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Patients’ experiences of malpractice in psychotherapy and psychological treatments: a qualitative study of filed complaints in Swedish healthcare 患者在心理治疗和心理治疗中的渎职经历:对瑞典医疗机构投诉的定性研究
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-07-22 DOI: 10.1080/10508422.2021.1948855
A. Lindgren, A. Rozental
ABSTRACT Malpractice issues in psychotherapy and psychological treatments refer to the unethical behavior of a psychologist or psychotherapist toward the patient. The current study reviewed complaints directed at psychologists and psychotherapists in Sweden with regard to possible incidents of malpractice. Eligible cases were retrieved from a database managed by the Health and Social Care Inspectorate [Inspektionen för vård och omsorg (IVO)], an administrative authority responsible for the safety and quality of healthcare and social services delivery. These cases were analyzed using thematic analysis. In total, 33 complaints matched the keywords proposed by IVO, and were scrutinized in detail. The cases primarily involved psychiatric care by a psychologist in outpatient settings, although many cases comprised multiple healthcare providers responsible for the patient’s care, or targeted the healthcare unit as a whole. The results demonstrated that different forms of malpractice occur, and can be classified in two general themes, Incorrect administration and implementation and Attitude and behavior, which involve organizational aspects as well as examples of malpractice and unethical behavior. Implications for clinical practice and future research include further training in ethics and malpractice, video recording or auditing sessions, routine outcome monitoring, and providing patients with information on how to file complaints.
心理治疗和心理治疗中的渎职问题是指心理医生或心理治疗师对患者的不道德行为。目前的研究审查了针对瑞典心理学家和心理治疗师的投诉,这些投诉涉及可能的医疗事故。符合条件的案例是从卫生和社会保健监察局[Inspektionen för v och omsorg (IVO)]管理的数据库中检索的,该监察局是负责卫生保健和社会服务提供的安全和质量的行政当局。采用主题分析法对这些案例进行分析。总共有33个投诉与IVO提出的关键词相匹配,并进行了详细的审查。这些病例主要涉及在门诊环境中由心理学家进行的精神病治疗,尽管许多病例包括负责患者护理的多个医疗保健提供者,或将整个医疗保健单位作为目标。结果表明,不同形式的不当行为发生,可分为两大主题,不正确的管理和执行以及态度和行为,这涉及组织方面以及不当行为和不道德行为的例子。对临床实践和未来研究的启示包括在道德和医疗事故方面的进一步培训,录像或审计会议,常规结果监测,以及向患者提供如何提出投诉的信息。
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引用次数: 5
Clarifying the mediating effect of ethical climate on the relationship between ethical leadership and workplace bullying 厘清伦理氛围对伦理型领导与职场霸凌关系的中介作用
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-07-13 DOI: 10.1080/10508422.2021.1941027
Carla Freire, M. I. Pinto
ABSTRACT The purpose of this research is to examine ethical climate as a mediator iin the relationship between ethical leadership and workplace bullying. An online questionnaire was answered by 223 Portuguese employees, who had worked for at least 6 consecutive months at the same organization. Results support the mediating role of ethical climate on the relationship between ethical leadership and bullying at work, suggesting that ethical leaders can contribute to the minimization of bullying through their impact on ethical climate and employees’ behavior. Drawing on the social learning theory and the social information processing theory, this study clarifies the mediating role of ethical climate.
摘要本研究旨在探讨伦理氛围在伦理型领导与职场霸凌之间的中介作用。223名葡萄牙员工回答了一份在线调查问卷,这些员工至少在同一家公司连续工作了6个月。研究结果支持了伦理氛围在伦理型领导与职场欺凌之间的中介作用,表明伦理型领导可以通过影响伦理氛围和员工行为来减少职场欺凌。本研究借鉴社会学习理论和社会信息加工理论,阐明了伦理氛围的中介作用。
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引用次数: 4
Privileged professionalisms: Using co-cultural communication to strengthen inclusivity in professionalism education and community formation 特权职业化:利用共同文化交流加强职业教育和社区形成的包容性
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-07-01 DOI: 10.1080/10508422.2021.1925118
J. Tansey, E. Parks
ABSTRACT Perpetuation of privileged norming in organizations threatens the fragile hope that the theory and practice of professionalism can evolve alongside commitments to equity and inclusion. Uncritical engagement with a normative professionalism can lead to the muting of differences and strengths that diverse standpoints offer to professional communities. We look to the field of Medicine as an example for other professional groups, in which experts have criticized its development of a normative professionalism shaped by, retaining, and sustaining privilege. Using a triad of case studies and co-cultural theory, we suggest that non-dominant perspectives and behaviors ought to be better recognized and welcomed as part of professionalism discourse, and that professional education ought to include co-cultural awareness of communication behaviors and their function as identity performance. We suggest that recognizing and reinforcing accommodation behaviors will lead to a more robust inclusivity for an evolving normativity, and that the wisdom habits of curiosity, perspective, love of learning, judgment, and creativity must be brought to bear on improving co-cultural dialogue, dismantling systemic privilege, practicing attributional complexity, and building genuinely dialogic professional communities rather than depersonalized collectives.
组织中特权规范的延续威胁着专业理论和实践能够与公平和包容的承诺一起发展的脆弱希望。不加批判地参与规范的专业主义可能会导致不同立场为专业社区提供的差异和优势被削弱。我们把医学领域作为其他专业群体的榜样,在这个领域,专家们批评了由特权塑造、保留和维持的规范性专业主义的发展。通过三个案例研究和共同文化理论,我们建议,作为专业话语的一部分,非主导观点和行为应该得到更好的认可和欢迎,专业教育应该包括对沟通行为及其作为身份表现的功能的共同文化意识。我们建议,认识和加强适应行为将为不断发展的规范性带来更强大的包容性,并且必须将好奇心,观点,热爱学习,判断力和创造力的智慧习惯用于改善共同文化对话,拆除系统特权,实践归因复杂性,并建立真正对话的专业社区而不是去个性化的集体。
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引用次数: 4
Freedom of thought at the ethical frontier of law & science 法律与科学伦理前沿的思想自由
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-06-24 DOI: 10.1080/10508422.2021.1928500
M. Moore
ABSTRACT Some of the most compelling contemporary ethical questions surround 21st Century neuroscientific technologies. Among these, neurocognitive intervention technologies allow an unprecedented ability to alter thought. Concerns exist about their impact on individual freedom, behavior and personhood. They could also distort society, eroding core values of dignity, equality, and diversity. Potent laws are needed to anchor regulation in this rising field. The article explores how the long-neglected human right of Freedom of Thought might protect the integrity of the mind at the legal system’s highest level. Sample cases illustrate how it could be given effect ethically and legally to set boundaries for neurocognitive intervention.
当代一些最引人注目的伦理问题围绕着21世纪的神经科学技术。其中,神经认知干预技术可以提供前所未有的改变思维的能力。人们担心它们对个人自由、行为和人格的影响。它们还可能扭曲社会,侵蚀尊严、平等和多样性的核心价值观。需要强有力的法律来锚定这一新兴领域的监管。本文探讨了长期被忽视的思想自由人权如何在法律体系的最高层面保护思想的完整性。示例案例说明了如何在伦理和法律上为神经认知干预设定界限。
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引用次数: 2
Managerial ethical leadership, ethical climate and employee ethical behavior: does moral attentiveness matter? 管理道德领导、道德氛围与员工道德行为:道德关注重要吗?
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-06-20 DOI: 10.1080/10508422.2021.1937628
Hussam Al Halbusi, P. Ruiz‐Palomino, Rafael Morales‐Sánchez, Fadi Abdel Muniem Abdel Fattah
ABSTRACT Ethical leaders can influence followers’ ethical behaviors by establishing an ethical climate. However, followers’ responses to an ethical climate may also differ according to the amount of attention they devote to moral questions. This study analyzes whether moral attentiveness augments the positive effect of an ethical climate on employees’ ethical behaviors, as well as the indirect effect of ethical leadership on employee ethical behavior through an ethical climate. Data from 270 employees in the Malaysian manufacturing industry indicate that the positive impact of an ethical climate on ethical behavior is greater among employees who exhibit high rather than low moral attentiveness; this moderating role also applies to the relationship between ethical leadership and employee ethical behavior through the ethical climate. This study thus sheds new light on the notable role of moral attentiveness in ensuring that ethical leadership and ethical climate enhance ethical behavior in the workplace.
伦理型领导者可以通过营造伦理氛围来影响下属的伦理行为。然而,追随者对道德氛围的反应也可能根据他们对道德问题的关注程度而有所不同。本研究分析了道德关注是否增强了道德氛围对员工道德行为的积极影响,以及道德领导通过道德氛围对员工道德行为的间接影响。来自马来西亚制造业270名员工的数据表明,道德氛围对道德行为的积极影响在表现出高道德注意力而不是低道德注意力的员工中更大;这种调节作用也适用于道德领导和员工道德行为之间的关系,通过道德氛围。因此,这项研究揭示了道德关注在确保道德领导和道德氛围增强工作场所道德行为方面的显着作用。
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引用次数: 25
How does moral identity promote employee voice behavior? The roles of work engagement and leader secure-base support 道德认同如何促进员工建言?工作投入和领导安全基础支持的角色
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-05-20 DOI: 10.1080/10508422.2021.1923498
Na-Ting Liu, Shu-chen Chen, Wei-Chu Lee
ABSTRACT This study seeks exploration of how employees’ moral identity is related to voice behavior (i.e., the expression of constructive suggestions or ideas for improving work-related issues) in the current organizational dynamics. By integrating the self-consistency theory with a situational strength perspective, a moderated mediation model was constructed to examine connections among moral identity, leader secure-base support (LSBS), work engagement, and voice behavior. Surveys were collected at 2 time points, 1 month apart, from 206 full-time employees in various organizations and industries in Taiwan. Supporting results indicated that employees’ moral identity was positively related to voice behavior. The mediating impact of work engagement as a motivational mechanism between moral identity and voice behavior was observed. Relative to when LSBS was low, the effect of moral identity on work engagement and the indirect effect of moral identity on voice behavior through work engagement were more substantial when LSBS was high. Academic and managerial implications were discussed.
本研究旨在探讨当前组织动力学中员工的道德认同与建言(即为改善工作相关问题而表达建设性建议或想法)之间的关系。通过整合自我一致性理论和情境优势视角,构建了一个有调节的中介模型,考察了道德认同、领导安全基础支持、工作投入和建言之间的关系。本研究分2个时间点,间隔1个月,调查对象为台湾各机构及行业的206名全职员工。支持结果表明,员工的道德认同与建言正相关。观察了工作投入作为道德认同与建言之间动机机制的中介作用。相对于低LSBS时,高LSBS时道德认同对工作投入的影响以及道德认同通过工作投入对建言的间接影响更为显著。讨论了学术和管理方面的影响。
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引用次数: 8
“Under the sword of Damocles”: psychologists relate their experience of a professional misconduct complaint “在达摩克利斯之剑下”:心理学家讲述了他们对职业不端行为投诉的经历
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-05-15 DOI: 10.1080/10508422.2021.1922279
Hanlé Kirkcaldy, E. van Rensburg, Kobus du Plooy
ABSTRACT Health practitioners run the risk of ethical board complaints or legal action against them in their professional careers. This experience can have a detrimental impact on personal wellness and professional practice. This study reports on the subjective experience of ten South African psychologists who received complaints. Semi structured interviews were conducted, and the transcripts analyzed using interpretative phenomenological analysis (IPA). The data indicates that (1) the participants experienced the effects of a complaint on an intensely personal level and (2) the experience of a complaint highlighted the challenging nature of working in the modern health care arena. The researchers hope to inform the psychological community of the emotional challenges experienced during a complaint process, to encourage a transparent discourse about the subject and muster support for practitioners during an often-isolating professional incident.
摘要健康从业者在职业生涯中面临着道德委员会投诉或法律诉讼的风险。这种经历可能会对个人健康和职业实践产生不利影响。这项研究报告了十名南非心理学家的主观经验,他们收到了投诉。进行了半结构化访谈,并使用解释性现象学分析(IPA)对成绩单进行了分析。数据表明,(1)参与者在强烈的个人层面上经历了投诉的影响,(2)投诉的经历突显了在现代医疗保健领域工作的挑战性。研究人员希望将投诉过程中遇到的情感挑战告知心理学界,鼓励对该主题进行透明的讨论,并在经常孤立的职业事件中为从业者争取支持。
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引用次数: 3
Cultural and psychological variables predicting academic dishonesty: a cross-sectional study in nine countries 预测学术不诚实的文化和心理变量:九个国家的横断面研究
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-05-14 DOI: 10.1080/10508422.2021.1910826
A. Błachnio, A. Cudo, Paweł Kot, Malgorzata Torój, K. O. Asante, V. Enea, M. Ben-Ezra, B. Caci, S. Domínguez-Lara, Nuworza Kugbey, Sadia Malik, R. Servidio, Arun Tipandjan, Michelle F. Wright
ABSTRACT Academic dishonesty has serious consequences for human lives, social values, and economy. The main aim of the study was to explore a model of relations between personal and cultural variables and academic dishonesty. The participants in the study were N = 2,586 individuals from nine countries (Pakistan, Israel, Italy, India, the USA, Peru, Romania, Ghana, and Poland). The authors administered the Academic Dishonesty Scale to measure academic dishonesty, the Kessler Psychological Distress Scale to measure distress, the Almost Perfect Scale – Revised to measure perfectionism, the Brief Self-Control Scale to measure self-control, and the Singelis Scale to measure independent self-construal. The results showed that the theoretical model was well fitted to the dataset in six countries: Pakistan, the United States, Romania, Ghana, Israel, and Poland. However, it was not well fitted in Italy, India, and Peru. Our results also showed that perfectionism significantly predicted academic dishonesty, but not in all countries. Self-control significantly predicted cheating, falsification, and plagiarism in the USA. Moreover, we found that distress was related to cheating o0nly in Ghana. Finally, independent self-construal predicted academic dishonesty. Our findings provide a cross-cultural contribution to the debate on academic dishonesty by highlighting its significant predictors and may inform interventions aimed at eliminating it. Our results can be used in preventing and curbing academic dishonesty. Knowledge on cross-cultural differences can be useful in international education for example, as an indicator accepting or relaxing attitude toward academic dishonesty in students from different countries.
学术失信行为对人类生命、社会价值和经济都有严重影响。本研究的主要目的是探索个人和文化变量与学术不诚实之间的关系模型。该研究的参与者为来自9个国家(巴基斯坦、以色列、意大利、印度、美国、秘鲁、罗马尼亚、加纳和波兰)的2586人。作者使用学术不诚实量表来衡量学术不诚实,使用凯斯勒心理痛苦量表来测量痛苦,使用几乎完美量表-修订版来衡量完美主义,使用简短自我控制量表来评估自我控制,使用Singelis量表来测量独立自我建构。结果表明,该理论模型与六个国家的数据集非常吻合:巴基斯坦、美国、罗马尼亚、加纳、以色列和波兰。然而,它在意大利、印度和秘鲁并不适用。我们的研究结果还表明,完美主义可以显著预测学术不诚实,但并非在所有国家都是如此。自我控制显著预测了美国的作弊、伪造和剽窃。此外,我们发现只有在加纳,痛苦与作弊有关。最后,独立的自我建构预测了学术不诚实。我们的研究结果突出了学术不诚实的重要预测因素,为学术不诚实问题的辩论提供了跨文化的贡献,并可能为消除学术不诚实提供干预措施。我们的研究成果可用于预防和遏制学术不诚实。关于跨文化差异的知识在国际教育中是有用的,例如,作为接受或放松不同国家学生对学术不诚实态度的指标。
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引用次数: 5
Looking around and looking ahead: forecasting and moral intensity in ethical decision-making 环顾四周和展望未来:道德决策中的预测和道德强度
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-04-15 DOI: 10.1080/10508422.2021.1896364
Mark Fichtel, Y. Gujar, Chanda Sanders, Cory Higgs, Tristan J. McIntosh, S. Connelly, M. Mumford
ABSTRACT Prior studies have examined the impacts of sensemaking processes, such as forecasting, on ethical decision making (EDM) but only a few have considered how aspects of the ethical issue itself, such as social consensus and magnitude of consequences, might interact with sensemaking processes to influence EDM. The present effort examines both forecasting and moral intensity, as well as their interactions, during the EDM process. Participants in this study were given an ethical scenario with either a high or low degree of social consensus as well as a greater or smaller magnitude of consequences. They were then asked to forecast either many or few potential outcomes stemming from their actions before coming up with a final plan of action. Responses were rated for quality of forecasting, use of metacognitive reasoning strategies, perceived moral intensity, and ethicality. Results indicate that social consensus may not be beneficial for EDM if the magnitude of consequences is low or individuals are not engaged in extensive forecasting. Implications of these findings are discussed.
摘要先前的研究已经考察了感知过程(如预测)对伦理决策的影响,但只有少数研究考虑了伦理问题本身的各个方面,如社会共识和后果的严重程度,可能与感知过程相互作用,从而影响EDM。本研究考察了预测和道德强度,以及它们在EDM过程中的相互作用。这项研究的参与者被赋予了一个道德场景,社会共识程度高或低,后果程度大或小。然后,在制定最终行动计划之前,他们被要求预测他们的行动可能产生的许多或少数潜在结果。根据预测质量、元认知推理策略的使用、感知道德强度和道德性对回答进行评分。结果表明,如果后果的严重程度较低或个人没有参与广泛的预测,社会共识可能对EDM不利。讨论了这些发现的含义。
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引用次数: 0
Ethical decision-making models: a taxonomy of models and review of issues 伦理决策模式:模式分类和问题回顾
IF 2 3区 哲学 Q2 ETHICS Pub Date : 2021-04-14 DOI: 10.1080/10508422.2021.1913593
Melanie K. Johnson, Sean N. Weeks, G. Peacock, Melanie M. Domenech Rodríguez
ABSTRACT A discussion of ethical decision-making literature is overdue. In this article, we summarize the current literature of ethical decision-making models used in mental health professions. Of 1,520 articles published between 2001 and 2020 that met initial search criteria, 38 articles were included. We report on the status of empirical evidence for the use of these models along with comparisons, limitations, and considerations. Ethical decision-making models were synthesized into eight core procedural components and presented based on the composition of steps present in each model. This taxonomy provides practitioners, trainers, students, and supervisors relevant information regarding ethical decision-making models.
伦理决策文献的讨论是迟来的。在这篇文章中,我们总结了目前的文献伦理决策模型用于心理健康专业。在2001年至2020年间发表的1520篇符合初始检索标准的文章中,有38篇被纳入。我们报告了使用这些模型的经验证据的现状,并进行了比较、限制和考虑。将伦理决策模型综合为8个核心程序组件,并根据每个模型中的步骤组成进行了描述。该分类法为从业者、培训师、学生和主管提供了有关道德决策模型的相关信息。
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引用次数: 4
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Ethics & Behavior
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