Ethical principles in the counseling of gay and lesbian adolescents: Issues of autonomy, competence, and confidentiality.

Sobocinski, Michael R.

doi:10.1037/0735-7028.21.4.240

Cited by 25 publications

(30 citation statements)

References 57 publications

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“…For her, one of the most important things a social worker, counselor, or therapist can do is to know how he or she feels about homosexuality and when to refer a client (American Psychological Association, 1992; Commission on Accreditation, 1994; Falco, 1991;Sobocinski, 1990 Regardless of their experiences, the participants were hopeful that things would improve for them and for other lesbians who interact with helping professionals. To facilitate this goal, they offered the following list of dos and don'ts for helping professionals:…”

Section: Suggestions For Helping Professionalsmentioning

confidence: 97%

Lesbians' Experiences With Helping Professionals

Tiemann¹,

Kennedy²,

Haga³

1997

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In in-depth interviews, eight lesbians talked about their interactions with social workers and other helping professionals and how they felt about their experiences. The themes that emerged included the fear of rejection and the need for feelings of safety and trust and for further education of professionals that affirms lesbians' lives. The participants also suggested what helping professionals can do to make lesbians' experiences with them more helpful, empowering, and respectful.

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Section: Suggestions For Helping Professionalsmentioning

confidence: 97%

Lesbians' Experiences With Helping Professionals

Tiemann¹,

Kennedy²,

Haga³

1997

Affilia

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“…Add to this empirical/political cacophony the social/legal difficulties of treating adolescents, much less the psychological/emotional demands, and treatment of same-sex issues becomes a Gordian knot, indeed (Fontaine and Hammond 1996;Slater 1988;Sobocinski 1990). Particularly if an adolescent requests a therapeutic approach that is untenable to the clinician (e.g., conversion therapy from a gayaffirmative therapist, or vice-versa), the alternatives become exceedingly complex.…”

Section: Introductionmentioning

confidence: 95%

Identity in Crisis: Spirituality and Homosexuality in Adolescence

Cates¹

2007

Child Adolesc Soc Work J

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Adolescents experiencing same-sex attraction are increasingly comfortable identifying themselves as gay/lesbian/bisexual. For at least a minority of these youth, that identification conflicts with their spiritual values, and they or their families seek conversion therapy. The efficacy of conversion and ethics of conversion therapy for same-sex orientation stirs significant debate. The complexities of an approach to same-sex issues with adults multiply when the client is an adolescent. This article uses three adolescent case studies to examine issues of identity, ethics, confidentiality, social expectations, and therapist role.

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“…Američko udruženje psihologa u svom Etičkom kodu navodi da psiholozi "koji rade sa maloletnicima ili drugim osobama koje nisu sposobne da svojevoljno daju informisani pristanak.......obavezuju se da obezbede posebnu negu kako bi ih zaštiti-li u njihovom najboljem interesu" [40]. Oba Etička koda sugerišu da maloletnici nisu sposobni da daju dobrovoljni informisani pristanak.…”

Section: Rodno Neskladna I Disforična Decaunclassified

Bioethical challenges and contraversis of the interdisciplinary treatment of gender dysphoric persons

Duišin¹,

Barišić²,

Batinić³

et al. 2014

Engrami

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Napomena: Rad je saopšten na simpozijumu Klinike za psihijatriju Kliničkog Centra Srbije "Bioetika i psihijatrija" održanom u Beogradu od 9-10 oktobra, 2014. Kratak sadržajRodna disforija predstavlja složen fenomenološki entitet u brojnim aspektima. Kompleksnosti doprinosi interdisplinirnost tretmana i bioetička pitanja koja iz toga proističu. Jedno od njih je uvremenjenost i obim ponuđenih terapijskih opcija, kao i prava eksperata u ovoj oblasti da ponude i sprovode parcijalni tretman (hormonski/hirurški). Termin "parcijalan" u medicini je u direktnoj koliziciji sa elementarnim načelima bioetike o poštovanju fundamentalnog prava pacijenta da uvek dobije kompletan tretman.Bioetički izazovi odnose se na operativne rekonverzije i pitanje njihove medicinske i bioetičke opravdanosti obzirom da su u nekim slučajevima posledica neprepoznatih motiva i poremećaja u osnovi. Klinički prikazi de-tranzicija i njihovo praćenje doprineli bi klarifikaciji kliničkih pokazatelja i ukazali na ne/opravdanost reverzne tranzicije.Savremeni standardi zajednice i prihvaćena profesionalna etika stručnjaka za mentalno zdravlje propisuju obaveznost tretmana rodno neskladne/disforične dece. Bioetička ispravnost tretmana prepubertetske rodno disforične dece uključuje neophodnost jasne definisanosti, kompletne sigurnosti i pouzdanosti dijagnostičkog postupka. Značajno je pitanje zrelosti i sposobnosti deteta za prilagođavanje telesnim hormonskim promenama. Ovaj uzrast nameće pitanje mogućnosti dobijanja adekvatnog informisanog pristanka koji bi potpuno zadovoljio zakonske kriterijume obaveštenosti i kompetentnosti. Stavovi stručnjaka su podeljeni, od kritičkog koji smatra neprikladnim da roditelji ili lekari nameću deci sopstvene standarde do afirmišućeg koji smatra da su roditelji najprikladnija referentna grupa da daju svoj socijalni vrednosni sud nakon detaljne konsultacije sa lekarima. Zdravstvene profesije uključene u tretman rodno disforičnih osoba imaju jednaku etičku obavezu da garantuju deci srećan i produktivan život putem odgovarajućih medicinskih intervencija ili bilo kojim drugim.U pojedinim oblastima kliničke medicine diskusija o prezervaciji fertilnosti je rutinska, dok je u domenu rodne disforije često kontraverzna za stručnu i širu javnost. Ovakva diskriminacija duboko narušava njihova osnovna bioetička prava, jer je savetovanje i informisanje transrodnih osoba o savremenim moguć-nostima reproduktivne tehnologije neophodno. Roditeljstvo nakon tranzicije ima svoju specifičnost u reverznim roditeljskim identitetima i ulogama, što dodatno čini ovo pitanje kontraverznim.Ključne reči: rodna disforija, bioetika, transrodna deca i adolescenti, promena pola, informisani pristanak, očuvanje fertiliteta.

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Ethical principles in the counseling of gay and lesbian adolescents: Issues of autonomy, competence, and confidentiality.

Cited by 25 publications

References 57 publications

Lesbians' Experiences With Helping Professionals

Lesbians' Experiences With Helping Professionals

Identity in Crisis: Spirituality and Homosexuality in Adolescence

Bioethical challenges and contraversis of the interdisciplinary treatment of gender dysphoric persons

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