Current Ethical Issues in Child and Adolescent Psychotherapy

Ascherman, Lee I.; Rubin, Samuel S.

doi:10.1016/j.chc.2007.07.008

Cited by 23 publications

(21 citation statements)

References 5 publications

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“…However, boundary issues do still exist in child psychotherapy. Ascherman and Rubin (2008) discuss that young children may challenge physical boundaries by wanting to sit in a therapist’s lap or give hugs, while older children and adolescents may ask personal questions of the therapist. Boundaries also need to be considered with the child’s family, in which unethical dual relationships can potentially occur.…”

Section: Boundariesmentioning

confidence: 99%

“…Ascherman and Rubin (2008) suggest that therapists take a “neutral” stance when faced with a child’s personal questions by neither encouraging nor condemning them, but rather remaining interested and using it as an opportunity to understand the client further. The therapist should routinely be mindful about their growing relationship with the client and family to be aware of any behaviors or exchanges that may have crossed the line.…”

Section: Boundariesmentioning

confidence: 99%

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Ethical Considerations in Exposure Therapy With Children

Gola¹,

Beidas

Antinoro-Burke³

et al. 2016

Cognitive and Behavioral Practice

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Despite the abundance of research that supports the efficacy of exposure therapy for childhood anxiety disorders and OCD, negative views and myths about the harmfulness of this treatment are prevalent. These beliefs contribute to the underutilization of this treatment and less robust effectiveness in community settings compared to randomized clinical trials. Although research confirms that exposure therapy is efficacious, safe, tolerable, and bears minimal risk when implemented correctly, there are unique ethical considerations in exposure therapy, especially with children. Developing ethical parameters around exposure therapy for youth is an important and highly relevant area that may assist with the effective generalization of these principles. The current paper reviews ethical issues and considerations relevant to exposure therapy for children and provides suggestions for the ethical use of this treatment.

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Section: Boundariesmentioning

confidence: 99%

Section: Boundariesmentioning

confidence: 99%

Ethical Considerations in Exposure Therapy With Children

Gola¹,

Beidas

Antinoro-Burke³

et al. 2016

Cognitive and Behavioral Practice

View full text Add to dashboard Cite

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“…Good people do not need laws to tell them to act responsibly, while bad people will find a way around the laws -Plato This chapter will address ethical and medicolegal issues that are particularly relevant to complex psychiatric consultations and that create special challenges for the consulting psychiatrist working with both pediatric (Ascherman and Rubin 2008) and adult populations (Arras and Steinbock 1998;Gutheil et al 2005). Ethical and medicolegal concerns are common sources of anxiety, estrangement, and conflict among the involved parties and may delay or complicate a patient's treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Ethical and medicolegal issues are an inherent part of difficult psychiatric consultations and, as we have illustrated, create special challenges for the consulting psychiatrist working with both pediatric (Ascherman and Rubin 2008) and adult populations (Arras and Steinbock 1998;Gutheil et al 2005). Among the key issues which must frequently be addressed are: autonomy, nonmaleficence, beneficence, and justice.…”

Section: Discussionmentioning

confidence: 99%

Difficult Psychiatric Consultations

Delgado¹

2014

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“…The treating psychiatrist must navigate a path between these differing wishes and respect both the rights of the child and the need for guardianship of the child who is not a fully competent or legally competent subject. Just as in research, so too in routine care, factors such as informed consent or assent and the privacy of health care information are subject to good ethical practice requirements (Ascherman & Rubin, 2008;Koelch et al, 2008;Tan & Koelch, 2008).…”

Section: Introductionmentioning

confidence: 99%

Ethics in child and adolescent psychiatric care: An international perspective

Koelch

Fegert

2010

International Review of Psychiatry

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In the treatment of children with psychiatric disorders as a vulnerable population, ethical issues arise that seldom come into play with adults. The UN Conventions on the Rights of the Child and the Rights of Persons with Disabilities set out rights to be respected in child and adolescent psychiatric treatment. Rights of participation and inclusion (minimizing of barriers to the involvement of disabled people) can create complex problems in cases of restraint or deprivation of liberty. This paper analyses the consequences of these conventions and other ethics guidelines on child and adolescent psychiatric treatment and research. Beneficence, justice and autonomy are core principles that are mirrored in the problems of inclusion and protection, confidentiality, and the safety of psychopharmacological interventions. Factors of inclusion are involved in the areas of availability of care, participation in best evidence-based treatment, and research. The right of the child to protection, the right of inclusion, and parents' rights and duties to safeguard their child's wellbeing form a triangle. National laws to regulate the treatment of psychiatrically ill children should be created and implemented and these should be non-discriminatory but at the same time safeguard the developing human being.

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Current Ethical Issues in Child and Adolescent Psychotherapy

Cited by 23 publications

References 5 publications

Ethical Considerations in Exposure Therapy With Children

Ethical Considerations in Exposure Therapy With Children

Difficult Psychiatric Consultations

Ethics in child and adolescent psychiatric care: An international perspective

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