Research as therapy, therapy as research: Ethical dilemmas in new-paradigm research

Ethical dilemmas are raised by changes in research paradigms which encourage the development of a relationship between researcher and participant. In such contexts it becomes increasingly difficult to tell the difference between a therapeutic relationship and a research interview. The rapid development of research within the therapeutic world of counselling and clinical psychology poses further ethical issues relating to the use of clients as participants in research studies. It is concluded that there must be an increased awareness of these issues and a need to accept responsibility for relationships with both participants and clients.     

Should men treat women? Dilemmas for the male psychotherapist: psychoanalytic and developmental perspectives

A spate of sexual abuse cases predominantly involving male psychotherapists with female patients as their victims raises serious questions about the ethics of cross-gender therapeutic dyads. Although such abusive situations must be highlighted as ethically aberrant, they may well represent a type of intrusive harm or hostile neglect which ensues on a continuum in the psychotherapeutic treatment of many female patients by male clinicians. I argue that the difficulties for men in empathically understanding women stem not only from certain misconceptions about women's development but especially stem from a paucity of understanding concerning men's psychology, a dearth of gender-sensitive information about the differences between boy's and girl's/men's and women's development, and a consequent difficulty for male psychotherapists to engage in the type of productive self-analysis that would ameliorate this gender-biased myopia. Recent psychoanalytically oriented child development/family research and innovative revisions of psychoanalytic theory are used to highlight some of the often overlooked, yet salient aspects of men's development as it is differentiated from women's. Specifically addressed is the possibility of a male, gender-linked vulnerability for a normative traumatic abrogation of the early holding environment with predictable sequelae in later intimate relationships, including the psychotherapeutic encounter. As the "confusion of tongues" between men's and women's development comes to light, is translated, and is empathically understood, new hope may be found for male therapists and their patients. An opportunity for enhanced therapeutic efficacy within an ethical and genuinely caring depth psychology may then be generated.     

Contemporary views of man in psychology

Summary Contemporary views of man in psychology are in flux. The American tradition of experimental materialism is being modified by serious attention to personality theory. The existential movement in Europe is beginning to have a serious influence on both theory and therapy. The development of psychosomatic medicine is part of a vital reconsideration of the problems of mind-body. And within the psychotherapeutic disciplines, serious attention is being given to the role of patient-therapist values and the therapeutic concept of man. The relevance of spiritual concepts is being given serious consideration, and potential modifications of theology and psychology are being entertained by both disciplines. Hopefully, out of this interchange will develop more adequate concepts of man and God.Presented at Eastern Mennonite College and Seminary, January, 15, 1965, as one of the 1964–65 lecture series on Contemporary Views of Man.     

SOME ETHICAL CONSIDERATIONS OF SHORT-TERM WORKSHOPS IN THE PRINCIPLES AND METHODS OF BEHAVIOR MODIFICATION1

Workshops and seminars to expose different sectors of the professional community to the principles and applications of behavior modification are briefly discussed. The possible misapplication of procedures by conference participants, whose only exposure to behavioral methods has been at these workshops is viewed as a potentially serious ethical issue. It is suggested that the goals of such seminars and workshops must be clarified, and methods of evaluation of the participants' skills devised, lest we contribute to the misapplication of procedures and to the criticism that behavioral methods are unethical approaches to treatment.     

Five points and a lament about Range and Cotton's "Reports of assent and permission in research with children: illustrations and suggestions

This comment responds to an article by Range and Cotton (1995) on reporting of parental permission and child assent procedures in published articles for 4 psychology journals. Issue is taken with the assumptions, methodology, interpretations, and implications of listing researchers in the Range and Cotton article. There is no evidence researchers failed in their ethical obligations or that children were put at risk. Reporting permission/assent in publications is not an ethical requirement. Listing researchers as "failing" to do something not part of an ethical code is lamentable. Too many unfortunate implications and problems can be derived from Range and Cotton's analysis and conclusions.     

Five Points and a Lament About Range and Cotton's "Reports of Assent and Permission in Research With Children: Illustrations and Suggestions"

This comment responds to an article by Range and Cotton (1995) on reporting of parental permission and child assent procedures in published articles for 4 psychology journals. Issue is taken with the assumptions, methodology, interpretations, and implications of listing researchers in the Range and Cotton article. There is no evidence researchers failed in their ethical obligations or that children were put at risk. Reporting permission/assent in publications is not an ethical requirement. Listing researchers as "failing" to do something not part of an ethical code is lamentable. Too many unfortunate implications and problems can be derived from Range and Cotton's analysis and conclusions.     

Elder Abuse: Ethical and Related Considerations for Professionals in Psychology

Elder abuse presents difficult ethical considerations that the field of psychology has yet to sufficiently address. As demographics and sociocultural factors shift in the coming decade, this deficit in ethical competence may become an increasingly serious problem. Although legal definitions of elder abuse lack uniformity and clarity, there is much room for improvement in the field of psychology. Ethical considerations most relevant to professionals in psychology draw heavily on the principles of beneficence and nonmaleficence and respect for people's rights and dignity. Professional standards of competence, discrimination, informed consent, privacy and confidentiality, and cooperation with other professionals are also critical in these considerations. A number of recommendations are made, centering around the needs for more education, frank discussion, and empirical examination of the complexities of elder abuse.     

Leary's circle matrix: A comprehensive model for the statistical measurement of Horney's clinical concepts

Three issues associated with the lack of statistical evaluation of Horney's theory were presented. They are the preference for professional and clinical impression over the use of more objective methods for defining and evaluating behaviors; the difficulty involved in validly assessing the dysfunctional nature of the expansive type; and the disregard of many objective scales for intrapsychic processes that should be viewed in terms of the total "organization of personality." Leary's model was described as a systematic and formal set of procedures that are relevant and appropriate to the measurement of behavior within the context of Horney's theory. Additionally, a current study was cited that used Leary's model with significant results pertaining to the statistical implications of Leary's procedures and the adaptation of the model to Horney's theory. It is clear that any theory which presumes to provide therapeutic treatment to clients in an ethical manner must be critiqued and evaluated to safeguard the welfare of its clients. However, it is a common practice to accept therapeutic concepts that are nestled in a defined model without testing them in a relatively objective manner. With the help of Leary's circle matrix and operational procedures, it is crucial that Horney's constructs be further submitted to empirical testing on a formal basis. The procedures have been available since 1957.     

Humanistic psychology: Saybrook institute graduate school and research center

This article attempts to resolve the apparent tensions between humanistic and positive psychology regarding their respective notions of what constitutes a good life. It argues that an ethic of authenticity provides a unifying normative framework for both traditions, including interpretations of the various dimensions of authenticity and of the moral virtues and principles associated with this ethical ideal. The article provides a working definition of authentic selfhood that draws on both the existential-phenomenological tradition and the communitarian ethical framework associated with positive psychology. It demonstrates how these two very different philosophical traditions contribute to a shared, integrative theory of authentic self-development which, in turn, provides needed clarity to the normative framework of positive psychology.     

The ethical confrontation of the unethical forensic colleague

In the course of clinical and forensic work, psychologists sometimes discover serious weaknesses in knowledge, performance, or ethics in other psychologists' work. The ethical code of the American Psychological Association mandates confronting such a psychologist prior to making a professional complaint. This mandatory confrontation typically is omitted because of a sense of awkwardness or a fear of insulting the other psychologist. Education and training in psychology does not cover this sensitive and important area. In this article, sample templates of letters are provided to meet that ethical requirement and to begin to resolve problem behaviors by colleagues.     

Achtsamkeit

Within the last three decades western psychology, psychotherapy and medicine have become increasingly enamored by the perception of “mindfulness” as a form of unbiased, judgment-free awareness of perceptible experience. Derived from earliest forms of Buddhist psychology, mindfulness is, however, also integral to a particular set of ethical values and may be seen as a practice or process that tangibly embodies the Buddhist ethical stance. Buddhist psychology, similar to psychodynamic and other psychotherapeutic approaches, aims at the understanding and alleviation of human suffering. We believe that the intentional practice of mindfulness (as defined above) adds a new (very old) dimension by implicit cultivation of a consistent set of ethical attitudes that include kindness, patience, tolerance, generosity, compassion and courage. Sustained awareness of the spectrum of momentary experience may, otherwise, be inaccessible. These benevolent attitudinal qualities often allow eudemonic mental and physical states to be experienced, even in the face of unpleasant circumstances. A relational process unfolds that reinforces, in both bodily and mental domains, a synergy of awareness and ethical intentions literally representing an embodied ethical presence. We discuss the implications of such an understanding of mindfulness for current psychotherapeutic approaches.     

The roots of empathy and aggression in analysis

Empathy and interpretation have complementary roles in analysis. Empathy diminishes psychological arousal, ego-defences, and promotes the therapeutic relationship. Interpretation, when adopted in the service of character analysis and the uncovering of unconscious conflict, represents one element of a larger set of interventions termed analytic aggression, whose primary goal is to promote insight. Psychoanalysis has been increasingly influenced by derivative theories that promote the therapeutic relationship. Clinical observations suggest that the application of analytic aggression has diminished and that many modern treatments may have become overly skewed towards empathic approaches. This paper explores ethical humanism, Jamesian typology, and feminine psychology, as factors that have contributed to the diminished emphasis on analytic aggression in practice. Eastern myth and Buddhist psychology are used to explicate the core features of narcissistic mental structuring and to support the continued importance of analytic aggression in its treatment. Case material is examined to elucidate the benefits and limits of analytic aggression.     

The moral of the story: The importance of applying an ethics lens to the teaching of positive psychology

In a short-time positive psychology has progressed into a scientific and multidisciplinary field of enquiry. It is now necessary for positive psychology to develop clear practice standards which will be collectively endorsed and upheld by members and those undergoing training in positive psychology. Teachers of positive psychology are in a prime position to disseminate ethical knowledge. Moreover, the objectives of ethics and positive psychology are closely aligned in their focus on achieving optimal outcomes; hence, the pairing of the two is ideal. Consequently, it would be ironic if positive psychology did not explicitly embrace ethical standards in guiding those training for a future in positive psychology. As a professional entity, positive psychology needs to provide more direction and encouragement for teachers, students, scholars and practitioners of positive psychology, and in time, this should be codified and discussed in positive psychology university degrees to promote consistency among its future members.     

Ethical Training in Sport Psychology Programs: Current Training Standards

Ethical training in graduate programs is an important part of the professional development process. Such training has taken a position of prominence in both counseling and clinical psychology but seems to be lagging behind in the field of sport psychology. A debate exists about whether such training is necessary and, if so, how it should be provided. An important step in better understanding these issues is to identify how such training is currently taking place. This study surveyed the program directors of sport psychology programs listed in the Directory of Graduate Programs in Applied Sport Psychology (Burke, Sachs, & Schrader, 2002) about the ethical training that takes place in their programs and their perceptions of the preparedness of the students in their programs. Of those contacted, 54% (n = 47) responded to the e-mail based survey. The results from these respondents indicated that 64.4% of programs require training in ethics and that the training was most commonly integrated into other nonethics courses. Overall, respondents did not feel as if students were completely prepared for either the ethical or legal issues that they will face in their professional careers. The importance of ethical training and suggestions for improving ethical training are discussed.     

“It's the Way That You Do It”: Developing an Ethical Framework for Community Psychology Research and Action

In the 50 years since the 1965 Swampscott conference, the field of community psychology has not yet developed a well‐articulated ethical framework to guide research and practice. This paper reviews what constitutes an “ethical framework”; considers where the field of community psychology is at in its development of a comprehensive ethical framework; examines sources for ethical guidance (i.e., ethical principles and standards) across multiple disciplines, including psychology, evaluation, sociology, and anthropology; and recommends strategies for developing a rich written discourse on how community psychology researchers and practitioners can address ethical conflicts in our work.     

The science, fiction, and reality of embryo cloning.

Although many scientists view cloning as a useful procedure for scientific research into early embryo development -- one that cannot currently be used to produce multiple copies of humans -- the popular literature has led some individuals to view it as sinister. To address the concerns of the public, various conceptions of cloning are distinguished and their basis in fact analyzed. The possible uses, benefits, and detriments of both embryo splitting and nuclear transplantation are explained. Once the nature and purposes of cloning are understood, and the distinctive ethical dilemmas created by embryo splitting and nuclear transplantation are sorted out, these procedures should be clinically implemented to assist in vitro fertilization treatment for those who are infertile and to further other therapeutic and investigational efforts in medicine.     

Who took the "x" out of expectancy-value theory? A psychological mystery, a substantive-methodological synergy, and a cross-national generalization

Expectancy-value theory (EVT) is a dominant theory of human motivation. Historically, the Expectancy × Value interaction, in which motivation is high only if both expectancy and value are high, was central to EVT. However, the Expectancy × Value interaction mysteriously disappeared from published research more than 25 years ago. Using large representative samples of 15-year-olds (N = 398,750) from 57 diverse countries, we attempted to solve this mystery by testing Expectancy × Value interactions using latent-variable models with interactions. Expectancy (science self-concept), value (enjoyment of science), and the Expectancy × Value interaction all had statistically significant positive effects on both engagement in science activities and intentions of pursuing scientific careers; these results were similar for the total sample and for nearly all of the 57 countries considered separately. This study, apparently the strongest cross-national test of EVT ever undertaken, supports the generalizability of EVT predictions--including the "lost" Expectancy × Value interaction.     

The Stories We Tell: Introduction to the Special Issue on Ethical Challenges in Community Psychology Research and Practice

This Special Issue examines ethical challenges in community psychology research and practice. The literature on ethics in community psychology has remained largely abstract and aspirational, with few concrete examples and case studies, so the goal of this Special Issue was to expand our written discourse about ethical dilemmas in our field. In these articles, researchers and practitioners share stories of specific ethical challenges they faced and how they sought to resolve them. These first‐person narratives examine how ethical challenges come about, how community psychology values inform ethical decision making, and how lessons learned from these experiences can inform an ethical framework for community psychology.     

Making Sense of the APA: A History of the Relationship Between Psychology and the Military

The American Psychological Association (APA) has been steadfast in its position that psychologists must have the right to participate in interrogations in U.S.-run illegal detention centers. One wonders why the APA is so resolute in this view especially in light of the opposition to involvement in these sites by all other relevant professional organizations. This paper offers an answer to this question by means of an exploration of the historical bond between American psychology and the military. It is demonstrated that the dramatic growth of psychology after World War II is attributable to resources supplied by the Department of Defense and the Central Intelligence Agency. It is argued that the historical and current dependency of psychology on the military for research funds as well as clinical training and treatment has resulted in a historical and current debt on the part of psychology to both of these organizations. This debt is repaid by an unquestioned endorsement of military policy, no matter how questionable its ethical or legal basis might be.     

Power and clinical psychology: a model for resolving power-related ethical dilemmas

This article considers power in clinical psychology. It is argued that power is present at every level of clinical psychologists' practice and can be used positively and negatively. Drawing on organizational, ethical, psychological, and personal influences, a heuristic problem-solving model for the process of understanding and resolving power-related ethical dilemmas is proposed. It is contended that such a model provides a humane and systematic process of understanding and working through power-related ethical dilemmas. It is argued that resolving power-related ethical issues cannot be achieved through the statement of absolute values but rather requires a process of understanding, action, and review. The model is used to draw out implications for promoting ethical practice and preventing the abuse of power in clinical psychology.