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.     

Billing and Record-Keeping for Familial Cancer Risk Counseling: A National Survey

We surveyed 111 genetic counselors providing cancer risk counseling (CRC) in order to document their billing and record-keeping practices. Of the 75 respondents, billing was generally done under the supervising physician with a wide variation in charges. Follow-up telephone interviews with 28 counselors who charge patients revealed that billing was usually done using the CPT codes for consultations, and the ICD-9 diagnostic codes for cancer (if applicable), a medical complaint, or a family history of cancer code. Most counselors exclude some clinical information from the patient's medical record. In consultation notes, 81% of counselors document a discussion of genetic testing, but only 37% document the patient's actual testing decision, and only 19% document test results. In anticipation of increased referrals for CRC, data are needed on the components of a CRC visit, the amount of time required to provide CRC, patient outcomes measures, and charges and reimbursement. The feasibility and advisability of keeping results separate from the patient's medical record also needs to be addressed.     

The “Ethical” Professor and the Undergraduate Student: Current Perceptions of Moral Behavior among Business School Faculty

A survey of 830 faculty members at 89 AASCB-accredited business schools throughout the United States was conducted in Fall 2002 to develop a snapshot of perceptions of ethical and unethical conduct with regard to undergraduate business instruction across a wide range of business disciplines. These behaviors fell into such categories as course content, evaluation of students, educational environment, disrespectful behavior, research and publication issues, financial and material transactions, social relationships with students, and sexual relationships with students and other faculty. Of the 55 behaviors, two were almost universally perceived to be unethical. Eight behaviors were controversial in that there was wide variance on whether the behavior was perceived to be unethical. In addition, females' ethical perceptions differed significantly from males on three behaviors; older participants differed from younger participants on seven behaviors; participants at research-oriented institutions differed from participants at teaching-oriented institutions on one behavior; and tenured, untenured tenure-track, and untenured non-tenure-track participants differed on three behaviors. The findings of this study and the detailed comments of the respondents provide a starting point for discussing more systematic means to consider ethical issues within collegiate schools of business.     

明知故犯？故意不道德行为的影响因素和心理过程

故意不道德行为是指个体在明知行为违背了道德规范,但仍采取的不道德行为。研究表明,故意不道德行为存在众多诱发因素,尤其是道德自我概念具有重要的自我调节作用,在行为发生前后都产生重要影响。本文对故意不道德行为的影响因素进行了梳理,探索其行为发生前后的心理过程,并对既有的研究框架进行了整合。未来可以更关注无意识因素和心理动机因素对不道德行为的影响和作用机制,并尝试探索网络情境中的不道德行为。     

Bad for me or bad for us? Interpersonal orientations and the impact of losses on unethical behavior

The present research examines the role of allocations of losses versus gains on the emergence of unethical behavior as a function of people's social value orientation. The authors demonstrate that (a) proselfs regard unethical behavior to prevent losses as more justified than prosocials (Study 1) and (b) proselfs engage in more unethical behavior to prevent losses than prosocials (Study 2). These differences are explained by prosocials' greater concern for harm to interdependent others in the domain of losses. A third study further substantiates these findings by revealing that unethical behavior to prevent losses increases among prosocials as harm to others is reduced. In sum, these results reveal that depending on whether people attend only to their self-interest or also consider the outcomes of others, losses either may increase or curtail unethical conduct. Considering social value orientations thus may reconcile conflicting theoretical perspectives on the impact of losses on social decisions.     

Community‐Based Participatory Research With Black Churches

Black Americans are more likely than other racial/ethnic groups to rely on spiritual and religious resources for mental health support. As such, counselors must seek unique ways to reach and understand Black communities. This article provides an overview of Black Americans' help‐seeking behaviors, the significance and culture of the Black Church, and a framework for counselors and counseling researchers to form effective partnerships to conduct community‐based participatory research initiatives that will produce empirical outcomes and promote culturally responsive mental health and wellness programming in Black communities.     

Measuring consensus about scientific research norms

In this paper, we empirically explore some manifestations of norms for the conduct of science. We focus on scientific research ethics and report survey results from 606 scientists who received funding in 1993 and 1994 from the Division of Molecular and Cellular Biology of the Biology Directorate of the National Science Foundation. We also report results for 91 administrators charged with overseeing research integrity at the scientists' research institutions. Both groups of respondents were presented with a set of scenarios, designed by fractional factorial methods, describing different kinds of scientific conduct that in the eyes of some would likely be unethical. Respondents then were asked to evaluate each of these scenarios for how unethical the behavior might be and what kinds of sanctions might be appropriate. We use the responses to consider the nature of consensus around norms related to the practice of science and in particular, similarities and differences between scientists and science administrators. Implications for policy are also discussed.     

Effects of Training and Environment on Graduate Students’ Self-Rated Knowledge and Judgments of Responsible Research Behavior

Training programs, departmental/disciplinary norms, and individual factors (e.g., personality traits) have been hypothesized to influence (un)ethical behavior. This exploratory study surveyed graduate students from a single university in the American Southeast. Relationships were examined among 496 participants’ individual characteristics, training, self-rated knowledge and decision-making skills in research conduct, and judgments of ethically questionable vignettes. Key findings include the increased likelihood of unethical action by students in online programs, a negative relationship between age and unethical actions, and a negative relationship between agreeableness and reports that a peer would take an unethical action. Graduate training was unrelated to judgments of ethicality.     

Ethical Judgments of Counselors: Results From a Turkish Sample

The present study examined the ethical judgements of Turkish counselors (N = 767) using a translation of the Gibson and Pope (1993) ethical judgements survey. Items predominantly judged as ethical and unethical, and group differences regarding gender, taking ethics as a course, professional affiliation, and level of academic degree, were investigated. Chi-square analysis, Fishers’s exact test, and Fisher–Freeman–Halton tests were used in statistical analysis. Results revealed that participants predominantly judged breach of confidentiality in cases of child abuse and potential harm toward oneself or others as ethical. Items concerning sexual dual relationships were predominantly perceived as unethical, and male participants were more likely to judge items regarding sexual and nonsexual dual relationships as ethical. Implications for future research and practice are discussed.     

Identifying emotional disturbance in children- the professionals differ

This study investigated perceptions of conduct and personality indicators of elementary school age children as perceived characteristics of emotional disturbance. The indicators were ranked by teachers, school counselors, school psychologists, clinical psychologists, and psychiatrists, using a Q-sort. It was found that teachers and school counselors did not distinguish between conduct and personality indicators, while the other remaining professional groups demonstrated a significant preference for the personality indicators as characterizing emotional disturbance.     

A Survey of Counselor Educators' Ethical Concerns

This survey examined counselor educators' ethical concerns. Responding to a series of vignettes, respondents considered unethical those behaviors that are self-serving (e.g., dating a client or a student and not fulfilling work responsibilities) while perceiving ethical those practices that raise the question of dual relationship. Respondents were also in favor of allowing students with serious mental health problems to become counselors as long as their problems are under control. A significant gender difference was observed in their response to one vignette. The majority of respondents expressed satisfaction with the current ethical standards of the American Counseling Association, although slightly over half indicated that ethical standards specifically applicable to counselor education would be helpful.     

Mechanisms of Moral Disengagement in the Endorsement of Asylum Seeker Policies in Australia

Moral disengagement is a process whereby the self-regulatory mechanisms that would otherwise sanction unethical conduct can be selectively disabled. The present research proposed that moral disengagement might be adopted in the endorsement of asylum seeker policies in Australia, and in order to test this, a scale was developed and was validated in two studies. Factor analysis demonstrated that a 2-factor, 16-item structure had the best fit, and the construct validity of the scale was supported. Results provide evidence for the use of moral disengagement in the context of asylum seekers as a means of rationalizing conduct that may otherwise be sanctioned.     

Assessment and Diagnosis of Eating Disorders: A Guide for Professional Counselors

Despite the prevalence of and risk associated with disordered eating, there are few guidelines for counselors on how to conduct an eating disorder assessment. Given the importance of the clinical interview, the purpose of this article is to provide recommendations for the assessment and diagnosis of eating disorders that (a) specifically focus on assessment in the context of a clinical interview and (b) can be used by counselors whether or not they specialize in eating disorder treatment.     

督导重要事件对新手咨询师专业成长的影响

目的：了解个别督导过程中重要事件的类型、内涵及对新手咨询师专业成长的影响。方法：采用重要事件法,访谈4对受督者和督导师,并用共识性质性研究法分析。结果：有益重要事件包括督导关系、概念化、历程化、个人化4大类;督导促进了新手咨询师干预技巧能力、治疗计划目标等8个专业领域的成长。结论：督导对于新手咨询师专业成长非常重要。各类督导事件对于新手咨询师的促进作用并不均衡。     

督导重要事件对新手咨询师专业成长的影响

目的：了解个别督导过程中重要事件的类型、内涵及对新手咨询师专业成长的影响。方法：采用重要事件法，访谈4对受督者和督导师，并用共识性质性研究法分析。结果：有益重要事件包括督导关系、概念化、历程化、个人化4大类；督导促进了新手咨询师干预技巧能力、治疗计划目标等8个专业领域的成长。结论：督导对于新手咨询师专业成长非常重要。各类督导事件对于新手咨询师的促进作用并不均衡。     

Counselors' Perceptions of Ethical Behaviors

A random sample of American Counseling Association members was asked to respond to a 77‐item survey of counselor behaviors and identify whether each behavior was ethical or unethical. Results are categorized by behaviors in which 90% of counselors agreed, 75% to 90% agreed, and 25% to 50% disagreed. Also, changes in ethics education were reviewed and chi‐square statistics were examined for differences based on demographics: gender, age, specialty area and position held, ethnicity, and degree.     

Experimentation on humans and nonhumans

In this article, I argue that it is wrong to conduct any experiment on a nonhuman which we would regard as immoral were it to be conducted on a human, because such experimentation violates the basic moral rights of sentient beings. After distinguishing the rights approach from the utilitarian approach, I delineate basic concepts. I then raise the classic “argument from marginal cases” against those who support experimentation on nonhumans but not on humans. After next replying to six important objections against that argument, I contend that moral agents are logically required to accord basic moral rights to every sentient being. I conclude by providing criteria for distinguishing ethical from unethical experimentation.     

Educational Interventions in Counseling: The Need to Avoid Pronouncements

This article proposes that counselors who use educational interventions in their work with clients, and thereby simultaneously teach while they counsel, are apt to unwittingly make “pronouncements.” Pronouncements are unqualified statements of, or declarations of, expertise. It is suggested that pronouncements are generally an unethical form of language for the counselor-teacher to use, and that although they serve a number of persuasive functions for the counselor, they mystify knowledge and authority relationships for the client. In addition it is suggested that language usage and attendant ethical pitfalls that arise in using new counseling methodologies should receive more attention in the counseling literature.     

Sexual Orientation and Human Rights in the Ethics Code of the Psychology and Counseling Organization of the Islamic Republic of Iran (PCOIRI)

The aim of this study is to investigate the necessity of revising the Ethics Code of the Psychology and Counseling Organization of the Islamic Republic of Iran (PCOIRI) with respect to people’s rights and dignity and to avoid unfair discriminations toward sexual orientation and gender identity. It is said that confused diagnoses; wrong decision making; unethical practice; and the subsequent harm caused to lesbian, gay, bisexual, and transgender clients result from the lack of a clear code and relevant guidelines. In addition, certain conditions in Iran (such as religious perspectives, laws, cultural biases, misunderstandings, a lack of local academic and scientific resources, and Western conspiracy theories) lead professional psychologists and researchers to avoid researching sexual minorities and gender identity, which negatively impacts the Ethics Code of the PCOIRI. Iranian and Western researchers have identified four primary sources to which psychologists and counselors can refer when faced with ethical dilemmas: developmental psychology, professional ethics codes, philosophy of psychology literature, and available researches and compilations on professional ethics. Finally it is suggested that, when dealing with homosexual clients and the related ethical dilemmas, Iranian psychologists and counselors need clear and specific guidelines and a professional ethics code developed from more appropriate reference points than legal and religious sources.     

Substance Abuse Counselors in Recovery: Implications for the Ethical Issue of Dual Relationships

The issue of dual relationships is a significant ethical challenge for all counselors. For the counselor recovering from an addiction to substances, this issue can be even more problematic. Existing codes of ethics offer insufficient guidance to the recovering counselor. Following an overview of dual relationships, the author reviews the ethical codes of the American Counseling Association and the National Association of Alcoholism and Drug Abuse Counselors, with particular attention paid to their applicability to the recovering counselor. Potentially difficult situations are considered, and recommendations are offered both for the recovering counselor and for the counseling field in general to minimize the incidence of unethical behavior due to dual relationship issues.