Decoding the Ethics Code, Ch. 1
USING WORDS TO SHARE REALITY. 10
A Code of Ethics
for Psychology
How Did We Get Here?
In a field so complex, where individual and social values are yet but ill
defined, the desire to play fairly must be given direction and consistency by
some rules of the game. These rules should do much more than help the
unethical psychologist keep out of trouble; they should be of palpable aid
to the ethical psychologist in making daily decisions.
—Hobbs (1948, p. 81)
Beginnings
The American Psychological Association (APA) has had more than five decades of experience constructing and revising an ethics code that strives to reflect both the
aspirations and practical aspects of ethical decisions made by members of the profession.
The creation and each subsequent revision of the APA Ethics Code has been
driven by the desire for standards that would encourage the highest endeavors of
psychologists, ensure public welfare, promote sound relationships with allied professions,
and promote the professional standing of the discipline (Hobbs, 1948).
Discussions within APA regarding the need for an ethics code in psychology
arose in response to an increase in professional activity and public visibility of its
members before and after World War II. During this period, the societal value of
the still young discipline of psychology was evidenced as psychologists developed
group tests to help the armed services quickly determine the draft eligibility of
young men in wartime and provided mental health services to hospitalized soldiers
when they returned home. In 1947, the first APA Committee on Ethical Standards
for Psychologists was appointed. The committee, chaired by Edward Tolman,
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
Chapter 1 A Code of Ethics for Psychology——3
wanted to create a code of ethics for psychologists that would be more than a
document with an imposing title (Hobbs, 1948). The members were committed to
producing professional standards that would provide psychologists with a set of
values and practical techniques for identifying and resolving moral problems.
To achieve these goals, the committee decided to draw on the knowledge of the
field to create a process of developing a code that would “be effective in modifying
human behavior” (Hobbs, 1948, p. 82). According to Hobbs, “This is an old and
familiar task to psychologists, their very stock in trade, in fact. The only difference
here is that human behavior means specifically the behavior of psychologists”
(p. 82). Drawing on the knowledge of group processes during that period, the committee
conceived the task of developing ethical standards as one of group dynamics
(Hobbs, 1948). The process chosen was the critical incident method (Flanagan,
1954), a technique that involved asking the members of the APA to describe a situation
they knew of firsthand, in which a psychologist made a decision having ethical
implications, and to indicate the ethical issues involved.
A second committee, chaired by Nicholas Hobbs, reviewed more than 1,000 such
incidents submitted by APA members. The committee identified major ethical
themes emerging from the incidents that focused on psychologists’ relationships
with and responsibilities to others, including patients, students, research participants,
and other professionals. Many of the incidents reflected the political climate
of the postwar period, including confrontations between academic freedom and
McCarthyism and dilemmas faced by psychologists working in industry asked to
design tests for the purpose of maintaining racial segregation in the workforce. As
different segments of the code were created, drafts were submitted to the membership
for critique and revision. A final draft was adopted by the APA in 1952 and
published in 1953.
Revisions Preceding the 2010 Ethics Code
At the time of the adoption of the first Ethics Code, continual review and revision
based on the experience and perspectives of members was seen as integral to maintaining
the value of the Ethics Code for both the profession and the public (Adkins,
1952). As a result, the Ethics Code of the APA has undergone eleven revisions since
1953. The 1953 version was more than 170 pages long and included case examples
illustrating each ethical standard. The standards themselves were written broadly,
using aspirational rather than narrow legalistic language. Subsequent revisions
eliminated the cases from the text itself and moved toward more specific language.
From the beginning of its more than 50-year history, each revision of the APA’s
Ethical Principles of Psychologists and Code of Conduct has been guided by the
following objectives (Hobbs, 1948):
To express the best ethical practices in the field as judged by a large representative
sample of members of the APA
To reflect an explicit value system as well as clearly articulated decisional and
behavioral rules
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
4——PART I INTRODUCTION AND BACKGROUND
To be applicable to the full range of activities and role relationships encountered
in the work of psychologists
To have the broadest possible participation among psychologists in its development
and revisions
To influence the ethical conduct of psychologists by meriting widespread
identification and acceptance among members of the discipline
Aspirational Principles and Enforceable Standards
At its heart, an ethics code should reflect the moral principles underlying the
values of the profession. For most professions, ethical behaviors are generally those
that fulfill the fundamental moral obligations to do good, to do no harm, to respect
others, and to treat all individuals honestly and fairly. For some, statements of general
principles are sufficient to guide the ethical behavior of persons devoted to the
ideals of their profession. For others, however, statements describing specific types
of behaviors that meet these ideals are necessary to maximize the code’s utility and
to provide a means of evaluating its efficacy (Schur, 1982).
The form in which ethical guidelines are written will determine whether an ethics
code is an aspirational or enforceable document. Although all codes should have
a foundation in moral principles, the document can take one of three forms. An
aspirational code is composed of statements of broadly worded ideals and principles
that do not attempt to define with any precision right and wrong behaviors. An
educational code combines ethical principles with more explicit interpretations
that can help individual professionals make informed decisions in morally ambiguous
contexts. An enforceable code includes a set of standards that specifically
describes behaviors required and proscribed by the profession and is designed to
serve as a basis for adjudicating grievances (Frankel, 1996).
The original APA Ethics Code, and seven revisions that followed up to 1990,
gradually combined statements of aspirational principles with general guidelines
and enforceable standards for ethical behavior. During this period the increasing
legalistic reaction of consumers and psychologists involved in charges of ethical
violations by psychologists raised concerns about the fairness of subjective interpretations
of such broadly worded principles and standards. Moreover, a rise in the
number of appeals to decisions made by the APA Ethics Committee and regulatory
bodies (e.g., state licensing boards) that relied on the APA Ethics Code for their
disciplinary procedures suggested that adjudicatory decisions based on this type of
format would be increasingly difficult to enforce and thus a disservice to the APA
membership (Bersoff, 1994). Accordingly, to strengthen both the enforceability and
credibility of APA ethical guidelines, crafters of the 1992 APA Ethics Code separated
the enforceable standards from the aspirational principles to make the standards
simple, behaviorally focused, and representative of unitary concepts (Canter,
Bennett, Jones, & Nagy, 1994).
During the revision process leading to the 1992 Ethics Code, some psychologists
argued that adjudication based on specific ethical standards rather than general
principles would diminish the moral foundation on which the APA Ethics
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
Chapter 1 A Code of Ethics for Psychology——5
Committee charged with adjudicating ethics complaints could base its decisions.
Others supported the move toward separate enforceable standards, arguing that in
practice, limiting the standards to legally and procedurally unenforceable wording
would dilute the ethical goals intended by the foundational principles (Fisher &
Younggren, 1997).
The 1992 Ethics Code represented a radical change from its predecessors in both
structure and content. For the first time, clear distinctions were made between
aspirational principles that articulated foundational values of the discipline and
specific decision rules articulated in 180 distinct ethical standards that would be
subject to enforcement by the APA, other organizations, and licensing boards that
adopted them (Canter, Bennett, Jones, & Nagy, 1994).
The Process of Developing the
2002 Ethics Code
Since its inception in 1953, each revision of the APA Ethics Code has been driven
by the evolving roles and responsibilities of psychologists within a constantly
changing sociocultural, economic, political, and legal landscape. As discussed later
in this chapter, with two exceptions, the 2010 Ethics Code is identical to the version
adopted by the APA in 2002. Major trends influencing revisions leading to the 2002
Ethics Code included (a) the growth and influence of health maintenance organizations
(HMOs) on the provision of health services, (b) the advent of Internetmediated
research and practice and the use of other electronic media, (c) greater
sensitivity to the needs of culturally and language-diverse populations in research
and practice, (d) increasing participation of psychologists in the legal system, and
(e) the sea change from paternalistic to autonomy-based public attitudes and federal
regulations affecting industries, organizations, health care, research, and educational
institutions.
In 1996, the APA Ethics Committee appointed the Ethics Code Task Force
(ECTF), a 14-member committee whose membership reflected the scientific, educational,
professional, gender, ethnic, and geographic diversity of the discipline. Over
the 5-year period, members included Celia B. Fisher (Chair), Peter Appleby, Bruce
Bennett, Laura Brown, Linda F. Campbell, Nabil ElGhoroury, Dennis J. Grill, Jessica
Henderson Daniel, Samuel J. Knapp, Gerald P. Koocher, Marcia Moody, Peter E.
Nathan, Thomas D. Oakland, Mary H. Quigley, Julia M. RamosGrenier, Abigail
Sivan, Steven N. Sparta, Elizabeth Swenson, Melba J. T. Vasquez, and Brian Wilcox.
The Purpose of an Ethics Code
The mission of the task force was to develop and implement a plan for revision
of the 1992 Ethics Code. In its deliberations, the ECTF considered the importance
of both the purpose and process of ethics code development, recognizing that such
consideration would determine the content and format of the code and, ultimately,
whether psychologists would support it.
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
6——PART I INTRODUCTION AND BACKGROUND
The many goals identified by the ECTF to guide the Ethics Code revision process
included the professional, educational, public, and enforcement values of a code of
ethics. These values guided decisions regarding inclusion and exclusion of ethical
requirements and prohibitions and the language used to craft the General Principles
and Ethical Standards.
Establishing the Integrity of a Profession
One purpose of an ethics code is to help establish and maintain the viability of
a profession. An ethics code reflects a collective decision that a profession is better
off when ethical standards are not based solely on individual assessments of what
is or what is not morally acceptable. Adoption of a set of core values that reflect
consensus among members of a discipline distinguishes psychology as a “community
of common purpose” and enhances public confidence in individuals who have
been trained to meet the profession’s ethical standards (Callahan, 1982; Frankel,
1996; Seitz & O’Neill, 1996). Acceptance of an identified set of core values by individual
psychologists across the broad spectrum of psychological activities also helps
protect the integrity of the profession by focusing the attention of individual psychologists
on their responsibilities and duties to others and expectations that all
members of the profession have a stake in behaving by the rules.
A core value of the discipline of psychology, as articulated in the Preamble of the
current Ethics Code, is the welfare and protection of the individuals and groups
with whom psychologists work.
Education and Professional Socialization
A second purpose of an ethics code is its professional socialization function. A
document reflecting the profession’s values and standards provides a guide to what
psychologists should reasonably expect of themselves and one another. A code can
be conceived as an enabling document that acts as a support and guide to individual
psychologists in their efforts to resolve ethical dilemmas (Frankel, 1996; Sinclair,
Poizner, Gilmour-Barrett, & Randall, 1987). A code of ethics also serves to deter
psychologists from engaging in unethical conduct before a problem develops by
specifically proscribing what the profession has identified as unethical behaviors
(Fisher & Younggren, 1997). In addition, it assists faculty and supervisors in communicating
the values of the profession to graduate students and to new Ph.D.s
with limited professional experience.
Public Trust
A third purpose of an ethics code is to gain public trust by demonstrating that
psychologists are members of a responsible and substantial profession with high
standards. A code can serve a public relations value by being seen as a contract with
society to act in consumers’ best interest. A professional ethics code also provides
standards against which the public can hold psychologists accountable. It thus
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
Chapter 1 A Code of Ethics for Psychology——7
offers a means by which members of the public can draw on norms prescribed by
the profession itself to evaluate the conduct of scientists, educators, consultants,
and practitioners with whom they interact.
Enforcement Value
A profession that demonstrates it can monitor itself is less vulnerable to external
regulation. A fourth purpose of an ethics code is to provide a clear statement of the
types of behaviors considered ethical violations to guide psychologists in avoiding
such behaviors, to assist consumers in making ethical complaints, and to ensure
that such complaints can be adjudicated clearly and fairly by the APA and other
organizations (Fisher & Younggren, 1997). The APA Ethics Code also serves as a
guide for licensing boards, courts, and other institutions for the evaluation of the
responsible conduct of psychology and is thus a means of avoiding capricious standards
set by nonpsychologists. The Ethics Code can also help psychologists defend
their decisions to courts, institutions, or government agencies that would encourage
them to go against the values of the profession.
The Revision Process and Approval
of the 2002 Ethics Code
The ECTF was committed to an open and collaborative revision process that
would be guided by the objectives articulated by the first ethics code committee
(Hobbs, 1948).
In response to the continually evolving legal landscape of ethics adjudication
and federal regulation of science and health practices, the ECTF also concluded
that although law should not dictate the content of the ethics code, sensitivity to
law would protect the integrity of the document as a useful tool for the everyday
ethical decisions of psychologists. The 2002 Ethics Code revision process involved
the following:
Collecting from psychologists engaged in a broad spectrum of scientific and
professional activities critical incidents describing ethical challenges they
had encountered, actual or ideal ethical approaches to these challenges, and
the extent to which the existing 1992 Ethics Code could be applied to these
challenges
Establishing an open call for and review of comments from the membership,
graduate students, state psychological associations, licensing boards, and the
public on the adequacy of the 1992 Ethics Code and on the content and format
of each of seven drafts produced by the ECTF
Opening ECTF meetings to observers from different APA constituencies so as
to benefit from their insights and perspectives
Ongoing legal review by APA General Counsel and outside defense, plaintiff,
Federal Trade Commission, and federal regulatory attorneys
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
8——PART I INTRODUCTION AND BACKGROUND
Ongoing feedback from consumers, students, APA divisions and committees,
the APA Ethics Committee, the APA Board of Directors, and the APA Council
of Representatives
After reviewing more than 1,300 comments and feedback on seven drafts, in August
2002, the APA Council of Representatives voted unanimously to adopt the final revision
as the new Ethical Principles of Psychologists and Code of Conduct (APA, 2002b).
The 2010 Amendments: The Controversy
Over Psychologists’ Involvement in
Inhumane Military Interrogations
The APA has taken a strong historical stance against psychologists’ involvement in
torture (American Psychiatric Association & APA, 1985; APA Council of
Representatives, 1986; APA Presidential Task Force, 2005). In 2006, the APA Council
of Representatives unequivocally prohibited participation of its members in torture
and other cruel, inhumane, and degrading treatment or punishment and included
a nonexhaustive list of 19 specifically barred interrogation techniques, including
mock executions, water boarding, sexual humiliation, and exploitation of phobias
or psychopathology (APA Council of Representatives, 2006). The Council’s statement
also noted, “It is consistent with the APA Ethics Code for psychologists to
serve in consultative roles to interrogation and information-gathering processes for
national security-related purposes.”
However, congressional investigation into the alleged role of psychologists in
developing harsh interrogation programs for the Central Intelligence Agency (CIA;
Steele & Morlin, 2007) raised serious questions as to whether a consultative role can
be morally distinguished from involvement in torture if the tactic is used in the psychologist’s
presence or with the psychologist’s awareness, or is based on techniques
the psychologist has developed for the purpose of interrogation. While there was little
disagreement that military psychologists were highly qualified to assess detainees’
mental health during or following harsh interrogations or that at the time the executive
branch had determined that such interrogations were lawful, some forcefully
argued that any psychological activity conducted in a setting in which prisoners are
not afforded basic human rights—such as the right to an attorney, habeas corpus, and
against self-incrimination—is unethical (Olson, Soldz, & Davis, 2008).
This controversy extended to the wording of Standard 1.02, Conflicts Between
Ethics and Law Regulations, or Other Governing Legal Authority, and Standard 1.03,
Conflicts Between Ethics and Organizational Demands. Some argued that the language
in these standards could be interpreted as permitting psychologists to be
associated with violations of human rights if conflicts between the Ethics Code and
laws or organizational policies could not be resolved. On June 1, 2010, the APA
voted to amend the language of these two standards to make clear that when there
is a conflict between ethics and law or between ethics and organizational demands,
psychologists are prohibited from “engaging in activities that would justify or
defend violating human rights” (APA, 2010a, 2010c).
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
Chapter 1 A Code of Ethics for Psychology——9
Format and Distinctive Features of
the APA Ethics Code
Why Does the Ethics Code Separate General Principles
From Enforceable Standards?
The General Principles provide a conceptual framework that expresses the aspirational
values of the common community of psychologists, and the behavioral
rules articulated in the standards flow from these principles. They impart core
moral values reflecting the highest ideals of the profession: promoting the welfare
and protecting the rights of others, doing no harm, and acting faithfully and
responsibly with integrity and fairness. The principles themselves are not enforceable
but represent the ideals shaping the enforceable standards.
The 151 standards differ from the principles in that by using behaviorally specific
language they can be enforced by the APA Ethics Committee and other state or
professional organizations that adopt the Code. The explicitly stated ethical conduct
in these standards provide APA members with sufficient due notice of the
ethical behaviors required and prohibited by the APA, lend support to members’
ability to defend their ethical actions, and increase the APA’s success in sustaining
decisions by the APA Ethics Committee in court, thus strengthening both the
enforceability and credibility of APA’s ethical oversight procedures.
General and Area-Specific Standards
The Ethics Code includes six general standard sections that apply to all psychological
activities: (1) Resolving Ethical Issues, (2) Competence, (3) Human Relations,
(4) Privacy and Confidentiality, (5) Advertising and Other Public Statements, and
(6) Record Keeping and Fees. These standards are worded broadly to apply to the
broad range of scientific and professional work performed by psychologists. There are
four additional sections reflecting specialized activities of psychologists: (1) Education
and Training, (2) Research and Publication, (3) Assessment, and (4) Therapy.
Are Standards Relevant to Teaching, Research,
Assessment, and Therapy Restricted to
Their Specific Sections in the Code?
No! Standards within the first six general sections apply to all psychological activities.
Where Are Standards That Apply to Activities
in Forensic Psychology?
Forensic psychologists engage in a wide range of activities, including assessment,
treatment, teaching, research, consultation, and public statements. In these activities,
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
10——PART I INTRODUCTION AND BACKGROUND
they must conform to the relevant general and area specific standard sections
throughout the Ethics Code. Forensic or court-related work activities are explicitly
mentioned in Standards 2.01f, Boundaries of Competence; 3.05c, Multiple
Relationships; 3.10c, Informed Consent; 9.01a, Bases for Assessments; 9.03c,
Informed Consent in Assessments; 9.04b, Release of Test Data; 9.10, Explaining
Assessment Results; 9.11, Maintaining Test Security; and 10.02b, Therapy Involving
Couples or Families.
The forensic icons and case illustrations throughout this book are meant to
assist in quickly identifying standards applicable to forensic work. Hot Topics at the
end of Chapters 8 and 12 provide in-depth analysis of the relevance of Ethics Code
standards to testimony given by psychologists in legal settings. Case 1 in Appendix B
provides readers with an opportunity to examine the relevance of the human rights
language in Standard 1.02, Conflicts Between Ethics and Law, Regulations, and
Other Governing Legal Authority, to forensic assessment of intellectual disability in
death penalty cases.
Where Are Standards That Apply to Work
With and Within Organizations?
Psychologists working in industry, consulting, or delivering services to other
organizations should refer to Standard 3.11, Psychological Services Delivered To or
Through Organizations. This standard lists the information that must be provided
to organizational clients beforehand and, when appropriate, to those directly
affected by the organizational services psychologists provide (i.e., employees).
Other standards that explicitly refer to work for or within organizations include
Standards 1.03, Conflicts Between Ethics and Organizational Demands; 3.07, Third
Party Requests for Services; 5.01, Avoidance of False or Deceptive Statements; 8.05,
Dispensing With Informed Consent for Research; and 9.03, Informed Consent in
Assessments. As with other areas of specialization, the broadly worded enforceable
standards are relevant to and should be carefully read by consulting, organizational,
and industrial psychologists. The industrial–organizational icons and case illustrations
throughout this book are meant to assist in quickly identifying standards
applicable to organizational settings.
Where Are Standards That Apply to Psychologists’
Involvement With Health Maintenance
Organizations (HMOs)?
Psychologists’ involvement with HMOs is addressed in standards throughout the
Ethics Code. The implications of HMOs to standards on record keeping and fees are
discussed in Chapter 9 of this book, followed by a Hot Topic devoted to the application
of the Ethics Code to billing and contractual arrangements with HMOs,
“Managing the Ethics of Managed Care.” Involvement with HMOs is also relevant to
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
Chapter 1 A Code of Ethics for Psychology——11
standards on privacy and confidentiality (Standards 1.03, Conflicts Between Ethics
and Organizational Demands; and 3.07, Third Party Requests for Services) and standards
on informed consent (Standards 3.10, Informed Consent; 8.02, Informed
Consent to Research; 9.03, Informed Consent in Assessments; and 10.01, Informed
Consent to Therapy). The HMO icons and case illustrations throughout this book are
meant to assist in quickly identifying standards applicable to work involving HMOs.
Are the Standards Relevant to Psychologists
Working in the Military, Law Enforcement,
and Correctional Facilities?
Military and correctional psychologists engage in a range of psychological
activities, including treatment, assessment, research, and consultation, and sometimes
face ethical challenges associated with the dual roles of officer and psychologist
(Standard 3.05, Multiple Relationships). As with other contexts in which
psychologists work, the broadly worded enforceable standards are relevant to and
should be carefully read by psychologists in the military and other areas of public
service. The military/correctional psychology icons throughout this book are
meant to assist in quickly identifying standards and case examples applicable to
these contexts. The value of self-care for military as well as other psychologists is
discussed in Hot Topic “The Ethical Component of Self-Care” in Chapter 3.
Is Sufficient Attention Given to Responsibilities
of Administrators of Psychology Programs
and Psychology Faculty?
The Ethics Code devotes a separate section for standards designed to highlight
responsibilities of university administrators and faculty and to strengthen protections
for students. Relevant standards include 7.02, Descriptions of Education and
Training Programs; 7.04, Student Disclosure of Personal Information; 7.05a and b,
Mandatory Individual or Group Therapy; 7.07, Sexual Relationships With Students
and Supervisees; and 8.12c, Publication Credit. The relevance of enforceable standards
to supervision and training is also covered in a Hot Topic, “Ethical Supervision
of Trainees,” in Chapter 10 and Case 7, “Handling Disparate Information for
Evaluating Trainees,” in Appendix B.
Does the Ethics Code Specifically Address
Internet and Other Electronically Mediated
Research and Services?
The past two decades have witnessed an expansion in psychology’s evolving use
of the Internet and other electronic media for behavioral telehealth, psychological
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
12——PART I INTRODUCTION AND BACKGROUND
assessment, consulting, video conferencing, public statements, and research.
Throughout each section of the code, the broadly worded enforceable standards are
applicable to these activities and do not require specific reference to the medium in
which research or services are conducted. Use of the Internet and other electronically
mediated forms relevant to research or services is explicitly mentioned in four
standards: 3.10a, Informed Consent; 4.02c, Discussing the Limits of Confidentiality;
5.01a, Avoidance of False or Deceptive Statements; and 5.04, Media Presentations.
To quickly locate discussions in this book on how other standards should be
applied to work using electronic media, readers can look for the electronic media
icon in chapters on the enforceable standards. Readers may also refer to Case 5,
“Web-based Advertising for a Community Program Development and Evaluation
Consulting Service” in Appendix B of this book.
Informed Consent for Research,
Assessment, and Therapy
Informed consent is seen by many as the primary means of ensuring the rights
and welfare of those with whom psychologists work. Informed consent is designed
to ensure that research participants and clients/patients are provided with sufficient
information to rationally and voluntarily decide whether they wish to participate in
research or to receive psychological services. The general standard on informed consent
provides direction on the nature of information that must be included in all
informed consent procedures and steps that must be taken to protect the rights of
children and adults with cognitive impairments who are legally unable to provide
consent (Standard 3.10, Informed Consent). The Hot Topic in Chapter 6 of this
book examines specific applications of informed consent standards to adults with
impaired decisional capacity. Additional standards lay out information required for
basic and intervention research; psychological assessments relevant to mental health,
forensic, and employment contexts; and individual and multiperson therapies, as
well as additional consent safeguards for therapies for which generally recognized
techniques and procedures have not been established (Standards 8.02, Informed
Consent to Research; 8.03, Informed Consent for Recording Voices and Images in
Research; 9.03, Informed Consent in Assessments; 10.01, Informed Consent to
Therapy; 10.02, Therapy Involving Couples or Families; and 10.03, Group Therapy).
Dispensing With Informed Consent
There are some instances in which informed consent is not necessary or not feasible
as a means of protecting the rights and welfare of those with whom psychologists
work. The Ethics Code provides specific descriptions of situations in which the
requirement for informed consent may be waived and the additional steps needed to
ensure individuals are treated with respect and concern for their welfare. These standards
reflect enhanced sensitivity to naturalistic, neuropsychological, forensic, school,
and industrial–organizational contexts in which psychologists provide services, conduct
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
Chapter 1 A Code of Ethics for Psychology——13
research, or administer assessments, including anonymous research surveys, assessments
to determine decisional capacity, emergency treatment, and assessment or
treatment mandated by law (Standards 3.10a, Informed Consent; 8.05, Dispensing
With Informed Consent for Research; 9.03a, Informed Consent in Assessments; and
10.01, Informed Consent to Therapy).
Are There Ethical Standards Specific to Issues
of Individual and Cultural Diversity?
Principal D, Justice, and Principal E, Respect for People’s Rights and Dignity, are
reflected in enforceable standards designed to ensure the fair treatment of all individuals
and groups regardless of age, gender, gender identity, race, ethnicity, culture,
national origin, religion, sexual orientation, disability, language, or socioeconomic
status. Psychologists must obtain the necessary competencies to work effectively
with diverse populations and are prohibited from engaging in unfair discrimination
or harassment based on any of these characteristics (Standards 2.01b,
Competence; 3.01, Unfair Discrimination; 3.02, Sexual Harassment; 3.03, Other
Harassment). They must provide informed consent information and administer
assessments appropriate to an individual’s language competence and use assessment
techniques whose validity and reliability have been established with members
of the population tested (Standards 3.10, Informed Consent; 9.02, Use of
Assessments). The diversity icon helps readers locate discussions in this book on
how other standards should be applied to individual and group differences. These
issues are also covered in a Hot Topic, “Multicultural Ethical Competence,” in
Chapter 5 and Case 2, “Cultural Values and Competent Health Services to Minors,”
in Appendix B.
What Is the Distinction Between the APA
Ethics Code and Specific APA Guidelines?
The Introduction and Applicability section of the Ethics Code recommends that
members refer to guidelines adopted or endorsed by scientific and professional
psychological organizations as materials that may be useful in applying the Ethics
Code to everyday activities. Specific APA guidelines to which psychologists may
refer are not listed in the current Code. The reason for this decision was that APA
guidelines are frequently revised or become outdated, and in some instances, older
guidelines are inconsistent with standards in the current Ethics Code and prevailing
psychological science and practice. Professional and scientific guidelines are essential
to ethical practice. As indicated earlier, the language of the Ethics Code is intentionally
broad to be as applicable as possible to the wide range of activities that
psychologists perform. Guidelines help psychologists place the standards in the
context of their field of expertise. Guidelines will be cited throughout this book to
illustrate best ethical practices in a given area.
FOR THE USE OF UNIVERSITY OF PHOENIX STUDENTS AND FACULTY ONLY.
NOT FOR DISTRIBUTION, SALE, OR REPRINTING.
ANY AND ALL UNAUTHORIZED USE IS STRICTLY PROHIBITED.
Copyright © 2013 by SAGE Publications, Inc.
14——PART I INTRODUCTION AND BACKGROUND
Under the Ethics Code, Are Psychologists Obligated
to Report Ethics Code Violations of Others?
When psychologists learn about a potential violation by another psychologist,
they must attempt to resolve it informally by bringing it to the attention of the
other psychologist if a resolution appears appropriate and the confidentiality rights
of a research participant, client/patient, organizational client, or others are not
violated (Standard 1.04, Informal Resolution of Ethical Violations). However,
Standard 1.05, Reporting Ethical Violations, requires psychologists to formally
report an ethical violation if it has or is likely to result in substantial harm, informal
resolution is not appropriate, and the reporting would not violate confidentiality
rights. This standard does not apply to psychologists retained to review another
psychologist’s ethical conduct.
The integrity of the APA adjudication of ethics complaints is jeopardized when
psychologists make “frivolous” complaints, and Standard 1.07, Improper Complaints,
prohibits filing an ethics complaint with reckless disregard for or willful ignorance
of facts that would disprove the allegation. The Ethics Code also prohibits psychologists
from penalizing persons based solely on their having made or been the subject
of an ethics complaint (Standard 1.08, Unfair Discrimination Against Complainants
and Respondents). This standard is often relevant to situations that arise in whistle
blowing, discrimination, and sexual harassment cases.