Ethical and Professional Issues for Psychologists and Counselors Employing Biofeedback in Counseling Settings

Biofeedback training is a relatively new procedure that is being incorporated into the counseling services of psychologists and counselors. If the highest professional standards and the appropriate safeguards for clients' welfare are to be maintained, careful attention should be given to the ethical and professional issues involved. The American Psychological Association's (1977) ethical standards for psychologists are the basis of the discussion. It is hoped that the discussion will stimulate further consideration of ethical and professional issues of the clinical application of biofeedback among practitioners.     

Accepting Fallibility: A Model for Personal Responsibility for Nonegregious Ethics Infractions

The profession's ethics standards require counselors to self‐monitor their professional actions and take responsibility for misconduct. However, the professional literature has focused on preventing misconduct and on response to serious violations and has offered little guidance regarding the minor infractions that all professionals are vulnerable to committing during their careers. The author presents a 4‐element model to guide counselors in ethically repairing damage when they recognize they have violated ethics codes or ethical principles in minor ways. The model uses the ethical principles that underlie the American Counseling Association's (1995) Code of Ethics and Standards of Practice and J. R. Rest's (1983, 1994) model of moral behavior as a foundation.     

Reference Ethics: Theological Librarianship in Conversation with ALA Reference Ethics Guidelines

This particular article will look at one ethical concern that is likely to be very familiar to most theological reference librarians. This question is what the theological reference librarian's ethical responsibilities are when the American Library Association's Code of Ethics seems to conflict with an institution's expectations for an employee of that institution. In order to adequately solve this question, the article will first summarize the basic elements of the American Library Association's Code of Ethics that relate to the reference interview. Next, the special nature of theological reference librarianship will be discussed. Third, the Association of Theological Schools accreditation guidelines will be examined to determine the relationships that theological librarians have to their religious institutions. Fourth, in light of the theological librarian reference ethics that emerge from the proposed investigation, possible ethical solutions will be suggested. The article will conclude that the article's research question is actually a false question, not because theological librarians have not raised it or because it is not worth considering, but because the American Library Association's Code of Ethics and the Association of Theological Schools accreditation standards expect the same thing from their librarians.     

DO YOU KNOW WHAT YOUR NEIGHBOURS ARE DOING ? A STUDY OF SCIENTIFIC COMMUNICATION IN EUROPE1

After this year's research on scientific communication in Europe, where almost 100 interviews were conducted in 8 European countries, one finding is clear: there is better communication between Europe and America than among European countries. Since space is limited, the analysis of this finding will be made in terms of the communication behavior of the members of the cross-national organization, the European Association of Experimental Social Psychologists. Their behavior indicates communication within a specialty, and in part, a representative case for the overall findings of the research. The Association is a limited membership organization with members in 14 countries. Since its initiation in 1963, the group has increased not only in size but in its cross-national representation. The questionnaire-interview data obtained at the Association's most recent meeting, supplemented by the findings from the general interview sample, provides the basis for the following discussion.     

Institutional Review Boards and Professional Counseling Research

Institutional review boards (IRBs) are responsible for regulating and safeguarding research with human participants in academic institutions in the United States. The authors explore (a) the historical impetus for IRBs, (b) the ethical values and principles as core components of the review process, and (c) the American Counseling Association's (2005) standards for ethical research. In many ways, IRB review and counseling research are complementary, yet some challenges and obstacles unique to counseling research also exist and are elaborated in the article. Implications for counselors initiating research projects and suggestions for implementation are provided.     

Ethical issues in considering 'religious impairment' in diagnosis

There are several ethical implications of clinician assessment of clinically significant religious impairment (CSRI). This paper draws upon the American Psychological Association's (APA's) Code of Ethics (1992) to review relevant ethical principles and standards. It then presents a continuum of responses to the relationship between psychology and religion: (1) religion as harmful, (2) benign neglect of religion, (3) formal: problem-focused, (4) formal: domain-focused, and (5) religion as paradigmatic alternative. This continuum is followed by a discussion of three clinical vignettes and an examination of the potential ethical tensions for each model. The conclusions drawn from this review are that the formal: domain-focused model presents a rationale for inclusion of CSRI in assessment and is the most promising among alternative models for avoiding professional obsolescence, expanding alternatives for clients and clinicians, and enhancing ethical practice and professionalism.     

Ethical social justice: Do the ends justify the means?

This article offers an ethical decision‐making model, informed by community psychology values, as a means for guiding psychologists when engaging in social justice‐oriented work. The applicability of this model is demonstrated through a case analysis elucidating how America's psychologists individually and collectively arrived at the decision to endorse torture—ostensibly as a means for preventing terrorism. Critics have wondered how the American Psychological Association succumbed to these involvements, and how to prevent such ethical lapses in the future. Unfortunately, the American Psychological Association's ethical codes fail to provide explicit guidance for psychologists' involvement in social justice work that impacts communities and systems. To address this gap, we present a values‐driven, ethical decision‐making framework that may be used to guide psychologists' future practices. This framework infuses fundamental community psychology values (i.e., caring and compassion; health; self‐determination and participation, human diversity, social justice; and critical reflexivity) into a 9‐step model.     

Psychological Ethics Codes: A Comparison of Twenty-four Countries

Codes of ethics from 19 countries, representing a total of 24 countries, were compared to the United States using the American Psychological Association's (APA) Ethical Principles of Psychologists and Code of Conduct. Canada's code of ethics was most similar to the US/APA code and China's the most dissimilar. Ten individual standards may be approaching universal agreement, while eight others were unique to the APA ethical code. The relationship of ethical codes to cultural values, and future research suggestions, are discussed.     

Ethical standards for group leaders

A group leader is one who assumes the responsibility for a group dealing with interpersonal relationships. The leader is committed to a belief in the dignity and personal worth of each member of a group with whom he works. While demanding the freedom to function as a professional, he also accepts the responsibilities this freedom implies and defends the rights and freedom of his group members. He maintains integrity in his relationships with other professionals and the public. He does not use his specialized knowledge to take personal advantage of group members, nor does he permit himself to be used by others for purposes inconsistent with his own ethical standards. The group leader is expected to abide by and practice the ethical standards of the American Psychological Association and the American Personnel and Guidance Association. He is also expected to practice the following ethical standards that were developed for, and are more directly applicable to, working with groups.     

Conflicts Between Ethics and Law in Counseling and Psychotherapy

Codes of ethics are designed to guide and govern the behavior of the professional for whom they are written. In such fields as counseling, psychology, and social work, ethical standards are necessary to protect clients, guide professionals, safeguard the autonomy of professional workers, and enhance the status of the profession. Sometimes, however, the professional worker finds that the ethical standards of the profession seem to be in conflict with the law. These conflicts may arise in such areas as advertising, confidentiality, and clients' rights of access to their own files. The authors discuss the nature, ramifications, and implications of ethical-legal conflicts in the helping professions.     

At the crossroads: managed mental health care,the ethics code,and ethnic minorities

Mental health clinicians are facing an increasing number of ethical problems related to the delivery of managed mental health care services to ethnic minorities. The authors argue that (a) economic pressures have led to the development of the managed health care movement; (b) the combination of such economic pressures and the development of that managed care movement have influenced the promulgated ethical standards of the American Psychological Association; and (c) those influences may have a negative impact on the mental health services available to ethnic minority individuals and communities. The authors review some of the specific potential threats to mental health services for minorities in the face of such health management policy and psychologists' professional standards.     

Wellness,Prevention, Development: The Cornerstone of the Profession

The American Counseling Association's (ACA), formerly the American Association for Counseling and Development (AACD), unique contribution to a wellness philosophy lies in the profession's concern for development over the life span. In this article, ACA's commitment to and proactive stance toward wellness are described, the relationship between wellness, developmental approaches, and prevention is addressed, and the debate surrounding prevention as a non-third-party-reimbursable mental health service is discussed.     

Legal ethics and the use of mental health experts in criminal cases

The ethical norms of attorneys in mental health law practice are guided by regulatory codes, professional standards, constitutional, evidentiary, and procedural laws, and personal moral values. This article addresses the contours of ethical practice for attorneys in their relationship with mental health experts. In particular, it examines the attorney's responsibility to zealously represent their clients and the ethical limits on such advocacy.     

The Concerned Mental Health Practitioner

Summary

A discussion is provided regarding a fundamental principle of psychology, a concern for other's welfare, as set out in the American Psychological Association's (2002) Ethical Principles of Psychologists and Code of Conduct. Although the principle concern for others' welfare is essentially aspirational in nature, this is an ethical principle that is at the core of the mental health professions' stated values, and that must be positively put into operation in a variety of professional contexts. Unlike so much else in professional ethics codes that involves injunctions of what not to do, or which attempts to limit the self-serving tendencies of professionals, this general principle is essentially positive, pointing to the need to approach others and to consider their welfare first.     

Ethics in Case Conceptualization and Diagnosis: Incorporating a Medical Model Into the Developmental Counseling Tradition

In this literature review, the author focuses on several ethical considerations in case conceptualization and diagnosis, including diagnostic training and competence. Meeting the American Counseling Association's (1995) ethical standard for diagnostic training has several ethical implications for counselors, counselor educators, and supervisors. For counselors who might struggle with how to meet their ethical responsibilities in diagnosis but who want to remain true to their developmental counseling emphases, the author discusses some of their concerns, the implications of and possible approaches to this aspect of their work. Conclusion Yalom (2002) asked a poignant question of counselors in his book, The Gift of Therapy: “If you were in personal psychotherapy or are considering it, what DSM‐IV diagnosis do you think your therapist could justifiably use to describe someone as complicated as you?” (p. 5). This question and continued dialogue about the ethics and implications of diagnosis are essential aspects of diagnostic training. Yalom's poignant and deeply personal question seems especially appropriate for increasing a counselor's empathy toward the client's sensitivity and vulnerability during the diagnostic process. Counselor educators might ask how one remains true to a developmental model of counseling while adhering to the ethical and accreditation standards of teaching the DSM's medical model of diagnosis. Counselors may also question how to use diagnosis ethically and empathically. Seligman (1999) recommended that clinicians view the DSM as one of many important sources of information about a person. Furthermore, counselors should seek to incorporate diagnostic information into a holistic context, recognizing that a diagnosis does not reflect the totality of the client. Some counselor educators have advised students to integrate the DSM model into their work with clients rather than abandoning their developmental roots (Waldo et al., 1993). Some counselors may not actually put their diagnoses in writing; Seligman believed, however, that thinking diagnostically may assist counselors in determining the best approaches to help clients and to help clients help themselves. This clinical and ethical debate about how, and in fact, whether, to integrate the medical model of the DSM and the developmental origins and distinctiveness of counseling continues. However, the CACREP (2001) standards, managed care systems, and other forces have pushed counseling professionals toward a medical model by mandating counselor knowledge and use of the DSM. Whatever a counselor's stance and behavior on client assessment and diagnosis may be, the literature presented in this review and discussion seems to suggest a need for heightened sensitivity to, preparation for, and accuracy in all facets of client assessment, especially diagnosis.     

Student development and ownership of ethical and professional standards

Ethics and professional conduct are vital to civil engineering undergraduate curricula. Many programs struggle to ensure that students are given an adequate exposure to and appreciation of ethical and professional conduct issues. This paper describes a two-part ethics/professionalism project used in a senior-level course taught at the University of Arkansas. Initially, students scruitinize ethical canons and standards of professional conduct published by the American Society of Civil Engineers (ASCE) and the National Society of Professional Engineers (NSPE), and prepare an essay concerning the applicability of these standards. The second part of the project builds on the first: based on the opinion(s) generated in Part 1, students are asked to develop a set of canons or standards targeted specifically to the undergraduate student, and suggest processes for implementing those standards within the department. Project objectives include: (1) exposure to nationally-recognized ethical canons and standards of professional conduct; (2) personal formulation of ethical and professional standards; (3) skill enhancement for non-technical written communications. Feedback by students prior to and after the project indicates success in meeting all objectives. The feedback also indicates that for some students, definitions and applications of ethics and professionalism are being broadened to include more than academic honesty issues. An earlier version of this paper was presented at the “Ethics and Social Responsibility in Engineering and Technology” meeting, New Orleans, 2003.     

Gone but Not Forgotten: Council Leaders, 1934–1952

The authors summarize the contributions of several leaders of the American Council of Guidance and Personnel Associations, explaining that the counseling profession owes its origin to a coalition of professional organization leaders who were committed to guidance and personnel services. In explaining these leaders' contributions, the authors provide readers with an opportunity to connect a part of the American Counseling Association's past with the present.     

How Organizational Hunger May Have Contributed to the American Psychological Association’s Scandal Over the Ethics of Torture

The recent scandal over the American Psychological Association’s (APA) change in ethical policy on torture has been reported by journalists and by a team led by an independent reviewer, a former federal prosecutor. Additional observations have been provided by current and former APA leaders and members at large posting on the APA website. There seems to be a consensus that the APA, through a corruptive subgroup, colluded with the United States Government to change the APA ethical standards to provide cover for the Department of Defense’s “enhanced interrogation” of suspected terrorists. Examining the flawed decision-making process through a group dynamics lens, the author examines the extent to which corruptive motives and manipulative (if not deceptive) practices led to collusion and a policy inconsistent with APA values and mission. He also offers recommendations to other professional organizations as to how to avoid corruptogenic group processes.     

No Safe Place

Summary

This article addresses ethical issues associated with the concept of professional and scientific responsibility as related to Principle C, “Integrity” of the APA's 2002 Ethics Code. Differences between aspirational and enforceable ethical standards are noted and contextualized in APA's and other professional society's ethics codes. Three case examples are presented and discussed.