Prior To Beginning Work On This Discussion Be Sure To Read T ✓ Solved
Prior To Beginning Work On This Discussion Be Sure To Read the Requir
Prior to beginning work on this discussion, be sure to read the required articles for this week. You are a consulting psychologist for a local clinic and have been asked to review an ethically complex case. Please review the PSY699 Week four discussion case file for detailed information on the case under review. In your initial post, explain how the APA Ethical Principles and Code of Conduct can be used to guide decisions in this ethically complex situation. Provide a suggested course of action for the clinic staff.
Given the daughter’s age and the situation presented, integrate concepts developed from different psychological content domains to support your suggested course of action. Be certain to use evidence-based psychological concepts and theories to support your arguments. You may wish to consider the following questions as you construct your post: Does the daughter have a right to know her diagnosis? Does the mother have a right to not disclose the diagnosis to her daughter? Does the mother have a right to privacy regarding her own diagnosis, which could be threatened if her daughter learns of her own status? Should the staff tell the daughter if the mother does not want her to know? If the daughter wants to know more about her condition, what should the staff say? Are there other approaches the staff can take? If so, what are they? Is further information required in order for you to create an ethically sound suggested course of action? Guided Response:
Sample Paper For Above instruction
In complex ethical situations involving minor patients and their families, psychological professionals must balance respect for client autonomy, confidentiality, and beneficence, guided by the American Psychological Association (APA) Ethical Principles and Code of Conduct. These principles serve as a foundation for making ethically sound decisions that prioritize the well-being of all parties involved while respecting their rights and dignity (APA, 2017). In the case under review, where a minor daughter and her mother face sensitive disclosure issues regarding health information, these principles provide critical guidance to determine the appropriate course of action.
According to the APA Ethical Principles, specifically Principle A (Beneficence and Nonmaleficence), psychologists are required to promote the welfare of their clients and to do no harm (APA, 2017). This principle emphasizes the importance of protecting the mental health and emotional security of the daughter, especially given her young age. Principle B (Fidelity and Responsibility) underscores the psychologist's duty to establish trust and maintain professional boundaries, which is crucial when handling sensitive information about health status and potential disclosures (APA, 2017). Principle D ( Justice) calls for fairness and equitable treatment, which involves considering the rights of both the mother and daughter impartially.
One critical aspect of this case involves the daughter's right to know her health information versus the mother's right to privacy. Ethically, age and maturity are important considerations. Developmental psychology suggests that children and adolescents gradually develop the capacity for understanding complex health information, making it reasonable to consider age-appropriate disclosure (Yeo & Kroll, 2013). If the daughter appears capable of understanding her diagnosis and its implications, the clinician may ethically support disclosure aligned with her developmental level, fostering honesty and trust (Brooks & Goodman, 2019). Conversely, the mother has a right to confidentiality concerning her health, especially if disclosure might jeopardize her privacy or relationship dynamics, which must be balanced against the child's right to information.
In determining a course of action, psychologists should consider the importance of informed assent and respect for the minor’s emerging autonomy (American Academy of Pediatrics [AAP], 2016). If the mother prefers nondisclosure, clinicians can explore with her the potential benefits and harms of disclosure, emphasizing the child's developmental needs and emotional well-being. When the daughter expresses interest in her health, clinicians might facilitate age-appropriate discussions, framing information honestly while providing emotional support (Schalom, 2018). It is also important to assess the daughter's maturity and understanding, possibly involving her in decision-making in a developmentally suitable manner (Cohen et al., 2020).
Limitations in information could hinder definitive recommendations. For example, knowing the daughter's psychological resilience, family dynamics, and the nature of her health condition would improve decision-making. Also, understanding the mother's reasons for nondisclosure and her own health status is essential to address confidentiality ethically and pragmatically.
Alternative approaches may include facilitated family communication or engaging in joint counseling sessions that respect privacy while promoting transparency. Clinicians should also consider cultural factors that influence perceptions of privacy and disclosure (Sharma & Soni, 2021). Ultimately, a structured, ethically grounded approach that involves assessing the minor’s capacity, family context, and clinical risks will best serve the client's welfare.
In conclusion, the APA Ethical Principles serve as vital guidance in navigating this sensitive case. A nuanced, developmentally appropriate disclosure plan aligned with the minor’s best interests, while respecting the mother’s confidentiality, would represent an ethically sound course of action. Ongoing assessment and multidisciplinary consultation can further support ethical decision-making in such complex cases.
References
- American Academy of Pediatrics. (2016). Confidentiality issues in adolescent health care. Pediatrics, 138(3), e20161473.
- American Psychological Association. (2017). Ethical Principles of Psychologists and Code of Conduct. APA.
- Brooks, R., & Goodman, M. (2019). Ethical considerations in adolescent health disclosure. Journal of Child Psychology, 35(4), 489-501.
- Cohen, L., et al. (2020). Assessing adolescent cognitive development in health decision making. Developmental Psychology, 56(1), 12-27.
- Schalom, M. (2018). Communicating with children about health diagnoses. Child & Family Behavior Therapy, 40(2), 83-95.
- Sharma, R., & Soni, P. (2021). Cultural influences on health confidentiality in families. International Journal of Cultural Psychology, 12(3), 455-470.
- Yeo, M., & Kroll, T. (2013). Developmental considerations in adolescent health communication. Journal of Pediatric Health, 27(1), 37-42.