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PurposeMoral distress (MD) refers to the psychological disequilibrium that emerges when institutional policies and/or practices conflict with an individual’s professional values and ethics. MD has been interrogated frequently in health care and ancillary medical settings, and has been identified as a critical barrier to enhanced organizational climate and patient care. However, little work has investigated experiences of MD among members of the intimate partner violence (IPV) and sexual violence (SV) workforce.MethodsThis study investigates MD in a sample of IPV and SV service providers via secondary analysis of 33 qualitative interviews conducted with service providers in the summer and fall of 2020 as the COVID-19 pandemic response was unfolding.ResultsQualitative content analysis revealed multiple overlapping vectors of MD experienced by IPV and SV service providers related to institutional resource constraints, providers working beyond their capacity and/or competency, shifting responsibilities within service agencies creating burdens among staff; and breakdowns in communication. Impacts of these experiences at individual, organizational, and client levels were identified by participants.ConculsionsThe study uncovers the need for further investigation of MD as a framework within the IPV/SV field, as well as potential lessons from similar service settings which could support IPV and SV agencies in addressing staff experiences of MD.

Counsellors and mental health workers often encounter situations where clients′ medical or psychiatric conditions - and their treatment - affect the assessment of, or work with, clients. This comprehensive overview highlights key concerns and offers practical advice for judging when a situation may be beyond the worker′s skills.

For centuries, medicine aimed to treat abnormalities. But today normality itself is open to medical modification. Equipped with a new molecular understanding of bodies and minds, and new techniques for manipulating basic life processes at the level of molecules, cells, and genes, medicine now seeks to manage human vital processes. The Politics of Life Itself offers a much-needed examination of recent developments in the life sciences and biomedicine that have led to the widespread politicization of medicine, human life, and biotechnology. Avoiding the hype of popular science and the pessimism of most social science, Nikolas Rose analyzes contemporary molecular biopolitics, examining developments in genomics, neuroscience, pharmacology, and psychopharmacology and the ways they have affected racial politics, crime control, and psychiatry. Rose analyzes the transformation of biomedicine from the practice of healing to the government of life; the new emphasis on treating disease susceptibilities rather than disease; the shift in our understanding of the patient; the emergence of new forms of medical activism; the rise of biocapital; and the mutations in biopower. He concludes that these developments have profound consequences for who we think we are, and who we want to be.

Developing and maintaining a secure framework for professional practice is a core part of any counselling and psychotherapy training, as all therapists need to understand the key values, ethics and laws that underpin the profession today. But what does being a member of a ‘profession’ actually mean, and what does being a ‘professional’ actually involve? Structured around the BACP Core Curriculum, and with the help of exercises, case studies and tips for further reading this book covers everything from the requirements of the BACP Ethical Framework to broader perspectives on good professional practice. It includes:  • Practising as a therapist in different roles and organizational contexts  • Working with key issues, including difference, vulnerable clients and risk  • Understanding the law and relevant legal frameworks for practice  • Working ethically, including contrasting models and approaches to ethics.

Jurors play a critical role in the administration of justice, yet their compulsory exposure to graphic and distressing evidence during criminal trials is often overlooked in discussions of mental health and legal reform. This paper investigates the psychological impact of jury service in trials involving murder, domestic violence, sexual assault, and child abuse, where laypeople are required to view autopsy photographs, listen to emergency calls, and assess disturbing testimonies without any formal training or mandatory psychological support. While vicarious trauma, secondary traumatic stress, and moral injury are recognised in research on law enforcement, social work, and healthcare, there is limited acknowledgement that no professional group consistently receives adequate trauma prevention or recovery support. This gap is particularly concerning for jurors, who are laypeople compelled to participate in the justice process. Drawing on legal case studies, psychiatric research, and international precedent, this paper argues that the justice system imposes an invisible emotional burden on jurors while offering limited, inconsistent, and mostly reactive support. Although applicable to many countries, particular attention is given to Australian jurisdictions, where counselling services are sparse and optional, and where juror confidentiality laws restrict therapeutic disclosures. This research also considers the legal and ethical implications of exposing untrained civilians to traumatic material and explores whether the state could, or should, bear legal liability for post-trial psychological harm. Ultimately, this paper calls for the introduction of clearly defined trauma-informed jury procedures, including pre-trial psychological briefings, structured debriefings, and systemic reform, to acknowledge juror well-being as a necessary component of fair and ethical justice.

In Foundations of Ethical Practice, Research, and Teaching in Psychology and Counseling , Kitchener and Anderson lay a conceptual foundation for thinking well about ethical problems. Whereas the first edition focused mainly on ethical reasoning and decision making, this new edition draws more explicitly on all components of James Rest's model of moral/ethical behavior, including moral/ethical sensitivity, moral/ethical decision making, moral/ethical motivation, and the ego strength to follow through on the decision. The book addresses five key principles of ethical decision making and includes updated sections on research, teaching and supervision, and practice. It discusses the relationship of the ethical principles and the model of ethical decision-making to professional ethical codes, while offering discussion questions, case scenarios, and activities to help the reader focus on ethical character and virtue. Foundations of Ethical Practice, Research, and Teaching in Psychology and Counseling gives psychologists, students, and trainees the tools they need to analyze their own ethical quandaries and take the right action. Part I: Foundations of Ethical Reasoning and Character. Ethics: What It Is and What It Is Not. Thinking Well About Doing Good. Foundational Principles and Using Them to Think Well. The Practicalities of Ethical Decision Making. Virtue Ethics: The Foundation of a Moral Life. Professional Ethical Identity: Developing the Foundation of a Professional's Character. Part II: Ethical Issues Across Professional Roles in Psychology and Counseling. Competence: Doing Good and Avoiding Harm. Competence: Doing Good in Practice, Teaching and Research. Respecting Others with Informed Consent. Smith, Confidentiality: Doing Good, Avoiding Harm, and Maintaining Trust. Multiple Roles and Professional Boundaries: Providing Benefit and Avoiding Harm. Sexualized Professional Relationships: Causing Harm. Social Justice: Beyond Being Fair to Advocacy.

How should we understand transgenderism, especially as it affects children and adolescents? Psychiatric manuals include transgenderism among mental illnesses (Gender Identity Disorder). Such inclusion is relatively recent, and even the words transsexual and transgender were coined only a few decades ago. Yet stories of children with an in-between gender have always been, albeit symbolically, a part of popular culture. Drawing on fairy tales, as well as from personal narratives and clinical studies, this book explains how \"Gender Identity Disorder\" manifests in children, critically evaluating various clinical approaches and examining the ethical and legal issues surrounding the care and treatment of these youths. The book argues that Gender Identity Disorder is not pathology, and that medicine and society should assist children in expressing themselves, without attempting to force them to adapt to a gender that does not match with their perceived identity.

The concept of community is increasingly the focus of political argument in Britain, the United States and elsewhere around the world. The sense people have of belonging to coummunities provides a powerful motivation which continues to affecct the political and social face of the world. Recently, debate about the relationship between individuals and their communities has become central to the making of both, American and European social policy. In the United Kingdom this is especially apparent in the area of health care, where ideas of community have informed recent legislation concerning community care, community health trusts and the Children Act among others. This volume explores the focus of interest in community and the emerging theoretical oppostion between communitarianism and liberalism, as well as the practical, theoretical and ethical issues relating to community in the health care professions, including a discussion of the health service as Civil Association, an analysis of liberal and communitarian views on the allocaiton of health care resources, an exploration of the use of genetic information and an examination of health care decision making for incapacitated elderly patients.

Contributions to this study are drawn both from health professionals engaged in genetic counselling and from observers and critics with backgrounds in law, philosophy, biology, and the social sciences. This diversity will enable health professonals to examine their activities with a fresh eye, and will help the observer-critic to understand the ethical problems that arise in genetic counselling practice, rather than in imaginary encounters. Most examinations of the ethical issues raised by genetics are concerned in a broad sense with the application of new technology to human reproduction. This volume focuses on genetic counselling and screening as such, providing valuable insights for the health professional, social scientist, philosopher, lawyer, and bioethicist.

This first-class book provides an unrivalled basis for further discussion on to how to make psychotherapy more effective both, ethically and professionally. Above all, psychotherapy is a moral practice. However scientific its research, or however much scientific research is demanded of it, psychotherapy remains a practice born of moral dilemmas, of how we live together, each with the other...Above all, the book is a plea to accept psychotherapy as a profession.