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Research Ethics in Psychotherapy and Psychosocial Interventions: Role of Institutional Ethical Review Boards

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Ethical Issues in Counselling and Psychotherapy Practice

Abstract

Research on psychosocial interventions looks at answering questions about the effectiveness of counselling and psychotherapy and also attempts to uncover the crucial ingredients and change processes. Maintaining the ethical frame is paramount in the therapy room and this extends to any intervention research which involves human participants. The counselling or psychotherapy research context has some unique characteristics; there is a power dynamic with the psychologically distressed patient or client in a position of relative vulnerability vis-à-vis the therapist–researcher. The content and processes of interactions in psychosocial intervention give rise to complexities that are different from those in drug trials. The chapter examines the debates and recommendations concerning key ethical issues in research on psychotherapy and counselling. These include informed consent, disclosure and deception, comparison groups, compensation and remuneration for research participation, research with vulnerable participants and issues, therapist competence and treatment integrity, intellectual property, copyright and publication ethics. Unique ethical questions may arise in multi-site and international collaborative research, particularly involving resource-poor countries like India. Working with vulnerable participants and issues, for instance refugees, children and persons with psychiatric disorders or trauma, increases the ethical responsibility of the researcher. Emergent ethical concerns stem from the advent of information technology and research explorations in the digital space. The critical role of institutional ethical review boards in evaluating and monitoring research proposals, educating researchers and supporting a climate of public accountability, is discussed.

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References

  • Agarwal, A. (2010). A review of Indian psychiatry research and ethics. Indian Journal of Psychiatry., 52(1), S297–S305.

    Article  PubMed  PubMed Central  Google Scholar 

  • Appelbaum, P. S., Grisso, T., Frank, E., O’Donnell, S., & Kupfer, D. J. (1999). Competence of depressed patients for consent to research. The American Journal of Psychiatry, 156(9), 1380–1384.

    PubMed  Google Scholar 

  • American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. Washington, DC: Author.

    Google Scholar 

  • American Psychological Association Committee on Human Research. (2010). Interdisciplinary and multi-site studies: Ethical challenges for psychologists. Retrieved September 5, 2015 from http://www.apa.org/science/about/psa/2010/11/ethical-challenges.aspx

  • Arean, P. A., & Alvidrez, J. (2002). Ethical considerations in psychotherapy effectiveness research: choosing the comparison group. Ethics and Behavior, 12(1), 63–73.

    Article  PubMed  Google Scholar 

  • Becker-Blease, K. A., & Freyd, J. J. (2006). Research participants telling the truth about their lives: The ethics of asking and not asking about abuse. American Psychologist, 61(3), 218–226. doi:10.1037/0003-066X.61.3.218.

    Article  PubMed  Google Scholar 

  • Benatar, S. R. (2002). Reflections and recommendations on research ethics in developing countries. Social Science and Medicine, 54, 1131–1141.

    Article  PubMed  Google Scholar 

  • Binik, A., Weijer, C., McRae, A. D., Grimshaw, J. M., Boruch, R., Brehaut, J.C., Allan Donner, A., Eccles, M. P., Saginur, R., Taljaard, M., & Zwarenstein, M. (2011). Does clinical equipoise apply to cluster randomized trials in health research? Trials. Retrieved October 27, 2015 from http://www.trialsjournal.com/content/12/1/118

  • Bolton, P., Bass, J., Neugebauer, R., Verdeli, H., Clougherty, K. F., Wickramaratne, P., et al. (2003). Group interpersonal psychotherapy for depression in rural Uganda. Journal of American Medical Association, 289(23), 3117–3124.

    Article  Google Scholar 

  • Bond, T. (2004). Ethical guidelines for researching counselling and psychotherapy. Counselling & Psychotherapy Research, 4(2), 10–18.

    Article  Google Scholar 

  • Bourdeau, B. (2000). Dual relationships in qualitative research. The Qualitative Report, 4(3&4). Retrieved February 26, 2016 from http://www.nova.edu/ssss/QR/QR4–3/bourdeau.html

  • Braun, M., & Roussos, A. J. (2012). Psychotherapy researchers: reported misbehaviors and opinions. Journal of Empirical Research on Human Research Ethics, 7(5), 25–29.

    Article  PubMed  Google Scholar 

  • Chaturvedi, S. K. (2008). A review of Indian publications on ethical issues regarding capacity, informed consent, and placebo controlled trials. Internet Journal of Mental Health, 5(2). Retrieved September 10, 2015 from http://print.ispub.com/api/0/ispub-article/7089

  • Chaturvedi, S. K., & Somashekar, B. S. (2009). Reporting ethical aspects in published research articles in the Indian Journal of Psychiatry. Indian Journal of Psychiatry, 51, 34–37.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chauhan, R. C., Purty, A. J., & Singh, N. (2015). Consent for audio-video recording of informed consent process in rural South India. Perspectives in Clinical Research, 6(3), 159–162.

    Article  PubMed  PubMed Central  Google Scholar 

  • Childress, C. A. (2000). Ethical issues in providing online psychotherapeutic interventions. Journal of Medical Internet Research, 2(1), e5.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cwikel, J., & Hoban, E. (2005). Contentious issues in research on trafficked women working in the sex industry: Study design, ethics, and methodology. The Journal of Sex Research, 42(4), 306–316.

    Article  PubMed  Google Scholar 

  • Etherington, K. (1996). The counsellor as researcher: Boundary issues and critical dilemmas. British Journal of Guidance & Counselling, 24(3), 339–346. doi:10.1080/03069889600760311.

    Article  Google Scholar 

  • Fairburn, C. G., & Cooper, Z. (2011). Therapist competence, therapy quality, and therapist training. Behavior Research and Therapy, 49(6–7), 373–378.

    Article  Google Scholar 

  • Ford, N., Mills, E. J., Zachariah, R., & Upshur, R. (2009). Ethics of conducting research in conflict settings. Conflict and Law, 3, 7. Retrieved September 5, 2015 from http://www.conflictandhealth.com/content/3/1/7

  • Freedland, K. E., Mohr, D. C., Davidson, K. W., & Schwartz, J. E. (2011). Usual and unusual care: existing practice control groups in randomized controlled trials of behavioral interventions. Psychosomatic Medicine, 73(4), 323–335.

    Article  PubMed  PubMed Central  Google Scholar 

  • Freedman, B. (1987). Equipoise and the ethics of clinical research. New England Journal of Medicine, 317(3), 141–145.

    Article  PubMed  Google Scholar 

  • Fulford, K. W., & Howse, K. (1993). Ethics of research with psychiatric patients: principles, problems and the primary responsibilities of researchers. Journal of Medical Ethics, 19(2), 85–91.

    Article  PubMed  PubMed Central  Google Scholar 

  • Garfield, S. L. (1987). Ethical issues in research on psychotherapy. Counseling and Values, 31(2), 115–125.

    Article  PubMed  Google Scholar 

  • Grafanaki, S. (1996). How research can change the researcher: The need for sensitivity, flexibility and ethical boundaries in conducting qualitative research in counselling/psychotherapy. British Journal of Guidance & Counselling, 24(3), 329–338. doi:10.1080/03069889600760301.

    Article  Google Scholar 

  • Gandhi, Z., & Vankar, G. K. (2007). Treatment related decision making capacity in psychotic inpatients. Indian Journal of Psychiatry, 49, 66–67.

    Article  Google Scholar 

  • Grisso, T., & Appelbaum, P. S. (1998). Assessing competence to consent to treatment: A guide for physicians and other health professionals. New York: Oxford University Press.

    Google Scholar 

  • Gupta, U. C., & Kharawala, S. (2012). Informed consent in psychiatry clinical research: A conceptual review of issues, challenges, and recommendations. Perspectives in Clinical Research, 3(1), 8–15.

    Google Scholar 

  • Halse, C., & Honey, A. (2005). Unraveling ethics: Illuminating the moral dilemmas of research ethics. Signs, 30(4), 2141–2162. doi:10.1086/428419.

    Article  Google Scholar 

  • Haman, K. L., & Hollon, S. D. (2009). Ethical considerations for cognitive-behavioral therapists in psychotherapy research trials. Cognitive and Behavioral Practice, 6(2), 153–163.

    Article  Google Scholar 

  • Hart, N., & Crawford-Wright, A. (1999). Research as therapy, therapy as research: Ethical dilemmas in new-paradigm research. British Journal of Guidance & Counselling, 27(2), 205–214. doi:10.1080/03069889908256265.

    Article  Google Scholar 

  • Hindmarch, T., Hotopf, M., & Owen, G. S. (2013). Depression and decision-making capacity for treatment or research: a systematic review. BMC Medical Ethics, 14(1). doi:10.1186/1472-6939-14-54

  • Indian Association of Clinical Psychologists. (2015). Ethics and code of conduct of clinical psychologists Guidelines 2012–13. Retrieved June 19, 2015 from http://www.iacp.in/node/159.

  • International Committee of Medical Journal Editors. (1995). Protection of patients’ right to privacy. British Medical Journal, 311, 1272

    Google Scholar 

  • Indian Council of Medical Research. (2006). Ethical guidelines for biomedical research on human participants. Retrieved October 26, 2015 from icmr.nic.in/ethical_guidelines.pdf

  • Jenkins, P. (2013). The only way is ethics? University ethics committees and the future of psychotherapy research. Contemporary Psychotherapy. Retrieved on Septemeber 7, 2015 from http://www.contemporarypsychotherapy.org/volume-5-no-2-winter-2013/the-only-way-is-ethics/

  • Kass, N. E., Faden, R. R., Goodman, S. N., Pronovost, P., Tunis, S., & Beauchamp, T. L. (2013). The research-treatment distinction: a problematic approach for determining which activities should have ethical oversight. Hastings Center Report, 43(1), 4–15.

    Article  Google Scholar 

  • Levine, S. B., & Stagno, S. J. (2001). Informed consent for case reports the ethical dilemma of right to privacy versus pedagogical freedom. Journal of Psychotherapy Practice and Research, 10(3), 193–201.

    PubMed  PubMed Central  Google Scholar 

  • Lindsey, R. T. (1984). Informed consent and deception in psychotherapy research: An ethical analysis. The Counseling Psychologist, 12(3), 79–86.

    Article  Google Scholar 

  • McDermott, E. (2010). Researching and monitoring adolescent sexual orientation. London: Equalities and Human Rights Commission.

    Google Scholar 

  • McLeod, J. (2001). Qualitative research in counselling and psychotherapy. London: Sage.

    Book  Google Scholar 

  • Muthuswamy, V. (2005). Ethical issues in HIV/AIDS research. Indian Journal of Medical Research, 121(4), 601–610.

    PubMed  Google Scholar 

  • Noland, C. M. (2012). Institutional barriers to research on sensitive topics: Case of sex communication research among university students. Journal of Research Practice, 8(1), Article-M2.

    Google Scholar 

  • O’Leary, K. D., & Borkovec, T. D. (1978). Conceptual, methodological, and ethical problems of placebo groups in psychotherapy research. American Psychologist, 33(9), 821–830.

    Article  PubMed  Google Scholar 

  • Ortlipp, M. (2008). Keeping and using reflective journals in the qualitative research process. The Qualitative Report., 13(4), 695–705.

    Google Scholar 

  • Papas, R. K., Gakinya, B. N., Baliddawa, J. B., Martino, S., Bryant, K. J., Meslin, E. M., & Sidle, J. E. (2012). Ethical issues in a stage 1 cognitive-behavioral therapy feasibility study and trial to reduce alcohol use among HIV-infected outpatients in Western Kenya. Journal of Empirical Research on Human Research Ethics, 7(3), 29–37. doi:10.1525/jer.2012.7.3.29.

    Article  PubMed  PubMed Central  Google Scholar 

  • Patel, V., Chowdhury, N., Rahman, A., & Verdeli, H. (2011). Improving access to psychological treatments: Lessons from developing countries. Behaviour Research and Therapy, 49(9), 523–528.

    Article  PubMed  PubMed Central  Google Scholar 

  • Permuth-Way, J., & Borenstein, A. R. (2009). Financial remuneration for clinical and behavioral research participation: Ethical and practical considerations. Annals of Epidemiology, 19(4), 280–285.

    Article  Google Scholar 

  • Richards, H. M., & Schwartz, L. J. (2002). Ethics of qualitative research: are there special issues for health services research? Family Practice, 19(2), 135–139.

    Article  PubMed  Google Scholar 

  • Shevell, M. I. (2004). The ethics of case reports. Paediatric and Child Health, 9(2), 83–84.

    Google Scholar 

  • Sieber, J. E. (2001). Summary of human subjects protection issues related to large sample surveys. U.S. Department of Justice, Bureau of Justice Statistics. Available from http://www.bjs.gov/content/pub/pdf/shspirls.pdf

  • Smith, D. (2003). Five principles for research ethics: Cover your bases with these ethical strategies. APA Monitor on Psychology, 34(1), 56. Retrieved September 10, 2015 from http://www.apa.org/monitor/jan03/principles.aspx

  • Waligora, M., Dranseika, V., & Piasecki, J. (2014). Child’s assent in research: Age threshold or personalisation? BMC Medical Ethics, 15, 44. doi:10.1186/1472-6939-15-44.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wager, E. & Kleinert, S. (2011). Responsible research publication: International standards for authors. In M. Tony & S. Nicholar (Eds.), Promoting research integrity in a global environment (pp. 309–316). Singapore: World Scientific Publishing Co. Lts. Available from http://www.oeawi.at/downloads/International%20standards_authors_for%20website_11_Nov_2011.pdf

  • Weijer, C., Grimshaw, J. M., Taljaard, M., Binik, A., Boruch, R., Brehaut, J. C., et al. (2011). Ethical issues posed by cluster randomized trials in health research. Trials, 12, 100. doi:10.1186/1745-6215-12-100.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weijer, C., Grimshaw, J. M., Eccles, M. P., McRae, A. D., White, A., Brehaut, J. C. & Taljaard, M. (2012). The ottawa statement on the ethical design and conduct of cluster randomized trials. PLOS Medicine. Retrieved October 27, 2015 from http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001346

  • Wendler, D., Rackoff, J. E., Emanuel, E. J., & Grady, C. (2002). The ethics of paying for children’s participation in research. Journal of Pediatrics, 141(2), 166–171.

    Article  PubMed  Google Scholar 

  • West, W. (2002). Some ethical dilemmas in counselling and counselling research. British Journal of Guidance & Counselling, 30(3), 261–268. doi:10.1080/0306988021000002308.

    Article  Google Scholar 

  • Wig, N. N. (2004). Ethical issues in psychiatry. Indian Journal of Medical Ethics, 1(3), 83–84.

    PubMed  Google Scholar 

  • Wiles, R. (2013). What are qualitative research ethics?. NY: Bloomsbury.

    Google Scholar 

  • Wing, J. (1981). Ethics and psychiatric research. In S. Bloch & P. Chodoff (Eds.), Psychiatric ethics. New York: Oxford University Press.

    Google Scholar 

  • World Medical Association. (2001). World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bulletin of the World Health Organization, 79(4), 373–374.

    PubMed Central  Google Scholar 

  • World Medical Association. (2013). Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of American Medical Association, 310(20), 2191–2194.

    Article  Google Scholar 

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Acknowledgements

The authors express their thanks to Prof. S.K. Chaturvedi (Departments of Psychiatry and Mental Health Education; Dean, Behavioural Sciences and Member Secretary, Institutional Ethics Committee, NIMHANS, Bengaluru), for his helpful comments on an earlier version of this chapter.

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Authors and Affiliations

  1. Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, 560029, India

    Shoba Srinath

  2. Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, 560029, India

    Poornima Bhola

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  1. Shoba Srinath
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  2. Poornima Bhola
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Correspondence to Shoba Srinath .

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Editors and Affiliations

  1. Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India

    Poornima Bhola

  2. Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS) , Bangalore, Karnataka, India

    Ahalya Raguram

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Srinath, S., Bhola, P. (2016). Research Ethics in Psychotherapy and Psychosocial Interventions: Role of Institutional Ethical Review Boards. In: Bhola, P., Raguram, A. (eds) Ethical Issues in Counselling and Psychotherapy Practice. Springer, Singapore. https://doi.org/10.1007/978-981-10-1808-4_14

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