Informed consent to psychotherapy: protecting the dignity and respecting the autonomy of patients.
@article{Fisher2008InformedCT,
title={Informed consent to psychotherapy: protecting the dignity and respecting the autonomy of patients.},
author={Celia B. Fisher and Matthew Oransky},
journal={Journal of clinical psychology},
year={2008},
volume={64 5},
pages={
576-88
}
}Well-implemented informed consent procedures demonstrate psychotherapists' respect for clients' right to self-determination and can initiate meaningful contributions to treatment through enhancing mutual trust, building rapport, and facilitating a sense of ownership. This article details key components of informed consent to psychotherapy by placing them within real-world psychotherapy scenarios. We provide information on client-therapist discussions of the nature and course of therapy, fees…
Topics from this paper
39 Citations
Sharing Clinical Notes in Psychotherapy: A New Tool to Strengthen Patient Autonomy
- Psychology, MedicineFrontiers in Psychiatry
- 2020
It is proposed that open notes may provide an important new strategy to strengthen patient autonomy and improve clinical outcomes without sacrificing professional autonomy.
Disclosure of incidental constituents of psychotherapy as a moral obligation for psychiatrists and psychotherapists
- Psychology, MedicineJournal of Medical Ethics
- 2016
Informed consent to medical intervention reflects the moral principle of respect for autonomy and the patient's right to self-determination. In psychotherapy, this includes a requirement to inform…
Informed consent in psychotherapy: a survey on attitudes among psychotherapists in Switzerland
- Psychology, MedicineBMC medical ethics
- 2021
The present study shows that informed consent is perceived by psychotherapists as both a challenge and a resource, and the implementation of informed consent in psychotherapy requires further research from a clinical and ethical perspective.
Informed Consent in Psychotherapy: Implications of Evidence-Based Practice
- Psychology, MedicineJournal of Contemporary Psychotherapy
- 2017
It is argued that informed consent processes in psychotherapy must be commensurate with the latest integrated findings on empirically—supported treatments; process research into psychological treatments; research into therapist expertise; as well as evidence about individual patients’ characteristics, culture, and preferences.
Ethically Problematic Value Change as an Outcome of Psychotherapeutic Interventions
- Psychology, Political Science
- 2017
Values nonpaternalism—the ethical imperative to avoid imposing values onto clients—is implicit in most widely used ethical frameworks employed by psychotherapists. Although changes in client values…
Attitudes About Informed Consent: An Exploratory Qualitative Analysis of UK Psychotherapy Trainees
- Psychology, MedicineFrontiers in Psychiatry
- 2020
Major gaps in students' ethical, conceptual, and procedural knowledge were identified, and comments suggested the influence of a hidden curriculum in shaping norms of practice.
Ethical Codes and Psychotherapy
- Psychology
- 2020
Psychologists are committed to increasing scientific and professional knowledge of behavior and people’s understanding of themselves and others and to the use of such knowledge to improve the…
Ethical questions and dilemmas in psychotherapy
- Psychology, Medicine
- 2013
Clinicians must be able to critically weigh up and understand professional codes in relation to everyday practice, because professional codes indicate guidance on highest possible standards of function but do not always give clear answers to ethical dilemmas.
Ethical Considerations for Psychotherapy in Natural Settings
- Psychology
- 2016
Abstract Psychotherapy traditionally takes place within an indoor context and is characterized by intentional maintenance of physical and emotional boundaries. Increasing evidence points to the…
Readability of Informed Consent Documents at University Counseling Centers
- Education
- 2017
The findings support the authors’ exploratory hypotheses that informed consent documents in university counseling centers are rated as challenging to read for college students.
References
SHOWING 1-10 OF 25 REFERENCES
Informed consent in psychotherapy.
- Psychology, MedicineThe American journal of psychiatry
- 2001
Practical implementation of informed consent in psychotherapy must balance tensions in service of optimal treatment, and the authors recommend that psychotherapists convey to a prospective patient information that is material to the particular patient's decision.
Increasingly Informed Consent: Discussing Distinct Aspects of Psychotherapy at Different Points in Time
- PsychologyEthics & behavior
- 2005
In this study, licensed psychologists were surveyed regarding the earliest feasible point at which they could provide information regarding specific aspects of psychotherapy and results indicate that, although psychologists believe that they are capable of presenting some information, such as payment and confidentiality policies, at the outset, they believe that a discussion of more substantive issues can take place only after some therapy has transpired.
Goodness-of-fit ethic for informed consent to research involving adults with mental retardation and developmental disabilities.
- PsychologyMental retardation and developmental disabilities research reviews
- 2003
This article reviews current theory and research on informed consent policies for adults with mental retardation within a relational ethics framework that re-conceptualizes consent vulnerability in…
Ethics in Psychotherapy and Counseling: A Practical Guide, 3rd ed.
- Psychology
- 2008
Ethics is a critical issue in every helping profession, in which the clients—patients—are in trouble and seeking help. This is especially the case in psychotherapy, for which the focus of…
A goodness-of-fit ethic for informed consent.
- MedicineThe Fordham urban law journal
- 2002
It is argued that informed consent policies for adults with mental disorders need to reflect a relational approach that re-conceptualizes consent vulnerability in terms of a "goodness-of-fit" between patient characteristics and the consent context.
The Forum
- Psychology, MedicineEthics & behavior
- 2002
A 25-year-old woman with schizophrenia consents to enroll in a medical research study designed to test how long persons with schizophrenia can remain free of psychiatric problems after stopping medication.
Enhancing comprehension of consent for research in older patients with psychosis: a randomized study of a novel consent procedure.
- Medicine, PsychologyThe American journal of psychiatry
- 2001
The enhanced consent method improved comprehension of information relevant for consent in older patients with psychosis, and significantly greater proportion of patients who received the enhanced consent procedure scored 100% on first and second trials of the posttest.
Considerations for ethical practice in managed care.
- Medicine, Political ScienceProfessional psychology, research and practice
- 1999
The authors review the process involved in ethical decision making and problem solving and focus on 4 areas in which ethical dilemmas most commonly arise in a managed care context: informed consent, confidentiality, abandonment, and utilization management-utilization review.
Decisional capacity for informed consent in schizophrenia research.
- Medicine, PsychologyArchives of general psychiatry
- 2000
The decisional capacity for informed consent in schizophrenic research subjects is ascertained, to determine if reduced capacity relates to specific aspects of psychopathologic features and to test the hypothesis that reduced capacity can be remediated with an educational informed consent process.
Competence to give informed consent in acute psychosis is associated with symptoms rather than diagnosis
- Psychology, MedicineSchizophrenia Research
- 2005