„Ethics of care” and its limitations in psychotherapy and psychological counselling

2019 ◽  
Vol 57 (15) ◽  
pp. 230-241
Author(s):  
Michał Melonowski
Keyword(s):  
Clinical Practice ◽  
Moral Development ◽  
Therapeutic Process ◽  
Ethics Of Care ◽  
Development Ethics ◽  
Psychological Counselling ◽  
Universal Principles ◽  
Moral Growth ◽  
Care Approach ◽  
Moral Duties

The problematic field in this article is one of the most vivid, contemporary dispute, i.e. the dispute between “ethics of care” and “ethics of justice”. “Ethics of care” is Carol Gilligan’s concept derived from her controversy with Lawrence Kohlberg’s theory of moral development. “Ethics of justice” is a summary term for different concepts developed within the traditional ethics. This traditional ethics tried to name universal principles of acting, independent from the acting person and her feelings. The central categories were “justice” and “the Good”. For the second kind of ethics the central category is “care” and moral duties are gradable. In this article I analyse the controversy in the field of psychotherapy. I maintain that dynamics of psychotherapeutic relation is such that it “imposes” the “ethics of care”. Referring to some examples from clinical practice I tend to prove how dangerous absence of the “ethics of justice” can be in psychotherapy. I claim that using only the “ethics of care” approach in understanding and approaching the patient’s acting may narrow the therapeutic process and slow down the patient’s moral growth.

Flexible eclectic psychotherapy (FEP): A model for psychotherapy integration

2016 ◽  
Vol 33 (S1) ◽  
pp. S558-S558 ◽  
Author(s):  
D. Coira ◽  
M. Grady
Keyword(s):  
Clinical Practice ◽  
Therapeutic Process ◽  
Supportive Therapy ◽  
Active Role ◽  
Psychotherapy Integration ◽  
Clinical State ◽  
Training Methods ◽  
Case Examples ◽  
Cost Effective Treatment ◽  
New Generation

IntroductionMost experienced psychotherapists use an eclectic approach in their practice, combining techniques of different schools of psychotherapy to treat their patients. However, there are no good teaching models to train the new generation of psychotherapists in the technique of psychotherapy integration. FEP is a form of psychotherapy that combines techniques from four different psychotherapies: psychodynamics, CBT, IPT and supportive therapy. It also incorporates mindfulness, motivational interviewing, exercise and nutrition. A strong therapeutic alliance is crucial to the success of FEP. Techniques are tailored to the patient's current clinical state. Several techniques from different psychotherapies may be used in the same session. The therapist is empathic, flexible adaptive to the patient's needs and assumes an active role in the therapeutic process.ObjectiveTo present a model of psychotherapy integration that can be used by psychotherapists in their clinical practice.AimsWe aim to present a model of psychotherapy integration that can be taught and implemented by psychotherapists in their clinical practice.ResultsWe present ten case examples were FEP was effective clinically and we compare it to the standard of care received by these patients and show the savings to the healthcare system.ConclusionThe results of our study suggest that FEP could be a cost effective treatment that could be added to the psychotherapists toolbox. Teaching and training methods, like manuals and workshops can be developed to train the new generation of psychotherapists.Disclosure of interestThe authors have not supplied their declaration of competing interest.

An Ethics-of-Care Approach to Developing Students' Antiracist Practice in SLP Curricula

2021 ◽  
pp. 198-223
Author(s):  
Johanna Boult ◽  
Jennifer E. Whited ◽  
Tamara M. Easley
Keyword(s):  
Ethics Of Care ◽  
Cross Cultural ◽  
Human Beings ◽  
Speech Language Pathology ◽  
Face To Face ◽  
Cross Cultural Communication ◽  
Personal Motivation ◽  
Care Approach ◽  
Language Pathology ◽  
Instructional Experience

There is a necessity for students to learn about multicultural multilingual (MM) content in speech-language-pathology curricula. One reason for doing so is personal motivation: an awareness of and commitment to developing competence in working with diverse clients. Awareness can grow given specific instructional experiences in the form of special projects that aim to build cross-cultural relationships with the goal of fostering empathy and compassion. This chapter provides a tutorial explaining one such instructional experience: the cross-cultural communication (CCC) project. Central to the project are face-to-face meetings and reflective journaling on topics including counteracting stereotypes and planning for culturally responsive service provision. Activities have antiracist intentions guided by the moral obligation to care for fellow human beings (as per ethics of care [EoC] theory). This chapter provides (1) theoretical underpinnings of the project, (2) procedures for its completion, and (3) description of a modification of the project for a language disorders course.

Termination

2013 ◽  
Author(s):  
Michelle S. Ballan ◽  
Maria S. Mera
Keyword(s):  
Clinical Practice ◽  
Therapeutic Relationship ◽  
Therapeutic Process ◽  
Systematic Research ◽  
Successful Termination ◽  
Termination Phase ◽  
Termination Process

The termination phase of clinical practice is an important component of the therapeutic process. The ending of the therapeutic relationship, whether planned or unplanned, can elicit feelings of loss, separation, and guilt, impacting both the client and the practitioner. The reasons for ending service and preparation for termination can affect the client's gains. Systematic research on the termination process and the maintenance of gains is needed to further determine variables for successful termination.

scholarly journals The Ethics of Technology Choice: Photovoice Methodology with Men Living in Low-Income Contexts

2019 ◽  
Vol 25 (2) ◽  
pp. 289-306 ◽  
Author(s):  
Anna Tarrant ◽  
Kahryn Hughes
Keyword(s):  
Decision Making ◽  
Low Income ◽  
Ethics Of Care ◽  
Research Process ◽  
Technology Choice ◽  
Digital Cameras ◽  
Ethics Of Technology ◽  
Care Approach ◽  
Photovoice Methodology ◽  
Participatory Method

This article describes a two-phased reflexive ethical process initiated when choosing digital cameras for the photovoice method in research with men living in low-income contexts. While this participatory method aims to flatten power asymmetries in researcher–researched relationships, debate is needed about how pragmatic technology choices may inadvertently underscore or even reinforce participants’ situated experiences of disempowerment and constraint. Critically engaging with an ethics of care approach to decision-making, we unpick what superficially appears to be a straightforward problem of method and demonstrate how pragmatic decisions may confound researchers’ efforts towards democratisation in research. We reflect on how such efforts may inadvertently obscure contextual processes shaping the potential for participants to engage in research. Our reflections demonstrate the need to take seriously all decision-making throughout the research process as integral to a wider politics of method and ethics.

scholarly journals Patient Care Approach Using Nursing Theories - Comparative Analysis of Orem’s Self-Care Deficit Theory and Henderson’s Model

2020 ◽  
Vol 25 (2) ◽  
pp. 11-14
Author(s):  
Laura Gligor ◽  
Carmen Daniela Domnariu
Keyword(s):  
Clinical Practice ◽  
Comparative Analysis ◽  
Nursing Care ◽  
Nursing Practice ◽  
Self Care ◽  
Care Approach ◽  
Orem's Theory ◽  
New Perspective ◽  
Care Deficit ◽  
Deficit Theory

AbstractNursing theories have been developed to provide guidance in clinical practice, so their knowledge by nurses is mandatory in order to provide advanced nursing care. This paper presents the relationships between the concepts and major assumptions of Henderson’s model and Orem’s theory and then their comparative analysis. Both, Henderson’s model and Orem’s theory of self-care deficit have a major impact, internationally, in education and research, but also in nursing practice, as a result of which their knowledge can open a new perspective on care, especially in countries where they are not well enough known.

scholarly journals Why should an ethics of care matter in education?

2021 ◽  
Vol 6 ◽  
Author(s):  
Jerome P. Joorst
Keyword(s):  
South Africa ◽  
Moral Education ◽  
Teacher Attrition ◽  
Teaching Practice ◽  
Negative Impact ◽  
Ethics Of Care ◽  
Professional Preparation ◽  
Regulatory Environment ◽  
Care Approach

When a black 2nd-year student educator gets chased away from a school whilst doing his teaching practice for hair ‘not setting an appropriate example to learners’, the incident elicits questions about the rights of student educators during teaching practice, as well as the extent to which universities and schools care for, support and prepare student educators for the realities of schooling in South Africa. I situate the article in Transformation in Higher Education and the discourses of moral education concerning universities’ preparation of student educators in conjunction with schools in South Africa. The purpose in this article is to critically evaluate the neoliberal regulatory environment that frames education in general and how this has led to ‘uncaring’ environments in which student educators must operate during the execution of their teaching practice. I applied an ethics-of-care- approach to conceptually discuss the central role that care should play in the professional development of student educators. A decline in the level of care for student educators during teaching practice by universities and schools has an increasingly negative impact on their professional preparation which might lead to increased teacher attrition and discourage new entrants to the profession. To achieve the kind of care among teachers we envisage through education, universities and schools will have to re-examine the role of care for student educators during teaching practice.

Enhancing Care

2018 ◽  
Vol 83 ◽  
pp. 145-163
Author(s):  
Teodora Manea
Keyword(s):  
Critical Points ◽  
Social Institutions ◽  
Ethics Of Care ◽  
Moral Enhancement ◽  
Human Beings ◽  
Individual Level ◽  
Socially Constructed ◽  
Care Approach ◽  
The Individual

AbstractIf moral enhancement is possible, the caring capacity of human beings should be considered one of the first and most important traits for augmentation. To assess the plausibility of enhancing care, I will explore how the concept and its associated human dispositions are socially constructed, and identify some of the critical points and complexities. Scientific advances regarding neuro-enhancing substances that allegedly make humans more caring will be considered and assessed against the main principles that govern the ethics of care approach. I argue that given the relational and contextual nature of care, its enhancement, if targeted at the individual level, can be more disadvantageous than helpful, by overlooking the “webs of care” people are situated in, and the role of social institutions in shaping behaviours, duties, attitudes, and principles.

Commentary on Discussion Paper by Miles, A and Mezzich J.E. (2011). Person-centred medicine as an emergent model of clinical practice: The devil is in the details

2014 ◽  
Vol 2 (1) ◽  
pp. 67 ◽  
Author(s):  
Cathy Charles ◽  
Amiram Gafni
Keyword(s):  
Clinical Practice ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Integrated Model ◽  
Current Status ◽  
Evidence Based ◽  
Discussion Paper ◽  
Care Approach ◽  
Patient Values ◽  
Elementary Form

Miles and Mezzich have written a comprehensive review of the origins, development and current status of two influential international movements aimed at shaping the practice of medicine - evidence-based medicine (EBM) and patient-centred care. As the authors point out, these two movements have been largely independent of each other with little crossover of ideas as each pursues its own goals of trying to broaden its influence. Miles and Mezzich propose to take the strengths of both movements and to create a new integrated model of person-centred care (PCC) which is evidence-informed (rather than evidence-based) and incorporates a role for patient values in clinical decision-making. While laudable and logical to try to move forward with this approach which integrates two seemingly contradictory principles underlying each movement (clinical practice based on the findings of clinical research evidence and clinical practice that is responsive to patients’ values, preferences and beliefs), this task is not easy and, as the authors themselves note, the model that results from this process is still in elementary form. By proposing this new integrated model, the authors hope to stimulate further debate on the meaning of a person centred-care approach to medical practice.

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