Relational ethics

The blend of positive ethics, psychological culture, and patient-focused care

Introduction and Applicability

Preamble and General Principles(Aspirational and based on principle-based ethics)

Ethical Standards (Enforceable and represent minimum standards)

The ethics code does not include federal laws, such as HIPAA

The ethics code does not include case law, though influence is noted

The ethics code is distinct and separate from guidelines approved by the APA Council of Representatives (e.g., Child Custody Evaluation Guidelines)

AutonomyBeneficence

NonmaleficenceFidelityJustice

Ethics as a movement away from the punishment and anxiety-producing components of ethics

Fulfill their highest ideals

A means to help interpret and apply ethics standards

Overemphasis on regulations and enforceable standards

“Thou shall not” oriented

Minimum standards or the “ethical floor”

Incomplete view of ethics

Remedial: Acquiring and maintaining minimal formal qualifications

Positive: Striving for highest standardsIncludes self-awareness and self-

careEmotional competence

Ethics occurs within the therapeutic relationship

Commitment to the relationship and high quality of care

Pulling together the code, your training, and current professional role within the context of the relationship with patient

Ethics happens within the relationship

Active approach to ethics, the relationship, and decision-making

Combines psychologist factors with clinical features

What factors make this a potentially difficult patient or situation for you?

What would your emotional reaction be to the content of this scenario?

What solution works for you and why?

Small Group versus Larger Group