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Professional Ethics in Context

Practising Rural Canadian Psychologists

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Abstract

The complexities of professional ethics are best understood and interpreted within their sociohistorical context. This paper focuses on the experience of 20 rural psychologists from across Canada, a context rife with demographic and practice characteristics that may instigate ethical issues. Employing hermeneutic phenomenology, these qualitative research results are indicative of professional struggles that impacted the participants’ experience of professional ethics and raised key questions about policy and practise. Concerns regarding competition highlight potential professional vulnerability, beget the idea of fostering general psychological practice, and question the role of professional bodies in addressing rural shortages. Dependency on government funding models and decisions highlights the benefits and medical cost-offset effect of psychological services’ role in funded medical care. The controversial prescriptive authority debate for psychologists raises myriad concerns that are particularly salient to rural practitioners. These include changes to training and practice, with risks of psychopharmacology gaining prominence over behavioural health interventions. National inconsistencies in level of registration add to the growing shortage of practitioners. Finally, the results illuminate the need for advocacy to move beyond the literature and into public policy to increase public awareness, decrease the stigma of mental illness, and develop rural Canadian psychology. Although limited to this study, these results allowed for a fuller and more robust understanding of rural practice in consideration of professional ethics, which may inform policy, science, or ethical clinical practice.

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Notes

  1. Colonization and residential schools for the North American Aboriginal peoples meant the loss of cultural or traditional socialization for generations. This is noted as a potential cause of violence, abuse, and unresolved grief from this abandonment (Struthers and Lowe 2003; Whitbeck et al. 2004).

References

  • Aboriginal Healing Foundation. 2009. Funded projects. http://www.ahf.ca/. Accessed July 26, 2009.

  • Arnett, J.L., I.R. Nicholson, and L. Breault. 2004. Psychology’s role in health in Canada: Reaction to Romanow and Marchildon. Canadian Psychology 45(3): 228–231.

    Article  Google Scholar 

  • Austin, W. 2006. Engagement in contemporary practice: A relational ethics perspective. Texto & Contexto—Enfermagem 15(Esp.): 135–141.

    Article  Google Scholar 

  • Australian Psychological Society. 2004. Guidelines for psychological practice in rural and remote settings. Melbourne: Australian Psychological Society.

    Google Scholar 

  • Bandura, A. 2001. The changing face of psychology at the dawning of a globalization era. Canadian Psychology 42(1): 12–24.

    Article  Google Scholar 

  • Barnett, J.E. 2007. The ethical decision-making process in everyday practice. Professional Psychology: Research and Practice 38(1): 7–9.

    Article  Google Scholar 

  • Barnett, J.E., S.H. Behnke, S.L. Rosenthal, and G.P. Koocher. 2007. In case of ethical dilemma, break glass: Commentary on ethical decision making in practice. Professional Psychology: Research and Practice 38(1): 7–12.

    Article  Google Scholar 

  • Bashe, A., S.K. Anderson, M.M. Handelsman, and R. Klevansky. 2007. An acculturation model for ethics training: The ethics autobiography and beyond. Professional Psychology: Research and Practice 38(8): 60–67.

    Article  Google Scholar 

  • Bauman, Z. 1999. Ethics of individuals. Canadian Journal of Sociology 25(1): 83–96.

    Google Scholar 

  • Bieling, P.J. 2009. Preventing a shortage of psychologists. Psynopsis 31(3): 4.

    Google Scholar 

  • Blickle, G. 2004. Commentary on “Professional ethics across national boundaries” by Jean L. Pettifor: Professional ethics needs a theoretical background. European Psychologist 9(4): 273–274.

    Article  Google Scholar 

  • Brannen, C., and D. Johnson-Emberly. 2006. Rural experiences of stress. The View From Here: Perspective on Northern and Rural Psychology 1(2): 4.

    Google Scholar 

  • Canadian Psychological Association. 2000. Canadian Code of Ethics for Psychologists, 3rd edition. Ottawa: Canadian Psychological Association.

    Google Scholar 

  • Canadian Psychological Association. 2007. Federal budget 2007: Highlights from a psychology perspective. In Quick Links: www.cpa.ca/cpasite/userfiles/Documents/advocacy/Federal%20Budget%20Summary%20-%20March%202007.pdf. Accessed September 2, 2007.

  • Canadian Psychological Association. 2009a. Psychology quick facts. http://www.cpa.ca/public/psychologyquickfacts/. Accessed April 18, 2009.

  • Canadian Psychological Association. 2009b. Deciding to see a psychologist: How to choose one and what to expect. http://www.cpa.ca/public/. Accessed April 18, 2009.

  • Charlebois, J. 2006. Counsellors’ professional and personal perspectives on working and living in a remote northern community. Master’s thesis, Acadia University, Nova Scotia.

  • Creswell, J.W., W.E. Hanson, V.L. Clark Plano, and A. Morales. 2007. Qualitative research designs: Selection and implementation. The Counseling Psychologist 35(2): 236–264.

    Article  Google Scholar 

  • Dobson, K.S. 2002. A national imperative: Public funding of psychological services. Canadian Psychology 43(2): 65–75.

    Article  Google Scholar 

  • du Plessis, V., R. Beshiri, R.D. Bollman, and H. Clemenson. 2001. Definitions of rural. Rural and Small Town Canada Analysis Bulletin 3(3): 2–17. Catalogue No. 21-006-XIE. Ontario: Statistics Canada.

    Google Scholar 

  • Essinger, S. 2006. The application of the 2002 American Psychological Association’s ethics code and its standards of conduct for the psychologist practicing in a rural community as compared to the psychologist practicing in an urban community. Ph.D. diss., Capella University, U.S.A.

  • Fisher, C.B., A.L. Fried, and J.K. Masty. 2007. Critical thinking and ethics in psychology. In Critical thinking in psychology, ed. R.J. Sternberg, H.L. Roediger, and D.F. Halpern, 271–288. New York: Cambridge University Press.

    Google Scholar 

  • Fry, H.L. 2005. The application of virtue ethics to the practice of counseling psychology. Dissertation Abstracts International 66(6-B): 3406.

    Google Scholar 

  • Gale, J.A., and R.D. Deprez. 2003. A public health approach to the challenges of rural mental health service integration. In Rural behavioral health care: An interdisciplinary guide, ed. B.H. Stamm, 95–108. Washington, D.C.: American Psychological Association.

    Chapter  Google Scholar 

  • Gardent, P.B., and S.A. Reeves. 2010. Ethical conflicts in rural communities: Allocation of scarce resources. In Handbook for rural health care ethics: A practical guide for professionals, ed. W.A. Nelson, 164–185. New Hampshire: Dartmouth College Press.

    Google Scholar 

  • Hadjistavropoulos, T. 2009. Canadian psychology in a global context. Canadian Psychology 50(1): 1–7.

    Article  Google Scholar 

  • Hadjistavropoulos, T., D.C. Mally, D. Sharpe, S.M. Green, and S. Fuchs-Lacelle. 2002. The relative importance of the ethical principles adopted by the American Psychological Association. Canadian Psychology 43(4): 254–259.

    Article  Google Scholar 

  • Harowski, K., A.L. Turner, E. LeVine, J.A. Schank, and J. Leichter. 2006. From our community to yours: Rural best perspectives on psychology practice, training, and advocacy. Professional Psychology: Research and Practice 37(2): 158–164.

    Article  Google Scholar 

  • Hays, K.F. 2006. Being fit: The ethics of practice diversification in performance psychology. Professional Psychology: Research and Practice 37(3): 223–232.

    Article  Google Scholar 

  • Helbok, C.M. 2003. The practice of psychology in rural communities: Potential ethical dilemmas. Ethics & Behavior 13(4): 367–384.

    Article  Google Scholar 

  • Hourihan, F., and B. Kelly. 2006. National health policy: What does this mean for rural mental health research? The Australian Journal of Rural Health 14(2): 49–50.

    Article  PubMed  Google Scholar 

  • Houser, R., F.L. Wilczenski, and M. Ham. 2006. Culturally relevant ethical decision-making in counseling. Thousand Oaks: Sage Publications, Inc.

    Google Scholar 

  • Hunsley, J. 2003. Cost-effectiveness and medical cost-offset considerations in psychological service provision. Canadian Psychology 44(1): 61–73.

    Article  Google Scholar 

  • Hunsley, J., and R. Crabb. 2004. Shaping the future of psychological services in the Canadian health care system: A response to Romanow and Marchildon (2003). Canadian Psychology 45(3): 232–235.

    Google Scholar 

  • Jones, C.M. 2008. From novice to expert: Issues of concern in the training of psychologists. Australian Psychologist 43(1): 38–54.

    Article  Google Scholar 

  • Latham, G.P. 2003. Toward a boundaryless psychology. Canadian Psychology 44(3): 216–217.

    Article  Google Scholar 

  • Lin, I.B., N. Beattie, S. Spitz, and A. Ellis. 2009. Developing competencies for remote and rural senior allied health professionals in Western Australia. Rural and Remote Health 9(2): 1115. http://www.rrh.org.au/publishedarticles/article_print_1115.pdf.

  • Lutosky, C.A. 2005. Managing non-sexual dual relationships in small and rural communities: Does moral reasoning help? Ph.D. diss., Fielding Graduate University, U.S.A.

  • McIlwraith, R.D., and K.G. Dyck. 2002. Strengthening rural care—the contribution of the science and practice of psychology. Ottawa: Canadian Psychological Association.

    Google Scholar 

  • McIlwraith, R.D., K.G. Dyck, V.L. Holms, T.E. Carlson, and N.G. Prober. 2005. Manitoba’s rural and northern community-based training program for psychology interns and residents. Professional Psychology: Research and Practice 36(2): 164–172.

    Article  Google Scholar 

  • Meara, N.M., and J.D. Day. 2003. Possibilities and challenges for academic psychology: Uncertain conversation and virtuous community. American Behavioural Scientist 47(4): 459–479.

    Article  Google Scholar 

  • Moleski, S.M., and M.S. Kiselica. 2005. Dual relationships: A continuum ranging from the destructive to the therapeutic. Journal of Counseling & Development 83(1): 3–11.

    Article  Google Scholar 

  • Morrissey, S. 2005. Teaching and learning professional ethics for counsellors and psychologists. In Handbook of professional ethics for psychologists, counsellors and psychotherapists, ed. R. Tribe and J. Morrissey, 292–302. London: Bruner-Routledge.

    Google Scholar 

  • Morrissey, S., and M. Symons. 2006. Teaching ethics for professional practice. In Ethics and professional practice for psychologists, ed. S. Morrissey and P. Reddy, 50–62. Melbourne: Thomson.

    Google Scholar 

  • Muula, A.S. 2007. How do we define “rurality” in the teaching on medical demography? Rural and Remote Health 7(1): 653. http://www.rrh.org.au/publishedarticles/article_print_653.pdf.

  • Nelson, W. (ed.). 2010. Handbook for rural health care ethics: A practical guide for professionals. New Hampshire: Dartmouth College Press.

    Google Scholar 

  • Nelson, W., A. Pomerantz, K. Howard, and A. Bushy. 2007. A proposed rural healthcare ethics agenda. Journal of Medical Ethics 33(3): 136–139.

    Article  PubMed  CAS  Google Scholar 

  • Nussbaum, D. 2001. Psychologists should be free to pursue prescription privileges: A reply to Walters. Canadian Psychology 42(2): 126–130.

    Article  Google Scholar 

  • Perkins, D., K. Larsen, D. Lyle, and P. Burns. 2007. Securing and retaining a mental health workforce in Far Western New South Wales. The Australian Journal of Rural Health 15(2): 94–98.

    Article  PubMed  Google Scholar 

  • Pettifor, J. 2004. Personal reflections on 60 years of psychology: Many roads to truth. Canadian Psychology 45(1): 11–15.

    Article  Google Scholar 

  • Pettifor, J., I. Estay, and S. Paquet. 2002. Preferred strategies for learning ethics in the practice of a discipline. Canadian Psychology 43(4): 260–269.

    Article  Google Scholar 

  • Pipes, R.B., J.E. Holstein, and M.G. Aguirre. 2005. Examining the personal-professional distinction: Ethics codes and the difficulty of drawing a boundary. American Psychologist 60(4): 325–334.

    Article  PubMed  Google Scholar 

  • Polkinghorne, D.E. 2005. Language and meaning: Data collection in qualitative research. Journal of Counseling Psychology 52(2): 137–145.

    Article  Google Scholar 

  • Pope, K.S. 2003. Developing and practicing ethics. In The portable mentor: Expert guide to a successful career in psychology, ed. M.J. Prinstein and M.D. Patterson, 33–43. New York: Kluwer Academic/Plenum Publishers.

    Google Scholar 

  • Ridgeway, R.B. 2005. Ethics dilemmas in forensic psychology: A comparison of practitioner choices in rural and urban settings. Dissertation Abstracts International 66(8-B): 4499.

    Google Scholar 

  • Romanow, R.J. 2006. Canada’s Medicare—At the crossroads? Canadian Psychology 47(1): 1–8.

    Article  Google Scholar 

  • Romanow, R.J., and G.P. Marchildon. 2003. Psychological services and the future of health care in Canada. Canadian Psychology 44(4): 283–295.

    Article  Google Scholar 

  • Sawyer, D., J. Gale, and D. Lambert. 2006. Rural and frontier mental and behavioural health care: Barriers, effective policy strategies, best practices. Waite Park: National Association for Rural Mental Health.

    Google Scholar 

  • Schank, J.A., and T.M. Skovholt. 1997. Dual-relationship dilemmas of rural and small-community psychologists. Professional Psychology: Research and Practice 28(1): 44–49.

    Article  Google Scholar 

  • Schank, J.A., and T.M. Skovholt. 2006. Ethical practice in small communities: Challenges and rewards for psychologists. Washington, D.C.: American Psychological Association.

    Book  Google Scholar 

  • Seijts, G.H., and B.W. Latham. 2003. Creativity through applying ideas from fields other than one’s own: Transferring knowledge from social psychology to industrial/organizational psychology. Canadian Psychology 44(3): 232–239.

    Article  Google Scholar 

  • Sinclair, C., and J. Pettifor (eds.). 2001. Companion manual to the Canadian Code of Ethics for Psychologists, 3rd edition. Ottawa: Canadian Psychological Association.

    Google Scholar 

  • Stamm, B.H., D. Lambert, N.F. Piland, and N.C. Speck. 2007. A rural perspective on health care for the whole person. Professional Psychology—Research and Practice 38(3): 298–304.

    Article  Google Scholar 

  • Sternberg, R.J. 2004. The role of biological and environmental contexts in the integration of psychology: A reply to Posner and Rothbart. Canadian Psychology 45(4): 279–283.

    Article  Google Scholar 

  • St-Pierre, E.S., and W.T. Melnyk. 2004. The prescription privilege debate in Canada: The voices of today’s and tomorrow’s psychologists. Canadian Psychology 45(4): 284–292.

    Article  Google Scholar 

  • Struthers, R., and J. Lowe. 2003. Nursing in the Native American culture and historical trauma. Issues in Mental Health Nursing 24(3): 257–272.

    Article  PubMed  Google Scholar 

  • Truscott, D., and K.H. Crook. 2004. Ethics for the practice of psychology in Canada. Alberta: University of Alberta Press.

    Google Scholar 

  • Westra, H.A., J.D. Eastwood, B.B. Bouffard, and C.J. Gerritson. 2006. Psychology’s pursuit of prescriptive authority: Would it meet the goals of Canadian health care reform? Canadian Psychology 47(2): 77–95.

    Article  Google Scholar 

  • Whitbeck, L.B., G.W. Adams, D.R. Hoyt, and X. Chen. 2004. Conceptualizing and measuring historical trauma among American Indian people. American Journal of Community Psychology 33(3–4): 119–130.

    Article  PubMed  Google Scholar 

  • Wihak, C., and N. Merali. 2007. Adaptations of professional ethics among counselors living and working in a remote native Canadian community. Journal of Multicultural Counseling and Development 35(3): 169–181.

    Article  Google Scholar 

  • Williams, D.C., and H.M. Levitt. 2007. A qualitative investigation of eminent therapists’ values within psychotherapy: Developing integrative principles for moment-to-moment psychotherapy practice. Journal of Psychotherapy Integration 17(2): 159–184.

    Article  Google Scholar 

  • Womontree, M. 2004. Ethical concerns common to small community and rural mental health practice. Ph.D. diss., The Adler School of Professional Psychology, U.S.A.

  • Zapf, M.K. 2001. Notions of rurality. Rural Social Work 6(3): 12–27.

    Google Scholar 

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Correspondence to Judi L. Malone.

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Malone, J.L. Professional Ethics in Context. Bioethical Inquiry 9, 463–477 (2012). https://doi.org/10.1007/s11673-012-9394-7

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