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John Gavazzi, PsyD ABPP - June 2011 This .ppt was part of a 3 hour workshop. I spent 45 minutes on the slide show. My co-presenter spent 45 minutes disclosing ethical decision-making issues, and we discussed vignettes for about 1 hour, using the questions at the end.
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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