Confidentiality and Disclosure Dilemmas in Psychotherapy with Adolescents

Dr. Adam Fried

Dr. Adam Fried

Psychologists who provide mental health services to adolescents and their families must navigate complex ethical challenges with respect to confidentiality and disclosure decision-making.

How do mental health clinicians develop confidentiality policies that serve to protect minors from serious harm, fulfill professional and legal responsibilities, and preserve the therapeutic relationship with the adolescent and parents/ guardians?

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The CDC Recommends Women of Childbearing Age Use Contraception if They Wish to Drink Alcohol

By Elizabeth Yuko, Ph.D.

Last week, the Centers for Disease Control (CDC) issued a recommendation that women of childbearing age should abstain from alcohol consumption unless they are on some form of contraception.

This is ethically problematic for several reasons, the first being the blatant and outright paternalism and mistrust of women.

The CDC Vital Signs report estimates that “3.3 million women between the ages of 15 and 44 are at risk of exposing their developing baby to alcohol because they are drinking, sexually active, and not using birth control to prevent pregnancy.” While the CDC’s intentions are good – attempting to curb incidents of fetal alcohol spectrum disorders – advocating a policy that does not respect women’s autonomy when it comes to making decisions regarding  consumption of alcohol and use of contraception is troubling.

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Ethics & Society Newsfeed: February 5, 2016

Photo via freedigitalphotos.net.

Photo via freedigitalphotos.net.

UnitedHealth Medicare plan must cover U.S. sex reassignment surgery
A U.S. government panel has ruled that a privately run Medicare plan must cover sex reassignment surgery for a Texas transgender woman, a decision her attorney says was the first of its kind.

New wearable sensor can collect data from sweat
For the first time, a flexible, wearable sensor can collect data about multiple chemicals in body sweat.

Drug shortages forcing hard decisions on rationing treatments
Such shortages are the new normal in American medicine. But the rationing that results has been largely hidden from patients and the public.

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Can wars ever be just or are wars merely justifiable?: The conflict in the Democratic Republic of Congo

Photo via freedigitalphotos.net.

Photo via freedigitalphotos.net.

STUDENT VOICES

By: Louise Boshab

The concepts of justice and injustice are not effective in defining war in an objective manner but on the other hand easily bring on a subjective understanding of war among populations, which will then influence either their opposition or their support of war (Gaoshan 280).

In a lecture at the Carnegie Council, David Rodin of the Oxford Institute for Ethics, Law, and Armed Conflict addresses the issue of the ethics of war and conflict, and caused me to reflect upon what makes a war just. I will explore the ideas of justified and unjustified wars discussed in Rodin’s talk through the example of the ongoing conflict in the Democratic Republic of the Congo. One of the initial reasons behind the intermittent conflicts in the Democratic Republic of the Congo taking place since 1997 has to do with the status of the Banyarwanda—Congolese people of Rwandan descent—and of the Congolese Tutsi within Congolese society. The strong anti-Rwandan feelings that existed before the war only grew worse.

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Deterrence or Disarmament?: The Ethics of Nuclear Warfare

Corroral Missile in front of the Center Exchange. Photo via NYPL Digital Archives.

Corroral Missile in front of the Center Exchange, 1957.                                          Photo via NYPL Digital Archives.

STUDENT VOICES

By: Kayla Giampaolo

On July 16, 1945 at 5:29 a.m., a 30,000 foot mass of smoke rose in New Mexico’s desert: the first atomic bomb had just been successfully tested. At the time, most people were unaware that the course of warfare and ultimately the world was about to change irrevocably. Since that eerie summer morning, nine nations have developed the intelligence to create and possess nuclear weapons (Granoff, 2000, p. 1414). The United States is one of these nuclear superpowers, making the ethical issues associated with these weapons critical and relevant.

Is using a nuclear weapon morally permissible under some circumstances? Is it ethical to implement nuclear deterrence (threatening to use atomic weapons) as a self-defense strategy?

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Ethics & Society Newsfeed: January 29, 2016

google self driving car

Google’s Autonomous Car, via https://www.google.com/selfdrivingcar/

  • The Ethics of Autonomous Cars
    • Patrick Lin examines if there is a break between ethics and laws when it comes to robotic cars and future automobile innovations. What kind of judgements can machines make?
  • An Unprecedented Threat to Privacy
    • Edward Delman examines police departments with access to over 20,000 license plates. He notes the inherent privacy violation of the cases, and critically examines the NYPD, who contain their own license tracking software.

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Transplant Tourism, A New Kind of Trade: Ethics of Kidney Transplants, Technology & Exploitation of Donors

 

Image via freedigitalphotos.net

Image via freedigitalphotos.net

STUDENT VOICES | 2015 CHYNN PRIZE HONORABLE MENTION

By: Christina Sailer

One of the great miracles of modern medicine is the ability to save a dying patient through organ transplantation. However, there still remains a worldwide shortage of organs and an excess of disadvantaged individuals who believe their salvation is not to receive, but sell one.

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