Psychotherapy with Children and Adolescents

2020 ◽  
Author(s):  
Ashley S. Castro ◽  
Gerald P. Koocher ◽  
Eric Peist
Keyword(s):  
Children And Adolescents ◽  
Mental Health Professionals ◽  
Ethical Issues ◽  
Management Approach ◽  
Adolescent Psychotherapy ◽  
Ethical Challenges ◽  
Ethical Considerations ◽  
Relational Approach ◽  
Child And Adolescent Psychotherapy ◽  
Attention To Diversity

Psychotherapy with children and adolescents presents its own set of unique ethical challenges and considerations. Unlike psychotherapy with adults, children are often referred to therapy by adults (e.g., parents or teachers), meaning that the circumstances and context for which they present to therapists or clinicians differ from the circumstances of most adults. This chapter provides an overview of ethical considerations specific to children and adolescents including issues of competence, confidentiality, boundaries, use of specific therapeutic techniques, and attention to diversity. The authors advocate for moving away from a traditional bioethical or risk management approach with clients, towards a relational approach to child and adolescent psychotherapy ethics, in which therapists and clinicians pay special attention to context, family dynamics, and culture. It is essential that mental health professionals involved in psychotherapy with children and adolescents engage in continuous reflection on ethical issues and work to best understand their clients in context so they can provide optimal services.

scholarly journals Systematic review on the use and description of measures to evaluate psychotherapeutic interventions with children and adolescents in Brazil

2018 ◽  
Vol 40 (4) ◽  
pp. 342-351
Author(s):  
Bruna Holst ◽  
Carolina Saraiva de Macedo Lisboa ◽  
Andréia Zambon Braga ◽  
Artur Marques Strey ◽  
Déborah Brandão de Souza
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Childhood And Adolescence ◽  
Validity Evidence ◽  
Adolescent Psychotherapy ◽  
Validity And Reliability ◽  
Psychotherapeutic Interventions ◽  
Child And Adolescent Psychotherapy ◽  
Reliability Method ◽  
Mental Treatment

Abstract Introduction: Psychotherapeutic interventions in childhood and adolescence are recognized as a mental treatment and as a tool to reduce psychological disorders in youth and adulthood. Therefore, there is an increasing concern about evidence of effectiveness of mental disorder interventions and adequacy of measurement. The objectives of this systematic review were to investigate predominant research designs and instruments used in Brazilian studies describing psychotherapeutic interventions with children and adolescents and to examine how these instruments are described regarding evidence of validity and reliability. Method: Five databases were surveyed, and for each one two independent judges performed the selection of records and applied the inclusion and exclusion criteria. Results: The final database comprised 28 papers, in which 92 instruments were referred. Fifty-seven instruments cited did not have descriptions of evidence of validity for the Brazilian population; for 31 instruments, validity evidence was mentioned, but the study did not detail which validity parameter was used; three studies described content validity evidence for their instruments. Furthermore, information about reliability was described for only two instruments. Conclusion: A lack of studies in the field of child and adolescent psychotherapy was found in Brazil. There is a significant need for the field to attend both the psychometric properties and the quality of description of research instruments. The scientific production of studies focused on the evaluation of psychotherapeutic interventions may promote evidence-based psychotherapy and justify the offer of mental treatment in different contexts.

scholarly journals Ethical Considerations in Ending Exploratory Brain–Computer Interface Research Studies in Locked-in Syndrome

2018 ◽  
Vol 27 (4) ◽  
pp. 660-674 ◽  
Author(s):  
ERAN KLEIN ◽  
BETTS PETERS ◽  
MATT HIGGER
Keyword(s):  
Randomized Clinical Trials ◽  
Ethical Issues ◽  
Brain Activity ◽  
Brain Computer Interface ◽  
Computer Interface ◽  
Ethical Challenges ◽  
Ethical Considerations ◽  
Ethical Frameworks ◽  
Recent Attention ◽  
Potential Tool

Abstract:Brain–computer interface (BCI) is a promising technology for restoring communication in individuals with locked-in syndrome (LIS). BCI technology offers a potential tool for individuals with impaired or absent means of effective communication to use brain activity to control an output device such as a computer keyboard. Exploratory studies of BCI devices for communication in people with LIS are underway. Research with individuals with LIS presents not only technological challenges, but ethical challenges as well. Whereas recent attention has been focused on ethical issues that arise at the initiation of studies, such as how to obtain valid consent, relatively little attention has been given to issues at the conclusion of studies. BCI research in LIS highlights one such challenge: How to decide when an exploratory BCI research study should end. In this article, we present the case of an individual with presumed LIS enrolled in an exploratory BCI study. We consider whether two common ethical frameworks for stopping randomized clinical trials—equipoise and nonexploitation—can be usefully applied to elucidating researcher obligations to end exploratory BCI research. We argue that neither framework is a good fit for exploratory BCI research. Instead, we apply recent work on clinician-researcher fiduciary obligations and in turn offer some preliminary recommendations for BCI researchers on how to end exploratory BCI studies.

Ethical considerations

2015 ◽  
Author(s):  
David L. Streiner ◽  
Geoffrey R. Norman ◽  
John Cairney
Keyword(s):  
Informed Consent ◽  
Psychometric Properties ◽  
Vulnerable Populations ◽  
Ethical Issues ◽  
Ethical Challenges ◽  
Ethical Considerations ◽  
Ethical Problems ◽  
Consequential Validity ◽  
Disadvantaged Groups ◽  
Majority Population

Although studies of the psychometric properties of scales do not have the same ethical challenges as those involving interventions, there are still areas that researchers need to be sensitive to. These include issues such as informed consent, especially with vulnerable populations, and deception. This chapter also discusses confidentiality, and when this can be breached for legal reasons. It also returns to the issue of consequential validity and the ethical issues that may arise when minority or disadvantaged groups attain scores that are different from those of the majority population. This chapter discusses these and other ethical problems that may arise within the context of developing and validating scales.

Ethical Issues in Secure Psychiatric Settings

2014 ◽  
Author(s):  
Gwen Adshead
Keyword(s):  
Mental Health Professionals ◽  
Ethical Issues ◽  
Mentally Disordered Offenders ◽  
Ethical Challenges ◽  
Dual Roles ◽  
Case Examples ◽  
Mentally Disordered ◽  
Correctional Settings ◽  
Secure Psychiatric Care

In this chapter, I discuss the particular ethical challenges associated with the care of mentally disordered offenders. This chapter deals with the ethical issues that arise in secure psychiatric care, not purely correctional settings which are addressed in another chapter. I describe some of the general ethical problems in secure psychiatric settings, which (I suggest) arise from the dual roles of care and custody that mental health professionals have to carry out. I set out some fictitious case examples, and explore two complementary ways of helping both residents and staff manage these challenges: an approach using the concept of values-based practice (VBP) and an approach based on “relational security.”

scholarly journals To be or not to be: legal and ethical considerations in suicide prevention

2013 ◽  
Vol 19 (4) ◽  
pp. 295-301 ◽  
Author(s):  
Jaydip Sarkar
Keyword(s):  
Ethical Issues ◽  
Ethical Challenges ◽  
Front Line ◽  
Ethical Considerations ◽  
Risk Of Death ◽  
Real Risk ◽  
Harm To Others ◽  
Training Schemes ◽  
Risk Assessment And Management ◽  
Complex Cases

SummaryMaking potentially critical clinical decisions in complex cases with the real risk of death by suicide is a most challenging job in psychiatry. Sadly, risk assessment and management of harm to self is a largely ignored area compared with risk of harm to others. The legal and ethical challenges are more nuanced, and contemporary training schemes and textbooks on psychiatry have not always done justice to this area, where front-line clinicians require probably most assistance. This article is an attempt to integrate the seemingly disparate threads from legal, ethical and clinical realms to assist decision-making, and it introduces a set of principles for managing these in clinical practice. It refers in particular to legislation in England and Wales, but the clinical and ethical issues discussed are universal.

scholarly journals Not Seen and Not Heard: Ethical Considerations of Research with Children of Prisoners

2018 ◽  
Vol 32 ◽  
Author(s):  
Vicky Saunders ◽  
Morag McArthur ◽  
Tim Moore
Keyword(s):  
Ethical Issues ◽  
Parental Incarceration ◽  
Ethical Challenges ◽  
Australian Capital Territory ◽  
Ethical Considerations ◽  
Care Needs ◽  
Research Project ◽  
Research With Children ◽  
Children Of Prisoners ◽  
Sensitive Issues

The ethical complexities associated with research with children are well recognised and have been debated extensively within the childhood literature. However, ethical issues occurring in research with children about sensitive issues, such as parental incarceration, and the practical solutions required to address such issues, are less well described. This paper draws on recent experiences of a research project conducted in the Australian Capital Territory exploring the needs of children of prisoners. It discusses three key interrelated methodological and ethical challenges observed by the researchers. While there is no doubt that considerable care needs to be taken to identify ethical and effective ways to undertake research with this group of children, we argue that applying a process of ethical reflexivity will assist researchers in planning and conducting ethical and methodologically valid research with children of prisoners.

International Perspectives on Ethical Issues in Religion and Psychiatry

2018 ◽  
Author(s):  
Walid Sarhan ◽  
Wai Lun Alan Fung
Keyword(s):  
Ethical Issues ◽  
International Perspective ◽  
Ethical Challenges ◽  
Ethical Considerations ◽  
International Context ◽  
Global Ethic ◽  
Clinical Vignettes ◽  
International Perspectives ◽  
Ethics In Psychiatry

This chapter provides international perspectives on ethical issues at the intersection between religion/spirituality and psychiatry. It begins by describing international patterns of spirituality and religion, then discusses the role of professional ethics in psychiatry from an international perspective and the stances of various professional psychiatric associations on the topic. These are illustrated by the case example of terrorism, including suicide and religious terrorism. The chapter also discusses ethical considerations regarding the intersection between religion/spirituality and traditional beliefs & cultures, which are illustrated by the case example of ethics and healing in ancient China and India. The importance of a global ethic and various international attempts at its development are discussed. Several clinical vignettes illustrate these ethical challenges in an international context. The chapter concludes with a discussion of the challenges in developing a global ethic in relation to psychiatry and spirituality/religion.

Sign in / Sign up

Export Citation Format

Share Document