Ethical problems in clinical practice arise when clinicians confront competing value systems. Historically, behaviour therapy has been criticized because of alleged special ethical, moral and legal problems. These problems are no greater or smaller than in other forms of psychotherapeutic practice. But they can differ in emphasis. This article describes partial responses to selected ethical dilemmas facing general psychotherapy, and outlines relatively novel issues raised by certain features of behavior therapy practice.
References
1.
JosephWolpePsychotherapy by reciprocal inhibition.Stanford, California: Stanford University Press, 1958.
2.
Lazarus ArnoldA.Behavior therapy and beyond.New York: McGraw-Hill, 1971.
3.
The concise Oxford dictionary of current English.Fifth Edition. Oxford: The Clarendon Press, 1964.
4.
Kluge Eike-HennerW.In the matter of Stephen Dawson: right v duty of health care.Can Med Assoc J1983; 129: 815–18.
5.
RobinsonD.N.Therapies: a clear and present danger.Am Psychol1973; 28: 129–33.
6.
RachmanS., TeasdaleJ.Aversion therapy and behaviour disorders.London: Routledge and Kegan Paul, 1969.
7.
KoocherG.P.Civil liberties and aversive conditioning for children.Am Psychol1976; 31: 94–5.
8.
SerberM., HillerC., KeithC.Behavior modification in a maximum security setting: one hospital's experience.American Criminal Law Review1975; 13: 85–99.
9.
CotterL.Operant conditioning in a Vietnamese mental hospital.Am J Psychiatry1967; 124: 23–5.
10.
“A Clockwork Orange”. Film. Directed by Stanley Kubrick.
11.
Rennie vs. Klein. DNJ. November 9, 1978.
12.
Kaimowitz vs Dept. of Mental Health. Michigan Circuit Court for Wayne County, Civil 73-I9434-AW. U.S. Law Week 1973; 42: 2063, July.
13.
Marks IsaacM.The current status of behavioral psychotherapy: theory and practice.Am J Psychiatry1976; 133: 253–61.
RussellA., WinklerR.Evaluation of assertive training and homosexual guidance service groups designed to improve homosexual functioning.J Consult Clin Psychol1977; 45: 1–13.
21.
Karasu ToksozB.Psychotherapies: an overview.Am J Psychiatry1977; 134: 851–63.
22.
Mathews AndrewM., Gelder MichaelG., Johnston DerekW.Agoraphobia: nature and treatment.New York: The Guilford Press.1981.
RappM.S.How useful is exposure therapy in agoraphobia? Paper presented to the annual meeting of the Ontario Psychiatric Association, Toronto, Jan 30, 1982.
25.
Anonymous.A behaviour therapy expert. Seminar. Association for Advancement of Behavior Therapy. Toronto. November, 1981.
SteinT.J.Some ethical considerations of short-term workshops in the principles and methods of behavior modification.Journal of Applied Behavioral Analysis1975; 8: 113–5.
28.
PaulLatimerTraining in behaviour therapy (Editorial).Can J Psychiatry1980; 25: 26–7.
29.
AbrahmsJ.L.Is what the patient wants out of therapy what the patient should get?The Behavior Therapist1983; 6(1): 2–12.