Chapter 23
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Dec 6, 2023
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Chapter 23: Ethical and Legal Issues Unique to Systemic Family Therapy
Introduction
o
Things to consider that are not theory
Ethical principles
Code of ethics
Applicable laws
The context in which therapy takes place
Agency of stakeholders, especially clients themselves
o
Autonomy—the individual’s ability to make decisions for themselves, which includes
being fully informed about the benefits and risks of therapy prior to engaging in the
therapeutic relationship
Reflected in standard 1.2 in ethics manual
o
Beneficence—indicates the practitioner will practice to the best of the ability to benefit
the client; from this comes the edict to do good
o
Non-maleficence—idea that the clinician will do not harm to the client in the course of
providing services
o
Veracity—refers to the clinician being truthful to the clients and providing a level of
honesty in their work with others
o
Justice—refers to fairness in therapy and providing services without discrimination
Standard 1.1 of ethics manual
o
Fidelity—refers to honoring commitments and prompting trust
o
Steps of factors to consider
Having an awareness that an ethical dilemma is present
Identifying facts related to the dilemma
Consideration of relevant ethical principles
Profession’s code of ethics
Consideration of applicable laws
Consultation with peers
Consideration of culture and context
Decision making
Follow-up evaluation of the process
o
Drawback to this decision making
Assume clinicians will have time to think through the multi-step process when
they need to be made in a moment
Also separate actions and decisions from relationships
If the situation is not seen in terms of ethics, then the entire ethical
decision-making process will not happen
o
Complexity of ethical decision making
Increased when working with two or more members of a system
These people may reflect different cultures, customs, and values, in
addition to the therapists
o
SLEEPP Model of ethical decision making
S: sociocultural considerations
Including gender, race, sexual preference, class, religion, and ability to
the problem, issue, or dilemma
L: legal implications
E: ethical imperatives
Including professional codes of ethics, ethical principles, and the
practitioner’s personal morals and values
E: economic impact
P: political ramifications
P: power
Both the power the therapist has by virtue of their role as therapists and
power within the system with which they are working
Cycle
Problem, issue, or dilemma
Systemic Analysis of Aituation (SLEEPP)
Gather necessary information from appropriate stakeholders
Implement a course of action
Use any corrective feedback from system
Relational ethics in SFT
Suggest a move from a focus on self and other to a focus on the “we”
relationship
Moves from therapist thinking of “I am an ethical therapist” to “What
am I doing to be relationally ethical?”
Involves asking questions about who decides what is ethical and
exploring how our actions impact others
Becomes a process instead of a fixed identity
Working with Triangles
o
Systemic therapy is focused on triangular relationships
o
Working with triangles allows the therapist to open powerful sources of influences
o
Triangles allows the therapist to open powerful sources of influence into relationships
Triangles can be used to stabilize or destabilize relationships
Managing triangles must be done while managing the therapeutic alliances
Engagement in the therapeutic process
Emotional connection with the SFT
Safety within the therapeutic system
A shared sense of purpose within the couple or family
o
Code of ethics
When providing couple, family, or group treatment, the therapist does not
disclose information outside the treatment context without a written
authorization from each individual competent to execute a wavier. The therapist
must not reveal any individual’s confidences to others in the client unit without
the prior written permission of that individual
LEGAL RIGHT TO CONFIDENTIALITY
Who Is the Client?
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