治疗药物使用障碍的伦理问题:咨询师的观点。

IF 2.1 4区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of psychoactive drugs Pub Date : 2024-08-30 DOI:10.1080/02791072.2024.2394765
James L Sorensen, Caravella McCuistian, J Konadu Fokuo, Homero E Del Pino, Jaime Dumoit Smith, Sania Elahi, Emily A Arnold
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引用次数: 0

摘要

在药物使用障碍 (SUD) 的治疗过程中,经常会出现伦理问题。心理咨询师需要指导来应对伦理困境,但在解决伦理问题方面接受的培训却很有限。为了缩小心理咨询师面临的伦理困境与他们所接受的培训之间的差距,本定性研究对心理咨询师遇到的伦理问题、他们如何解决这些问题以及希望接受的培训进行了评估。我们对在两个药物滥用治疗项目中工作的 20 名一线心理咨询师进行了个人定性访谈,访谈中以简短的小故事描述了代表药物滥用心理咨询师的全国性组织的道德规范。访谈中提出了一些开放式问题,内容涉及辅导员如何处理问题以及他们对未来道德培训的想法。所有参与者都遇到过伦理困境。关注的领域包括保密和隐私、强制报告、公平/公正、客户与咨询师之间的界限、工作场所与客户福利之间的紧张关系以及满足客户的复杂需求。参与者解决伦理问题的方法包括协商、使用直接方法解决伦理困境,以及致力于提供以客户为中心的护理。工作场所的有用培训很少。参与者表示需要持续的支持来解决工作场所的伦理困境。尽管伦理问题在治疗 SUD 过程中的重要性已得到广泛认可,但本研究强调了对伦理问题进行持续、互动式培训和监督的必要性。
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Ethical Issues in Treating Substance Use Disorders: Counselor Perspectives.

Ethical issues arise frequently in the treatment of substance use disorders (SUD). Counselors need guidance to navigate ethical dilemmas but receive limited training in resolving ethical issues. To narrow the gap between the ethical dilemmas counselors face and their training, this qualitative study assessed ethical issues that counselors encounter, how they resolve them, and desired training. We conducted qualitative individual interviews with 20 front-line counselors working in two SUD treatment programs, presenting brief vignettes that depicted the ethics code of the national organization representing SUD counselors. The interviews asked open-ended questions about how counselors dealt with issues and their ideas for future ethics training. All participants had encountered ethical dilemmas. Areas of concern included confidentiality and privacy, mandatory reporting, fairness/equity, client-counselor boundaries, tensions between workplace and client welfare, and meeting clients' complex needs. Ways participants resolved ethical issues included consultations, using direct approaches to resolve ethical dilemmas, and commitment to providing client-centered care. Useful training in the workplace was sparse. Participants expressed needs for ongoing support to resolve workplace ethical dilemmas. Although the importance of ethical issues is widely acknowledged in treating SUD, this study underscores the need for ongoing and interactive training and supervision about ethical issues.

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来源期刊
CiteScore
5.30
自引率
7.10%
发文量
62
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