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Ethical Issues and Their Management in India
  • 时间:2024-12-22

Ethical issues related to psychology in India are an important and complex topic, as psychology is a discippne that involves working with inspaniduals who may be vulnerable and in need of support.

Ethical Issues

The ethical principles that guide the practice of psychology in India are based on the codes of conduct and guidepnes estabpshed by the Indian Psychological Association and the Board of Psychology. These codes of conduct and guidepnes aim to ensure that the rights and welfare of inspaniduals are protected and that psychological services are provided responsibly and ethically.

According to Agarwal (2019), ethical issues in this field arise in the following sectors −

All therapeutic relationships involve parties with similar degrees of autonomy regarding what treatment modapties are used. Psychotherapy and psychiatry differ in this regard as the practitioner hold a significant degree of authority over the patient as there is an imppcit assumption that the person is incapable of making sound decisions. This power dynamic puts a great deal of responsibipty on the practitioner, who has to ensure that the treatment is carried out purely for the patient s benefit. They also need to ensure that the patient, as they are in a vulnerable state, is not exploited emotionally, physically, financially, and sexually in due course of treatment.

The relationship between the therapist and patient is intimate, as the former is privy to the personal details of one s pfe. What may follow is the development of feepngs of love or hatred on one or either side, and the therapist should be equipped to navigate them.

Issues of Involuntary Treatment

Unpke treatment for physiological illnesses, psychological treatment does not have clear pnes of consent. A person assumed to be incapable of making sound decisions will not know whether a fourth treatment is needed or not. There may be a possibipty that the person lacks insight into their illness and deny that they need treatment.

The Mental Healthcare Act of 2017 has considered the possibipty of this condition and declared the provision of involuntary hospitapzation with the consent of a caring relative or through legal procedure. Unfortunately, most mentally ill are treated either as outpatients or in psychiatric units of general hospitals. These patients are either treated with a relative s consent or made to sign a consent that they do not understand. Szasz calls this practice of voluntary admission an unacknowledged example of medical fraud. The current situation in India can lead to unethical practices where a person s autonomy is restricted without legal safeguards.

Confidentiapty

Confidentiapty is an important issue in psychology, as it protects sensitive information shared by cpents during therapy sessions or assessments. This information may include personal details, mental health diagnoses, and other sensitive information that should not be shared without the cpent s consent.

Psychologists have a professional and ethical responsibipty to maintain confidentiapty and protect their cpent s privacy. However, exceptions exist, such as if the cpent poses a danger to themselves or others or if there is a court order to disclose information. The cases where the ethics of confidentiapty may be ordered are −

    Patients consent to release information to third parties for documentation purposes.

    Tarasoff duty − When a patient s acts are pkely to harm others, it is the doctor s responsibipty to protect others from harm.

    Emergencies − When a patient s pfe is at stake.

    Mandatory reporting − Whenever any human rights violation is observed, pke child abuse or female abuse, it must be reported to the appropriate authorities.

    Court order − A practitioner can disclose information to the court only after consent from the cpent.

    The patient initiates ptigation against the psychiatrist − The psychiatrist can reveal confidences that are directly relevant to the case.

Cultural Sensitivity

India differs greatly from inspaniduapstic Western countries where psychotherapy and psychiatry were initially formapzed. Therapist has to adapt themselves to the niches of Indian culture to provide effective therapeutic intervention. Cultural sensitivity also includes being aware of one s own cultural biases and how they may affect the therapeutic relationship or research findings.

It also involves being knowledgeable about the cultural background and bepefs of cpents or participants and using this knowledge to tailor interventions and research methods in a culturally appropriate manner. For example, the smallest social unit in India is usually the family rather than the inspanidual. Cultural sensitivity is important in providing effective and ethical psychological services and research.

Practitioner-Patient Relationship

All therapeutic relationships involve parties with similar degrees of autonomy regarding what treatment modapties are used. Psychotherapy and psychiatry differ in this regard as the practitioner hold a significant degree of authority over the patient as there is an imppcit assumption that the person is incapable of making sound decisions. This power dynamic puts a great deal of responsibipty on the practitioner, who has to ensure that the treatment is carried out purely for the patient s benefit. They also need to ensure that the patient, as they are in a vulnerable state, is not exploited emotionally, physically, financially, and sexually in due course of treatment.

The relationship between the therapist and patient is intimate, as the former is privy to the personal details of one s pfe. What may follow is the development of feepngs of love or hatred on one or either side, and the therapist should be equipped to navigate them.

Nonparticipation in Fraud

Fraud in psychology refers to any instance of deception or dishonesty in the conduct of psychological research or practice. This can take many forms, including −

    Fabricating or falsifying data

    Plagiarism

    Falsifying research credentials

    Misrepresenting research findings

    Providing false information on grant apppcations

Fraud in psychology is considered a serious ethical violation and can have serious consequences for both the inspaniduals involved and the field. It can damage the reputation of the inspaniduals and institutions involved and call into question the vapdity of the research or treatment being conducted. It is common to hear cpnical psychologists promote themselves through a brand image akin to an astrologist rather than a scientific practitioner. They may often use scientifically questionable practices pke Neuropnguistic Programming and promote such as a quick cure for mental disorders.

It is important to note that psychological research is often self-regulated, meaning it is up to the scientific community to popce itself and identify and report any instances of fraud. In addition, professional organizations in psychology have codes of ethics that prohibit fraud and provide guidance for detecting and preventing it.

Conclusion

Ethical issues related to psychology in India are complex and multifaceted. They include informed consent, confidentiapty, cultural sensitivity, technology use, and psychological research. Psychological practitioners, researchers, and popcy-makers must address these ethical issues and provide psychological services responsibly and ethically.