Therapeutic Implications of Pharmacotherapy: Current Trends and Ethical Issues

The use of psychotropic medications (pharmacotherapy) in conjunction with psychotherapy is regarded as the standard of care for many mental health disorders. Counselors, therefore, need to be knowledgeable about psychopharmacology to monitor its impact on the therapeutic relationship and on client outcome. Discussed are potential ethical dilemmas with pharmacotherapy interventions, case studies demonstrating proper support of pharmacotherapy with diverse clientele, and critical elements of master's level training in psychopharmacology.     

The Ethical Implications of Social Media: Issues and Recommendations For Clinical Practice

The Internet and electronic communication technologies have taken the psychological field by storm. From the innovations of new web interventions for easier access to care to the increased ease of client scheduling and communication, these developments have greatly advanced mental health care. However, these advantages are also laced with ethical implications that warrant attention. Without judicious consideration, social media use by psychotherapists can lead to inadvertent self-disclosures to clients that risk damaging the therapeutic alliance, interfering with therapeutic processes, and placing both the client and clinician at risk. A better understanding of the ethical implications of social media use is warranted so that guidelines for appropriate use can be developed and implemented. This article highlights the potential risks associated with social media use by psychotherapists and, in absence of formalized guidelines, offers recommendations for best practices.     

Critical Ethical Issues in Online Counseling: Assessing Current Practices With an Ethical Intent Checklist

The authors used a 16‐item Ethical Intent Checklist, developed from the American Counseling Association's (1999) Ethical Standards for Internet Online Counseling, to assess the current practices of 88 online counseling Web sites. Results showed fewer than half of online counselors were following the accepted practice on 8 of the 16 items. Online counselors who identified themselves as licensed or as association members had significantly higher mean checklist scores.     

数字疗法研究现状及伦理问题分析

随着大数据体系、智慧医疗和云建设等方面快速发展,数字疗法为人类健康管理带来了全新解决方案,发展前景广阔,同时也面临不小的伦理挑战和问题。如果开发和使用不当,这些产品可能会给患者带来风险。通过梳理数字疗法在疾病管理和治疗方面的研究现状,显示其在糖尿病、高血压、神经康复等领域均有应用。在此背景下,数字疗法的健康发展尤为重要,应用过程中将面临隐私保护、公平公正、产品安全等伦理问题,进一步将可能出现的伦理问题进行分析并提出相应策略。确保数字疗法充分发挥其作用潜力,获得持续性发展,能够更好、更安全地造福广大患者。

     

An Historical Overview of Basic Approaches and Issues in Ethical and Moral Philosophy and Principles

Summary

This article provides a condensed history of ethics development for the purpose of exposing psychologists and other mental health professionals to ethical and moral bases upon which modern psychological ethics are founded. In addition, it focuses on contemporary theories, with an emphasis on professional ethics.     

Counseling Minors: Ethical and Legal Issues

This article discusses the ethical and legal dilemmas facing counselors who work with minors in the school system. From an ethical perspective, minors should be able to expect confidentiality; however, parents and guardians have certain legal rights that limit the rights of minors. The author uses a hypothetical case to address these concerns and offers intervention strategies used for empowering minor clients in counseling.     

Modern Advances in Genetic Testing: Ethical Challenges and Training Implications for Current and Future Psychologists

The ethical implications for psychological practice of genetic testing are largely unexplored. Predictive testing can have a significant impact on health and well-being, and increasing numbers of individuals with knowledge of their risk for various disorders are likely to present for psychotherapy. In addition, more people will struggle with the decision of whether to obtain information regarding their genetic material. Psychologists will need to have the appropriate knowledge and clinical skills to effectively counsel this population. This article highlights the relevant ethical issues surrounding psychological treatment of individuals pursuing or considering undergoing genetic testing. These issues are extended to psychologists working in research, education, and policy domains. Recommendations for graduate training programs to facilitate current and future practitioner competence are also discussed.     

Remote Weaponry: The Ethical Implications

The nature of warfare is changing. Increasingly, developments in military technology are removing soldiers from the battlefield, enabling war to be waged from afar. Bombs can be dropped from unmanned drones flying above the range of retaliation. Missiles can be launched, at minimal cost, from ships 200 miles to sea. Micro Air Vehicles, or ‘WASPS’, will soon be able to lethally attack enemy soldiers. Though still in the developmental stage, progress is rapidly being made towards autonomous weaponry capable of selecting, pursuing, and destroying targets without the necessity for human instruction. These developments have a profound — and as yet under‐analysed — impact on just war theory. I argue that a state under attack from remote weaponry is unable to respond in the traditional, just war sanctioned, method of targeting combatants on the battlefield. This restriction of options potentially creates a situation whereby a state is either coerced into surrender, or it must transgress civilian immunity. Just war theory in conditions of remote warfare therefore either serves the interests of the technologically advanced by demanding the surrender of targeted states, or else it becomes redundant.     

When Core Self-Evaluation Leads to Career Adaptability: Effects of Ethical Leadership and Implications for Citizenship Behavior

Drawing upon the career construction theory and the trait activation theory, the present study first aims to uncover the interactive effect of core self-evaluation (CSE) and ethical leadership on career adaptability. In addition, the authors examined how career adaptability mediates the interaction effect of CSE and ethical leadership on organizational citizenship behavior (OCB). Two-wave data from 156 employees were collected in a manufacturing company over a one-month interval. Results showed that ethical leadership moderated the relationship between CSE and career adaptability. Specifically, the positive relationship between CSE and career adaptability was stronger when ethical leadership was low. Moreover, career adaptability mediated the relationship between CSE and OCB, and ethical leadership moderated this indirect relationship. We discuss implications for career adaptation and organizational effectiveness.     

Ethical Responsibility and Historical Biography

ABSTRACT Lately, the demand for historical biography has remained strong, fresh works appearing with increased regularity. My concern is with the subjects of these efforts—the dead figures whose lives and natures form the bulk of the contents. The ethics of the professional historian provide writers of historical biography with some guidelines, but are these sound, substantial and enduring enough to ensure the just treatment of the subjects? My contention is that they are not, and I set out tentatively in this brief essay to speculate on some grounds upon which a fuller sense of ethical responsibility, respect and commitment may be built. The major difficulty in attempting this exercise rests with the actual nature of the subject towards whom any duty or responsibility is to be felt, and it is on ambiguity respecting this issue that any serious conclusions may risk shipwreck. Alternatively, if any sense of ethical concern is thought demonstrable in this context, it may rest upon premises that are fundamentally egoistic in nature.     

"网恋"及其伦理问题辨析

“网恋”可划分为“网恋I”(通过网络恋爱 )和“网恋II”(纯粹的网恋 )两种类型 ,由“网恋”引发的伦理问题可分为“问题I”、“问题II”和“问题III”。这种区分有助于分辨网恋带来的不同性质的伦理问题 ,针对不同类型的网恋及其问题 ,提出不同的应对方法。     

Persistent Vegetative State: Clinical and Ethical Issues

Coma, vegetative state, lock-in syndrome and akinetic mutism are defined. Vegetative state is a state with no evidence of awareness of self or environment and showing cycles of sleep and wakefulness. PVS is an operational definition including time as a variable. PVS is a vegetative state that has endured or continued for at least one month. PVS can be diagnosed with a reasonable amount of medical certainty; however, the diagnosis of PVS must be kept separate from the outcome. The patient outcome can be predicted based on etiology and age. Using outcome probabilities and etiology as criteria, patients can be subdivided in 5 groups and reasonable management guidelines can be suggested. Three levels of care can be provided to PVS patients: high technology, supportive and compassionate care. Pragmatic options for the various subgroups of patients are suggested. Management decisions will remain difficult for both the family and the health-care team. The role of the physician in these difficult cases is to share the decision-making with the family.     

异种器官移植及其伦理问题

目前,开展的异种移植研究主要以猪为供体源,面临的主要障碍是宿主抗移植物的免疫排斥反应(超急性排斥、急性排斥和慢性排斥)和猪内源性反转录病毒感染,并已取得一定进展.但异种移植引发的伦理问题也不容忽视,主要有跨物种感染、卫生资源分配、动物的权利和人格同一性等问题.     

No Plaything: Ethical Issues Concerning Child-pornography

Academic discussion of pornography is generally restricted to issues arising from the depiction of adults. I argue that child-pornography is a more complex matter, and that generally accepted moral judgements concerning pornography in general have to be revised when children are involved. I look at the question of harm to the children involved, the consumers, and society in general, at the question of blame, and at the possibility of a morally acceptable form of child-pornography. My approach involves an objectivist meta-ethics and a utilitarian view of practical ethics, and I bring out the advantages of these theories to the consideration of moral issues such as this one.

Ethical Issues in Occupational Social Work:

Social work practice in work settings, particularly employee assistance programs has experienced substantial growth over the past decade. With this growth comes a number of practice issues related to the professional conduct of social workers in work based social programs and the impact these programs have on public social services. Other relevant issues are client self-determination and degree of confidentiality. This paper clarifies these issues and also identifies potential policy and economic implications for social work practitioners and the profession.     

Epigenetics and Child Psychiatry: Ethical and Legal Issues

Epigenetics has the potential to revolutionize diagnosis and treatment in psychiatry, especially child psychiatry, as it may offer the opportunity for early detection and prevention, as well as development of new treatments. As with the previous introduction of genetic research in psychiatry, there is also the problem of unrealistic expectations and new legal and ethical problems. This article reviews the potential contributions and problems of epigenetic research in child psychiatry. Previous legal and ethical issues in genetic research serve as a guide to those in epigenetic research. Recommendations for safeguards and guidelines on the use of epigenetics with children and adolescents are outlined based on the identified issues. Copyright © 2015 John Wiley & Sons, Ltd.     

Ethical Issues in Counselling and Psychotherapy: The Background

Ethical issues have their roots in the belief systems of individuals and society. Codes of ethics are seen as attempts to ensure that behaviour accords with these belief systems. An outline model is presented which highlights some aspects of beliefs, feelings and conscious and unconscious processes, and their effects upon the conscious behaviours of the individual. Aspects of social change and context are briefly considered, together with the subsequent effects upon beliefs and ethics, and issues of responsibility.     

神经成像技术的伦理问题

神经成像技术的应用不仅会影响人的大脑活动,甚至可以读出人类思想的内容.因此,在使用神经成像技术时,既要遵循技术规范,还要遵循生命伦理学的基本原则.概述了神经成像技术的成就及其研究和应用价值,讨论了神经成像技术在应用过程中的知情同意、隐私保护等伦理问题,以及运用神经成像技术进行测谎可能涉及的伦理问题.