The document discusses the integration of positive ethics, psychological culture, and patient-focused care, emphasizing principles such as autonomy, beneficence, nonmaleficence, fidelity, and justice. It critiques the limitations of enforceable ethical standards and promotes a higher standard of ethics through self-awareness and emotional competence within the therapeutic relationship. Ethical practice is portrayed as an active process, shaped by the relationship with the patient and the psychologist's clinical factors.

1. The blend of positive ethics, psychological culture, and patient-focused care

2. Introduction and Applicability Preamble and General Principles (Aspirational and based on principle-based ethics) Ethical Standards (Enforceable and represent minimum standards)

3. The ethics code does not include federal laws, such as HIPAA The ethics code does not include case law, though influence is noted The ethics code is distinct and separate from guidelines approved by the APA Council of Representatives (e.g., Child Custody Evaluation Guidelines)

4. Autonomy Beneficence Nonmaleficence Fidelity Justice

5. Ethics as a movement away from the punishment and anxiety-producing components of ethics Fulfill their highest ideals A means to help interpret and apply ethics standards

6. Overemphasis on regulations and enforceable standards “Thou shall not” oriented Minimum standards or the “ethical floor” Incomplete view of ethics

7. Remedial: Acquiring and maintaining minimal formal qualifications Positive: Striving for highest standards Includes self-awareness and self-care Emotional competence

8. Ethics occurs within the therapeutic relationship Commitment to the relationship and high quality of care Pulling together the code, your training, and current professional role within the context of the relationship with patient

9. Ethics happens within the relationship Active approach to ethics, the relationship, and decision-making Combines psychologist factors with clinical features

10. What factors make this a potentially difficult patient or situation for you? What would your emotional reaction be to the content of this scenario? What solution works for you and why?

11. Small Group versus Larger Group