Toulmin’s (1996) influential thoughts on applied ethics for real-life ethical quan- daries, advocate an approach that is “particular not universal, local not general, timely not eternal, and—above all—concrete not abstract”(p. 7). These principles can provide directions for training methodologies and development of codes of ethics that connect with the diverse exigencies of psychotherapy practice in varied contexts. This volume brings together the collective wisdom of practitioners from diverse settings who draw upon their experiences to discuss the complexities of ethical issues that arise in counselling and psychotherapy.
References
Ahuja, N. (2006).A short textbook of psychiatry(6th ed.). New Delhi: Jaypee Brothers Publishers.
American Counseling Association. (2005).ACA code of ethics. Retrieved December 13, 2013 fromhttp://www.counseling.org/Resources/aca-code-of-ethics.pdf
American Psychiatric Association. (2013).The principles of medical ethics. Retrieved May 15, 2016 fromhttps://www.psychiatry.org/psychiatrists/practice/ethics
American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. Retrieved December 15, 2013 fromhttp://www.apa.org/ethics/code/principles.pdf.
American Psychological Association. (2011). Resolution on marriage equality for same-sex couples. Washington, DC: Author. Retrieved December 15, 2013 fromhttp://www.apa.org/
about/policy/same-sex.pdf
Anton, B. S. (2010). Proceedings of the American Psychological Association for the legislative year 2009: Minutes of the annual meeting of the Council of Representatives and minutes of the meetings of the Board of Directors.American Psychologist, 65, 385–475.
Avasthi, A., & Grover, S. (2009).Ethical and legal issues in psychotherapy.Retrieved December 15, 2013 fromwww.indianjpsychiatry.org/cpg/cpg2009/article11.pdf
Barnett, J. E., Behnke, S. H., Rosenthal, S. L., & Koocher, G. P. (2007). In case of ethical dilemma, break glass: Commentary on ethical decision making in practice. Professional Psychology: Research and Practice, 38, 7–12.
14 P. Bhola and A. Raguram
Beauchamp, T. L. (2001). Philosophical ethics: An introduction to moral philosophy.
McGraw-Hill.
Beauchamp, T. L. & Childress, J. F. (2001).Principles of biomedical ethics. 5th Edn. Oxford University Press.
Bergin, A. E., Reed Payne, I., & Scott Richards, P. (1996). Values in psychotherapy. In E.
P. Shafranske (Ed.), Religion and the clinical practice of psychology (pp. 297–325).
Washington, DC: American Psychological Association.
Bernard, J. M., & Goodyear, R. K. (2004).Fundamentals of clinical supervision. Boston, MA:
Pearson.
Bersoff, D. N., & Koeppl, P. M. (1993). The relation between ethical codes and moral principles.
Ethics and Behavior, 3(3 & 4), 345–357.
Bhola, P., Sinha, A., Sonkar, S., & Raguram, A. (2015). Ethical dilemmas experienced by clinical psychology trainee therapists.Indian Journal of Medical Ethics, 12(4), 206–212.
Blum, L. A. (1988). Gilligan and kohlberg: Implications for moral theory.Ethics, 98, 472–491.
Borys, D. S., & Pope, K. S. (1989). Dual relationships between therapist and client: A national study of psychologists, psychiatrists, and social workers.Professional Psychology: Research and Practice, 20(5), 283–293.
Botes, A. (2000). A comparison between the ethics of justice and the ethics of care.Journal of Advanced Nursing, 32, 1071–1075.
British Association of Counselling and Psychotherapy. (2010). Ethical framework for good practice in counselling & psychotherapy. Retrieved December 15, 2013 fromhttp://www.bacp.
co.uk/admin/structure/files/pdf/9479_ethical%20framework%20word%20feb2010%20%
28revised%29.pdf
Clemente, M., Espinosa, P., & Urra, J. (2011). Ethical issues in psychologists’ professional practice: agreement over problematic professional behaviors among Spanish psychologists.
Ethics and Behavior, 21(1), 13–34.
Corey, G., Corey, M., & Callanan, P. (2011).Issues and ethics in the helping profession(8th ed.).
Belmont, CA: Brooks/Cole.
Cottone, R. R., & Claus, R. E. (2000). Ethical decision-making models: a review of the literature.
Journal of Counseling & Development, 78(3), 275–283.
De Sousa, A. (2010). Ethical issues in child and adolescent psychotherapy: A clinical review.
Indian Journal of Medical Ethics, 7(3), 157–161.
Edwards, S. D., & Street, E. (2007). Clinical ethics committees: a practical response to ethical problems in clinical practice.Clinical Child Psychology and Psychiatry, 12(2), 253–260.
Evans, A. M., Levitt, D. H., & Henning, S. (2012). The application of ethical decision-making and self-awareness in the counsellor education classroom.Journal of Counselor Preparation and Supervision, 4(2), 41–52.
Fennig, S., Secker, A., Treves, I., Ben Yakar, M., Farina, J., Roe, D., et al. (2005). Ethical dilemmas in psychotherapy: comparison between patients, therapists and laypersons. The Israel Journal of Psychiatry and Related Sciences, 42(4), 251–257.
Fisher, M. A. (2008). Protecting confidentiality rights: The need for an ethical practice model.
American Psychologist, 63, 1–13.
Fisher, C. B. (2012). A code of ethics for psychology. How did we get here? (pp.3–18). In C.
B. Fisher (Ed.),Decoding the ethics code: A practical guide for psychologists (2nd Edn).
California: Sage Publications.
Forsyth, D. R. (1980). A taxonomy of ethical ideologies. Journal of Personality and Social Psychology, 39, 175–184.
Gibson, W. T., & Pope, K. S. (1993). The ethics of counseling: A national survey of certified counsellors.Journal of Counseling and Development, 71, 330–336.
Gilligan, C. (1982). In a different voice: psychological theory and women’s development.
Cambridge, MA: Harvard University Press.
Gray, G., & Gibbons, J. (2007). There are no answers, only choices: Teaching ethical decision making in social work.Australian Social Work, 60, 222–238.
1 Navigating the Ethical Landscape… 15
Gutheil, T. G., & Gabbard, G. O. (1993). The concept of boundaries in clinical practice: theoretical and risk-management dimensions.American Journal of Psychiatry, 150, 188–196.
Handelsman, M. M., Gottlieb, M. C., & Knapp, S. (2005). Training ethical psychologists: An acculturation model.Professional Psychology: Research and Practice, 36(1), 59–65.
Haas, L. J., Malouf, J. L., & Mayerson, N. H. (1986). Ethical dilemmas in psychological practice:
Results of a national survey.Professional Psychology: Research and Practice, 17(4), 316–321.
Helbok, C. M. (2003). The practice of psychology in rural communities: Potential ethical dilemmas.Ethics and Behavior, 13(4), 367–384.
Hemchand, L. (2016). A practitioner’s guide to understanding sexual orientation. In A. Narrain, &
V. Chandran (Eds.),Nothing to Fix: Medicalisation of sexual orientation and gender identity (pp. 223–230). New Delhi: Sage Yoda Press.
Hill, M., Glaser, K., & Harden, J. (1998). A feminist model for ethical decision-making.Women and Therapy, 21(3), 101–121.
Indian Association of Clinical Psychologists. (2015). Ethics and code of conduct of clinical psychologists: Guidelines 2012–13. Retrieved April 20, 2015 fromhttp://www.iacp.in/node/159 International Society for Mental Health. (2000).International Society for Mental Health Online (ISMHO) Principles. Retrieved December 15, 2013 fromhttp://www.ismho.org/suggestions.
asp#Principles
Isaac, R. (2009). Ethics in the practice of clinical psychology.Indian Journal of Medical Ethics, 6, 69–74.
Jacob, P., Golhar, T., Seshadri, S., Nandan, R. M., & Purushothaman, K. (2014). Child and adolescent mental health in the juvenile justice system in India: challenges and initiatives.
Adolescent Psychiatry, 4(4), 278–283.
Kitchener, K. S. (1984). Intuition, critical evaluation and ethical principles: The foundation for ethical decisions in counseling psychology.Counseling Psychology, 12, 43–55.
Knapp, S., & VandeCreek, L. (2004). A principle-based analysis of the 2002 American Psychological Association Ethics Code.Psychotherapy: Theory, Research, Practice, Training, 41(3), 247.
Kurpad, S. S., Machado, T., & Galgali, R. B. (2010). Is there an elephant in the room? Boundary violations in the doctor-patient relationship in India.Indian Journal of Medical Ethics, 7(2), 76–81.
Margolin, G. (1982). Ethical and legal considerations in marital and family therapy.American Psychologist, 37(7), 788–801.
McNamee, S. (2009). Postmodern psychotherapeutic ethics: relational responsibility in practice.
Human Systems: The Journal of Therapy, Consultation & Training, 20, 57–71.
Miller, P. M., Bener, A., Ghuloum, S., Commons, M. L., & Burgut, F. T. (2012). Differences and similarities in cross-cultural perceptions of boundaries: a comparison of results from two studies.International Journal of Law and Psychiatry, 35, 398–405.
Nair, M. R. H. (2015). RTI v medical ethics: Some questions arising from the recent decision of the chief information commissioner under the RTI Act.Indian Journal of Medical Ethics, 12, 182–185.
Narayan, C. L., & Shekhar, S. (2015). The mental health care bill 2013: A critical appraisal.Indian Journal of Psychological Medicine, 37(2), 215–219.
National Academy of Psychology. (2010). National Academy of Psychology (NAOP), India Ethical Principles for Psychologists. Retrieved December 15, 2015 fromhttps://docs.google.
com/viewer?a=v&pid=sites&srcid=
bmFvcGluZGlhLm9yZ3x3d3d8Z3g6MTQ5YTUzNTQyOWMxZjZhNA
National Association of Social Workers. (2008). Code of ethics of the national association of social workers. Retrieved fromhttp://www.naswdc.org/pubs/code/default.asp
Orinam. (2014).Indian Psychiatric Society official statement: Homosexual is not a mental illness.
Retrieved December 20, 2015 fromhttp://orinam.net/indian-psychiatric-society-homosexual- not-mental-illness/
Pomerantz, A., Ross, M. J., Gfeller, J. D., & Hughes, H. (1998). Ethical beliefs of psychotherapists: Scientificfindings.Journal of Contemporary Psychotherapy, 28, 35–44.
16 P. Bhola and A. Raguram
Pope, K. S., & Bajt, T. R. (1988). When laws and values conflict: A dilemma for psychologists.
American Psychologist, 43, 828–829.
Pope, K. S., Tabachnick, B. G., & Keith-Spiegel, P. (1987). Ethics of practice: The beliefs and behaviors of psychologists as therapists.American Psychologist, 42(11), 993–1006.
Pope, K. S., & Vetter, V. A. (1992). Ethical dilemmas encountered by members of the American Psychological Association: A national survey.American Psychologist, 47(3), 397–411.
Pope, K. S., & Vasquez, M. J. T. (2016).Ethics in psychotherapy and counseling: A practical guide(5th ed.). NJ: John Wiley & Sons Inc.
Proctor, G. M. (2014).Values and ethics in counselling and psychotherapy. London, UK: Sage.
Slack, C. M., & Wassenaar, D. R. (1999). Ethical dilemmas of South African clinical psychologists: International comparisons.European Psychologist, 4(3), 179.
Sporrong, S., Arnetz, B., Hansson, M. G., Westerholm, P., & Hoglund, A. T. (2007). Developing ethical competence in health care organizations.Nursing Ethics, 14(6), 826–837.
Strous, R. D. (2007). Psychiatry during the Nazi era: Ethical lessons for the modern professional.
Annals of General Psychiatry, 6, 8.
Sullivan, K. (2002). Australian psychologists’ ethical beliefs and behaviours. Australian Psychologist, 37(2), 135–141.
Tolich, M. (2014). What can Milgram and Zimbardo teach ethics committees and qualitative researchers about minimizing harm?Research Ethics, 10(2), 86–96.
Toulmin, S. (1996). Introduction. In S. Toulmin & B. Gustavsen (Eds.),Beyond theory: Changing organizations through participation(pp. 1–7). Philadelphia: Benjamins.
Walker, K. D. (1994). Notions of“ethical”among senior educational leaders.The Alberta Journal of Educational Research, 40, 21–34.
Zhang, A., Qian, M., & Yao, P. (2007). A survey on ethical beliefs of Chinese counselors and psychotherapists and comparison with American professionals. Chinese Mental Health Journal, 21(1), 55–61.
Zhao J., Cheng, W., Fu, S. (2009). A multi-center survey on dual relationships and associated factors among Chinese counselors and psychotherapists.Chinese Medical Ethics. Retrieved April 12, 2016 fromhttp://en.cnki.com.cn/Article_en/CJFDTOTAL-XNLX200905014.htm Zhao, J., Ji, J., Yang, X., Yang, Z., Hou, Y., & Zhang, X. (2011). National survey of ethical
practices among Chinese psychotherapists.Professional Psychology: Research and Practice, 42(5), 375–381.
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Chapter 2
The Ethical Private Practitioner
Rathna Isaac
Abstract Psychotherapy is increasingly being carried out in private practice settings across India. This highlights the need to understand and address ethical concerns, unique to private practitioners. The private practice setting is described as one with greater freedom to act, coupled with greater ethical responsibility. Ethical practices and challenges through the course of therapy from setting up a practice, advertising, informed consent, competence, documentation; through to termination and therapist unavailability are discussed. An attempt has been made to define the scope and limitations of private practice. Concerns around training, qualifications and continued professional development are explored with specific reference to the Indian setting; where creating a uniform standard of care is a special challenge. The business end of therapy and the impact on practitioner, client and therapeutic agendas are explored. A comprehensive and simple model for ethical decision-making is illustrated with an example. Where relevant, suggestions designed to help one build ethics into the structure of one’s professional life, have been made. The article is relevant for all mental health practitioners engaging in psychotherapy.
Keywords Private practice
EthicsIndian setting Psychotherapy