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Ethics of the Psychotherapeutic Alliance, Shared Decision Making and Consensus on Therapy Goals


Reiter-Theil, Stella; Wetterauer, Charlotte (2019). Ethics of the Psychotherapeutic Alliance, Shared Decision Making and Consensus on Therapy Goals. In: Trachsel, Manuel; Gaab, Jens; Biller-Andorno, Nikola; Tekin, Şerife; Sadler, John Z. The Oxford Handbook of Psychotherapy Ethics / Online 2019. Oxford: Oxford University Press, online.

Abstract

The ethics of the psychotherapeutic alliance (a), shared decision making (b), and consensus on therapy goals (c) is discussed in the context of a legal overview in three German-speaking countries. Particular ethical challenges are identified in different settings. Clinical Ethics Support (CES) has gained importance beyond acute medical patient care, but is still new in psychotherapy. Three examples present ethical issues underlying the basic concepts of psychotherapy (a, b, and c) that often go unnoticed or remain implicit. Addressing ethical questions in a practical psychotherapy context may lead to acknowledging more complexity than expected. At the same time, meta-level ethical reflection can help to coordinate previously diverging interests and efforts and remove obstacles towards problem-solving. Complexity as well as problem solving will be illustrated by referring to problems with confidentiality concerning sexual abuse, coercion in treating dependency disorders, and responding to wishes of assisted suicide.

Abstract

The ethics of the psychotherapeutic alliance (a), shared decision making (b), and consensus on therapy goals (c) is discussed in the context of a legal overview in three German-speaking countries. Particular ethical challenges are identified in different settings. Clinical Ethics Support (CES) has gained importance beyond acute medical patient care, but is still new in psychotherapy. Three examples present ethical issues underlying the basic concepts of psychotherapy (a, b, and c) that often go unnoticed or remain implicit. Addressing ethical questions in a practical psychotherapy context may lead to acknowledging more complexity than expected. At the same time, meta-level ethical reflection can help to coordinate previously diverging interests and efforts and remove obstacles towards problem-solving. Complexity as well as problem solving will be illustrated by referring to problems with confidentiality concerning sexual abuse, coercion in treating dependency disorders, and responding to wishes of assisted suicide.

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Additional indexing

Item Type:Book Section, not_refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Biomedical Ethics and History of Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2019
Deposited On:09 Feb 2021 10:44
Last Modified:09 Feb 2021 10:48
Publisher:Oxford University Press
ISBN:9780198817338
OA Status:Closed
Publisher DOI:https://doi.org/10.1093/oxfordhb/9780198817338.013.25

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