This document outlines ethical standards for clinical psychologists. It discusses the importance of maintaining high professional ethics, which are held to a higher standard than the law. The document then reviews general ethical principles like beneficence, fidelity, integrity, justice, and respecting dignity. It provides guidance on resolving ethical issues, maintaining competence, human relations, privacy/confidentiality, record keeping/fees, assessment, and therapy. Clinical psychologists are expected to closely follow these ethical principles to behave responsibly and protect the public.
Misuse of psychologist's Work
Conflict between ethics and law, regulation or other Governing legal authority
Conflict between ethics and organizational demands
Informal resolution of ethical violations
Reporting ethical violations
Cooperating with ethics committee
Improper complaints
Unfair discrimination against complaints and respondents
There are many different kinds of ethical issues facing clinical psychologists. Some of the most common ones involve confidentiality, payments, relationships, and testimony.
Misuse of psychologist's Work
Conflict between ethics and law, regulation or other Governing legal authority
Conflict between ethics and organizational demands
Informal resolution of ethical violations
Reporting ethical violations
Cooperating with ethics committee
Improper complaints
Unfair discrimination against complaints and respondents
There are many different kinds of ethical issues facing clinical psychologists. Some of the most common ones involve confidentiality, payments, relationships, and testimony.
Theories of Psychopathology
Psychoanalytic theory – Sigmund Freud
Developmental Theories
Psychosocial Stages – Erik Erikson
Cognitive Stages – Jean Piaget
Interpersonal Theories
Harry Stack Sullivan
Hildegard Peplau
Humanistic Theories
Hierarchy of Needs - Abraham Maslow
Client-centered Theory - Carl Rogers
Behavioral Theories
Classical Conditioning - Ivan Pavlov
Operant Conditioning – Burrhus F. Skinner
Theories of Psychopathology
Psychoanalytic theory – Sigmund Freud
Developmental Theories
Psychosocial Stages – Erik Erikson
Cognitive Stages – Jean Piaget
Interpersonal Theories
Harry Stack Sullivan
Hildegard Peplau
Humanistic Theories
Hierarchy of Needs - Abraham Maslow
Client-centered Theory - Carl Rogers
Behavioral Theories
Classical Conditioning - Ivan Pavlov
Operant Conditioning – Burrhus F. Skinner
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Codes of Ethics: Guides Not Prescriptions A set of rules and directives that would result in efficient and ethical professional practice would be something clearly welcomed by student and professional alike. However, as should be clear by now, such prescriptions or recipes for professional practice do not exist, nor does every client and every professional condition provide clear-cut avenues for progress. Professional practice is both complex and complicated. The issues presented are often confounded and conflicting. The process of making sense of the options available and engaging in the path that leads to effective, ethical practice cannot be preprogrammed but rather needs to be fluid, flexible, and responsive to the uniqueness of the client and the context of helping. The very dynamic and fluid nature of our work with clients prohibits the use of rigid, formulaic prescriptions or directions. Never is this so obvious as when first confronted with an ethical dilemma. Consider the subtle challenges to practice decisions presented in Case Illustration 7.1. The case reflects a decision regarding the release of information and the potential breach of confidentiality. The element confounding the decision, as you will see, is that the client was deceased and it was the executrix of the estate providing permission to release the information to a third party.
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2. IntroductionIntroduction
Maintaining the highest professional ethicsMaintaining the highest professional ethics
Higher standard than the lawHigher standard than the law
High degree of responsibilityHigh degree of responsibility
Professional contribution in every role (teacher,Professional contribution in every role (teacher,
researcher, clinician)researcher, clinician)
Behaving in an appropriate, responsible, andBehaving in an appropriate, responsible, and
professional mannerprofessional manner
3. RATIONALE:RATIONALE:
Questions regarding professional ethicsQuestions regarding professional ethics
Clear & not-so-clear ethical violationsClear & not-so-clear ethical violations
Ethical Code: Updated 9 times by APAEthical Code: Updated 9 times by APA
Original document published : 1953Original document published : 1953
This recent document published : 2003,This recent document published : 2003,
by APA’s Council of Representativesby APA’s Council of Representatives
4. INTRODUCTION AND APPLICABILITYINTRODUCTION AND APPLICABILITY
Applies only to professional roles & activities asApplies only to professional roles & activities as
psychologistspsychologists
Covers wide areas & activities of allCovers wide areas & activities of all
psychologistspsychologists
Applies across a variety of contextsApplies across a variety of contexts
Aims at the welfare & protection of publicAims at the welfare & protection of public
5. GENERAL PRINCIPLESGENERAL PRINCIPLES
Aspirational in natureAspirational in nature
Only to guide & inspire psychologistsOnly to guide & inspire psychologists
Do not represent obligationsDo not represent obligations
6. PRINCIPLEPRINCIPLE AA :: BENEFICENCE ANDBENEFICENCE AND
NON-MALEFICENCENON-MALEFICENCE
Strive to benefit publicStrive to benefit public
Seek to safeguard the welfare & rights of publicSeek to safeguard the welfare & rights of public
7. PRINCIPLE B: FIDELITY ANDPRINCIPLE B: FIDELITY AND
RESPONSIBILITYRESPONSIBILITY
Establish relationships of trustEstablish relationships of trust
Seek to manage conflictsSeek to manage conflicts
8. PRINCIPLE C: INTEGRITYPRINCIPLE C: INTEGRITY
Seek to promote accuracy, honesty, andSeek to promote accuracy, honesty, and
truthfulnesstruthfulness
Avoid unwise or unclear commitmentsAvoid unwise or unclear commitments
9. PRINCIPLE D: JUSTICEPRINCIPLE D: JUSTICE
Fairness and justice in theFairness and justice in the processesprocesses,,
proceduresprocedures, and, and servicesservices
Exercise reasonable judgmentExercise reasonable judgment
10. PRINCIPLE E: RESPECT FORPRINCIPLE E: RESPECT FOR
PEOPLE'S RIGHTS AND DIGNITYPEOPLE'S RIGHTS AND DIGNITY
Respect the rights, dignity and worth of allRespect the rights, dignity and worth of all
peoplepeople
Respect cultural, individual, and roleRespect cultural, individual, and role
differencesdifferences
Try to eliminate the effects of biases on theirTry to eliminate the effects of biases on their
workwork
12. 1. RESOLVING ETHICAL ISSUES1. RESOLVING ETHICAL ISSUES
1.01 Misuse of Psychologists' Work1.01 Misuse of Psychologists' Work
1.02 Conflicts Between Ethics and Law,1.02 Conflicts Between Ethics and Law,
Regulations, or Other Governing LegalRegulations, or Other Governing Legal
AuthorityAuthority
1.03 Conflicts Between Ethics and1.03 Conflicts Between Ethics and
Organizational DemandsOrganizational Demands
1.04 Informal Resolution of Ethical Violations1.04 Informal Resolution of Ethical Violations
14. 2. COMPETENCE2. COMPETENCE
2.01 Boundaries of Competence2.01 Boundaries of Competence
(a)(a) provide services only within theprovide services only within the
boundaries of their competenceboundaries of their competence
(b)(b) Training must be obtained to ensureTraining must be obtained to ensure
competencecompetence
(c)(c) Appropriate referrals must be madeAppropriate referrals must be made
15. 2. COMPETENCE (cont.)2. COMPETENCE (cont.)
2.02 Providing Services in Emergencies2.02 Providing Services in Emergencies
2.03 Maintaining Competence2.03 Maintaining Competence
2.04 Bases for Scientific and Professional2.04 Bases for Scientific and Professional
JudgmentsJudgments
2.05 Delegation of Work to Others2.05 Delegation of Work to Others
2.06 Personal Problems and Conflicts2.06 Personal Problems and Conflicts
17. 3. HUMAN RELATIONS (cont.)3. HUMAN RELATIONS (cont.)
3.04 Multiple Relationships3.04 Multiple Relationships
3.05 Conflict of Interest3.05 Conflict of Interest
18. 3. HUMAN RELATIONS (cont.)3. HUMAN RELATIONS (cont.)
3.06 Third-Party Requests for Services3.06 Third-Party Requests for Services
3.07 Exploitative Relationships3.07 Exploitative Relationships
3.08 Cooperation With Other Professionals3.08 Cooperation With Other Professionals
19. 3. HUMAN RELATIONS (cont.)3. HUMAN RELATIONS (cont.)
3.09 Informed Consent3.09 Informed Consent
3.10 Psychological Services Delivered To or3.10 Psychological Services Delivered To or
Through OrganizationsThrough Organizations
3.11 Interruption of Psychological Services3.11 Interruption of Psychological Services
20. 4. PRIVACY AND CONFIDENTIALITY4. PRIVACY AND CONFIDENTIALITY
4.01 Maintaining Confidentiality4.01 Maintaining Confidentiality
4.02 Discussing the Limits of Confidentiality4.02 Discussing the Limits of Confidentiality
4.03 Recording4.03 Recording
4.04 Minimizing Intrusions on Privacy4.04 Minimizing Intrusions on Privacy
21. 4. PRIVACY AND CONFIDENTIALITY (cont.)4. PRIVACY AND CONFIDENTIALITY (cont.)
4.05 Disclosures4.05 Disclosures
4.06 Consultations4.06 Consultations
4.07 Use of Confidential Information for4.07 Use of Confidential Information for
Educational or Other PurposesEducational or Other Purposes
22. 5. RECORD KEEPING AND FEES5. RECORD KEEPING AND FEES
5.01 Documentation of Professional and5.01 Documentation of Professional and
Scientific Work and Maintenance ofScientific Work and Maintenance of
RecordsRecords
5.02 Maintenance, Dissemination, and5.02 Maintenance, Dissemination, and
Disposal ofDisposal of Confidential Records ofConfidential Records of
ProfessionalProfessional and Scientific Workand Scientific Work
23. 5. RECORD KEEPING AND FEES (cont.)5. RECORD KEEPING AND FEES (cont.)
5.03 Withholding Records for Nonpayment5.03 Withholding Records for Nonpayment
5.04 Fees and Financial Arrangements5.04 Fees and Financial Arrangements
5.05 Barter With Clients/Patients5.05 Barter With Clients/Patients
5.06 Accuracy in Reports to Payors and5.06 Accuracy in Reports to Payors and
Funding SourcesFunding Sources
5.07 Referrals and Fees5.07 Referrals and Fees
24. 6. ASSESSMENT6. ASSESSMENT
6.01 Bases for Assessments6.01 Bases for Assessments
(recommendations, reports, and diagnostic or(recommendations, reports, and diagnostic or
evaluative statements)evaluative statements)
25. 6. ASSESSMENT (cont.)6. ASSESSMENT (cont.)
6.02 Use of Assessments6.02 Use of Assessments
6.03 Informed Consent in Assessments6.03 Informed Consent in Assessments
26. 6. ASSESSMENT (cont.)6. ASSESSMENT (cont.)
6.04 Interpreting Assessment Results6.04 Interpreting Assessment Results
6.05 Assessment by Unqualified Persons6.05 Assessment by Unqualified Persons
6.06 Obsolete Tests and Outdated Test6.06 Obsolete Tests and Outdated Test
ResultsResults
6.07 Explaining Assessment Results6.07 Explaining Assessment Results
27. 7. THERAPY7. THERAPY
7.01 Informed Consent to Therapy7.01 Informed Consent to Therapy
7.02 Therapy Involving Couples or Families7.02 Therapy Involving Couples or Families
7.03 Group Therapy7.03 Group Therapy
28. 7. THERAPY (cont.)7. THERAPY (cont.)
7.04 Providing Therapy to Those Served by7.04 Providing Therapy to Those Served by
OthersOthers
7.05 Sexual Intimacies With Current Therapy7.05 Sexual Intimacies With Current Therapy
Clients/PatientsClients/Patients
7.06 Intimacies With Relatives or Significant7.06 Intimacies With Relatives or Significant
Others of Current Therapy Clients/PatientsOthers of Current Therapy Clients/Patients
7.07 Interruption of Therapy7.07 Interruption of Therapy
29. 7. THERAPY (cont.)7. THERAPY (cont.)
7.08 Terminating Therapy7.08 Terminating Therapy
When no longer neededWhen no longer needed
When threatened or otherwise endangeredWhen threatened or otherwise endangered
Provide pre-termination counselingProvide pre-termination counseling
Suggest alternative service providers asSuggest alternative service providers as
appropriateappropriate
30. ConclusionConclusion
Thus, clinical psychologists must closely andThus, clinical psychologists must closely and
carefully follow ethical principles to ensure thatcarefully follow ethical principles to ensure that
they behave in an appropriate, responsible, andthey behave in an appropriate, responsible, and
professional manner protecting the public as wellprofessional manner protecting the public as well
as the profession.as the profession.