Mental Health Professionals and Assisted Death: Perceived Ethical Obligations and Proposed Guidelines for Practice

Modal responses to items from a recent survey of independent practitioners regarding the impact of managed care on their practices and ethics (Murphy, DeBernardo, &; Shoemaker, 1998) were presented to participants as the responses of a hypothetical independent practitioner. Participants were asked to consider seeing this hypothetical practitioner both before and after being informed of the practitioner's responses to the managed care survey. Results indicate that when participants were informed of the practitioner's views toward managed care, their own attitudes toward therapy changed significantly. Specifically, compared to uninformed participants, informed participants were significantly more likely to believe that managed care would have a negative impact on treatment and significantly less likely to see an independent practitioner, use insurance benefits, expect to benefit from treatment, expect to form a strong working relationship, and trust that the practitioner would work in their best interest. Implications regarding ethics and informed consent are discussed.     

The Practice of Integrity for Mental Health Professionals

Summary

The focus of this article revolves around accuracy and honesty in the mental health field. Integrity, both professional and personal, is the foundation of all mental health professionals' functioning. Honesty, fairness, and respect for others are necessary ingredients to professional behavior. Mental health professionals avoid misleading other individuals with regard to professional training and other areas of expertise. In professional roles, they clarify as early as feasible the nature of the expectations and activities in which they are engaged.     

精神卫生工作者面临的困境及其对策

目前国内的精神卫生工作者不能满足社会的需要,认为精神卫生工作开展难度大、职业发展前景不乐观、工作的特殊性和职业满意度低等社会心理因素是导致目前这种状况的主要原因,提出规范精神卫生服务行业,政府增加投入、普及精神卫生知识和工作人员自我调节等措施干预目前这种困境.     

Regulating Research for the Decisionally Impaired: Implications for Mental Health Professionals

Mental health professionals, in fulfilling their different roles, often become involved with research protocols involving decisionally impaired current or prospective human subjects, many of whom are elderly. The opening section of this paper briefly describes the present regulatory environment regarding human subjects research, followed by an overview of the Institutional Review Board (IRB) process. There then ensues an enumeration of some of the general criticisms of the current regulatory scheme that have been enunciated recently. Particular concerns concerning decisionally impaired persons as research subjects are then addressed, referring when applicable to the recommendations made by the National Bioethics Advisory Commission (NBAC) in its 1998 report on this subject and the implications of those recommendations for mental health professionals.     

The Interprofessional Collaborative Practice: Clergypersons and Mental Health Professionals

The purpose of this study is to examine the relationships among variables identified in research literature as obstacles and benefits to interprofessional collaboration-- academic education, interprofessional education, teamwork and communication skills, and trust---as it relates to the participation of clergypersons in interprofessional collaborative practice. The sample consisted of ordained Christian clergypersons in Florida who voluntarily completed a survey questionnaire. Standard and stepwise multiple regression was applied to analyze the data. The model accounts for 25% of the variation of interprofessional collaborative practice. Results also revealed that the education variables explained significantly 20% of the variance of interprofessional collaborative practice.     

Unethical Practice as Perceived by Mental Health Professionals: The Next Generation

Replicating a study done 15 years ago, the authors mailed a survey to psychiatrists, psychologists, psychotherapists, and marriage and family counselors who were listed in the San Antonio Yellow Pages to get information about their perceptions of the incidence of unethical practice. Results show a shift in perceived unethical practice over the 15-year time frame.     

The Ethics of Supervision and Consultation: Practical Guidance for Mental Health Professionals

Studies of academic dishonesty typically rely on potentially inaccurate self-reports or on actual behavior during less realistic tasks. Eliminating the drawbacks of such approaches, we assessed cheating during completion of actual coursework via electronic records of online behavior. Thirty-six college students completed unproctored, online quizzes. The majority of students responding to a follow-up questionnaire reported that they never considered consulting online sources during the quizzes. Computer logs reveal that although some students accessed relevant online information during the quizzes, many did not: 6 instances over 72 quiz attempts are attributable to 3 or 4 individuals. Although online environments may offer more opportunities for academic dishonesty, electronic records of online activity provide a valuable and objective means of detecting such dishonesty.     

Ethical and Legal Considerations in the Training of Mental Health Professionals

Summary

A discussion is provided regarding ethical and legal considerations that relate to the training of mental health professionals. A training program which emphasizes a proactive approach to identifying and resolving potential ethical and legal problems, and their close connection with clinical issues is described, as are the responsibilities of supervisors and supervisees in such a program. For illustrative purposes, a training vignette and a clinical vignette conclude the article.     

The Hmong in the United States: An Overview for Mental Health Professionals

Since Laos fell to the communist Pathet Lao, many Hmong people have relocated to the United States. Because of the vast cultural differences, the Hmong have had a notoriously difficult time adjusting to life in the United States. In view of the many problems faced by Hmong Americans, it is likely that many of them will seek or be referred to non-Hmong professionals for various counseling services. This article provides an overview of Hmong culture and a history of their migration to the United States. Specific adjustment and mental health problems are noted and suggestions are provided for designing appropriate counseling interventions for Hmong Americans.     

An Open Letter to Health and Mental Health Care Professionals from a Survivor of Sexual Exploitation

The following is a personal acount from a woman who has cerebral palsy dealing with her experiences with sexual exploitation. The article gives suggestions to the mental and health care profession about working with a survivor of sexual abuse who happens to have a disability.     

Spirituality and Mental Health Care in a Religiously Homogeneous Country: Definitions,Opinions, and Practices Among Polish Mental Health Professionals

Journal of Religion and Health - This qualitative study involved a sample of 121 Polish mental health professionals who were interviewed about their definitions of spirituality and their opinions...     

How Clients Are Harmed by Sexual Contact with Mental Health Professionals: The Syndrome and Its Prevalence

Research concerning the prevalence, varieties, contributing factors, and harmful consequences of sexual intimacies with clients (occurring either prior to or subsequent to termination) is reviewed. The sequelae of therapist-client sex may form a distinct syndrome, with similarities to Rape Response Syndrome, Battered Spouse Syndrome, reaction to incest, response to child abuse, and Post-Traumatic Stress Disorder. Aspects of Therapist-Patient Sex Syndrome include: (a) ambivalence, (b) a sense of guilt, (c) feelings of emptiness and isolation, (d) sexual confusion, (e) impaired ability to trust, (f) identity, boundary, and role confusion, (g) emotional lability (frequently involving severe depression and acute anxiety), (k) suppressed rage, (i) increased suicidal risk, and (j) cognitive dysfunction (especially in the areas of attention and concentration, frequently involving flashbacks, nightmares, intrusive thoughts, and unbidden images).     

The Relationship of Work Environment and Client Contact to Burnout in Mental Health Professionals

The authors explored the relationship of the work environment (assessed by the Work Environment Scale) and client contact to scores of 94 mental health professionals on the Emotional Exhaustion, Personal Accomplishment, and Depersonalization subscales of the Maslach Burnout Inventory.     

Spiritual Transcendence and Mental Health of Psychotherapists and Religious Professionals in a Hungarian Adult Sample

In this study we examine whether components of spiritual transcendence can explain individual differences in mental health in a Hungarian adult sample (N = 583), with a special focus on the associations in two subsamples, religious professionals and psychotherapists. Using the Spiritual Transcendence Scale (STS), we found that religious professionals presented higher Prayer Fulfillment and Universality than psychotherapists; however, members of both professional groups scored higher than other professionals on these dimensions. By contrast, psychotherapists were superior to religious professionals in Connectedness. Moreover, higher Universality predicted better mental health, even after controlling for gender, age, profession, and basic personality traits. No interaction effects were found between profession and the subscales of the STS. Results suggest that the potential mental health benefits of spirituality, especially in form of a universal view of existence, are equally present in both specific professions and in the general sample, whereas the professions themselves still reflect differences both in spirituality and in well-being.     

Education and Training of Children's Mental Health Professionals: The Existing and Potential Role of Schools of Public Health

Since the early 1980s, increasing attention has been devoted in the literature to the conceptualization, development, and implementation of integrated and comprehensive mental health systems of care for children and adolescents. In establishing this new children's mental health paradigm of community-based systems of care, there are presently very few well-trained professionals and leaders focused on collaborative (including interagency) initiatives in the delivery of children's mental health services. Nevertheless, the field of public health offers an interdisciplinary setting for the education and training of individuals in children's mental health services. This national survey of all 27 accredited schools of public health in the United States and Puerto Rico examined the existing capacity for and potential to expand educational and training opportunities in the organization, financing, and delivery of children's mental health services.     

Custody and Access Evaluations: Issues for Mental Health Professionals Conducting Assessments withMentally Disordered or Mentally Retarded Parents

Mental health professionals are increasingly beingcalled upon by the courts to offer their expertise inchild custody and access disputes. This paperaddresses the specialized role mental healthprofessionals have in custody and access hearings,particularly in cases wherein one or both parents havereceived a mental diagnosis (i.e., of mental disorderor mental retardation). The focus upon thispopulation of parents is warranted, as there is adearth of both empirical literature and professionalguidelines to provide direction to the mental healthprofessional that is offering his or her expertise tothe court regarding these parents. Additionally,there are specific issues that the mental healthprofessional needs to remain cognizant of, above andbeyond general issues associated with conductingcustody and access assessments, when conductingassessments on parents with mental diagnoses. Theliterature on the parenting behaviors and risk ofchild abuse and neglect associated with mentallydisordered and mentally retarded parents is reviewed,and the limitations in our empirical knowledge ofthese areas are highlighted. Recommendations formental health professionals conducting custodyevaluations in hearings where one or both parents havea mental diagnosis are provided.     

Health Beliefs,Religious Values,and the Counseling Process: A Comparison of Counselors and Other Mental Health Professionals

A. E. Bergin (1985) studied the religious values and beliefs of mental health professionals and the relationship of those values to the counseling process. This study replicated Bergin's research with a sample of professional counselors. Differences were found in each of 10 beliefs areas and 10 values areas between the total sample in both studies. Within-group differences revealed greater similarities between professional counselors and social workers and marriage and family therapists and greater differences between counselors and either psychologists or psychiatrists. Implications for counseling and counselor training are discussed.     

Sex Differences in Women's Mental Health Problems and Their Causes

No abstract available for this article.