Ethics : Ethics 3 “C”s to Maintain Ethical Practice : 3 “C”s to Maintain Ethical Practice Caution
Consent Psychologists are bound by Ethics Code : Psychologists are bound by Ethics Code Can lose license if convicted of ethical violation Sexual Attraction to Clients : Sexual Attraction to Clients Most common cause of malpractice complaints Sexual Attraction to Clients : Sexual Attraction to Clients Also very common theme in movies with psychotherapists Bad Movie Portrayals of Psychotherapy : Bad Movie Portrayals of Psychotherapy Color of Night – And a bad movie.
Prince of Tides – Not such a bad movie (nominated for awards), but unethical behavior by mental health professional.
Clearly, even the movie reviewers are tired of bad portrayals.
Watch the video of Siskel and Ebert’s review of Color of Night. Impaired Psychologists : Impaired Psychologists Burnout
Personal mental health issues
Shrink – new movie with Kevin Spacey has all of it.
Watch the Shrink trailer video. Confidentiality : Confidentiality Can be waived only by client
Or in certain circumstances, such as?
What should be kept confidential? Duty to Warn : Duty to Warn Allows for breaking confidentiality
Does not apply to past crimes
Confidentiality breaches common in movie portrayals of psychologists Undesirable Clients : Undesirable Clients Do psychologists have to accept all clients?
Grosse Point Blank, Analyze This, The President’s Analyst Ethical Violations : Ethical Violations Watch the video clip from Grosse Pointe Blank
Think this is a good portrayal of a psychotherapist?
John Cusack revealed earlier that he was a hired hitman. First, Do No Harm : First, Do No Harm Fringe therapies
Infantile or past-life regression
It is unethical to use assessment or treatment methods that are not empirically validated Informed Consent : Informed Consent Risks/benefits
Type of therapy
Limits of confidentiality Boundaries : Boundaries Professional distance between psychologist and client
Why is this important?
What about gifts? Dual Relationships : Dual Relationships Need to maintain professional role
Can’t also be “friend” (or “lover”)
Problems arise in small town settings When to Refer : When to Refer If the client worsens
If the client fails to improve
If the therapist is impaired Sex Therapy : Sex Therapy Specific code of ethics/training guidelines
Is sex with the client ever ethical? Portrayal of Mental Health Professionals in the Movies : Portrayal of Mental Health Professionals in the Movies 5 Stereotypes (Schneider, 1987; Schulz, 2005) : 5 Stereotypes (Schneider, 1987; Schulz, 2005) Dr. Dippy
Dr. Linecrosser 8 Primary Themes (Wedding & Niemiec, 2003) : 8 Primary Themes (Wedding & Niemiec, 2003) Arrogant and Ineffectual
Cold-hearted and Authoritarian
Dangerous and Omniscient
Learned and Authoritative
Motivating and Well-Intentioned
Passive and Apathetic
Seductive and Unethical
Shrewd and Manipulative Male vs. Female Psychotherapists in the Movies : Male vs. Female Psychotherapists in the Movies Who is more likely to have an affair with the patient?
Who is more likely to be portrayed as incompetent? Portrayals of Mental Health Treatment in General : Portrayals of Mental Health Treatment in General Stigma-Producing : Stigma-Producing Inaccurate explanations of cause of mental illness
Treatment portrayed as horrific – e.g., ECT as punishment
Hospital conditions as negative
Psychosis is contagious
Female patients as nymphomaniacs
Patients not treated as individuals/dehumanized Anti-Psychiatry : Anti-Psychiatry Patients portrayed as healthier than staff
Treatment portrayed as ineffective
Patients “cured” through non-treatment methods (usually relationships or finding a purpose in life)
All patients treated alike
Medications not shown to be effective
Hospital staff portrayed as disengaged, mean, unethical, and/or incompetent