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Ethics is More than a Code: Ethical Foundations, Positive Ethics, and Ethical Decision-Making John Gavazzi, Psy.D., ABPP
Learning Objectives ,[object Object],[object Object],[object Object]
Learning Objectives ,[object Object],[object Object],[object Object]
What  is the “take home?” ,[object Object],[object Object],[object Object]
Remedial Ethics compared to  Positive Ethics
Remedial Ethics ,[object Object],[object Object],[object Object]
Remedial Ethics ,[object Object],[object Object],[object Object]
Positive Ethics ,[object Object],[object Object],[object Object]
Positive Ethics ,[object Object]
Precursors of Positive Ethics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Competence ,[object Object],[object Object],[object Object],[object Object],[object Object]
Relationships ,[object Object],[object Object],[object Object],[object Object]
Patient Empowerment ,[object Object],[object Object],[object Object]
Trust ,[object Object],[object Object],[object Object],[object Object]
Positive Ethics is NOT ,[object Object],[object Object]
Benefits of Positive Ethics
Benefits of Positive Ethics ,[object Object],[object Object],[object Object],[object Object]
Benefits of Positive Ethics ,[object Object],[object Object],[object Object]
[object Object],[object Object],Self-Reflection on Values
Self-Reflection on Values ,[object Object],[object Object],[object Object]
Classical Radicals ,[object Object],[object Object],[object Object]
ML King was a classical radical ,[object Object],[object Object],[object Object]
Are you a classical radical? ,[object Object]
Meet some Classical Radicals ,[object Object],[object Object],[object Object],[object Object]
Meet Some Classical Radicals ,[object Object],[object Object],[object Object]
Meet Some Classical Radicals ,[object Object],[object Object],[object Object]
Reflections on Values  ,[object Object],[object Object],[object Object]
Reflections on Values ,[object Object],[object Object],[object Object]
An Acculturation Model One Application of Positive Ethics
Acculturation  ,[object Object]
Ethics Acculturation Model ,[object Object]
Ethical Culture of Psychology ,[object Object],[object Object]
Ethical Culture of Psychology ,[object Object],[object Object]
Ethical Culture of Psychology ,[object Object],[object Object],[object Object],[object Object]
Acculturation as a Process ,[object Object],[object Object],[object Object]
Ethical Acculturation ,[object Object],[object Object],[object Object],[object Object]
Acculturation Model of ethical training Hi Professional Ethics  Low Professional Ethics Hi Personal Ethics Low Personal Ethics Integration Separation Assimilation Marginalization
Marginalized ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assimilation ,[object Object],[object Object],[object Object],[object Object]
Separation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Integrated ,[object Object],[object Object],[object Object],[object Object],[object Object]
Integration- Example Separation : Treating a patient like a friend Assimilation : Maintain rigid boundaries at  times, to the point of being cold and  distant Integration : Cordial and friendly within the  boundaries of a professional  relationship
Integration ,[object Object]
Understanding the Ethical Foundation of the APA Code ,[object Object],[object Object]
APA Ethics Code ,[object Object],[object Object],[object Object],[object Object]
APA Ethics Code ,[object Object],[object Object],[object Object]
The enforceable portion of the APA Code is based on principle-based ethics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Respect for Autonomy ,[object Object],[object Object]
Autonomy ,[object Object],[object Object],[object Object],[object Object]
Beneficence ,[object Object],[object Object],[object Object],[object Object]
Beneficence ,[object Object],[object Object]
Nonmaleficence ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nonmaleficence ,[object Object],[object Object]
Fidelity ,[object Object],[object Object],[object Object],[object Object]
Fidelity ,[object Object],[object Object]
Justice ,[object Object],[object Object]
Principles and APA Ethics Code ,[object Object],[object Object],[object Object],[object Object]
Principles and APA Ethics Code ,[object Object],[object Object],[object Object],[object Object]
Principles and APA Ethics Code ,[object Object],[object Object],[object Object]
APA Aspirational Virtues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ethics Across Cultures ,[object Object],[object Object],[object Object]
Supererogatory Question ,[object Object],[object Object],[object Object]
Supererogatory Question ,[object Object],[object Object]
Some Supererogatory Activities ,[object Object],[object Object],[object Object]
Some Supererogatory Activities ,[object Object],[object Object]
Some Supererogatory Activities ,[object Object],[object Object],[object Object]
Some Supererogatory Activities ,[object Object],[object Object],[object Object]
Some Supererogatory Advice ,[object Object],[object Object],[object Object]
Patient Focused Risk Management Patient-Focused Risk Management Strategies Adapted from Bennet et al.
Positive Ethics and Difficult Patients ,[object Object],[object Object],[object Object],[object Object],[object Object]
Difficult Patients ,[object Object],[object Object],[object Object]
Managing the Risks ,[object Object],[object Object],[object Object]
Patient Focused Risk Management Strategies ,[object Object],[object Object],[object Object],[object Object]
Patient Focused Risk Management Strategies ,[object Object],[object Object],[object Object]
Patient Focused Risk Management Strategies ,[object Object],[object Object],[object Object],[object Object]
A Suicidal Patient ,[object Object],[object Object]
A Suicidal Patient ,[object Object],[object Object],[object Object],[object Object]
A Suicidal Patient ,[object Object],[object Object]
False Risk Management Strategies ,[object Object],[object Object]
False Risk Management ,[object Object],[object Object],[object Object],[object Object]
False Risk Management ,[object Object],[object Object],[object Object]
Good risk management strategies involve a “culture of safety”  which attempt to: ,[object Object],[object Object],[object Object]
Developing a Culture of Safety ,[object Object],[object Object],[object Object]
Origins of the Safety Culture ,[object Object],[object Object]
Positive Ethics and Professional Development Emotional Competence, Self-care, and Social Responsibility
Emotional Competence ,[object Object]
Importance of Self Care ,[object Object],[object Object],[object Object]
Importance of Self-Care ,[object Object],[object Object],[object Object]
Challenges to Self-Care ,[object Object],[object Object],[object Object]
Challenges to Self-care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges to Self-care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Reducing the Negative Impact ,[object Object],[object Object],[object Object]
Reducing the Negative Impact ,[object Object],[object Object],[object Object]
Increasing Positive Experiences ,[object Object],[object Object],[object Object]
Increasing Positive Experiences ,[object Object],[object Object],[object Object]
Broad and Build Theory ,[object Object],[object Object]
Civic Virtue Social Responsibility (versus Social Loafing)
Social Responsibility ,[object Object],[object Object]
Social Responsibility ,[object Object],[object Object]
Political Advocacy ,[object Object],[object Object]
State Political Advocacy ,[object Object],[object Object],[object Object],[object Object]
Federal Level ,[object Object],[object Object]
Review ,[object Object],[object Object],[object Object],[object Object]
Review ,[object Object],[object Object],[object Object]
Lunch Break
Positive Ethics and Ethical Decision-making
Ethical Decision-Making Some initial lecture Some group exercises
The APA Ethical Principles and Code of Conduct do not include a model of ethical decision-making
Why is this a problem? ,[object Object],[object Object],[object Object]
In certain situations, we need to  construct  or  create  a solution instead of looking up the enforceable standards in the APA Ethics Code.
Common Dilemmas ,[object Object],[object Object],[object Object]
5 Step Decision Making Model ,[object Object],[object Object],[object Object],[object Object],[object Object]
Decision Making Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Some Limiting Cognitive Factors ,[object Object],[object Object]
Some Limiting Cognitive Factors ,[object Object],[object Object]
Counteracting Errors in Thinking ,[object Object],[object Object],[object Object],[object Object]
Some Limiting Emotional Factors ,[object Object],[object Object],[object Object]
Strategies for Emotional Issues ,[object Object],[object Object],[object Object]
Positive Ethics encourages… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Positive Ethics encourages… ,[object Object],[object Object],[object Object],[object Object]
Benefits of Consultations ,[object Object],[object Object],[object Object]
Group Exercise
Evaluations

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Ethics is More than a Code:

  • 1. Ethics is More than a Code: Ethical Foundations, Positive Ethics, and Ethical Decision-Making John Gavazzi, Psy.D., ABPP
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  • 5. Remedial Ethics compared to Positive Ethics
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  • 29. An Acculturation Model One Application of Positive Ethics
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  • 37. Acculturation Model of ethical training Hi Professional Ethics Low Professional Ethics Hi Personal Ethics Low Personal Ethics Integration Separation Assimilation Marginalization
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  • 42. Integration- Example Separation : Treating a patient like a friend Assimilation : Maintain rigid boundaries at times, to the point of being cold and distant Integration : Cordial and friendly within the boundaries of a professional relationship
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  • 69. Patient Focused Risk Management Patient-Focused Risk Management Strategies Adapted from Bennet et al.
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  • 85. Positive Ethics and Professional Development Emotional Competence, Self-care, and Social Responsibility
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  • 97. Civic Virtue Social Responsibility (versus Social Loafing)
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  • 106. Positive Ethics and Ethical Decision-making
  • 107. Ethical Decision-Making Some initial lecture Some group exercises
  • 108. The APA Ethical Principles and Code of Conduct do not include a model of ethical decision-making
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  • 110. In certain situations, we need to construct or create a solution instead of looking up the enforceable standards in the APA Ethics Code.
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