Issues Regarding Confidentiality for Military Psychologists

Federal statutes and military service regulations govern the functioning of military psychologists. Effective July 18, 1988, military psychologists were required to maintain an active state license. The licensing laws of all 50 states cite adherence to the Ethical Principles of the American Psychological Association (APA, 1981a). Potential conflicts exist between federal statutes, service regulations, and ethical principles of the APA. The principal area of conflict may be with confidentiality of information obtained by psychologists from consumers. Thirty active duty Army Medical Department (AMEDD) psychologists were surveyed on current practices regarding confidentality. Twenty-four (80%) responded. Results suggest that most AMEDD psychol- ogists (21 respondents or 87.5%) do not document in writing that they have informed consumers of the limits of confidentiality of psychological infor- mation. Nor do they obtain written permission before releasing information on consumers when requested by unit commanders. Military psychologists are encouraged to advise consumers in writing of the limits of confidentiality of psychological information prior to initiating any professional relationship with a patient.     

An Exploratory Study: Perceptions of Ethical Behaviors Among Psychologists Practicing in the Caribbean

A sample of 44 psychologists who practice in the Caribbean completed a web-based survey containing 73 behavioral items related to ethical issues in professional practice. The aim of this exploratory study was to learn about perceptions regarding ethical behaviors that create ethical dilemmas and the level of agreement to their responses and to identify how demographic variables influenced their perceptions of ethical behaviors. Findings suggest that there was approximately an equal level of agreement on behaviors such as being an advocate for your client and being sexually involved with a current client rated as ethical and unethical, respectively. Several demographic variables and ethical behaviors such as level of degree and confidentiality issues were statistically significant. Finally, psychologists prefer the presence of a professional psychological association with an ethics committee.     

Ethics and Confidentiality for Psychologists in Academic Health Centers

Psychologists in academic health centers (AHC) face important ethical issues including confidentiality when working with a multidisciplinary team, sharing of information through the electronic health record, obtaining informed consent in a fast-paced healthcare environment, cultural competency in the medical setting, and issues related to supervision and training. The goal of this paper is to describe ethical issues for psychologists in AHCs in the context of case examples, and to consider ethical decision-making tools to enhance clinical care. Considerations for best practices in integrated care settings will be discussed, and the APA Ethical Standards will be referenced throughout.     

Perceptions of the Limitations of Confidentiality Among Chinese Mental Health Practitioners,Adolescents and Their Parents

The present study aims to (a) survey Chinese mental health professionals’ attitudes toward therapeutic confidentiality with adolescent patients in specific clinical situations, and (b) compare Chinese adolescents’ and parents’ beliefs about when most mental health professionals would breach confidentiality. A sample of 36 mental health practitioners, 152 parents, and 164 adolescents completed a survey to assess their opinions about when confidentiality should be breached in 18 specific clinical situations (e.g., an adolescent tells his or her therapist that he or she smoked a cigarette, had unprotected sex, or attempted suicide). Nearly half of the parents (46%) and adolescents (41%) and 78% of the therapists in our sample selected “yes” in response to the question of whether the principle of confidentiality applies to adolescents. However, 49% of parents indicated “no,” and 53% of adolescents indicated “not sure.” Compared to adolescents, parents were significantly more likely to believe that therapists would breach confidentiality for the high-breach-likelihood items. For the low-breach-likelihood items, adolescents and parents were significantly more likely than therapists to believe confidentiality should be breached. Results from this study provide data to inform the development, refinement, practical implementation, and communication of guidelines and recommendations specific to adolescents receiving psychotherapy in China.     

Breaking Confidentiality to Report Adolescent Risk-Taking Behavior by School Psychologists

School psychologists often break confidentiality if confronted with risky adolescent behavior. Members of the National Association of School Psychologists (N = 78) responded to a survey containing a vignette describing an adolescent engaging in risky behaviors and rated the degree to which it is ethical to break confidentiality for behaviors of varying frequency, intensity, and duration. Respondents generally found it ethical to break confidentiality when risky adolescent behaviors became more dangerous or potentially harmful, although there was considerable variability between respondents. Significant gender effects were found between male and female respondents for alcohol use, and a significant Form Type (i.e., male or female vignette) × Frequency/Duration interaction was observed for antisocial behaviors. School psychologists could benefit from further training in ethical decision making because these ethical dilemmas are not always clear-cut.     

Ethical Dilemmas of Confidentiality With Adolescent Clients: Case Studies From Psychologists

Navigating limits to confidentiality with adolescent clients can be ethically and professionally challenging. This study follows on from a previous quantitative survey of psychologists about confidentiality dilemmas with adolescents. The current study used qualitative methods to explore such dilemmas in greater depth. Twenty Australian psychologists were interviewed and asked to describe an ethically challenging past case. Cases were then used to facilitate discussion about the decision-making process and outcomes. Interviews were transcribed and analyzed using interpretive content and thematic analysis. Three key findings are discussed. First, it is of little use to perceive confidentiality dilemmas as binary choices (breach/don’t breach) because psychologists described 5 distinct options. These can be conceptualized on a spectrum of varying degrees of client autonomy, ranging from “no disclosure” (highest client autonomy) to “disclosure without the client’s knowledge or consent” (lowest client autonomy). Second, confidentiality dilemmas often involve balancing multiple and conflicting risks regarding both immediate and future harm. Third, a range of strategies are employed by psychologists to minimize potential harms when disclosing information. These are primarily aimed at maintaining the therapeutic relationship and empowering clients. These findings and the case studies described provide a valuable resource for teaching and professional development.     

Psychology in Venezuela: Perceptions and Opinions of Research Psychologists

On décrit dans cet article le développement de la psychologie en tant que discipline universitaire au Venezuela. Les résultats d'une étude empirique de 1978 servent de base de comparaison avec des données plus recentes récueillies lors d'une enquête réalisée en 1995. Cette investigation portait sur les opinions de psychologues universitaires à propos de la recherche en psychologie au Venezuela. Les résultats quantitatifs et qualitatifs de cette étude furent analysés et comparés a ceux d'autres recherches dans ce domaine. l'examen de ces données est suivi d'une discussion où l'on essaie de préciser la situation actuelle et à venir de la recherche en psychologie au Venezuela.
In this article the development of psychology as an academic discipline in Venezuela is reviewed. The results of an empirical study in 1978 are described to set the basis for comparison with more recent data. The results of a survey completed in 1995 are reported and discussed. This survey was aimed at obtaining the opinions of academic psychologists about psychological research in Venezuela. The quantitative and qualitative results of this study were assessed and compared to other research in this area. Consideration of these data are followed by discussion to clarify the present status and future prospects for psychological research in Venezuela.     

Sacred Violations,Perceptions of Injustice,and Anger in Muslims

Anger has been at the center of religiopolitical conflicts and has been associated with well‐being. This study examined the role of Muslim anger in sociopolitical events perceived as a sacred violation. A Muslim sample (N = 151) identified adverse political events that have deeply affected them; and completed measures of anger, sacred violations, perceptions of injustice, and religiousness. Sacred violations and perceptions of injustice were associated with greater levels of anger, with sacred violations being the stronger predictor. Post hoc analyses revealed that surrender problem‐solving style increased anger control. The findings provide broad support for the importance of religious appraisals of adverse political events in Muslim anger.     

Administrator Perceptions of Actual and Desired Time Spent by School Psychologists in Different Roles and Satisfaction with School Psychologists

Abstract

A total of 512 elementary and secondary administrators in Ohio were surveyed regarding their perceptions of the time spent by school psychologists in 15 role functions, the percentage of time they desired school psychologists to spend in these 15 roles, and their satisfaction with their school psychologist. Results indicated that administrators desired school psychologists to spend less time in assessment and administrative activities than they were perceived to be spending in these areas, and desired school psychologists to spend more time than they were perceived to be spending in all other roles surveyed. Six variables were found to be significant predictors of administrator satisfaction: discrepancy between actual and desired time spent administering and interpreting psychoeducational tests (negatively related), discrepancy between actual and desired time spent providing services to prevent student problems (negatively related), percentage of time spent working with parents and families (positively related), discrepancy between actual and desired time spent performing administrative duties (negatively related), discrepancy between actual and desired time spent conducting inservice activities (positively related), and discrepancy between actual and desired time spent counseling for career/vocational issues (negatively related). Results are discussed in terms of their implication for role expansion in school psychology.     

Professional Ethics of Psychologists and Physicians: Mortality,Confidentiality, and Sexuality in Israel

Clinical psychologists' and nonpsychiatric physicians' attitudes and behaviors in sexual and confidentiality boundary violations were examined. The 171 participants' responses were analyzed by profession, sex, and status (student, resident, professional) on semantic differential, boundary violation vignettes, and a version of Pope, Tabachnick, and Keith-Spiegel's (1987) ethical scale. Psychologists rated sexual boundary violation as more unethical than did physicians (p<.001). Rationale (p<.01) and timing (p<.001) influenced ratings. Psychologists reported fewer sexualized behaviors than physicians (p<05). Professional experience (p<.01) and sex (p<.05) were associated with confidence-violating behavior. Overall, 78% of the sample reported attitudes or behaviors associated with boundary violations. The behavior violations were correlated (r=.49). Actual violators rated vignette violators more leniently than did nonviolators (p<.01).     

Systemic Reflecting Team Training: Perceptions and Experiences of South African Educational Psychologists

Abstract

There is limited research on the application of systemic family therapy in developing countries. This qualitative study explored the perceptions and experiences of 12 educational psychologists and a family therapy trainer, who have worked within a systemic reflecting team using Tom Andersen’s method of training and supervision. The semi-structured interview findings suggested positive perceptions of systemic intervention, despite various challenges experienced in its implementation within the South African context. The educational psychologists identified their reflecting team experiences as being beneficial for both their professional development and current practices. Future research which investigates the reflecting team process in action is recommended.     

Perceptions of Work Performance Recognition Among Educators

Educators from several states were surveyed to determine their perceptions about the importance of work performance recognition. Results suggested that educators want to receive recognition for their work performance and that recognition would assist in improving their overall work performance and professional development. Data from this study suggest that recognition of teacher performance may be a viable means for school administrators to improve teacher performance in a manner that is both effective and efficient. Implications and future research are discussed.     

The Impact of Gender on Productivity and Satisfaction Among Medical School Psychologists

The impact of gender on productivity and satisfaction was examined among a random sample of 293 psychologists employed as faculty members in medical schools. Forty-one percent of the respondents were female. Males were older than females, had worked in a medical school longer, had higher academic ranks, held more administrative positions, were more likely to be tenured, and earned higher salaries. When years of employment as a psychologist were statistically controlled, there were no gender differences in productivity, as measured by publications, presentations, and grant awards; however, gender differences in salary remained. Females were less satisfied than males with regard to salary, promotion opportunities, and overall respect. Results are discussed within the context of the changing gender composition within psychology and the changing demands within the health care system.     

Biased Risk Perceptions Among Japanese: Illusion of Interdependence Among Risk Companions

In human history the unit of survival has often been the group rather than the individual. I hypothesized, therefore, that people would feel safer in the presence of risk companions (i.e., those who are exposed to the same risk source) than when they are on their own, even when such expectations are not justifiable on normative grounds. Two experiments lent support to the hypothesis. Participants were asked to estimate the risk level involved either in six hypothetical situa-tions (Experiment 1: N = 112) or real electric shocks (Experiment 2: N = 81) with varying numbers of risk companions. The participants' perceived risk level decreased as the number of risk companions increased. People appear to use a cognitive heuristic, which I term interdependence heuristic , in risk perception.     

Queuing Among U2 Fans: Reactions to Social Norm Violations1

Two experiments examined reactions to line‐intrusion scenarios among fans of the rock group U2 waiting in overnight lines to obtain desirable concert floor spots. Commitment to the goal, time investment, and ambiguity of the line‐intrusion scenario were examined. Results showed that the queue is a social system influenced by norms of procedural justice (first‐come, first‐served). Violations of these norms were upsetting, even when the consequences did not directly influence personal outcomes (when line intrusions occurred behind a subject). Greater commitment to the goal led to more severe reactions to norm violations, whether the commitment was proximal (having waited in the line for awhile) or distal (being a committed fan). We discuss research on social norm violations.     

Perceptions of Women's Roles Among Community College Women

This article explores dimensions and correlates of attitudes toward appropriate sex-based behavior and sex-related issues among college-age and adult women at a public community college. Ninety-eight women averaging age 18.5 and 111 women averaging 39 years of age completed closed-ended questionnaires. Factor analysis revealed three primary attitude dimensions: sex-specific activities (attitudes toward activities appropriate for males and females); woman's movement and ERA (attitudes toward participants in the woman's movement and ERA); and fundamental differences between sex roles (attitudes toward the genesis and propriety of divisions of labor between the sexes). Correlations between dimensions were slight to moderate, and lower for returning women than for young women. Returning women are significantly more traditional on the third dimension and slightly, but not significantly, more egalitarian on the first two dimensions. Correlation and multiple-regression analyses confirm the importance of participation in the woman's movement in explaining attitudes; sociopolitical variables explain little of the observed variance. It is suggested that women returning to school may enhance support for feminist beliefs.     

Urbanization and Changing Perceptions of Responsibilities Among African Fathers

This study examined the effect of urbanization on 102 South African fathers' perceptions of their paternal responsibilities. Fathers were categorized as rural, transitional, or urban on the basis of a standardized interval measure of urbanization. Perceptions of paternal responsibilities were rank-ordered into three basic anthropologically sequential categories: breadwinner, governor, and family. Results indicated that rural, transitional, and urban fathers all viewed breadwinner responsibilities as most important but that urbanization had a significant effect on fathers' perceptions of their responsibilities.     

Perceptions of Peer Sexual Harassment Among High School Students

Perceptions of peer social–sexual interactions were examined in a group of high school students (N=150). Participants were presented with six brief vignettes that described three types of sexual harassment between adolescent peers: physical, verbal/visual, and derogatory. Two vignettes were written for each type of behavior to reflect either a sexually explicit or implicit behavior. Participants responded to Rosenberg's Self-Esteem Scale and the Attitudes toward Women Scale for Adolescents (AWSA), and then rated the sexually harassing nature of the behaviors. Sexual harassment ratings varied as a function of the type of behavior and the sexual explicitness with which it was displayed. Although consensus was reached regarding the sexually harassing nature of both the sexually implicit and explicit physical forms of behaviors, only when the verbal/visual behavior was explicitly displayed was it perceived as sexually harassing. Interactions among self-esteem, gender attitudes, and type of behavior were also noted. Irrespective of the explicitness with which it was displayed, rater characteristics were influential for both the verbal/visual and derogatory forms of harassment.