></ul><ul><li>Family </li></ul><ul><li>Minors in therapy </li></ul><ul><li>Non-custodial parents </li></ul><ul><li>Non-related others </li></ul><ul><ul><li>Single session </li></ul></ul>
  15. 15. Additional Resources <ul><li>State or Provincial Laws </li></ul><ul><li>Google search: Utah Laws </li></ul>

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