Morality in group and family therapies: Multiperson therapies and the 1992 ethics code.

Lakin, Martin

doi:10.1037/0735-7028.25.4.344

Cited by 25 publications

(32 citation statements)

References 20 publications

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“…Although ethics scholars in family counseling recommend a comprehensive approach to informed consent on issues of confidentiality (e.g., Lakin, 1994), no publication has provided a written guide for counselors to use when working with couples. This article presents one document for counselors and therapists to consider.…”

Section: One Clinician's Approach To Informed Consent With Couplesmentioning

confidence: 98%

Addressing Secrets in Couples Counseling: An Alternative Approach to Informed Consent

Bass

Quimby

2006

The Family Journal

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This article presents an alternative approach to informed consent that addresses unique concerns regarding confidentiality in marital and relationship counseling. Professional ethics codes rarely provide therapists with specific guidance on how to respond to clients who wish to keep secrets from their spouse or partner. Moreover, scholars writing about confidentiality frequently offer contradictory advice on how to ethically treat those couples presenting with secrets. This article suggests that regardless of one's viewpoint on the issue of secret keeping in counseling, therapists best serve couples by advising them at the onset of treatment of the counselor's policies regarding confidential communication. In addition to discussing issues regarding privacy and confidentiality in couples counseling, this article presents one example of an informed consent document designed to address this important concern.

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Section: One Clinician's Approach To Informed Consent With Couplesmentioning

confidence: 98%

Addressing Secrets in Couples Counseling: An Alternative Approach to Informed Consent

Bass

Quimby

2006

The Family Journal

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“…Before one considers the environmental effects on therapy that in-home MST models present when compared to traditional outpatient models of treatment, a discussion of the inherent ethical complications of family therapy must be elaborated. Several authors have discussed the challenges of multiperson (Family) therapy modalities (Lakin, 1994;Fine & Turner, 1991), and have found the process to be rife with ethical snares.…”

Section: Specific Ethical Concerns In Multisystemic Models Of Therapymentioning

confidence: 99%

Navigating the ethical quandaries of wraparound multi -systemic treatment (MST): A comparative study between in -home and outpatient therapies

Roberts¹

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Multisystemic treatments (MST) have become a significant force in the mental health community over the past decade. Yet, scant literature is available in regards to differing ethical considerations that may arise when working outside of a traditional office setting. The current research reviewed key ethical issues within the therapeutic relationship (i.e., confidentiality, dual roles), and extended the discussion to pertinent, often unrecognized issues endemic to in-home service modalities (i.e., confidentiality, role confusion, client diffusion, and unintentional witnessing). More specifically, this research examined whether certain ethical violations are perceived to occur less frequently in outpatient settings compared to in-home settings. It was hypothesized that in-home therapists would report more possible hypothetical experiences with these kinds of violations than their outpatient therapist counterparts. A survey was mailed to agencies that employ both outpatient and in-home therapists in the states of Pennsylvania and Eastern Ohio to test this hypothesis. The therapists had a minimum educational level of a Master's degree. The study examines those therapists that worked with children under the age of eighteen, using in-home or multisystemic therapy (MST). Likewise, office-based therapists who treated the same age-group were sought to offer balance for data interpretation. Hence, the comparison between office-based and in-home therapist's ethical dilemmas were the primary focus. Ninety-seven therapists completed the survey and some of the results showed significant differences in both ethical perceptions and supervision standards. In-home therapists noted significantly higher perceived instances of confidentiality (p = .003) and role confusion (p = .04) ethical quandaries than their office-based colleagues. In addition, in-home therapists stated that they received significantly less individual supervision (p = .01) than office-based therapists, used clinical consultation less frequently (p = .01) and were more likely to withhold information from their direct supervisors (p = .03). Years worked in the field, state licensure, and whether or not a therapist had taken an ethics course did not appear to be significant in terms of observing ethical dilemmas in their work. iii Table of Contents iv Chapter 1: Introduction and Literature Review

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“…Ayný zamanda, kiþiler paylaþtýklarý bilgileri baþkalarýna açmasý mümkün olan bir grup insanla da paylaþmýþ olur (2). Grup üyeleri arasýnda ortak paylaþýmlarýn rahat ve güvenli bir ortamda olduðu psikoterapi gruplarý bireylerin geliþimini hýzlandýrmaktadýr (23,24). Bu nedenle, gizliliðin korunmasý psikoterapideki temel etik konulardan biridir.…”

Section: Gizlilikunclassified

Evaluating group psychotherapy applications in the context of ethical rules (Turkish)

Akbulut¹

2018

J Clin Psy

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Ethical applications in group psychotherapy are known as complex and unpredictable processes. Group psychotherapy is fragile in ethical applications for several reasons. First, group members disclosure themselves not only to therapist but also other group members. Second, therapist-patient relationship includes several different interactions, which include other group members. Third, there are much more situations that therapist may not take control in group psychotherapy. Finally, there are much more possibilities in group psychotherapy that interrupt the effectiveness of the psychotherapy process. Therefore, the processes of examining group psychotherapy in terms of ethical dilemmas, becoming aware of the situations that create ethical dilemmas, and specifying the actions to be taken in these situations become prominent. Internalization of the ethical rules and applying these rules to different situations for the sake of patients constitute the basis of ethical awareness. Therefore, educating professionals regarding ethical issues in group psychotherapy and developing an ethically-sensitive atmosphere in the psychotherapy applications are important. In light of these information, the present review focuses on the group psychotherapy processes. Specifically, the situations that may create ethical dilemmas (therapist's competence, forming the group, informed consent, confidentiality, note taking, financial issues, multiple relationships, and termination process) were reviewed. In addition, a general synthesis was made, the limitations of the previous studies were declared and suggestions for future studies were added.

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Morality in group and family therapies: Multiperson therapies and the 1992 ethics code.

Cited by 25 publications

References 20 publications

Addressing Secrets in Couples Counseling: An Alternative Approach to Informed Consent

Addressing Secrets in Couples Counseling: An Alternative Approach to Informed Consent

Navigating the ethical quandaries of wraparound multi -systemic treatment (MST): A comparative study between in -home and outpatient therapies

Evaluating group psychotherapy applications in the context of ethical rules (Turkish)

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