Complexities and paradoxes in our organizational life

This paper (a version of which was delivered at the North/South Conference of California Jungians in 1997) delineates some of the effects of the complex relationships that occur within and between analytic institutes, particularly when there are training programmes in the institutes. It notes how confidentiality is handled, discusses the pair structures within the institutes and focuses on developing awareness of organizational relationships and how colleagues treat one another.     

Critical Notice

Book reviewed in this article:
Alister, Ian and Hauke, Christopher (eds.), Contemporary Jungian Analysis. Post-Jungian Perspectives from the Society of Analytical Psychology     

Book reviews

Books reviewed:
Gaillard, Christian. Le Musée Imaginaire de Carl Gustav Jung.
Young-Eisendrath, Polly & Dawson, Terence (eds.). The Cambridge Companion to Jung.
Stevens, Anthony. Ariadne's Clue: A Guide to the Symbols of Humankind.
Stein, Murray. Transformation: Emergence of the Self.
Stein, Murray. Jung's Map of the Soul: An Introduction.
Christopher, Shelley (ed.). Contemporary Perspectives on Psychotherapy and Homosexualities.
Marlan, Stanton (ed.). Fire in the Stone: The Alchemy of Desire.     

Journal reviews

Articles reviewed: Astor, James: ‘Some Jungian and Freudian perspectives on the Oedipus myth and beyond’. Colman Warren: ‘That within which passes show: Hamlet and the unknowable Self’. Halberstadt-Freud H. C: ‘Electra versus Oedipus à Femininity reconsidered’. Kulish, Nancy & Holtzman, Deanna: ‘Persephone, the loss of virginity and the female Oedipus complex’ Hopkins, Linda B: ‘D. W. Winnicott's analysis of Masud Khan: a preliminary study of failures of object usage’. Miletic, Michael (ed.): ‘Perspectives on the analyst's self-disclosure during psychoanalysis’. Miletic, Michael J. (ed.): ‘Perspectives on the analyst's self-disclosure during psychoanalysis’. Ornstein, Anna: ‘The fate of narcissistic rage in psychotherapy’. Solomon, Hester McFarland: ‘Love, Paradox of Self and Other’. Stack, Carolyn: ‘The analyst's new clothes: the impact of the therapist's unconscious conflicts on the treatment process’. Von Der Tann, Matthias: ‘Was lesen Jungianer in Berlin für das Examen?’–‘What do Jungians in Berlin read for their final paper?’     

What comes out of the consulting-room? The reporting of clinical material

The author addresses the difficulties inherent in reporting clinical material. These fall into two main categories, the ethical problem of upholding confidentiality, and the technical problems which include the definition of analytical data, and the numerous ways in which truth can be distorted in the analytic context. It is advocated that consent be obtained from patients before publishing their material. It is also suggested that clinical reports should contain enough detail of the analytic interaction, including the analyst's thoughts and feelings, to convey the analytic process, and to enable the listener/reader to consider the evidence for himself and to draw his own conclusions. It is concluded that an analyst's anxiety about exposing a patient might obscure an anxiety about exposing himself.     

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.     

An Ethical Exploration of Barriers to Research on Controlled Drugs

We examine the ethical, social, and regulatory barriers that may hinder research on therapeutic potential of certain controversial controlled substances like marijuana, heroin, or ketamine. Hazards for individuals and society and potential adverse effects on communities may be good reasons for limiting access and justify careful monitoring of these substances. Overly strict regulations, fear of legal consequences, stigma associated with abuse and populations using illicit drugs, and lack of funding may, however, limit research on their considerable therapeutic potential. We review the surprisingly sparse literature and address the particular ethical concerns pertinent to research with illicit and addictive substances, such as undue inducement, informed consent, therapeutic misconception, and risk to participants, researchers, and institutions. We consider the perspectives of key research stakeholders and explore whether they may be infected with bias. We conclude by proposing an empirical research agenda to provide an evidentiary basis for ethical reasoning.     

How a Mental Health Professional Handles Referrals and Fees

Summary

The choice of referral and the relationship between referral sources can pose clinical and ethical dilemmas, due to the potential that the relationship between the psychologist and the referral source will interfere with the treatment relationship. Once the referral has been made, the referring psychologist must be sensitive to a second, and often a more problematic level of risk: conflicts that occur between the patient and the referral recipient. The situation becomes even more problematic when a psychologist is giving or receiving any form of compensation in connection with the referral. In addition to clouding the clinical relationship, the giving or receiving of such compensation, whether it is characterized as “referral fees” or otherwise, has important legal consequences, and may well result in license revocation proceedings or even criminal liability.     

Catholic Priests' Knowledge of Pastoral Codes of Conduct in the United States

This exploratory study investigated Catholic priests' knowledge and perceptions of pastoral codes of conduct and their perceptions about the processes for reporting misconduct. Overall, respondents understood that they had to breach confidentiality when parishioners divulged a threat to harm self or others or when there was an allegation of misconduct involving a colleague. Fewer respondents understood that information received in spiritual counseling or spiritual direction must be maintained confidentially. Respondents were aware that their codes of pastoral conduct offered guidance about engaging in dual relationships (i.e., friendships with parishioners), but most respondents included parishioners in their circles of friends.     

Confidentiality in Professional Medical Ethics

Detection of deception and confirmation of truth telling with conventional polygraphy raised a host of technical and ethical issues. Recently, newer methods of recording electromagnetic signals from the brain show promise in permitting the detection of deception or truth telling. Some are even being promoted as more accurate than conventional polygraphy. While the new technologies raise issues of personal privacy, acceptable forensic application, and other social issues, the focus of this paper is the technical limitations of the developing technology. Those limitations include the measurement validity of the new technologies, which remains largely unknown. Another set of questions pertains to the psychological paradigms used to model or constrain the target behavior. Finally, there is little standardization in the field, and the vulnerability of the techniques to countermeasures is unknown. Premature application of these technologies outside of research settings should be resisted, and the social conversation about the appropriate parameters of its civil, forensic, and security use should begin.