题名

諮商心理師倫理判斷與倫理行為之調查研究

并列篇名

A Survey Study on Ethical Judgments and Behavior of Certified Counseling Psychologists

DOI

10.6251/BEP.20110315

作者

盧怡任(Yi-Jen Lu);王智弘(Chih-Hung Wang)

关键词

倫理行為 ; 倫理判斷 ; 諮商心理師 ; counseling psychologist ; ethical behavior ; ethical judgment

期刊名称

教育心理學報

卷期/出版年月

43卷4期(2012 / 06 / 01)

页次

783 - 803

内容语文

繁體中文

中文摘要

本研究之目在探討諮商心理師之倫理判斷、判斷信心程度與倫理行為之現況。以自編之「諮商心理師倫理判斷與倫理行為問卷」,經立意取樣邀得103位諮商心理師完成調查問卷。研究發現:一、諮商心理師普遍認為合乎倫理者有6項,分屬不同層面;諮商心理師普遍認為不合乎倫理者,分屬於「非性雙重關係」、「性雙重重關係」、「知後同意」、「諮商心理師專業與倫理責任」等層面;倫理判斷信心指數高兩,包恬「性雙重關係」、「保密及保管的限制」、「知後同意」、「非性雙重關係」及其他層面。上述倫理議題乃是諮商心理師最有共識與較為熟悉者。二、倫理判斷意見相左且判斷信心程度低者,多屬「收費議題」,此可能為國內專業倫理教育與研究侷限之處。三、在倫理行為方面,諮商心理師最少出現的行為有30項,顯示諮商心理師在相關倫理行為甚為嚴謹;諮商心理師最常出現的行為包括「保密及保密的限制」、「非性雙重關係」、「技術使用之適切性」及其他等層面,相關議題值得注意。四、諮商心理師倫理判斷與倫理行為大部分相符,但其中仍有8項倫理行為與倫理判斷不一致,值得倫理教育與研究做後續探討。

英文摘要

The study aimed to explore ethical judgments, degree of confidence in judgments, and ethical behaviors of counseling psychologists. The survey was conducted by way of purposeful sampling and 103 counseling psychologists were invited to compete the self-designed ”Ethical Judgment and Behavior Questionnaire for Certified Counseling Psychologists”. The findings of the survey are as follows: (1) Among those different aspects covered, there are six items conceived by the psychologists as generally ethical, while items conceived as unethical appertain to ”non-sexual dual relationship”, ”sexual dual relationship”, ”informed consent”, ”professionalism and ethical responsibility of the counseling psychologist”. Items with high confidence in ethical judgments include ”sexual dual relationship”, ”confidentiality and confidentiality limits”, ”informed consent”, ”non-sexual dual relationship”, and so on. The above-mentioned issues were where the counseling psychologists gained the most consensus and familiarity; (2) Items with discrepancies in the opinions of ethical judgments and low confidence in judgments mainly fell on the ”charging issue”, which may be a limitation of professional ethical education and research of Taiwan; (3) In terms of ethical behaviors, 30 items appeared least in counseling psychologist, suggesting their prudence in ethical related behavior. The most frequent behaviors appeared among the counseling psychologists include ”confidentiality and confidentiality limits” , ”non-sexual dual relationship”, ”technique appropriateness”, and so on, with notable relevant issues; and (4) Most ethical judgments and behaviors met with each other, while eight discrepancies emerged to be worth further discussion in the area of ethical education and research.

主题分类 社會科學 > 心理學
社會科學 > 教育學
参考文献
  1. American Counseling Association. (2005). ACA code of ethics. Retrieved February 17, 2010, from http://www.counseling.org/Resources/CodeOfEthics/TP/Home/CT2.aspx
  2. American School Counselor Association. (2004). Ethical standards for school counselors. Retrieved February 17, 2010, from http://www.schoolcounselor.org/content.asp?contentid=173
  3. 心理師法(2001):取自全國法規資料庫網站:http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=L0020098,2010 年10 月31 日。
  4. 台灣輔導與諮商學會(2001):台灣輔導與諮商學會諮商專業倫理守則。取自台灣輔導與諮商學會網站:http://www.guidance.org.tw/ethic_001.html,2010 年2 月17 日。
  5. Allen, V. B.(1986).A historical perspective of the AACD ethics committee.Journal of Counseling and Development,64,293.
  6. Calley, N. G.(2009).Promoting a contextual perspective in the application of the ACA Code of Ethics: The ethics into action map.Journal of Counseling and Development,87,476-482.
  7. Corey, G.,Corey, M. S.,Callahan, P.(2007).Issues and ethics in the helping professions.Pacific Grove, CA:Brooks/Cole.
  8. Corey, M. S.,Corey, G.(2003).Groups: Process and practice.Pacific Grove, CA:Brooks/Cole.
  9. Cottone, R. R.,Tarvydas, V. M.(2007).Counseling ethics and decision making.New York, NY:Prentice-Hall.
  10. Durana, C.(1998).The use of touch in psychotherapy: Ethical and clinical guidelines.Psychotherapy: Theory, Research, Practice, Training,35(2),269-280.
  11. Eriksen, K.,Kress, V.(2005).Beyond the DSM story: Ethical quandaries, challenges, and best practices.Thousand Oaks, CA:Sage.
  12. Garb, H. N.(2000).Computers will become increasingly important for psychological assessment: Not that there's anything wrong with that.Psychological Assessment,12,31-39.
  13. Gibson, W. T.,Pope, K. S.(1993).The ethics of counseling: A national survey of certified counselors.Journal of Counseling and Development,71,330-336.
  14. Gutheil, T.,Gabbard, G.(1993).The concept of boundaries in a clinical practice: Theoretical and risk management dimensions.American Journal of Psychiatry,150,188-196.
  15. Guy, J. D.,Poelstra, P. L.,Stark, M. J.(1989).Personal distress and therapeutic effectiveness: National survey of psychologists practicing psychotherapy.Professional Psychology: Research and Practice,20,48-50.
  16. Hall, J. E.(1988).Dual relationship in supervision.Register Report,15,5-6.
  17. Herlihy, B.(Ed.),Golden, L.(Ed.)(1990).Ethical standards casebook.Alexandria, VA:American Counseling Association.
  18. Herlihy, B.,Corey, G.(2005).ACA ethical standards casebook.Alexandria, VA:American Counseling Association.
  19. Herlihy, B.,Corey, G.(1997).Boundary issues in counseling: Multiple roles and responsibilities.Alexandria, VA:American Counseling Association.
  20. Holroyd, J. C.,Brodsky, A. M.(1980).Does touching patients lead to sexual intercourse.Professional Psychology,11,807-811.
  21. Kitchener, K. S.(1984).Intuition, critical evaluation and ethical principles: The foundation for ethical decisions in counseling psychology.Counseling Psychologist,12,43-55.
  22. Kocet, M. M.(2005).Highlights of the ACA code of ethics.Counseling Today,48,16-17.
  23. Kocet, M. M.(2006).Ethical challenges in a complex world: Highlights of the 2005 ACA code of ethics.Journal of Counseling and Development,84,228-234.
  24. Lazarus, A. A.(2001).Not all "dual relationships" are taboo: Some tend to enhance treatment outcomes.The National Psychologist,10(1),16.
  25. Mabe, A. R.,Rollin, S. A.(1986).The role of a code of ethical standards in counseling.Journal of Counseling and Development,64,294-297.
  26. McMinn, M. R.,Ellens, B. M.,Soref, E.(1999).Ethical perspectives and practice behaviors involving computer-based test interpretation.Assessment,9,71-77.
  27. Moleski, S. M.,Kiselica, M. S.(2005).Dual relationships: A continuum ranging from the destructive to the therapeutic.Journal of Counseling and Development,83,3-11.
  28. Ponton, R. F.,Duba, J. D.(2009).The ACA code of ethics: Articulating counseling's professional covenant.Journal of Counseling and Development,87,117-121.
  29. Pope, K. S.,Tabachnick, B. G.(1993).Therapists' anger, hate, fear, and sexual feelings: National survey of therapist responses, client characteristics, critical events, formal complaints, and training.Professional Psychology: Research and Practice,24(2),142-152.
  30. Pope, K. S.,Tabachnick, B. G.,Keith-Spiegel, P.(1987).Ethics of practice: The beliefs and behaviors of psychologists as therapists..American Psychologist,42,993-1006.
  31. Pope, K. S.,Vasquez, M. J. T.(2007).Ethics in psychotherapy and counseling.San Francisco, CA:Jossey-Bass.
  32. Remley, T. P.,Herlihy, B.(2005).Ethical, legal, and professional issues in counseling.Upper Saddle River, NJ:Prentice Hall.
  33. Schulenberga, S. E.,Yutrzenkab, B. A.(2004).Ethical issues in the use of computerized assessment.Computers in Human Behavior,20,477-490.
  34. Stake, J. E.,Oliver, J.(1991).Sexual contact and touching between therapist and client: A survey of psychologists attitudes and behavior.Professional Psychology: Research and Practice,22,297-307.
  35. Stenzel, C. L.,Rupert, P. A.(2004).Psychologists use of touch in individual psychotherapy.Psychotherapy: Theory, Research, Practice, Training,41(3),332-347.
  36. Welfel, E. R.(2006).Ethics in counseling and psychotherapy: Standards, research, and emerging issues.Belmont, CA:Thomson Brooks/Cole.
  37. Yalom, I. D.,Leszcz, M.(2005).The theory and practice of group psychotherapy.New York, NY:Basic Books.
  38. 牛格正、王智弘(2008)。助人專業倫理。台北:心靈工坊。
  39. 王智弘(1999)。心理諮商之證照制度與專業倫理。測驗與輔導,154,3211-3214。
  40. 陳文玲(1991)。碩士論文(碩士論文)。國立彰化師範大學輔導研究所。
  41. 陳志信(1993)。碩士論文(碩士論文)。國立彰化師範大學輔導研究所。
  42. 楊淳斐(1997)。碩士論文(碩士論文)。國立彰化師範大學輔導研究所。
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