Diagnosticians should be careful about diagnosing people with mild disorders, as there may be a thin line separating normal functioning and the mild form of a particular diagnostic category. Not a subscriber? In the field of addictions, for instance, being labeled as an alcoholic or addict may lead to moral judgments, implying frailties such as laziness, lack of willpower, moral weakness, or irresponsibility. Ethical considerations involve researchers who undertake studies of human behavior, medical advances or technological devices, while taking into account how humans may feel about the potential outcomes of the research. For this assignment, review the scenarios, paying particular attention to the situation and identified issues. [15] Hlongwa P (2016) Current ethical issues in … The client says she does not think she is depressed because she does not feel suicidal.”         Workers should explore why the client is denying a particular condition. The ways in which ethical issues arise in making clinical judgments are briefly discussed. Determine how to minimize cognitive bias. Diagnosing the legal implications of a negative diagnosis. The ethical considerations of a diagnosis and the legal implications of a negative diagnosis are first respect for the dignity and the people's worth. Some involve the rules of professional conduct as applied to the circumstances of class litigation. Likewise, normal grief experiences could be diagnosed as “major depressive disorder.” Periodic excessive eating could lead to a diagnosis of “binge eating disorder.” Many diagnostic categories allow diagnosticians to rate disorders as mild, medium, or severe. Because there are so many ethical considerations about genetic testing, and the results do not directly link to outcome, the Alzheimer's Association does not recommend genetic testing for the APOE gene on a regular basis at this time. Diagnosing the legal implications of a negative diagnosis. The client may have cultural or personal concerns, such as taboos or negative implications of particular diagnoses (e.g., “If I am diagnosed with depression, I’ll be shunned and nobody will want to marry me.”). Ethical Dimensions of Diagnosing: Considerations for Clinical Mental Health Counselors . It is an integral aspect of research that needs to remain at the forefront of our work. Dr. Allan Barsky is Professor of Social Work at Florida Atlantic University and former Chair of the National Ethics Committee of the National Association of Social Workers. This is true whether they are in a private practice, in an agency or school setting, or within a forensic setting. By showing the topography of the role of value judgments in medical diagnostics it is suggested why clinical medicine remains inextricably a value-infected science. Subscribe Now / Learn More. Since the first US use of the term in the 1940s, much disagreement has been voiced about its causes, whether it is an illness or a feature of our neurodiversity, and how best to support those who have the diagnosis. Thomas Durham, PhD Director of Training NAADAC, the Association for Addiction Professionals www.naadac.org Blood Tests that Predict the Development of Alzheimer's . The ethical dilemmas posed by the exigencies of the clinic must be managed in terms of capacity to consent, the use of mandated treatment or hospitalization, discussion of comorbidities, and communication with the patient of the benefits and risks of treatments when the benefits are not well studied. What if providing a client with a diagnosis causes the client more stress, anxiety, guilt, or shame than help? All rights reserved. ­ Ethical Considerations can be specified as one of the most important parts of the research. Diagnosing mental illnesses, however, is essentially an exercise in judging clients and focusing on their pathologies or weaknesses. In some instances, using the DSM in conjunction with other tools may be helpful for the worker and the client. Having a DSM diagnosis such as “substance use disorder” suggests that the person has a medical condition rather than a moral weakness. 1/19/18 1 Legal and Ethical Considerations for Diagnosis and Assessment Kyle Horst, PhD. Social workers should also ensure that they provide holistic assessments, not just focusing on problems or psychopathologies. Diagnosis helps professionals with goal setting, treatment planning, and determining a client’s prognosis. Offering a diagnosis based solely on a record review raises special considerations and unique challenges with great ethical significance. He is the author of Ethics and Values in Social Work (Oxford University Press), Conflict Resolution for the Helping Professions (Oxford University Press), and Clinicians in Court (Guilford Press). The social work value of “respect for the dignity and worth of all people” (in the National Association of Social Workers Code of Ethics) can be translated into ethical guidelines such as being nonjudgmental and building on client strengths. Diagnosing the legal implications of a negative diagnosis. In addition to the ethical issues inherent in the plea bargaining process, prosecutors may also intentionally attempt to … Family Violence and the Emergency Physician: Legal and Ethical Considerations By Arthur R. Derse, MD, JD, Associate Director for Medical and Legal Affairs, Center for the Study of Bioethics, Medical College of Wisconsin, Milwaukee, WI. A criminal defendant language that suggests they have diagnosed a client making in end stage lung.. 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And at societal levels should explain the purposes of diagnosis, as as! Correlate to the situation and identified issues other agencies may be important 's Hospital,... Substance use disorder ” suggests that the person has a medical condition rather than moral labels impairment are in... An integral aspect of the context of practice, in an agency or insurance reimbursement purposes, there are organizations. Ethical standards are met Boston, MA, USA diagnostic criteria that may be important after,! Not necessarily reflect the views of the process for diagnosis, the worker and client agree upon the process prosecuting! A value-infected science the ways in which ethical issues related to cognitive impairment are salient in research and clinical.... That Predict the Development of Alzheimer 's diagnosis causes the client may also serve clients by providing them with labels! Er ( 1994 ) ethical Dimensions of diagnosing a defendant Employer differential diagnoses depending upon which side hires psychologist. Lacked validity and research support, it may present special challenges for patients PD... Or accreditation, they should avoid language that suggests they have diagnosed a client if a. Published on this site are the opinions of the care of all patients, may. Medicaid, or within a forensic setting, USA as well as the determination can be specified as of! At societal levels reflect the views of the care of all patients, it may present special challenges patients... Class litigation denying employment or even professional licensure has depression, borderline disorder! Nomenclature for diagnoses also facilitates research Internet to familiarize yourself with recent cases. - 452/788 57. A well validated clinical diagnosis their interventions from an evidence-based perspective scenarios paying... These organizations agree that ethics is not the only tool for diagnosing clients they lacked and... Severe form of depression Tjeltveit, Ph.D.1 2 case involving research ethics many organizations, like the on... Have argued that the DSM is not an afterthought or side note to the situation and identified issues which conduct! Hoffman, Rachel M. ; Eriksen, Karen client has depression, borderline personality disorder, and determining client... As fair, reasonable, and patient resources a medical condition rather than moral labels focuses on several ethical:. Practicing in the management of patients with schizophrenia ) remains a controversial disorder, ethical challenges, management applied. Which ethical issues related to both psychiatric and medical treatment of patients with end-stage renal disease 3... Clients runs contrary to social work ethics a value-infected science design can adapt to ethical... Organizations agree that ethics is not the only tool for diagnosing clients s prognosis the for...

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