An Integral Psychology Response to Helminiak's (2001) “Treating Spiritual Issues in Secular Psychotherapy”

This article is a response to D. A. Helminiak's (2001) “Treating Spiritual Issues in Secular Psychotherapy” from the perspective of K. Wilber's integral psychology. The article consists of 3 sections: (a) a selective summary of integral psychology, including the perennial philosophy, 10 levels of development, lines of development, temporary states, types of orientations, the self, and the 4 quadrants; (b) various conceptual issues; and (c) usefulness to mental health practitioners (MHPs). Although D. A. Helminiak's endeavor to formulate a clear and functional definition of spirituality is commended, his claim of novelty is shown to be unwarranted. It is argued that K. Wilber's integral model is more comprehensive, clear, coherent, and helpful to MHPs.     

Integral Psychology: My Spiritually Based Guiding Metatheory of Counseling

This article explains the author's guiding theory of counseling based on her understanding and adaptation of K. Wilber's (2000b) integral psychology (IT). She discusses, from an IT perspective, how the psyche develops and changes and the role of counseling in change. She explains her particular resonance to IT, which she considers an inherently developmental, multicultural, systemic, and spiritual metatheory that brings order to the multiplicity of other counseling theories. The author hopes that readers will find in this article both a useful contribution to their own counseling perspectives and practices and a stimulus for further discourse regarding the infusion of spirituality into counseling.     

Applied Participatory Ethics: Bridging the Social Justice Chasm Between Counselor and Client

The authors introduce an applied participatory ethics paradigm consistent with the contemporary focus on social justice in the practice of counseling, emphasizing participation of all rightful parties, including the client, in ethical decision‐making processes. The paradigm is an adaptation and expansion of the work of Prilleltensky, Rossiter, and Walsh‐Bowers ( 1996 ) and rests on their conceptualization of restrictive and participatory orientations. The origins of the model's added elements in 4 areas of rehabilitation and counseling literature (i.e., ethical knowledge and practices, the therapeutic alliance or relationship, client involvement, and client empowerment) are described. Finally, interrelationships between the different phases and elements of the model are discussed.     

Integral Counseling and a Three‐Factor Model of Defenses

This article introduces 3 major factors of K. Wilber's (1999b) “all‐quadrants, all‐levels” model of defenses: the category of defense, the level of self development and defense, and the threat zone against which the self is defending. Through theoretical discussion and select clinical examples differentiating healthy and unhealthy expressions of psychological defense, the author explores their developmental nature. Implications for clinical assessment and intervention are raised throughout.     

The Asian Disease Problem and the Ethical Implications Of Prospect Theory

We discuss the bearing of Daniel Kahneman and Amos Tversky's Prospect Theory on some central issues in ethics. It has been argued that the theory provides a better explanation of our intuitive responses to some important ethical decision cases—like some famous cases put by Philippa Foot and others—than traditional and widely acknowledged ethical principles do. In this way, Prospect Theory contributes to the new wave of skepticism, emanating from the social sciences, about the role of intuitive judgments in ethical theory and philosophy more generally. We focus on Kahneman and Tversky's famous Asian Disease Problem. We show that the case fails to support Prospect Theory over traditional ethical theory as an explanation of the most common intuitive responses to the case, and, moreover, fails as an account of the most common intuitive responses to Foot's famous trolley case and related cases. We maintain that careful critical attention to all these cases shows that Prospect Theory has not made a successful incursion into ethics, whatever it may have established about non‐ethical decision‐making.     

The Self‐System in Integral Counseling

The authors introduce the integral model of the self‐system and, using that model, describe the dynamics of healthy growth and the development of psychogenic pathology. Self‐identification is described as “sliding” in nature, and stage theories for self‐related lines are outlined to help clinicians understand the characteristics of each stage the self may slide into. The authors outline K. Wilber's (2000a) metaphor of ladder, climber, and view to describe both healthy development and the development of pathology. Constructs of translation and transformation are described in the context of ladder, climber, view, and the authors conclude by summarizing clinical approaches to problems in translation.     

Moral Orientation as a Component of Ethical Decision Making

Morals are foundational to professional and ethical counseling practice. Moral orientation may play an integral role in ethical decision making. The authors review the literature regarding moral orientation and discuss the connection to ethical decision making. Implications for counselor preparation and practice are addressed.     

An Ethical Decision‐Making Model to Determine Authorship Credit in Published Faculty–Student Collaborations

Publishing research is imperative to both counselor educators and students in counseling programs. Furthermore, faculty–student publication collaborations can often be a mutually beneficial professional endeavor. However, determining order of authorship can be a complex ethical issue. The authors review prior research to illustrate the complexities of authorship and suggest a decision‐making model and considerations for preventing and resolving these ethical dilemmas. Implications for counselors include future research studies on complex issues regarding authorship of faculty–student collaborations, future incidence studies investigating occurrence of ethics violations, and incorporation of publication ethics into course work in counselor education programs.     

Ethical Challenges in a Complex World: Highlights of the 2005 ACA Code of Ethics

Being an effective counselor includes having knowledge of and the ability to integrate a code of ethics into one's professional practice. This article addresses some of the highlights of the changes in the 2005 ACA [American Counseling Association] Code of Ethics such as end‐of‐life issues, boundaries and relationships, and multicultural and diversity considerations. It is critical for counselors to demonstrate cultural sensitivity during the ethical decision‐making process throughout their counseling, supervision, teaching, and research practice.     

The Use of Touch in Counseling: An Ethical Decision‐Making Model

Although some counselors have advocated for the limited use of touch in counseling, others have argued that touch has no place within the counseling relationship. Despite the controversy, the use of touch has been shown to have a number of therapeutic benefits; however, there are few ethical decision‐making models that are appropriate for considering the use of touch in counseling. The authors discuss the controversy surrounding the use of touch and the benefits/contraindications of touch. The 5 ethical principles of counseling are also examined; a new ordering of the principles is presented as a useful ethical decision‐making model when considering the use of touch in counseling.     

Impact of Selected Ethical Information Resources on Counselor Educators' Decision‐Making Regarding Boundary Crossings

A random sample of 207 counselor educators used 4 ethical information resources in the context of 16 boundary‐crossing scenarios. Burian and Slimp's (2000) social dual‐role relationship model was the only resource to change counselor educators' boundary‐crossing decision‐making in a manner that could mitigate boundary‐crossing concerns with students. Curiously, almost 60% of counselor educators stated that they would not use Burian and Slimp's model in the future when this was the only ethical decision‐making resource that made a difference in boundary‐crossing decision‐making for counselor educators.     

A Transcultural Integrative Model for Ethical Decision Making in Counseling

The Transcultural Integrative Ethical Decision‐Making Model in counseling addresses the need for including cultural factors in the process of ethical dilemma resolution. This transcultural model incorporates state‐of‐the‐art concepts from multicultural theory into an ethical decision‐making model that is adapted primarily from the Integrative Model developed by V. M. Tarvydas (1998). When appropriate, this transcultural model includes aspects of other ethical resolution models, such as R. R. Cottone's (2001) Social Constructivist Model and A. H. Davis's (1997) Collaborative Model. The proposed model is presented in a step‐by‐step, linear format that can be used by counselors facing ethical dilemmas in a variety of settings and with different cultural groups.     

A Model of Ethical Decision Making From a Multicultural Perspective

Because shifts in the world's ethnic and racial demographics mean that the majority of the world's population is non‐White (M. D'Andrea & P. Arredondo, 1997), it is imperative that counselors develop a means for working ethically with a diverse clientele. In this article, the authors argue that the current Code of Ethics and Standards of Practice of the American Counseling Association (1995) does not adequately address the demands of working with non‐White, non‐Western clients. Using a universalist philosophy, an ethic of care (C. Gilligan, 1982; R. M. Kidder, 1995; J. G. Ponterotto & J. M. Casas, 1991), the context of power (M. Hill, K. Glaser, & J. Harden, 1995), and the process of acculturation, the authors offer a model for ethical decision making from a multicultural perspective.     

Induced abortion: an ethical conundrum for counselors

Induced abortion is one of the most controversial moral issues in American culture, but counselor value struggles regarding abortion are seldom addressed in counseling literature. This article considers the conflictual nature of the the ethical principles of autonomy, fidelity, justice, beneficence, and nonmaleficence as they can occur within the context of the counseling relationship, particularly with clients considering abortion. In addition, the authors present strategies for counselor self-evaluation, offer recommendations, and provide questions to facilitate ethical decision making.     

Natural and Ethical Normativity

In this paper, I argue that ethical normativity can be grounded in the natural normativity of organisms without being reducible to it. Michael Thompson and Philippa Foot both offer forms of neo‐Aristotelian ethical naturalism; I argue that both accounts have gaps that point toward the need for a constructive virtue ethics grounded in natural normativity. Similarly, Korsgaard's constructivist ethics ignores the ongoing relevance of natural norms in human ethical life. I thus offer an account according to which the self‐shaping activity of human organisms supplements and transforms natural normativity, giving rise to ethical norms. Such an account grounds human ethical distinctiveness in rationality without excluding nonrational humans from the ethical community. In the final section of the paper, I argue that ethical standards can be discovered (or hidden) through human activities, thus allowing for gradual progression (or regression) in ethical knowledge, both on individual and cultural levels.     

Contextual Themes in Career Decision Making of Female Clients Who Indicate Depression

Difficulties concerning female counseling center clients' career decision making were explored in this qualitative study. The authors reviewed counseling intake and progress notes of 18 female students who sought counseling services at a university counseling center and who presented career concerns and reported feeling depressed. Most women in this study described their career decision‐making difficulties in the context of relationships with their parents or significant others. Both external (i.e., family relationships, family and culture, and relationships with significant others) and internal (i.e., developmental, developmental and mental health issues, and skill deficits) conditions emerged as significantly affecting these women's career decision‐making process.     

should i stay at home or should i go back to work? workforce reentry influences on a mother's decision‐making process

The authors examine the literature pertaining to women's life transitions and the difficult decision‐making process some women encounter when reentering the workforce after a period of staying at home with young children. On the basis of the unique challenges faced by this population, the authors created a conceptual framework (i.e., the Mother's Reentry Into the Workforce Conceptual Framework) to demonstrate this difficult decision‐making process. The framework examines driving forces, filters, and outcomes specific to this population. Implications for employment counselors are shared. Group employment counseling is suggested as an ideal format to provide support to women during this transitional period.     

The clinical ethicist at the bedside

In this paper we attempt to show how the goal of resolving moral problems in a patient's care can best be achieved by working at the bedside. We present and discuss three cases to illustrate the art and science of clinical ethics consultation. The sine qua non of the clinical ethics consultant is that he or she goes to the patient's bedside to obtain specific clinical and ethical information. Unlike ethics committees, which often depend on secondhand information from a physician or nurse, clinical ethics consultants personally speak with and examine patients and review their laboratory data and medical records. The skills of the clinical ethics consultant include the ability to delineate and resolve ethical problems in a particular patient's case and to teach other health professionals to build their own frameworks for clinical ethical decision making. When the clinical situation requires it, clinical ethics consultants can and should assist primary physicians with case management.     

Ethics Beyond Moral Theory

I develop an anti‐theory view of ethics. Moral theory (Kantian, utilitarian, virtue ethical, etc.) is the dominant approach to ethics among academic philosophers. But moral theory's hunt for a single Master Factor (utility, universalisability, virtue . . .) is implausibly systematising and reductionist. Perhaps scientism drives the approach? But good science always insists on respect for the data, even messy data: I criticise Singer's remarks on infanticide as a clear instance of moral theory failing to respect the data of moral perceptions and moral intuitions. Moral theory also fails to provide a coherent basis for real‐world motivation, justification, explanation, and prediction of good and bad, right and wrong. Consider for instance the marginal place of love in moral theory, compared with its central place in people's actual ethical outlooks and decision making. Hence, moral theory typically fails to ground any adequate ethical outlook. I propose that it is the notion of an ethical outlook that philosophical ethicists should pursue, not the unfruitful and distorting notion of a moral theory.     

Kitchener's Principle Ethics: Implications for Counseling Practice and Research

This extensive literature review examining the influence of K. S. Kitchener's (1984) introduction of principle ethics on counseling and psychology ethics notes the ultimate practicality of principle ethics. The authors maintain that although a strong influence of principle ethics in the area of counselor education emerges through the review, there is little clear evidence of influence in the areas of counseling research or practice. A primary reliance in the counseling professional literature on K. S. Kitchener's original work has likely resulted in a static understanding of the concepts and a concomitant theory–to–application knowledge gap. Implications include a more thorough and ongoing bridging between counseling ethics, philosophical ethics and practice, and a more overt presence of principle ethics.