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• Kenneth S Pope, PHD,ABPP    • Melba J. T. Vasquez, PHD, ABPP.
• Nayeli Y. Chavez-Dueñas    • PHD _ Hector Y. Adames, PsyD

0. Preface
PART 1: FOUNDATIONS INCL
1. Helping Without Hurting 3
2. Ethics in Real Life 12
3. Ethics Theories and Codes 22
4. Dignity and Respect 40
5. Trust, Power, Caring, and Healing 48
6. Competence, Humility, and the Human Therapist 59
7. Culture, Context, and Ethics in Psychotherapy and Counseling 73
8. Steps in Ethical Decision-Making 88
9. Moral Distress and Moral Courage 95
PART 2: COMMON SOURCES OF PROBLEMS INCL
PART 3: SPECIAL TOPICS INCL

Contents
Contents, section headings included

PART 1: FOUNDATIONS
1. Helping Without Hurting 3
1. Psychological ethics: responsibility to help more and hurt less 3
2. WHAT DO I DO NOW? "The psyche" highly sensitive "subject." 6
3. Eight basic assumptions about ethical awareness 7
2. Ethics in Real Life 12
1. Records 13
2. Lunch 14
3. The mechanic 15
4. Evaluating children 15
5. Staying sober 16
6. The internship 17
7. The fatal disease 17
8. Life in chaos 18
9. Language: the interpreter 19
10. Computer coincidences
3. Ethics Theories and Codes 22
1. Theories of ethics 23
1. Utilitarianism 23
2. Kantian ethics 24
3. Feminist ethics 24
4. American Indian ethics 25
2. Codes, accountability and conflicts 27
3. American Psychological Association approach to ethics code 29
1. The first APA code 30
2. The empirical approach to a code half a century later 31
3. Confidentiality 31
4. Blurred, dual or conflictual relationships 31
5. Payment sources, plans, settings and methods 33
6. Academic settings, teaching dilemmas

and concerns about training

33
7. Forensic psychology 34
8. Research 34
9. Conduct of colleagues 34
10. Sexual issues 35
11. The current APA ethics code 35
4. Canadian Psychological Association's approach to an ethics code 36
5. Adjudication of ethics complaints for CPA and APA 37
4. Dignity and Respect 40
1. Treating each person with dignity and respect 40
2. Diagnostic Categories 45
3. Financial Concerns 46
4. Fatigue 46
5. Personal predispositions, biases and prejudices 46
5. Trust, Power, Caring, and Healing 48
1. Trust 48
2. Power 51
1. Power conferred by the state 52
2. Power to name and define 53
3. Power of testimony 54
4. Power of knowledge 54
5. Power of expectation 55
6. Therapist-created power 55
7. Inherent power-differential 56
3. Caring and Healing 56
6. Competence, Humility, and the Human Therapist 59
1. Competence as an ethical and legal responsibility 62
2. Competence and conflict 62
3. Intellectual competence: know about and knowing how 65
4. Emotional competence for therapy: knowing yourself 73
7. Culture, Context, and Ethics in Psychotherapy and Counseling 73
1. Culture has always been a part of healing 74
2. Cultural competence 75
1. The impact of cultural competence on treatment 77
3. Cultural competence and professional guidelines 79
4. Building cultural competence 80
1. Looking inward 81
2. Looking outward 83
5. Scenarios for discussion 84
8. 17 Steps in Ethical Decision-Making 88
1. State the question, dilemma or concern as clearly as possible 89
2. Anticipate who will be affect by the decision 89
3. Figure out who, if anyone, is the client 89
4. Assess whether our areas of competence—and of missing knowledge,

skills, experience or expertise—fit the situation

90
5. Review relevant formal ethics codes and standards 90
6. Review relevant legal standards 90
7. Review the relevant research and theory 91
8. Consider whether personal feelings, biases or self-interest

might shade our ethical judgment

91
9. Consider whether social, cultural, religious, or similar factors affect

the situation and the search for the best response

91
10. Consider consultation 92
11. Develop alternative courses of action 92
12. Think through the alternative courses of action 92
13. Try to adopt the perspective of each person who will be affected 93
14. Decide what to do, review or reconsider it, and take action 93
15. Document the process and assess the results 93
16. Assume personal responsibility for the consequences 94
17. Consider implications for preparation, planning and prevention 94
9. Moral Distress and Moral Courage 95
1. The psychologist as whistle blower: A case study 100
2. Background 101
3. Bureaucratic-professional conflict 104
4. The transfer 105
5. Legal maneuvers 109
6. The profession's response 110
7. The loneliness of whistle blowing 111

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