Ethical Decision-Making in Marriage and Family Therapy: A Review of the Literature

2020 ◽  
Vol 39 (4) ◽  
pp. 29-39
Author(s):  
Heather Katafiasz ◽  
Rikki Patton ◽  
David Tefteller ◽  
Momoko Takeda
Keyword(s):  
Decision Making ◽  
Marriage And Family Therapy ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Common Knowledge ◽  
Review Of The Literature ◽  
Marriage And Family ◽  
Decision Making Processes ◽  
Decision Making Model

It is common knowledge that marriage and family therapists are ethically obligated to provide competent care to their clients and that they need to engage in systematic decision-making processes to ensure they are providing the best care. Yet, a comprehensive guide for ethical decision-making specifically accounting for the unique nuances of working with relational-systemic clients from a relational-systemic conceptual lens is lacking. Thus, the aim of this article is to outline the current understandings of the unique ethical issues experienced when working with relational-systemic clients and to review currently utilized ethical decision making models in the hopes of providing guidance regarding the development of a specific relational-systemic ethical decision-making model.

Ethical Decision-Making in Marriage and Family Therapy: An Introduction of a New Model

2020 ◽  
Vol 39 (4) ◽  
pp. 40-55
Author(s):  
Heather Katafiasz ◽  
Rikki Patton ◽  
David Tefteller ◽  
Momoko Takeda
Keyword(s):  
Decision Making ◽  
Family Therapy ◽  
Marriage And Family Therapy ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Case Vignette ◽  
Clinical Services ◽  
Marriage And Family ◽  
New Model ◽  
Systemic Nature

Ethical decision-making within marriage and family therapy is complex and often convoluted due to the relational-systemic nature of the clinical services provided. The aim of this article is to provide an overview for a new model for ethical decision-making in marriage and family therapy. This new model, entitled the Butterfly Model, will then be applied to a case vignette for illustration. It is hoped that the Butterfly Model can provide marriage and family therapists with a guide for ethical decision-making that is tailored more for the relational-systemic work they engage in.

Rehabilitation Counseling Ethics

2007 ◽  
Vol 38 (4) ◽  
pp. 19-26 ◽  
Author(s):  
Christine A. Reid ◽  
Connie J. McReynolds
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Ethical Dilemmas ◽  
Rehabilitation Counseling ◽  
Ethical Standards ◽  
Review Of Literature ◽  
Counseling Relationship ◽  
Decision Making Processes

One of the hallmarks of a profession is attention to ethical standards; therefore, the purpose of this article is to increase awareness of current ethical issues related to Rehabilitation Counselingpractice, and to identify toolsfor addressing those issues in an ethically sound manner. Examples of ethical dilemmas involving disability in a counseling relationship are presented, and a review of literature related to ethics in this area is provided. An approach to addressing potentially hidden counselor bias and its effect on ethical decision-making processes is discussed.

Tele-Ethics in Communication Disorders: Asking the Right Questions, Finding the Right Answers

2022 ◽  
pp. 1-9
Author(s):  
Kellyn Dailey Hall
Keyword(s):  
Decision Making ◽  
Service Delivery ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Communication Disorders ◽  
Service Delivery Model ◽  
Delivery Model ◽  
The Right ◽  
Decision Making Model

Purpose: A hypothetical case is used to illustrate legal and ethical issues involving the decision to replace the traditional in-person service delivery model with telepractice in schools beyond the context of the initial COVID-19 health emergency. In this clinical focus article, the reader follows Maria, the lead speech-language pathologist (SLP) in the district, as she determines the feasibility of continuing telepractice in her district now that students and clinicians are returning to schools. First, she considers the support needed to implement this service delivery model within the school setting given the anticipated changes to the rules and regulations governing lawful and ethical provision of telepractice after the health emergency ends. Next, she decides if telepractice is warranted in the district by considering the rationales behind the requests. Faced with balancing school, student, and clinician needs, Maria uses an ethical decision-making model to determine if requests for telepractice, tied to health safety concerns and potentially influenced by implicit bias, reflect legal, ethical, and/or moral issues driven by fear or unconscious discriminatory motives. Conclusions: The health emergency gave SLPs working in schools the unique opportunity to experience the benefits and utility of telepractice. Following the return to schools, continuation of telepractice services will require support and training of SLPs. Many factors must be considered including equivalency of services, technology, and protection of privacy as they relate to the changes to the laws and regulations governing telepractice after the health emergency allowances end. Of primary importance is the selection of telepractice to address student needs, not to avoid specific schools because of their characteristics or location. An ethical decision-making model can be used as a framework to guide service delivery model decisions that balance the needs of the student, the clinician, and the district.

Relationships within the Fraud Diamond: The Decision Processes That Influence Fraudulent Intentions in Online Consumer Fraud

2019 ◽  
Vol 34 (1) ◽  
pp. 61-80
Author(s):  
Andrew J. Harrison ◽  
William N. Dilla ◽  
Brian E. Mennecke
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Real Life ◽  
Decision Processes ◽  
Substantial Body ◽  
Decision Making Processes ◽  
Online Consumer ◽  
Online Environments ◽  
Decision Making Model

ABSTRACT Online consumer fraud is a problem with significant consequences. While a substantial body of research examines the strategies used to defraud consumers in online environments, little is known about the decision processes that perpetrators follow before engaging in fraud. To address this issue, we develop an ethical decision-making model of online consumer fraud based on the fraud diamond. The model also includes anonymity, a key feature of online environments, which can influence sellers' ethical decision-making processes. We empirically evaluate the model first by asking participants to consider the misrepresentation of an asset's value in an online transaction, and then by having participants engage in a real-life version of that scenario. Results indicate that perceived anonymity affects the influences of capability, opportunity, and motivation on rationalization. Further, greater perceived anonymity increases the influence of rationalization on one's intent to act.

A Dilemma Within Doctoral Supervision: Applying an Ethical Decision‐Making Model

2021 ◽  
Vol 66 (2) ◽  
pp. 117-130
Author(s):  
Nancy Chae ◽  
David R. Gosling ◽  
Jeremy R. Goshorn ◽  
Shuhui Fan
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Doctoral Supervision ◽  
Decision Making Model

Neonatal nurse practitioner ethics knowledge and attitudes

2018 ◽  
Vol 26 (7-8) ◽  
pp. 2247-2258
Author(s):  
Mobolaji Famuyide ◽  
Caroline Compretta ◽  
Melanie Ellis
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Nurse Practitioners ◽  
Neonatal Intensive Care ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Neonatal Nurse Practitioners

Background: Neonatal nurse practitioners have become the frontline staff exposed to a myriad of ethical issues that arise in the day-to-day environment of the neonatal intensive care unit. However, ethics competency at the time of graduation and after years of practice has not been described. Research aim: To examine the ethics knowledge base of neonatal nurse practitioners as this knowledge relates to decision making in the neonatal intensive care unit and to determine whether this knowledge is reflected in attitudes toward ethical dilemmas in the neonatal intensive care unit. Research design: This was a prospective cohort study that examined decision making at the threshold of viability, life-sustaining therapies for sick neonates, and a ranking of the five most impactful ethical issues. Participants and research context: All 47 neonatal nurse practitioners who had an active license in the State of Mississippi were contacted via e-mail. Surveys were completed online using Survey Monkey software. Ethical considerations: The study was approved by the University of Mississippi Medical Center Institutional Review Board (IRB; #2015-0189). Findings: Of the neonatal nurse practitioners who completed the survey, 87.5% stated that their religious practices affected their ethical decision making and 76% felt that decisions regarding life-sustaining treatment for a neonate should not involve consultation with the hospital’s legal team or risk management. Only 11% indicated that the consent process involved patient understanding of possible procedures. Participating in the continuation or escalation of care for infants at the threshold of viability was the top ethical issue encountered by neonatal nurse practitioners. Discussion: Our findings reflect deficiencies in the neonatal nurse practitioner knowledge base concerning ethical decision making, informed consent/permission, and the continuation/escalation of care. Conclusion: In addition to continuing education highlighting ethics concepts, exploring the influence of religion in making decisions and knowing the most prominent dilemmas faced by neonatal nurse practitioners in the neonatal intensive care unit may lead to insights into potential solutions.

Understanding the Millennials’ Integrated Ethical Decision-Making Process: Assessing the Relationship Between Personal Values and Cognitive Moral Reasoning

2017 ◽  
Vol 58 (8) ◽  
pp. 1671-1706 ◽  
Author(s):  
James Weber
Keyword(s):  
Decision Making ◽  
Moral Reasoning ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Personal Values ◽  
Strong Relationship ◽  
Value Orientations ◽  
Decision Making Processes ◽  
The Relationship ◽  
Cognitive Moral Reasoning

Focusing on millennials, individuals born between 1980 and 2000 and representing the largest generational population in our history, this research seeks to understand their ethical decision-making processes by exploring the distinctive, yet interconnected, theories of personal values and cognitive moral reasoning. Utilizing a decision-making framework introduced in the 1990s, we discover that there is a statistically supported relationship between a millennial’s personal value orientation and stage of cognitive moral reasoning. Moreover, we discover a strong relationship between three of the four value orientations and a corresponding stage of cognitive moral reasoning. The theoretical and practical research implications of our discovery about millennials’ decision making are discussed.

Data-based ethical decision making, lateral relations, and organizational commitment

2018 ◽  
Vol 40 (6) ◽  
pp. 946-963 ◽  
Author(s):  
Sean Robert Valentine ◽  
David Hollingworth ◽  
Patrick Schultz
Keyword(s):  
Decision Making ◽  
Organizational Commitment ◽  
Information Flow ◽  
Structural Equation ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Self Report ◽  
Equation Modeling ◽  
Content Type

Purpose Focusing on ethical issues when making organizational decisions should encourage a variety of positive outcomes for companies and their employees. The purpose of this paper is to determine the degree to which data-based ethical decision making, lateral relations and organizational commitment are interrelated in organizations. Design/methodology/approach Data were collected from business professionals employed at multiple locations of a financial services firm operating in the USA. Mediation analysis (based on structural equation modeling) was used to test the proposed relationships. Findings Results indicated that employees’ perceptions of data-based ethical decision making were positively related to perceived lateral relations, and that perceived lateral relations were positively related to organizational commitment. Research limitations/implications Given that information was collected using only a self-report questionnaire, common method bias could be an issue. In addition, the study’s cross-sectional design limits conclusions about causality. Another limitation involves the study’s homogenous sample, which decreases the generalizability of the findings. Finally, variable responses could have been impacted by individual frames of reference and other perceptual differences. Practical implications Results suggest that information flow enhancements should support or be consistent with horizontal information flow enhancements, and that together these factors should increase employee commitment. Originality/value Given the dearth of existing research, this interdisciplinary investigation is important because it fills gaps in the management literature. This study is also important because the results could inform decisions regarding the use of data analysis in ethical decisions and lateral forms of organizational structuring to improve work attitudes.

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