psychological ethics in the movies

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Presentation Description

Review of portrayal of mental health professionals in the movies

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Presentation Transcript

Ethics : 

Ethics

3 “C”s to Maintain Ethical Practice : 

3 “C”s to Maintain Ethical Practice Caution Competence 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 Substance abuse 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 Identifiable victim 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 Cost Type of therapy Alternatives Emergency contacts Cancellation policies 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. Evil Dr. Wonderful Dr. Rigid 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 Inaccurate diagnoses Inaccurate treatments 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

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